Imaging prices at Powell Valley Healthcare
Powell, WY · every code in this section with a posted price and a Medicare benchmark.
256 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 10 matching MRF lines |
$69.19–$295.04 | $81.40–$347.10 | varies |
| Abdomen 2 views (74019) range across 6 matching MRF lines |
$69.19–$310.85 | $81.40–$365.70 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$404.52–$1,155.66 | $475.90–$1,359.60 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$52.53–$248.63 | $61.80–$292.50 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$405.37–$476.26 | $476.90–$560.30 | varies |
| Arthrogram hip (73525) | $547.23 | $643.80 | 1.5× |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$405.37–$476.26 | $476.90–$560.30 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$260.87–$544.60 | $306.90–$640.70 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$434.27–$1,242.36 | $510.90–$1,461.60 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$286.28–$821.19 | $336.80–$966.10 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$394.83–$1,129.40 | $464.50–$1,328.70 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$69.19–$292.40 | $81.40–$344 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$203.15–$852.72 | $239–$1,003.20 | varies |
| Chest 1 view (71045) range across 15 matching MRF lines |
$69.19–$197.88 | $81.40–$232.80 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$57.80–$251.26 | $68–$295.60 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$52.53–$234.60 | $61.80–$276 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$231.12–$852.72 | $271.90–$1,003.20 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$405.37–$618.12 | $476.90–$727.20 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$405.37–$532.27 | $476.90–$626.20 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$665.38–$732.79 | $782.80–$862.10 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 7 matching MRF lines |
$231.12–$3,643.87 | $271.90–$4,286.90 | varies |
| CT abdomen and pelvis without contrast (74176) range across 7 matching MRF lines |
$231.12–$2,497.81 | $271.90–$2,938.60 | varies |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$299.46–$1,779.90 | $352.30–$2,094 | varies |
| CT abdomen w wo contrast (74170) range across 7 matching MRF lines |
$231.12–$2,179.15 | $271.90–$2,563.70 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$231.12–$1,481.38 | $271.90–$1,742.80 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$391.34–$1,968.09 | $460.40–$2,315.40 | varies |
| CT Angio Chest (71275) range across 10 matching MRF lines |
$391.34–$2,531.05 | $460.40–$2,977.70 | varies |
| CT Angio Head (70496) range across 6 matching MRF lines |
$391.34–$2,242.13 | $460.40–$2,637.80 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$391.34–$1,984.75 | $460.40–$2,335 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$391.34–$2,237.80 | $460.40–$2,632.70 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$391.34–$2,076.72 | $460.40–$2,443.20 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$299.46–$1,832.43 | $352.30–$2,155.80 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$231.12–$1,554.91 | $271.90–$1,829.30 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$285.43–$2,101.20 | $335.80–$2,472 | varies |
| CT chest w contrast (71260) range across 8 matching MRF lines |
$299.46–$1,764.18 | $352.30–$2,075.50 | varies |
| CT chest w/wo contrast (71270) range across 8 matching MRF lines |
$231.12–$2,057.43 | $271.90–$2,420.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$299.46–$1,654.70 | $352.30–$1,946.70 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$231.12–$1,889.30 | $271.90–$2,222.70 | varies |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$250.41–$1,462.09 | $294.60–$1,720.10 | varies |
| CT l-spine w&w/o contrast (72133) | $2,255.31 | $2,653.30 | 12.6× |
| CT lower ext w/o (73700) range across 32 matching MRF lines |
$231.12–$1,122.43 | $271.90–$1,320.50 | varies |
| CT lower extremity w/contrast material (73701) range across 40 matching MRF lines |
$299.46–$1,314.10 | $352.30–$1,546 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$299.46–$1,996.14 | $352.30–$2,348.40 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$231.12–$1,470.84 | $271.90–$1,730.40 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$299.46–$1,427.07 | $352.30–$1,678.90 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$231.12–$1,256.39 | $271.90–$1,478.10 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$299.46–$1,739.61 | $352.30–$2,046.60 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$250.41–$1,748.37 | $294.60–$2,056.90 | varies |
| CT orbits w/o contrast (70480) range across 8 matching MRF lines |
$250.41–$1,325.49 | $294.60–$1,559.40 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$299.46–$1,778.12 | $352.30–$2,091.90 | varies |
| CT pelvis w/o contrast (72192) range across 6 matching MRF lines |
$231.12–$3,643.87 | $271.90–$4,286.90 | varies |
| CT scan of leg combo (73702) range across 28 matching MRF lines |
$231.12–$1,568 | $271.90–$1,844.70 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$231.12–$1,722.10 | $271.90–$2,026 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$299.46–$1,561.88 | $352.30–$1,837.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$299.46–$1,457.75 | $352.30–$1,715 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$299.46–$1,730.01 | $352.30–$2,035.30 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$231.12–$1,476.11 | $271.90–$1,736.60 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$231.12–$2,067.97 | $271.90–$2,432.90 | varies |
| CT thorax w/o contrast (71250) range across 11 matching MRF lines |
$231.12–$1,503.23 | $271.90–$1,768.50 | varies |
| CT upper ext wo (73200) range across 42 matching MRF lines |
$231.12–$1,169.69 | $271.90–$1,376.10 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 36 matching MRF lines |
$231.12–$1,536.55 | $271.90–$1,807.70 | varies |
| CT upper extremity with contrast (73201) range across 48 matching MRF lines |
$299.46–$1,317.67 | $352.30–$1,550.20 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$391.34–$4,701.44 | $460.40–$5,531.10 | varies |
| Cta Abdomen (74175) range across 5 matching MRF lines |
$391.34–$2,267.55 | $460.40–$2,667.70 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$391.34–$2,286.84 | $460.40–$2,690.40 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$57.80–$411.49 | $68–$484.10 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$88.40–$232.05 | $104–$273 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$69.19–$174.25 | $81.40–$205 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$260.87–$635.63 | $306.90–$747.80 | varies |
| Esophagram (74220) range across 6 matching MRF lines |
$260.87–$446.51 | $306.90–$525.30 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$299.46–$615.49 | $352.30–$724.10 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$299.46–$615.49 | $352.30–$724.10 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$69.19–$567.29 | $81.40–$667.40 | varies |
| Foot 2 views (73620) range across 10 matching MRF lines |
$44.63–$189.98 | $52.50–$223.50 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$49.05–$248.63 | $57.70–$292.50 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$286.28–$821.19 | $336.80–$966.10 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$435.12–$1,542.67 | $511.90–$1,814.90 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$46.41–$263.50 | $54.60–$310 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$261.80–$1,619.68 | $308–$1,905.50 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$275.83–$809.88 | $324.50–$952.80 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$405.37–$792.37 | $476.90–$932.20 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$222.36–$344.93 | $261.60–$405.80 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$161.08–$262.65 | $189.50–$309 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$69.19–$408.85 | $81.40–$481 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$171.62–$492.92 | $201.90–$579.90 | varies |
| Knee 3 Views (73562) range across 10 matching MRF lines |
$49.05–$351.05 | $57.70–$413 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$225–$643.54 | $264.70–$757.10 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $233.75 | $275 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$412.34–$1,143.42 | $485.10–$1,345.20 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$414.12–$1,242.36 | $487.20–$1,461.60 | varies |
| Magnetic Image Jaw Joint (70336) range across 8 matching MRF lines |
$434.27–$2,013.65 | $510.90–$2,369 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$195.25–$654.84 | $229.70–$770.40 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$434.27–$2,101.20 | $510.90–$2,472 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$434.27–$2,976.70 | $510.90–$3,502 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$434.27–$2,976.70 | $510.90–$3,502 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$434.27–$2,363.85 | $510.90–$2,781 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$434.27–$2,714.05 | $510.90–$3,193 | varies |
| MRI abdomen w/o contrast (74181) range across 6 matching MRF lines |
$434.27–$2,451.40 | $510.90–$2,884 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 32 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 20 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 32 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$434.27–$2,363.85 | $510.90–$2,781 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$434.27–$1,838.55 | $510.90–$2,163 | varies |
| MRI cervical spine w contrast (72142) range across 6 matching MRF lines |
$434.27–$3,064.25 | $510.90–$3,605 | varies |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$434.27–$2,451.40 | $510.90–$2,884 | varies |
| MRI chest w/o contrast (71550) range across 10 matching MRF lines |
$434.27–$2,451.40 | $510.90–$2,884 | varies |
| MRI chest with contrast (71551) range across 6 matching MRF lines |
$434.27–$2,976.70 | $510.90–$3,502 | varies |
| MRI chest wo w contrast (71552) range across 8 matching MRF lines |
$434.27–$3,326.90 | $510.90–$3,914 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 18 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 16 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 16 matching MRF lines |
$434.27–$1,926.10 | $510.90–$2,266 | varies |
| MRI lumbar spine w contrast (72149) range across 5 matching MRF lines |
$434.27–$3,064.25 | $510.90–$3,605 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 6 matching MRF lines |
$434.27–$3,677.10 | $510.90–$4,326 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$434.27–$2,101.20 | $510.90–$2,472 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$434.27–$3,064.25 | $510.90–$3,605 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$434.27–$3,326.90 | $510.90–$3,914 | varies |
| MRI pelvis w contrast (72196) range across 10 matching MRF lines |
$434.27–$3,326.90 | $510.90–$3,914 | varies |
| MRI pelvis w/o & w contrast (72197) range across 11 matching MRF lines |
$434.27–$3,326.90 | $510.90–$3,914 | varies |
| MRI pelvis w/o contrast (72195) range across 13 matching MRF lines |
$434.27–$1,838.55 | $510.90–$2,163 | varies |
| MRI thoracic spine w/o contrast (72146) range across 5 matching MRF lines |
$434.27–$2,451.40 | $510.90–$2,884 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 26 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 24 matching MRF lines |
$434.27–$1,926.10 | $510.90–$2,266 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 24 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI, abdomen, combo (74183) range across 12 matching MRF lines |
$434.27–$3,064.25 | $510.90–$3,605 | varies |
| MRI, dorsal spine combo (72157) range across 5 matching MRF lines |
$434.27–$3,677.10 | $510.90–$4,326 | varies |
| MRI, dorsal spine contrast (72147) range across 5 matching MRF lines |
$434.27–$3,064.25 | $510.90–$3,605 | varies |
| MRI, joint upper extrem (73221) range across 20 matching MRF lines |
$434.27–$1,926.10 | $510.90–$2,266 | varies |
| MRI, joint upper extrem combo (73223) range across 20 matching MRF lines |
$434.27–$2,538.95 | $510.90–$2,987 | varies |
| MRI, lumbar spine combo (72158) range across 5 matching MRF lines |
$434.27–$3,677.10 | $510.90–$4,326 | varies |
| Myocardial Spect Multiple Studies (78452) range across 14 matching MRF lines |
$739.84–$2,114.38 | $870.40–$2,487.50 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$69.19–$203.15 | $81.40–$239 | varies |
| Ob us nuchal meas 1 gest (76813) | $470.99 | $554.10 | 4.4× |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$424.66–$1,215.16 | $499.60–$1,429.60 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$483.31–$1,453.33 | $568.60–$1,709.80 | varies |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$69.19–$248.63 | $81.40–$292.50 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$286.28–$821.19 | $336.80–$966.10 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$69.19–$367.71 | $81.40–$432.60 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $556.84 | $655.10 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$53.38–$292.40 | $62.80–$344 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$34.17–$201.37 | $40.20–$236.90 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$55.17–$286.28 | $64.90–$336.80 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$69.19–$126.99 | $81.40–$149.40 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$40.29–$219.73 | $47.40–$258.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$52.53–$286.28 | $61.80–$336.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 12 matching MRF lines |
$55.17–$284.58 | $64.90–$334.80 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$69.19–$204.85 | $81.40–$241 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$69.19–$341.45 | $81.40–$401.70 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$69.19–$253.05 | $81.40–$297.70 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$69.19–$308.21 | $81.40–$362.60 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 32 matching MRF lines |
$63.92–$271.41 | $75.20–$319.30 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$69.19–$246.93 | $81.40–$290.50 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$945.54–$1,123.28 | $1,112.40–$1,321.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 12 matching MRF lines |
$69.19–$217.09 | $81.40–$255.40 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$69.19–$286.28 | $81.40–$336.80 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$69.19–$483.31 | $81.40–$568.60 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$41.99–$234.60 | $49.40–$276 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$69.19–$179.52 | $81.40–$211.20 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 32 matching MRF lines |
$56.95–$271.41 | $67–$319.30 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $268.77 | $316.20 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$69.19–$192.61 | $81.40–$226.60 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$69.19–$416.76 | $81.40–$490.30 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$405.37–$864.11 | $476.90–$1,016.60 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$405.37–$722.33 | $476.90–$849.80 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 10 matching MRF lines |
$69.19–$373.83 | $81.40–$439.80 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 6 matching MRF lines |
$69.19–$242.51 | $81.40–$285.30 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 8 matching MRF lines |
$465.80–$694.28 | $548–$816.80 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$120.79–$283.65 | $142.10–$333.70 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
$691.65–$694.28 | $813.70–$816.80 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$41.14–$230.27 | $48.40–$270.90 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$52.53–$280.16 | $61.80–$329.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$52.53–$296.82 | $61.80–$349.20 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$408.85–$597.98 | $481–$703.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$52.53–$267.92 | $61.80–$315.20 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$69.19–$442.17 | $81.40–$520.20 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$533.21–$2,582.73 | $627.30–$3,038.50 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$63.92–$276.68 | $75.20–$325.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$115.60–$135.75 | $136–$159.70 | varies |
| Sella turcica (70240) | $238.17 | $280.20 | 2.7× |
| Shoulder 1 view (73020) range across 20 matching MRF lines |
$45.56–$248.63 | $53.60–$292.50 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$525.30–$732.79 | $618–$862.10 | varies |
| Skull less than 4 views (70250) range across 6 matching MRF lines |
$69.19–$315.18 | $81.40–$370.80 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$69.19–$294.19 | $81.40–$346.10 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$597.98–$1,341.30 | $703.50–$1,578 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$69.19–$271.41 | $81.40–$319.30 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$69.19–$286.28 | $81.40–$336.80 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$69.19–$133.11 | $81.40–$156.60 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$344.08–$998.07 | $404.80–$1,174.20 | varies |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$178.59–$517.40 | $210.10–$608.70 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$144.50–$465.80 | $170–$548 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$178.59–$403.58 | $210.10–$474.80 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$144.50–$465.80 | $170–$548 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$92.82–$266.14 | $109.20–$313.10 | varies |
| Upper gi w/o kub (74240) range across 12 matching MRF lines |
$691.65–$694.28 | $813.70–$816.80 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$405.37–$542.81 | $476.90–$638.60 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$405.37–$806.31 | $476.90–$948.60 | varies |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$178.59–$676.77 | $210.10–$796.20 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$178.59–$928.88 | $210.10–$1,092.80 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$260.87–$795.86 | $306.90–$936.30 | varies |
| Us exam, pelvic, limited (76857) range across 11 matching MRF lines |
$144.50–$441.24 | $170–$519.10 | varies |
| Us head (76506) | $281.95 | $331.70 | 2.6× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$144.50–$403.58 | $170–$474.80 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$260.87–$795.86 | $306.90–$936.30 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$92.82–$237.24 | $109.20–$279.10 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$175.95–$267.07 | $207–$314.20 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$144.50–$600.61 | $170–$706.60 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$167.20–$325.72 | $196.70–$383.20 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$175.95–$466.65 | $207–$549 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$178.59–$648.72 | $210.10–$763.20 | varies |
| Us retroperitoneal limited (76775) range across 9 matching MRF lines |
$144.50–$403.58 | $170–$474.80 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$144.50–$403.58 | $170–$474.80 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$275.83–$652.29 | $324.50–$767.40 | varies |
| Us thyroid (76536) range across 6 matching MRF lines |
$144.50–$562.11 | $170–$661.30 | varies |
| Venography caval inferior serialography rs&i (75825) | $2,524.08 | $2,969.50 | 0.8× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$405.37–$2,481.15 | $476.90–$2,919 | varies |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$405.37–$1,088.26 | $476.90–$1,280.30 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$88.40–$232.05 | $104–$273 | varies |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$47.26–$230.27 | $55.60–$270.90 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$69.19–$297.67 | $81.40–$350.20 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$69.19–$306.43 | $81.40–$360.50 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$47.26–$256.53 | $55.60–$301.80 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$115.60–$219.73 | $136–$258.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$69.19–$113.82 | $81.40–$133.90 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$69.19–$208.34 | $81.40–$245.10 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $225.85 | $265.70 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$53.38–$230.27 | $62.80–$270.90 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$69.19–$299.46 | $81.40–$352.30 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$80.58–$127.84 | $94.80–$150.40 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$69.19–$154.96 | $81.40–$182.30 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$69.19–$184.71 | $81.40–$217.30 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$69.19–$667.17 | $81.40–$784.90 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 8 matching MRF lines |
$69.19–$340.60 | $81.40–$400.70 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$69.19–$534.06 | $81.40–$628.30 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$69.19–$348.42 | $81.40–$409.90 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$69.19–$197.03 | $81.40–$231.80 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$56.95–$274.04 | $67–$322.40 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$69.19–$179.52 | $81.40–$211.20 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$53.38–$274.04 | $62.80–$322.40 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 8 matching MRF lines |
$69.19–$313.40 | $81.40–$368.70 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$69.19–$236.39 | $81.40–$278.10 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$69.19–$489.43 | $81.40–$575.80 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$69.19–$280.16 | $81.40–$329.60 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$69.19–$276.68 | $81.40–$325.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$69.19–$271.41 | $81.40–$319.30 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$69.19–$253.05 | $81.40–$297.70 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$69.19–$423.73 | $81.40–$498.50 | varies |
| X-ray thoracic spine 4 vw (72074) | $315.18 | $370.80 | 3.0× |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$69.19–$197.03 | $81.40–$231.80 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $764.32 | $899.20 | 2.1× |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$260.87–$337.11 | $306.90–$396.60 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$88.40–$704.82 | $104–$829.20 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$69.19–$414.12 | $81.40–$487.20 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$69.19–$171.62 | $81.40–$201.90 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$69.19–$274.04 | $81.40–$322.40 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$69.19–$371.20 | $81.40–$436.70 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.