Imaging prices at Pratt Regional Medical Center
Pratt, KS · every code in this section with a posted price and a Medicare benchmark.
313 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 5 matching MRF lines |
$41–$274 | $59–$392 | varies |
| Abdomen 2 views (74019) | $288 | $411 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$479–$1,750 | $684–$2,500 | varies |
| Angiography extremity unilateral rs&i (75710) | $108 | $154 | 0.0× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$36–$319 | $51–$455 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$50–$869 | $72–$1,241 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$50–$762 | $72–$1,088 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$27–$694 | $39–$992 | varies |
| Bone age studies (77072) | $202 | $288 | 2.1× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$479–$1,188 | $684–$1,697 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$479–$918 | $684–$1,311 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$479–$1,546 | $684–$2,208 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$479–$1,304 | $684–$1,863 | varies |
| Bone marrow imaging limited area (78102) | $612 | $874 | 1.7× |
| Bone marrow imaging; multiple areas (78103) | $664 | $949 | 1.8× |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$77–$727 | $110–$1,038 | varies |
| Bone survey infant (77076) | $173 | $247 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $818 | $1,169 | 1.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $597 | $853 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $552 | $788 | 6.9× |
| Cerebrospinal Fluid Scan (78630) | $980 | $1,400 | 2.0× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$56–$235 | $80–$336 | varies |
| Chest 2 views (71046) range across 7 matching MRF lines |
$45–$290 | $64–$414 | varies |
| Chest 3 views (71047) | $277 | $395 | 3.5× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$277–$335 | $395–$478 | varies |
| Cholecystography Oral Contrast (74290) | $25 | $35 | 0.2× |
| Clavicle complete (73000) range across 8 matching MRF lines |
$15–$386 | $22–$552 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$27–$692 | $39–$989 | varies |
| Contrast X-Ray Of Elbow (73085) | $585 | $835 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$126–$973 | $180–$1,390 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,381 | $4,830 | 10.5× |
| CT abdomen and pelvis without contrast (74176) | $2,352 | $3,360 | 10.7× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$132–$1,691 | $189–$2,415 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$174–$1,771 | $248–$2,530 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$135–$1,470 | $193–$2,100 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,021 | $4,316 | 9.4× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$185–$2,335 | $264–$3,335 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$162–$2,657 | $231–$3,795 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$174–$2,576 | $248–$3,680 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$162–$2,335 | $231–$3,335 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$174–$1,984 | $248–$2,835 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$132–$1,530 | $189–$2,185 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$122–$1,323 | $174–$1,890 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$146–$2,149 | $209–$3,070 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$132–$1,530 | $189–$2,185 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$160–$1,617 | $229–$2,310 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$99–$1,548 | $142–$2,212 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$120–$1,876 | $171–$2,680 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$104–$1,763 | $149–$2,518 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$146–$1,871 | $209–$2,673 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$112–$1,357 | $160–$1,939 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$132–$1,530 | $189–$2,185 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$132–$1,798 | $189–$2,569 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$112–$1,549 | $160–$2,213 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$104–$1,691 | $149–$2,415 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$97–$1,530 | $138–$2,185 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,825–$1,948 | $2,607–$2,783 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$112–$2,562 | $160–$3,660 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$100–$1,103 | $143–$1,575 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$146–$1,529 | $209–$2,184 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$123–$1,429 | $176–$2,042 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$134–$1,662 | $191–$2,374 | varies |
| CT scans face/jaw combo (70488) | $2,739 | $3,913 | 17.0× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$99–$1,884 | $142–$2,691 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$112–$1,691 | $160–$2,415 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$132–$1,470 | $189–$2,100 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$112–$1,397 | $160–$1,995 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$146–$1,544 | $209–$2,205 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$122–$1,369 | $174–$1,955 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$112–$1,208 | $160–$1,725 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$134–$1,330 | $191–$1,900 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$132–$1,250 | $189–$1,785 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$197–$2,102 | $281–$3,003 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$185–$1,911 | $264–$2,730 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$174–$1,890 | $248–$2,700 | varies |
| Discography Cerv/Thor Spine (72285) | $399 | $570 | 0.2× |
| Diskography lumbar (72295) | $2,787 | $3,981 | 1.6× |
| Dxa Bone Density Axial (77080) | $202 | $288 | 2.1× |
| Echo exam uterus (76831) | $526 | $752 | 2.4× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$336–$552 | $480–$788 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$35–$472 | $50–$675 | varies |
| Fetal Biophys Profile W/Nst (76818) | $100 | $143 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$74–$573 | $105–$819 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$38–$336 | $54–$480 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$18–$244 | $25–$349 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$17–$296 | $24–$423 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$479–$1,663 | $684–$2,375 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$479–$1,398 | $684–$1,997 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$479–$1,096 | $684–$1,566 | varies |
| Hand 2 views (73120) range across 9 matching MRF lines |
$15–$272 | $22–$389 | varies |
| Hepatobiliary System Imaging (78226) | $1,506 | $2,151 | 4.1× |
| Ht Musc Image Planar Mult (78454) | $1,378 | $1,968 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $3,402 | $4,860 | 2.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$34–$365 | $48–$522 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $337 | $481 | 4.2× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$88–$370 | $125–$529 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$938–$1,635 | $1,340–$2,335 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$621–$1,214 | $887–$1,734 | varies |
| Kidney Imaging Morphol (78700) | $613 | $875 | 1.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,065 | $1,521 | 2.9× |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$18–$340 | $25–$485 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$479–$610 | $684–$871 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$479–$776 | $684–$1,108 | varies |
| Liver imaging w/vascular flow (78202) | $776 | $1,108 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,290 | $1,843 | 2.6× |
| Lung perfusion differential (78597) | $710 | $1,014 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,540 | $2,200 | 3.1× |
| Lung Ventilation Imaging (78579) | $1,419 | $2,027 | 3.9× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$621–$1,202 | $887–$1,717 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$21–$3,386 | $30–$4,837 | varies |
| Mammary ductogram or galactogram multiple (77054) | $203 | $290 | 0.9× |
| Mammary ductogram or galactogram single (77053) | $203 | $290 | 0.9× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$479–$603 | $684–$861 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,648 | $2,354 | 5.1× |
| MRA head w/o contrast (70544) | $1,211 | $1,730 | 5.5× |
| MRA head with contrast (70545) | $1,320 | $1,885 | 4.1× |
| MRA neck w contrast (70548) | $1,982 | $2,832 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,566 | $3,666 | 8.0× |
| MRA neck w/o contrast (70547) | $815 | $1,164 | 3.7× |
| MRI abdomen w contrast (74182) | $2,213 | $3,161 | 6.9× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$216–$1,996 | $308–$2,852 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,348 | $3,354 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,084 | $4,405 | 9.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,096 | $2,994 | 2.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$300–$2,404 | $429–$3,434 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$231–$1,789 | $330–$2,555 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$212–$875 | $303–$1,250 | varies |
| MRI chest with contrast (71551) | $1,546 | $2,208 | 2.1× |
| MRI chest wo w contrast (71552) | $2,027 | $2,896 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,069 | $2,956 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$193–$2,661 | $275–$3,801 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $741 | $1,059 | 3.4× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$281–$3,098 | $402–$4,426 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$328–$3,188 | $468–$4,554 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$212–$1,393 | $303–$1,990 | varies |
| MRI orbit face neck w contrast (70542) | $1,735 | $2,479 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,027 | $2,896 | 6.3× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$200–$1,996 | $286–$2,851 | varies |
| MRI pelvis w/o & w contrast (72197) | $2,552 | $3,646 | 8.0× |
| MRI pelvis w/o contrast (72195) | $1,402 | $2,003 | 6.4× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$212–$1,872 | $303–$2,674 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,948 | $2,783 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,495 | $2,135 | 6.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$193–$2,596 | $275–$3,709 | varies |
| MRI, abdomen, combo (74183) | $3,109 | $4,441 | 9.7× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$281–$2,790 | $402–$3,986 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$281–$2,064 | $402–$2,949 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$185–$1,863 | $264–$2,662 | varies |
| MRI, joint upper extrem combo (73223) | $2,608 | $3,726 | 8.1× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$312–$3,205 | $446–$4,578 | varies |
| Myelogram cervical (72240) | $178 | $254 | 0.2× |
| Myelography thoracic (72255) | $151 | $215 | 0.2× |
| Myelograpy 2/more regions rs&i (72270) | $200 | $286 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $3,043 | $4,347 | 2.6× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$13–$251 | $19–$358 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $550 | $786 | 1.5× |
| Nm red cell survival study (78130) range across 3 matching MRF lines |
$29–$133 | $42–$190 | varies |
| Nm whole blood volume (78122) | $4 | $6 | 0.0× |
| Nuclear Rx Oral Admin (79005) | $1,075 | $1,535 | 5.0× |
| Optic foramina (70190) | $457 | $653 | 5.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,275 | $3,250 | 4.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$479–$1,115 | $684–$1,593 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $669 | $956 | 1.8× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$27–$254 | $39–$363 | varies |
| PET image w/CT, full body (78816) | $5,614 | $8,020 | 4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,509 | $7,870 | 4.2× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $7 | $10 | 0.0× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $2 | $3 | 0.0× |
| Platelet survival study Non-Facility (78191) | $26 | $37 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $794 | $1,134 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $27 | $39 | 0.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$39–$767 | $55–$1,095 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$20–$271 | $28–$387 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$13–$412 | $19–$589 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$15–$337 | $22–$482 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$25–$391 | $35–$558 | varies |
| Radex fingr minimum 2 views (73140) range across 43 matching MRF lines |
$13–$234 | $18–$334 | varies |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$18–$301 | $25–$430 | varies |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
$17–$331 | $24–$473 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$50–$117 | $72–$167 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $173 | $247 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$20–$130 | $28–$185 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $176 | $252 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) range across 7 matching MRF lines |
$22–$263 | $32–$375 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 11 matching MRF lines |
$20–$321 | $28–$458 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$22–$193 | $31–$275 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 3 matching MRF lines |
$66–$785 | $94–$1,122 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$22–$274 | $32–$391 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$18–$168 | $25–$240 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $225 | $321 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 22 matching MRF lines |
$14–$214 | $20–$305 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$17–$194 | $24–$277 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$17–$304 | $24–$434 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$61–$379 | $87–$542 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $498 | $712 | 5.2× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$62–$827 | $88–$1,182 | varies |
| Radiologic exam colon single contrast study (74270) | $652 | $931 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $521 | $744 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$20–$487 | $28–$696 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$37–$316 | $53–$451 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$35–$785 | $50–$1,122 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$58–$685 | $83–$979 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$642–$746 | $917–$1,066 | varies |
| Radiologic examination femur 1 view (73551) | $248 | $355 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$52–$248 | $74–$355 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$16–$244 | $23–$349 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $494 | $706 | 5.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $134 | $191 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$18–$328 | $25–$469 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $169 | $241 | 0.3× |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 4 matching MRF lines |
$2–$23 | $2–$33 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$162–$2,472 | $231–$3,532 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$29–$365 | $41–$522 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$655–$840 | $935–$1,200 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $788 | $1,125 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,036–$1,190 | $1,480–$1,700 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,407–$2,370 | $2,010–$3,385 | varies |
| Salivary Gland Function Study (78232) | $629 | $899 | 1.7× |
| Salivary Gland Imaging (78230) | $629 | $899 | 1.7× |
| Salivary Gland Imaging Serial Images (78231) | $629 | $899 | 1.7× |
| Scapula (73010) range across 4 matching MRF lines |
$25–$289 | $35–$413 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55 | $78 | 2.4× |
| Sella turcica (70240) | $118 | $168 | 1.5× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$27–$224 | $39–$320 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$126–$694 | $180–$992 | varies |
| Sialogram (70390) | $365 | $522 | 1.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$23–$391 | $33–$559 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$21–$237 | $30–$338 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $725 | $1,035 | 3.3× |
| Testicular Imaging W/Flow (78761) | $591 | $844 | 1.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $902 | $1,288 | 5.6× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$50–$67 | $72–$95 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$27–$429 | $39–$613 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$20–$250 | $29–$357 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$479–$811 | $684–$1,158 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $343 | $490 | 0.9× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$621–$1,554 | $887–$2,220 | varies |
| Thyroid Uptake Measurement (78012) | $305 | $435 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $550 | $786 | 1.5× |
| Ultrasound Breast Limited (76642) | $375 | $535 | 4.7× |
| Ultrasound elastography first target lesion (76982) | $80 | $114 | 0.8× |
| Ultrasound Elastography Parenchyma (76981) | $80 | $114 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) | $322 | $460 | 3.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$69–$547 | $99–$782 | varies |
| Umbilical-artery Doppler (OB) (76820) | $145 | $207 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$281–$723 | $402–$1,033 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$39–$715 | $56–$1,022 | varies |
| Ureteral Reflux Study (78740) | $793 | $1,133 | 2.2× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$127–$707 | $182–$1,010 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$27–$646 | $39–$923 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$62–$503 | $88–$719 | varies |
| Us complete joint (76881) | $588 | $840 | 6.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$64–$431 | $91–$615 | varies |
| Us head (76506) range across 2 matching MRF lines |
$54–$524 | $77–$748 | varies |
| Us kidney transplant (76776) | $106 | $152 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $556 | $794 | 5.8× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$189–$575 | $270–$821 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$62–$431 | $88–$615 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$69–$628 | $99–$897 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$138–$713 | $197–$1,018 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$108–$720 | $154–$1,029 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$85–$431 | $121–$615 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$67–$660 | $95–$943 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$62–$552 | $88–$788 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$138–$688 | $197–$983 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$108–$481 | $154–$687 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$56–$672 | $80–$960 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$479–$591 | $684–$844 | varies |
| Vasogram (74440) | $454 | $648 | 2.1× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$81–$1,371 | $116–$1,958 | varies |
| Venography caval inferior serialography rs&i (75825) | $223 | $319 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $143 | $204 | 0.1× |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$621–$795 | $887–$1,135 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 3 matching MRF lines |
$115–$829 | $165–$1,184 | varies |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$17–$244 | $24–$348 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$20–$433 | $29–$619 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$35–$632 | $50–$903 | varies |
| X-Ray Aorta Leg Arteries (75630) | $155 | $222 | 0.1× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$18–$330 | $26–$471 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$17–$298 | $24–$426 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$706 | $39–$1,008 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$247–$400 | $353–$571 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$42–$211 | $60–$302 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 12 matching MRF lines |
$70–$253 | $100–$361 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$102–$334 | $145–$477 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $88 | $125 | 0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $109 | $155 | 1.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$45–$498 | $64–$712 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$22–$329 | $32–$470 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$29–$517 | $42–$738 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$17–$340 | $24–$485 | varies |
| X-ray eye for foreign body (70030) | $154 | $220 | 1.9× |
| X-ray humerus (73060) range across 10 matching MRF lines |
$16–$261 | $23–$373 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$47–$788 | $67–$1,126 | varies |
| X-ray IV pyelogram+tomography (74415) | $62 | $88 | 0.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$150–$365 | $214–$522 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$39–$179 | $55–$255 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$25–$372 | $35–$532 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$23–$127 | $33–$182 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$31–$426 | $44–$608 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$15–$360 | $21–$514 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $53 | $75 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$22–$399 | $31–$570 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$26–$301 | $37–$430 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$22–$528 | $31–$754 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$59–$155 | $85–$221 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$26–$132 | $37–$188 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$32–$727 | $46–$1,039 | varies |
| X-Rays Bone Length Studies (77073) | $234 | $334 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $641 | $916 | 6.7× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$23–$482 | $33–$689 | varies |
| Xr facial bones less than 3 views (70140) | $246 | $351 | 3.1× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$29–$396 | $41–$566 | 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.