Imaging prices at Raleigh General Hospital
Beckley, WV · every code in this section with a posted price and a Medicare benchmark.
377 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$236.50–$257.78 | $591.25–$644.46 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$182.26–$2,775.14 | $455.64–$6,937.85 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$220.61–$240.46 | $551.52–$601.16 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$792.30–$863.61 | $1,980.75–$2,159.02 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,351.60–$3,653.24 | $8,379–$9,133.11 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$873.60–$3,341.07 | $2,184–$8,352.67 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$566.40–$617.38 | $1,416–$1,543.44 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$786–$856.74 | $1,965–$2,141.85 | varies |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$224.90–$7,368.84 | $562.25–$18,422.09 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,009.60–$1,100.46 | $2,524–$2,751.16 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$169.60–$184.86 | $424–$462.16 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$798.40–$1,005.85 | $1,996–$2,514.63 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$820.40–$894.24 | $2,051–$2,235.59 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$149.70–$163.17 | $374.25–$407.93 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$220.55–$263.78 | $551.37–$659.45 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$827.21–$901.66 | $2,068.02–$2,254.14 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$804.90–$877.34 | $2,012.25–$2,193.35 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$827.21–$901.66 | $2,068.02–$2,254.14 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$395–$430.55 | $987.50–$1,076.38 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$678.40–$739.46 | $1,696–$1,848.64 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$678.40–$739.46 | $1,696–$1,848.64 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$363.20–$395.89 | $908–$989.72 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$249.60–$272.06 | $624–$680.16 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$169.20–$184.43 | $423–$461.07 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$601.70–$655.85 | $1,504.25–$1,639.63 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$468.20–$510.34 | $1,170.50–$1,275.85 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$2,036.99–$2,485.64 | $5,092.48–$6,214.09 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,818–$1,981.62 | $4,545–$4,954.05 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$2,030.80–$2,213.57 | $5,077–$5,533.93 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$263.50–$651.38 | $658.75–$1,628.46 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$549.60–$599.06 | $1,374–$1,497.66 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$153.26–$198.69 | $383.14–$496.73 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$165.68–$198.66 | $414.20–$496.65 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$152–$165.68 | $380–$414.20 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$150.86–$245.14 | $377.14–$612.85 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$182–$198.38 | $455–$495.95 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$138–$202.40 | $345–$506.01 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$604.30–$876.84 | $1,510.74–$2,192.10 | varies |
| Continuing medical physics consltj pr wk (77336) | $64.40 | $161 | 0.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,152–$3,435.68 | $7,880–$8,589.20 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$675.20–$735.97 | $1,688–$1,839.92 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$939.58–$2,137.71 | $2,348.95–$5,344.27 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,588.20–$1,731.14 | $3,970.50–$4,327.85 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,146.46–$1,847.38 | $2,866.16–$4,618.44 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$962.01–$1,559.14 | $2,405.03–$3,897.84 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,077.12–$1,242.16 | $2,692.80–$3,105.41 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$507.40–$553.07 | $1,268.50–$1,382.67 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$1,668.20–$2,038.74 | $4,170.50–$5,096.84 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,775.71–$1,935.53 | $4,439.28–$4,838.82 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,125.45–$1,847.18 | $2,813.63–$4,617.96 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$863.46–$1,095.67 | $2,158.65–$2,739.17 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,000.10–$1,199.44 | $2,500.25–$2,998.59 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,125.45–$1,847.18 | $2,813.63–$4,617.96 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,250.50–$1,427.90 | $3,126.25–$3,569.75 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$1,068.90–$1,220.36 | $2,672.25–$3,050.91 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$479.61–$1,846.95 | $1,199.03–$4,617.38 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$832.50–$907.42 | $2,081.25–$2,268.56 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$962.01–$1,648.97 | $2,405.03–$4,122.42 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,025.64–$1,304.51 | $2,564.10–$3,261.28 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$1,119.60–$1,220.36 | $2,799–$3,050.91 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$1,139.60–$1,242.16 | $2,849–$3,105.41 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$246.80–$269.01 | $617–$672.53 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,017.70–$1,109.29 | $2,544.25–$2,773.23 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$847.10–$967.05 | $2,117.75–$2,417.62 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$479.61–$1,649.05 | $1,199.03–$4,122.63 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$962.01–$1,220.36 | $19.62–$3,050.91 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,068.90–$1,220.36 | $2,672.25–$3,050.91 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$479.61–$608.66 | $1,199.03–$1,521.64 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,017.70–$1,109.29 | $2,544.25–$2,773.23 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$522.78–$1,649.05 | $1,306.94–$4,122.63 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$1,077.12–$1,242.16 | $2,692.80–$3,105.41 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,253.60–$1,366.42 | $3,134–$3,416.06 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$507.40–$553.07 | $1,268.50–$1,382.67 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$1,077.12–$1,242.16 | $2,692.80–$3,105.41 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$479.61–$553.07 | $1,199.03–$1,382.67 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$1,139.60–$1,366.42 | $2,849–$3,416.06 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,196.80–$1,304.51 | $2,992–$3,261.28 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$1,048.59–$1,846.99 | $2,621.48–$4,617.48 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$507.40–$553.07 | $1,268.50–$1,382.67 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,068.90–$1,165.10 | $2,672.25–$2,912.75 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$522.78–$1,649.05 | $1,306.94–$4,122.63 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$847.10–$967.05 | $2,117.75–$2,417.62 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$580.86–$1,939.77 | $1,452.15–$4,849.43 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$479.61–$608.66 | $1,199.03–$1,521.64 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$749.25–$907.42 | $1,873.13–$2,268.56 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,068.90–$1,220.36 | $2,672.25–$3,050.91 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,125.45–$1,299.39 | $2,813.63–$3,248.47 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,071.72–$1,363.04 | $2,679.30–$3,407.61 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$1,100.40–$1,199.44 | $2,751–$2,998.59 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$3,107.60–$3,387.28 | $7,769–$8,468.21 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$326.40–$355.78 | $816–$889.44 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$458.80–$500.09 | $1,147–$1,250.23 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$220.55–$269.88 | $551.37–$674.71 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$433.60–$472.62 | $1,084–$1,181.56 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$384.12–$454.31 | $960.29–$1,135.78 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$326.40–$355.78 | $816–$889.44 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$368.51–$401.68 | $921.28–$1,004.20 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$413.60–$450.82 | $1,034–$1,127.06 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$330.80–$360.57 | $827–$901.43 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$375.90–$790.90 | $939.75–$1,977.26 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$153.60–$167.42 | $384–$418.56 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$140.60–$195.55 | $351.50–$488.87 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$150.42–$196.30 | $376.05–$490.74 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$827.15–$901.60 | $2,067.88–$2,253.99 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$670–$730.30 | $1,675–$1,825.75 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$904.80–$986.23 | $2,262–$2,465.58 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$224.90–$4,605.03 | $562.25–$11,512.58 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$890.80–$970.97 | $2,227–$2,427.43 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$890.80–$970.97 | $2,227–$2,427.43 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$890.80–$970.97 | $2,227–$2,427.43 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,084.07–$1,181.64 | $2,710.17–$2,954.09 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$904.70–$986.12 | $2,261.75–$2,465.31 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$2,413.60–$2,630.82 | $6,034–$6,577.06 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,764.50–$3,013.30 | $6,911.25–$7,533.26 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$794.40–$934.78 | $1,986–$2,336.96 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$225.40–$258.55 | $563.50–$646.37 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$394.40–$429.90 | $986–$1,074.74 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$1,526.40–$1,663.78 | $3,816–$4,159.44 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$778.40–$848.46 | $1,946–$2,121.14 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$605.60–$660.10 | $1,514–$1,650.26 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$398.40–$434.26 | $996–$1,085.64 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,174.70–$1,280.42 | $2,936.75–$3,201.06 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,083.99–$1,181.55 | $2,709.97–$2,953.87 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,019.10–$1,110.82 | $2,547.75–$2,777.05 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$396–$431.64 | $990–$1,079.10 | varies |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$219.90–$283.84 | $549.75–$709.59 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$810–$882.90 | $2,025–$2,207.25 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$393.20–$1,034.63 | $983–$2,586.57 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$468–$510.12 | $1,170–$1,275.30 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$328.80–$358.39 | $822–$895.98 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$994.40–$1,083.90 | $2,486–$2,709.74 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$766–$834.94 | $1,915–$2,087.35 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$490.80–$534.97 | $1,227–$1,337.43 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,068–$1,164.12 | $2,670–$2,910.30 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$490.80–$534.97 | $1,227–$1,337.43 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$503.80–$549.14 | $1,259.50–$1,372.86 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,150.60–$1,254.16 | $2,876.50–$3,135.39 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 4 matching MRF lines |
$82.90–$234.57 | $207.25–$586.42 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$166.99–$1,043.78 | $417.47–$2,609.46 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$792.30–$863.61 | $1,980.75–$2,159.02 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $10 | $25 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,030.80–$2,213.57 | $5,077–$5,533.93 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,128.74–$1,254.16 | $2,821.85–$3,135.39 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,662.80–$1,812.45 | $4,157–$4,531.13 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$1,647.43–$1,812.45 | $4,118.57–$4,531.13 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$1,746.81–$2,115.58 | $4,367.03–$5,288.95 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,150.60–$1,254.16 | $2,876.50–$3,135.39 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$1,511.40–$1,812.45 | $3,778.50–$4,531.13 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,128.74–$1,254.16 | $2,821.85–$3,135.39 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,715.10–$2,056.61 | $4,287.75–$5,141.53 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,940.90–$2,327.37 | $4,852.25–$5,818.42 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,715.10–$2,056.61 | $4,287.75–$5,141.53 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,305.60–$1,423.10 | $3,264–$3,557.76 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$254.80–$277.73 | $637–$694.33 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$254.80–$277.73 | $637–$694.33 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$1,908.80–$2,080.59 | $4,772–$5,201.48 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,305.60–$1,423.10 | $3,264–$3,557.76 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,511.40–$1,647.43 | $3,778.50–$4,118.57 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,128.74–$1,731.93 | $2,821.85–$4,329.82 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,150.60–$1,254.16 | $2,876.50–$3,135.39 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,662.80–$1,812.45 | $4,157–$4,531.13 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,662.80–$1,812.45 | $4,157–$4,531.13 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,904.02–$2,327.37 | $4,760.06–$5,818.42 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,128.74–$1,379.94 | $2,821.85–$3,449.85 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,715.10–$1,869.46 | $4,287.75–$4,673.65 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$1,746.81–$2,115.58 | $4,367.03–$5,288.95 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,035.54–$1,254.16 | $2,588.85–$3,135.39 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,662.80–$1,812.45 | $4,157–$4,531.13 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$1,746.81–$2,115.58 | $4,367.03–$5,288.95 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,662.80–$1,812.45 | $4,157–$4,531.13 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$1,035.54–$1,254.16 | $2,588.85–$3,135.39 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,035.54–$1,254.16 | $2,588.85–$3,135.39 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,886.80–$2,056.61 | $4,717–$5,141.53 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,128.74–$1,254.16 | $2,821.85–$3,135.39 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$1,647.43–$1,812.45 | $4,118.57–$4,531.13 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$620.43–$1,448.83 | $1,551.07–$3,622.07 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,904.02–$2,115.58 | $4,760.06–$5,288.95 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$1,746.81–$2,115.58 | $4,367.03–$5,288.95 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$1,605.73–$1,750.24 | $4,014.32–$4,375.61 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$1,447.60–$1,703.02 | $3,619–$4,257.54 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$364.80–$429.90 | $912–$1,074.74 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$1,605.73–$1,750.24 | $4,014.32–$4,375.61 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$627.20–$683.65 | $1,568–$1,709.12 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$866.80–$944.81 | $2,167–$2,362.03 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$2,224–$2,424.16 | $5,560–$6,060.40 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,847.70–$3,103.99 | $7,119.25–$7,759.98 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$150.42–$198.69 | $376.05–$496.73 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$198.40–$216.26 | $496–$540.64 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $680.10 | $1,700.25 | 1.8× |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$723.20–$788.29 | $1,808–$1,970.72 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,012.80–$2,193.95 | $5,032–$5,484.88 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$670.90–$731.28 | $1,677.25–$1,828.20 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$150.40–$163.94 | $376–$409.84 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$738.52–$804.98 | $1,846.29–$2,012.46 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$2,515.72–$3,018.86 | $6,289.30–$7,547.16 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,241.48–$3,419.82 | $5,603.69–$8,549.55 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$3,053.40–$3,419.90 | $7,633.51–$8,549.75 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 3 matching MRF lines |
$2,515.72–$3,018.86 | $6,289.30–$7,547.16 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$827.16–$901.60 | $2,067.89–$2,254 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$562.80–$613.45 | $1,407–$1,533.63 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$219.90–$283.84 | $549.75–$709.59 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$140.60–$198.66 | $351.50–$496.65 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$165.68–$198.66 | $414.20–$496.65 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$153.26–$198.66 | $383.14–$496.65 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$165.68–$198.66 | $414.20–$496.65 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$165.68–$206.89 | $414.20–$517.23 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$242–$269.88 | $605–$674.71 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$199.60–$217.56 | $499–$543.91 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$179.40–$195.55 | $448.50–$488.87 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$180.04–$198.66 | $450.09–$496.65 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$219.90–$283.84 | $549.75–$709.59 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$136–$148.24 | $340–$370.60 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$384.40–$419 | $961–$1,047.49 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$138–$165.68 | $345–$414.20 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$182.26–$198.66 | $455.64–$496.65 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$153.26–$177.36 | $383.14–$443.39 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$150.42–$198.66 | $376.05–$496.65 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$219.90–$264.22 | $549.75–$660.54 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$165.68–$196.30 | $414.20–$490.74 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$130–$141.70 | $325–$354.25 | varies |
| Radiation treatment delivery level 1 (77402) | $215.20 | $538 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $253.20 | $633 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $280.80 | $702 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$138.40–$150.86 | $346–$377.14 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$349.80–$388.37 | $874.50–$970.92 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$364.02–$396.79 | $910.06–$991.97 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$201.20–$219.31 | $503–$548.27 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$219.90–$269.88 | $549.75–$674.71 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$261.60–$401.68 | $654–$1,004.20 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$282.96–$401.79 | $707.41–$1,004.48 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$407.10–$443.74 | $1,017.75–$1,109.35 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$41.09–$97.01 | $102.73–$242.53 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$43.16–$203.72 | $107.91–$509.30 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$140.60–$202.40 | $351.50–$506.01 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$240.24–$269.88 | $600.59–$674.71 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$175.20–$190.97 | $438–$477.42 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$174.40–$202.40 | $436–$506.01 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$189.60–$206.66 | $474–$516.66 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$249.60–$272.06 | $624–$680.16 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 2 matching MRF lines |
$249.60–$272.06 | $624–$680.16 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$412.40–$449.52 | $1,031–$1,123.79 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$827.20–$901.65 | $2,068–$2,254.12 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,139.20–$2,331.73 | $5,348–$5,829.32 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,847.72–$3,104.02 | $7,119.31–$7,760.05 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$877.34–$2,381.32 | $2,193.35–$5,953.31 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,475.20–$1,607.97 | $3,688–$4,019.92 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$1,593.20–$1,736.59 | $3,983–$4,341.47 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,475.20–$1,607.97 | $3,688–$4,019.92 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$2,808.80–$3,061.59 | $7,022–$7,653.98 | varies |
| Salivary Gland Function Study (78232) range across 2 matching MRF lines |
$732.80–$798.75 | $1,832–$1,996.88 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$312.80–$340.95 | $782–$852.38 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$150.42–$1,539.95 | $376.05–$3,849.88 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$98.07–$106.90 | $245.17–$267.24 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$150.40–$163.94 | $376–$409.84 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$150.42–$165.68 | $376.05–$414.20 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$798.40–$957.46 | $1,996–$2,393.64 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$78.90–$86 | $197.25–$215 | varies |
| Special Physics Consult (77370) | $381 | $952.50 | 2.9× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$484.40–$528 | $1,211–$1,319.99 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,194.80–$1,302.33 | $2,987–$3,255.83 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$480–$523.20 | $1,200–$1,308 | varies |
| Stereotactic Body Radiation Delivery (77373) | $1,391.20 | $3,478 | 0.8× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$154–$171.35 | $385–$428.37 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$104–$113.36 | $260–$283.40 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$311.60–$339.64 | $779–$849.11 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$237.20–$258.55 | $593–$646.37 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$465.60–$507.50 | $1,164–$1,268.76 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$254.50–$277.40 | $636.25–$693.51 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$222–$241.98 | $555–$604.95 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$149.70–$163.17 | $374.25–$407.93 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$278–$303.02 | $695–$757.55 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$152–$165.68 | $380–$414.20 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$289.20–$315.23 | $723–$788.07 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$460.70–$502.16 | $1,151.75–$1,255.41 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,084.09–$1,181.66 | $2,710.22–$2,954.14 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$505.20–$550.67 | $1,263–$1,376.67 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$827.20–$901.65 | $2,068–$2,254.12 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$235.90–$257.13 | $589.75–$642.83 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$228.80–$249.39 | $572–$623.48 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$159.20–$173.53 | $398–$433.82 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$231.52–$423.79 | $578.79–$1,059.48 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$136.47–$227.90 | $341.17–$569.75 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$333.80–$1,387.35 | $834.50–$3,468.38 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$225.40–$245.69 | $563.50–$614.22 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$82.80–$90.25 | $207–$225.63 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$374.50–$408.20 | $936.25–$1,020.51 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $285.60 | $714 | 25.8× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$339.20–$369.73 | $848–$924.32 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$625.80–$735.97 | $1,564.50–$1,839.92 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$688.40–$750.36 | $1,721–$1,875.89 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$237.20–$481.34 | $593–$1,203.36 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$330.80–$360.57 | $827–$901.43 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$334.10–$12,128.21 | $835.25–$30,320.53 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$247.21–$701.68 | $618.03–$1,754.21 | varies |
| Us head (76506) range across 3 matching MRF lines |
$330.80–$360.57 | $827–$901.43 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$312.80–$340.95 | $782–$852.38 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$227.10–$247.54 | $567.75–$618.85 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$455.20–$496.17 | $1,138–$1,240.42 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$330.80–$378.88 | $827–$947.21 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$330.80–$378.88 | $827–$947.21 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$363.84–$1,387.35 | $909.61–$3,468.38 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$350.40–$381.94 | $876–$954.84 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$217.60–$237.18 | $544–$592.96 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$333.80–$1,650.99 | $834.50–$4,127.47 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$330.80–$378.88 | $827–$947.21 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$318.20–$363.84 | $795.50–$909.61 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$225.40–$258.55 | $563.50–$646.37 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$330.80–$360.57 | $827–$901.43 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$382.40–$416.82 | $956–$1,042.04 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$289.20–$315.23 | $723–$788.07 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$616.50–$1,109.18 | $1,541.26–$2,772.96 | varies |
| Venogram Sinus/Jugular (75860) | $1,221.60 | $3,054 | 0.4× |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$2,047.60–$2,231.88 | $5,119–$5,579.71 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,109.18–$3,069.44 | $2,772.96–$7,673.60 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$526.25–$1,504.20 | $1,315.63–$3,760.50 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$352.80–$1,183.30 | $882–$2,958.26 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$520.40–$567.24 | $1,301–$1,418.09 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$454.31–$2,215.32 | $1,135.78–$5,538.29 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$598–$651.82 | $1,495–$1,629.55 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$91.60–$99.84 | $229–$249.61 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$153.26–$174.40 | $383.14–$436 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$150.40–$163.94 | $376–$409.84 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$214.40–$233.70 | $536–$584.24 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$1,100.46–$4,171.21 | $2,751.16–$10,428.03 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$234.40–$255.50 | $586–$638.74 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$138–$174.40 | $345–$436 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$849.44–$952.66 | $2,123.59–$2,381.65 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$141.70–$198.72 | $354.25–$496.81 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$74.56–$240.48 | $186.39–$601.20 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$130–$141.70 | $325–$354.25 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$43.16–$106.82 | $107.91–$267.05 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$43.16–$203.72 | $107.91–$509.30 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$43.16–$47.63 | $107.91–$119.08 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$74.56–$240.48 | $186.39–$601.20 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$62–$214.60 | $155–$536.50 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$141.70–$304.98 | $354.25–$762.46 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$150.42–$177.36 | $376.05–$443.39 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$138–$198.66 | $345–$496.65 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$688.40–$750.36 | $1,721–$1,875.89 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$544–$592.96 | $1,360–$1,482.40 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$150.42–$198.69 | $376.05–$496.73 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$165.68–$304.76 | $414.20–$761.91 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$146.70–$176.14 | $366.75–$440.36 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$138–$206.90 | $345–$517.24 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$154.80–$168.73 | $387–$421.83 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$450.40–$490.94 | $1,126–$1,227.34 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$220.55–$245.14 | $551.37–$612.85 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$406–$442.54 | $1,015–$1,106.35 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$219.90–$245.14 | $549.75–$612.85 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$138–$198.69 | $345–$496.73 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$134.72–$150.86 | $336.81–$377.14 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$224.90–$245.14 | $562.25–$612.85 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$247.60–$269.88 | $619–$674.71 | 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.