Imaging prices at Rapides Regional Medical Center
Alexandria, LA · every code in this section with a posted price and a Medicare benchmark.
328 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) | $5,135.34 | $5,135.34 | 3.9× |
| Abdomen 1 View (74018) | $879.60 | $879.60 | 10.7× |
| Abdomen 2 views (74019) | $1,010.55 | $1,010.55 | 10.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,100.36 | $4,100.36 | 10.9× |
| Angio internal mammary (75756) | $3,612.29 | $3,612.29 | 1.2× |
| Angio pulmonary bilat (75743) | $7,527.47 | $7,527.47 | 2.5× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$12,521.98–$15,255.99 | $12,521.98–$15,255.99 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$12,350.03–$12,393.68 | $12,350.03–$12,393.68 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$7,264.25–$8,945.40 | $7,264.25–$8,945.40 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,180.93 | $7,180.93 | 2.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,700.71–$12,350.03 | $8,700.71–$12,350.03 | varies |
| Artery X-Rays Abdomen (75726) | $12,350.03 | $12,350.03 | 2.4× |
| Artery X-Rays Pelvis (75736) | $10,076.30 | $10,076.30 | 1.9× |
| Artery X-Rays Spine (75705) | $7,176.86 | $7,176.86 | 1.4× |
| Arthrogram ankle (73615) | $1,798.87 | $1,798.87 | 5.5× |
| Arthrogram hip (73525) | $2,798.82 | $2,798.82 | 8.5× |
| Arthrogram Wrist (73115) | $2,595.13 | $2,595.13 | 7.9× |
| Basic radiation dosimetry calculation (77300) | $1,068.61 | $1,068.61 | 8.4× |
| Bone age studies (77072) | $899.43 | $899.43 | 9.1× |
| Bone Imaging 3 Phase (78315) | $5,075.19 | $5,075.19 | 13.5× |
| Bone Imaging Whole Body (78306) | $4,489.24 | $4,489.24 | 11.9× |
| Bone survey infant (77076) | $1,281.70 | $1,281.70 | 13.0× |
| Brain Flow Imaging Only (78610) | $2,916.55 | $2,916.55 | 5.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,687.64 | $4,687.64 | 9.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,625.02 | $10,625.02 | 7.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,612.61 | $3,612.61 | 11.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,324.72 | $4,324.72 | 5.8× |
| Cat Scan Follow-Up Study (76380) | $6,679.63 | $6,679.63 | 81.3× |
| Cerebrospinal Fluid Scan (78630) | $4,737.91 | $4,737.91 | 9.2× |
| Chest 1 view (71045) | $847.84 | $847.84 | 10.3× |
| Chest 2 views (71046) | $1,380.90 | $1,380.90 | 16.8× |
| Chest 3 views (71047) | $1,238.04 | $1,238.04 | 15.1× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,308.15–$1,366.34 | $1,308.15–$1,366.34 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $148.14 | $148.14 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $1,852.43 | $1,852.43 | 14.6× |
| Contrast Exam Abdominl Aorta (75625) | $12,350.03 | $12,350.03 | 4.1× |
| Contrast X-Ray Bladder (74430) | $1,698.34 | $1,698.34 | 5.2× |
| Contrast X-Ray Of Elbow (73085) | $2,256.52 | $2,256.52 | 6.9× |
| Contrast X-Ray Of Knee Joint (73580) | $2,954.91 | $2,954.91 | 9.0× |
| CT abdomen and pelvis without and with contrast (74178) | $29,490.86 | $29,490.86 | 89.6× |
| CT abdomen and pelvis without contrast (74176) | $21,164.48 | $21,164.48 | 94.0× |
| CT abdomen w contrast (74160) | $12,145.01 | $12,145.01 | 73.4× |
| CT abdomen w wo contrast (74170) | $14,726.92 | $14,726.92 | 89.0× |
| CT abdomen w/o contrast (74150) | $10,350.10 | $10,350.10 | 104.9× |
| CT Angio Abdomen and Pelvis (74174) | $13,291.80 | $13,291.80 | 40.4× |
| CT Angio Chest (71275) | $6,921.68 | $6,921.68 | 41.8× |
| CT Angio Head (70496) | $6,112.18 | $6,112.18 | 36.9× |
| CT angio hrt w/3d image (75574) | $9,301.21 | $9,301.21 | 28.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$6,112.18–$12,217.76 | $6,112.18–$12,217.76 | varies |
| CT Angio Neck (70498) | $6,112.18 | $6,112.18 | 36.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,112.18 | $6,112.18 | 36.9× |
| CT cervical spine w/ contrast (72126) | $11,586.83 | $11,586.83 | 35.2× |
| CT cervical spine w/o contrast (72125) | $9,951.98 | $9,951.98 | 100.9× |
| CT cervical spine w/wo cont (72127) | $14,010.02 | $14,010.02 | 84.6× |
| CT chest w contrast (71260) | $11,803.76 | $11,803.76 | 71.3× |
| CT chest w/wo contrast (71270) | $14,434.60 | $14,434.60 | 87.2× |
| CT head/brain with contrast (70460) | $11,016.76 | $11,016.76 | 66.6× |
| CT head/brain without and with contrast (70470) | $13,458.45 | $13,458.45 | 81.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,733.01 | $3,733.01 | 11.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$125.97–$132.27 | $125.97–$132.27 | varies |
| CT hrt w/3d image congen (75573) | $2,750.55 | $2,750.55 | 8.4× |
| CT iac w contrast (70481) | $9,564.43 | $9,564.43 | 57.8× |
| CT l-spine w&w/o contrast (72133) | $14,606.55 | $14,606.55 | 88.2× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$6,863.49–$13,717.70 | $6,863.49–$13,717.70 | varies |
| CT lower extremity w/contrast material (73701) | $7,997.02 | $7,997.02 | 48.3× |
| CT lumbar spine w contrast (72132) | $12,107.98 | $12,107.98 | 36.8× |
| CT lumbar spine w/o contrast (72131) | $10,405.66 | $10,405.66 | 105.5× |
| CT maxillofacial w contrast (70487) | $9,414.95 | $9,414.95 | 56.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$675.90–$7,967.94 | $675.90–$7,967.94 | varies |
| CT neck tissue combo (70492) | $11,766.71 | $11,766.71 | 71.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,477.05 | $11,477.05 | 69.3× |
| CT orbits w/o contrast (70480) | $8,232.47 | $8,232.47 | 83.4× |
| CT pelvis w&w/o contrast (72194) | $14,769.24 | $14,769.24 | 89.2× |
| CT pelvis w/o contrast (72192) | $10,819.67 | $10,819.67 | 109.7× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$7,336.56–$9,663.62 | $7,336.56–$9,663.62 | varies |
| CT scans face/jaw combo (70488) | $11,410.91 | $11,410.91 | 68.9× |
| CT soft tissue neck w contrast (70491) | $9,835.57 | $9,835.57 | 59.4× |
| CT soft tissue neck w/o contrast (70490) | $8,459.96 | $8,459.96 | 85.7× |
| CT thoracic spine w contrast (72129) | $10,941.36 | $10,941.36 | 66.1× |
| CT thoracic spine w/o contrast (72128) | $9,401.73 | $9,401.73 | 95.3× |
| CT thoracic spine w/wo cont (72130) | $11,446.63 | $11,446.63 | 69.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$132.27–$10,115.99 | $132.27–$10,115.99 | varies |
| CT upper ext wo (73200) | $8,788 | $8,788 | 89.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$9,862.03–$12,371.18 | $9,862.03–$12,371.18 | varies |
| CT upper extremity with contrast (73201) | $10,217.84 | $10,217.84 | 31.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $25,508.23 | $25,508.23 | 154.1× |
| Cta Abdomen (74175) | $6,646.56 | $6,646.56 | 40.2× |
| CTA pelvis (72191) | $6,646.56 | $6,646.56 | 40.2× |
| Dxa Bone Density Axial (77080) | $1,842.51 | $1,842.51 | 18.7× |
| Echograp Trans R Pros Study (76873) | $2,253.30 | $2,253.30 | 22.8× |
| Esophagram (74220) | $2,048.87 | $2,048.87 | 12.4× |
| Fetal Biophys Profile W/Nst (76818) | $4,357.72 | $4,357.72 | 44.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,180.23 | $2,180.23 | 22.1× |
| Fluoroscopy up to 1 hr (76000) | $1,234.07 | $1,234.07 | 5.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| Gastric emptying imaging study (78264) | $4,273.64 | $4,273.64 | 11.3× |
| Gated Heart Planar Single (78472) | $5,634.69 | $5,634.69 | 14.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| Heart Image (Pet) Multiple (78492) | $10,625.02 | $10,625.02 | 7.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,124.60 | $5,124.60 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,842.40 | $4,842.40 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $4,520.98 | $4,520.98 | 8.8× |
| Hepatobiliary System Imaging (78226) | $3,949.57 | $3,949.57 | 10.5× |
| Hysterosalpingogram (74740) | $2,048.87 | $2,048.87 | 9.1× |
| Image fusion (77399) | $1,197.94 | $1,197.94 | 9.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,680.84 | $1,680.84 | 20.5× |
| Infant hip ultrasound, limited static exam (76886) | $791.70 | $791.70 | 9.6× |
| Joint Survey Single View (77077) | $1,399.41 | $1,399.41 | 14.2× |
| K Flow/Funct Image W/Drug (78708) | $6,224.61 | $6,224.61 | 12.1× |
| K Flow/Funct Image W/O Drug (78707) | $5,941.56 | $5,941.56 | 11.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$957.64–$1,911.30 | $957.64–$1,911.30 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,456.21 | $3,456.21 | 9.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,395.32 | $4,395.32 | 11.7× |
| Lung Perf&Ventilat Diferentl (78598) | $6,778.83 | $6,778.83 | 13.2× |
| Lung perfusion differential (78597) | $5,419.09 | $5,419.09 | 14.4× |
| Lung Ventilat&Perfus Imaging (78582) | $7,908.42 | $7,908.42 | 15.4× |
| Lymph System Imaging (78195) | $4,558.01 | $4,558.01 | 8.9× |
| Magnetic Resonance Elastography (76391) | $2,376.72 | $2,376.72 | 10.6× |
| Mammary ductogram or galactogram multiple (77054) | $1,991.97 | $1,991.97 | 8.8× |
| Mammary ductogram or galactogram single (77053) | $1,991.97 | $1,991.97 | 8.8× |
| Meckels Divert Exam (78290) | $3,804.07 | $3,804.07 | 10.1× |
| Mlc imrt design & construction per imrt plan (77338) | $4,228.72 | $4,228.72 | 12.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $162 | $162 | 5.9× |
| Mra Head W/O & W/Contrast Material (70546) | $6,989.38 | $6,989.38 | 21.2× |
| MRA head w/o contrast (70544) | $9,493.47 | $9,493.47 | 42.2× |
| MRA neck w contrast (70548) | $12,648.48 | $12,648.48 | 38.4× |
| MRA neck w/o contrast (70547) | $9,493.47 | $9,493.47 | 42.2× |
| MRI abdomen w/o contrast (74181) | $9,493.47 | $9,493.47 | 42.2× |
| MRI any jt lower extrem w/contrast material (73722) | $12,648.48 | $12,648.48 | 17.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,648.48 | $12,648.48 | 38.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $10,542.23 | $10,542.23 | 14.3× |
| MRI cardiac w/o cont stress (75559) | $3,731.37 | $3,731.37 | 7.2× |
| MRI cardiac w/o contrast (75557) | $2,520.70 | $2,520.70 | 11.2× |
| MRI cervical spine w contrast (72142) | $12,648.48 | $12,648.48 | 38.4× |
| MRI cervical spine w/o cont (72141) | $9,493.47 | $9,493.47 | 42.2× |
| MRI chest w/o contrast (71550) | $9,493.47 | $9,493.47 | 42.2× |
| MRI chest wo w contrast (71552) | $12,648.48 | $12,648.48 | 38.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $12,648.48 | $12,648.48 | 38.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$12,648.48–$18,917.14 | $12,648.48–$18,917.14 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,493.47 | $9,493.47 | 42.2× |
| MRI lumbar spine w contrast (72149) | $12,648.48 | $12,648.48 | 38.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $18,339.34 | $18,339.34 | 55.7× |
| MRI orbit face &/neck w/o contrast (70540) | $9,493.47 | $9,493.47 | 42.2× |
| MRI orbit face neck w contrast (70542) | $9,506.14 | $9,506.14 | 28.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,648.48 | $12,648.48 | 38.4× |
| MRI pelvis w contrast (72196) | $12,648.48 | $12,648.48 | 38.4× |
| MRI pelvis w/o & w contrast (72197) | $12,648.48 | $12,648.48 | 38.4× |
| MRI pelvis w/o contrast (72195) | $9,493.47 | $9,493.47 | 42.2× |
| MRI thoracic spine w/o contrast (72146) | $9,493.47 | $9,493.47 | 42.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $12,648.48 | $12,648.48 | 38.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,493.47 | $9,493.47 | 42.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,751.54 | $10,751.54 | 32.7× |
| MRI, abdomen, combo (74183) | $12,648.48 | $12,648.48 | 38.4× |
| MRI, dorsal spine combo (72157) | $18,339.34 | $18,339.34 | 55.7× |
| MRI, dorsal spine contrast (72147) | $12,648.48 | $12,648.48 | 38.4× |
| MRI, joint upper extrem (73221) | $9,493.47 | $9,493.47 | 42.2× |
| MRI, joint upper extrem combo (73223) | $19,769.67 | $19,769.67 | 60.0× |
| MRI, lumbar spine combo (72158) | $18,130.04 | $18,130.04 | 55.1× |
| Myelogram cervical (72240) | $6,531.48 | $6,531.48 | 8.8× |
| Myelography thoracic (72255) | $6,068.53 | $6,068.53 | 8.2× |
| Myelograpy 2/more regions rs&i (72270) | $8,608.12 | $8,608.12 | 11.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,576.61 | $2,576.61 | 6.8× |
| Myocardial Spect Multiple Studies (78452) | $7,200.77 | $7,200.77 | 5.9× |
| Neck soft tissue (70360) | $761.86 | $761.86 | 9.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,770.28 | $7,770.28 | 5.9× |
| Nuclear Rx Intra-Arterial (79445) | $874.80 | $874.80 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $2,583.23 | $2,583.23 | 11.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $341.04 | $341.04 | 3.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$476.37–$1,024.48 | $476.37–$1,024.48 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $189.48 | $189.48 | 6.9× |
| Ophthalmic us dx quantitative a-scan only (76511) | $618.47 | $618.47 | 6.3× |
| Optic foramina (70190) range across 3 matching MRF lines |
$359.78–$1,216.88 | $359.78–$1,216.88 | varies |
| Parathyroid Planar Imaging (78070) | $4,446.91 | $4,446.91 | 11.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,970.74 | $3,970.74 | 10.5× |
| Pelvis 1 or 2 views (72170) | $1,349.15 | $1,349.15 | 13.7× |
| Pet Image Skull-Thigh (78812) | $10,348.94 | $10,348.94 | 7.7× |
| PET image w/CT, full body (78816) | $9,785.28 | $9,785.28 | 7.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,785.28 | $9,785.28 | 7.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $10,022.78 | $10,022.78 | 8.2× |
| Pet Myocardial Sngl Study (78491) | $10,625.02 | $10,625.02 | 7.9× |
| PET whole body (78813) | $11,899.86 | $11,899.86 | 8.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,292.08 | $6,292.08 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,478.69 | $3,478.69 | 9.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,345.18 | $1,345.18 | 13.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,995.96 | $1,995.96 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$814.77–$1,628.24 | $814.77–$1,628.24 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$928.54–$1,857.07 | $928.54–$1,857.07 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,281.70 | $1,281.70 | 13.0× |
| Radex fingr minimum 2 views (73140) | $727.49 | $727.49 | 8.9× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$404.74–$1,358.41 | $404.74–$1,358.41 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$890.17–$2,231.39 | $890.17–$2,231.39 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $879.60 | $879.60 | 10.7× |
| Radex Ribs Unilateral 2 Views (71100) | $1,001.29 | $1,001.29 | 12.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$928.54–$1,857.07 | $928.54–$1,857.07 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $992.02 | $992.02 | 12.1× |
| Radex Spine 1 View Specify Level (72020) | $727.49 | $727.49 | 8.9× |
| Radex Sternum Minimum 2 Views (71120) | $1,047.58 | $1,047.58 | 12.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,345.18 | $1,345.18 | 16.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$727.49–$1,452.32 | $727.49–$1,452.32 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$653.42–$1,308.15 | $653.42–$1,308.15 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,730.08 | $1,730.08 | 17.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,037.55 | $13,037.55 | 1.9× |
| Radiation treatment delivery level 1 (77402) | $945.16 | $945.16 | 9.8× |
| Radiation treatment delivery level 2 (77407) | $1,181.46 | $1,181.46 | 3.2× |
| Radiation treatment delivery level 3 (77412) | $1,417.74 | $1,417.74 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,105.77 | $1,105.77 | 11.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,132.23 | $1,132.23 | 11.5× |
| Radiologic exam colon double contrast study (74280) | $3,936.34 | $3,936.34 | 23.8× |
| Radiologic exam colon single contrast study (74270) | $2,928.45 | $2,928.45 | 17.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,048.87 | $2,048.87 | 12.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,047.58–$2,096.47 | $1,047.58–$2,096.47 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $865.05 | $865.05 | 8.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,183.77 | $2,183.77 | 13.2× |
| Radiologic exam swallow function contrast study (74230) | $1,826.64 | $1,826.64 | 11.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,874.21 | $2,874.21 | 17.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$831.98–$1,665.28 | $831.98–$1,665.28 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,792.26 | $1,792.26 | 18.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$879.60–$1,757.87 | $879.60–$1,757.87 | varies |
| Ribs bilateral 3 views (71110) | $1,281.70 | $1,281.70 | 13.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,489.32 | $2,489.32 | 6.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,769.69 | $3,769.69 | 7.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$4,427.07–$6,637.29 | $4,427.07–$6,637.29 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,637.29 | $6,637.29 | 13.0× |
| Rp Therapy Intravenous Administration (79101) | $2,980.03 | $2,980.03 | 13.5× |
| Scapula (73010) range across 3 matching MRF lines |
$854.45–$1,714.21 | $854.45–$1,714.21 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $96.09 | $96.09 | 4.1× |
| Sella turcica (70240) | $216.93 | $216.93 | 2.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$777.74–$1,554.17 | $777.74–$1,554.17 | varies |
| Shoulder Arthrography (73040) | $3,142.72 | $3,142.72 | 9.5× |
| Sialogram (70390) | $1,105.77 | $1,105.77 | 4.9× |
| Skull less than 4 views (70250) | $1,070.06 | $1,070.06 | 10.8× |
| Special dosimetry (77331) | $662.33 | $662.33 | 5.2× |
| Special Physics Consult (77370) | $1,041.17 | $1,041.17 | 8.2× |
| Special teletherapy port plan (77321) | $1,276.32 | $1,276.32 | 3.6× |
| Special treatment procedure (77470) | $573.49 | $573.49 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) | $16,094.45 | $16,094.45 | 9.5× |
| Sternoclavicular joints (71130) | $915.31 | $915.31 | 11.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,697.02 | $3,697.02 | 10.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,425.97 | $4,425.97 | 12.5× |
| Ther rad simulaj-aided field setting simple (77280) | $2,283.53 | $2,283.53 | 18.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $5,766.96 | $5,766.96 | 34.8× |
| Thoracic spine 2 views (72070) | $1,070.06 | $1,070.06 | 10.8× |
| Thoracic spine 3 views (72072) | $1,198.36 | $1,198.36 | 12.1× |
| Thoracolumbar 2 views (72080) | $838.97 | $838.97 | 10.2× |
| Thyroid Uptake Measurement (78012) | $2,042.25 | $2,042.25 | 5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,558.06 | $3,558.06 | 9.4× |
| Tx Devices Design & Construction Complex (77334) | $3,047.76 | $3,047.76 | 8.6× |
| Tx devices design & construction intermediate (77333) | $1,894.23 | $1,894.23 | 14.9× |
| Tx devices design & construction simple (77332) | $1,306.37 | $1,306.37 | 10.3× |
| Ultrasound Breast Limited (76642) | $1,426.41 | $1,426.41 | 17.4× |
| Ultrasound Elastography Parenchyma (76981) | $1,036.93 | $1,036.93 | 10.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$312.62–$1,983.99 | $312.62–$1,983.99 | varies |
| Umbilical-artery Doppler (OB) (76820) | $338.35 | $338.35 | 3.4× |
| Unlisted magnetic resonance procedure (76498) | $2,653.58 | $2,653.58 | 32.3× |
| Upper gi w/o kub (74240) | $2,677.15 | $2,677.15 | 16.2× |
| Urethrocystogram voiding (74455) | $2,223.45 | $2,223.45 | 9.9× |
| Urethrocystography retrograde (74450) | $2,073.99 | $2,073.99 | 9.2× |
| Us breast unilateral complete (76641) | $1,952.86 | $1,952.86 | 19.8× |
| Us chest (76604) | $1,569.87 | $1,569.87 | 15.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$875.61–$1,533.33 | $875.61–$1,533.33 | varies |
| Us head (76506) | $1,668.66 | $1,668.66 | 16.9× |
| Us kidney transplant (76776) | $1,613.17 | $1,613.17 | 16.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,241.01 | $1,241.01 | 12.6× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$445.25–$2,699.90 | $445.25–$2,699.90 | varies |
| Us ob transvaginal (76817) | $1,199.05 | $1,199.05 | 12.2× |
| Us pelvic non ob complete (76856) | $3,491.60 | $3,491.60 | 35.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,457.65 | $2,457.65 | 24.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,699.90 | $2,699.90 | 27.4× |
| Us retroperitoneal complete (76770) | $4,141.20 | $4,141.20 | 42.0× |
| Us retroperitoneal limited (76775) | $2,339.92 | $2,339.92 | 23.7× |
| Us scrotum and contents (76870) | $2,358.86 | $2,358.86 | 23.9× |
| Us spinal canal and contents (76800) | $2,345.33 | $2,345.33 | 23.8× |
| Us thyroid (76536) | $2,782.46 | $2,782.46 | 28.2× |
| Us transrectal (76872) | $3,207.41 | $3,207.41 | 32.5× |
| Vein X-Ray Chest (75827) | $12,350.03 | $12,350.03 | 8.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,924.27–$12,350.03 | $7,924.27–$12,350.03 | varies |
| Venography extremity bilateral rs&i (75822) | $4,575.21 | $4,575.21 | 3.1× |
| Venography extremity unilateral rs&i (75820) | $3,003.84 | $3,003.84 | 2.0× |
| Venography Renal Unilateral (75831) | $12,343.42 | $12,343.42 | 4.1× |
| Venous sampling by catheter (75893) | $8,227.18 | $8,227.18 | 1.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,070.06 | $1,070.06 | 13.0× |
| X-ray antegrade pyelogram tube (74425) | $1,964.21 | $1,964.21 | 6.0× |
| X-Ray Aorta Leg Arteries (75630) | $9,249.62 | $9,249.62 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $1,618.98 | $1,618.98 | 16.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$847.84–$1,698.34 | $847.84–$1,698.34 | varies |
| X-Ray Exam Breast Specimen (76098) | $761.86 | $761.86 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $727.49 | $727.49 | 8.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $831.98 | $831.98 | 8.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $936.47 | $936.47 | 9.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $831.98 | $831.98 | 10.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $560.83 | $560.83 | 6.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,039.64 | $1,039.64 | 10.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,039.64 | $1,039.64 | 10.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,145.45 | $1,145.45 | 11.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,248.63 | $1,248.63 | 12.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,891.46 | $1,891.46 | 19.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,047.58 | $1,047.58 | 12.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,792.26 | $1,792.26 | 18.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,995.96 | $1,995.96 | 20.2× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$354.48–$1,526.40 | $354.48–$1,526.40 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$928.54–$1,857.07 | $928.54–$1,857.07 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,621.59 | $2,621.59 | 15.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $899.43 | $899.43 | 11.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $847.84 | $847.84 | 10.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,105.77 | $1,105.77 | 11.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,469.51 | $1,469.51 | 14.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,010.55 | $1,010.55 | 10.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $346.55 | $346.55 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $928.54 | $928.54 | 11.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,272.43 | $1,272.43 | 15.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,547.55 | $1,547.55 | 15.7× |
| X-Ray Tmj Unilat (70328) | $287.22 | $287.22 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,345.11 | $3,345.11 | 10.2× |
| X-Rays Bone Length Studies (77073) | $1,308.15 | $1,308.15 | 13.3× |
| X-Rays Bone Survey Complete (77075) | $2,405.99 | $2,405.99 | 24.4× |
| Xr c-spine 4 or 5 views (72050) | $1,477.45 | $1,477.45 | 15.0× |
| Xr facial bones less than 3 views (70140) | $1,010.55 | $1,010.55 | 12.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $2,231.39 | $2,231.39 | 22.6× |
| Xr orbits complete 4 views (70200) | $1,308.15 | $1,308.15 | 13.3× |
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.