Imaging prices at Red Bay Hospital
Red Bay, AL · every code in this section with a posted price and a Medicare benchmark.
387 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) | $2,617 | $2,617 | 2.2× |
| Abdomen 1 View (74018) range across 11 matching MRF lines |
$86.72–$37,500.01 | $86.72–$37,500.01 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$434–$943.50 | $434–$943.50 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$813–$1,089 | $813–$1,089 | varies |
| Angio internal mammary (75756) | $347.08 | $347.08 | 0.1× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,382–$4,990 | $3,382–$4,990 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $181 | $181 | 0.1× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$1,951–$5,988 | $1,951–$5,988 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$162.39–$5,988 | $162.39–$5,988 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$684.57–$4,990 | $684.57–$4,990 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$178–$4,990 | $178–$4,990 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$105–$717 | $105–$717 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$286–$5,988 | $286–$5,988 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$458–$11,650.80 | $458–$11,650.80 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,990 | $4,990 | 1.8× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,990–$5,945 | $4,990–$5,945 | varies |
| Artery X-Rays Spine (75705) | $9,709 | $9,709 | 2.0× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$286–$1,328 | $286–$1,328 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$917–$1,834 | $917–$1,834 | varies |
| Arthrogram Wrist (73115) | $740 | $740 | 2.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$237–$734 | $237–$734 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$389–$655 | $389–$655 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$953–$1,389 | $953–$1,389 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$56.26–$1,230 | $56.26–$1,230 | varies |
| Bone Imaging Multiple Areas (78305) | $1,918.50 | $1,918.50 | 5.6× |
| Bone Imaging Whole Body (78306) | $2,039 | $2,039 | 5.9× |
| Bone marrow imaging limited area (78102) | $1,058 | $1,058 | 3.1× |
| Bone marrow imaging; whole body (78104) | $1,918.50 | $1,918.50 | 5.6× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$6.87–$508 | $6.87–$508 | varies |
| Brachytx isodose complex (77318) | $1,438 | $1,438 | 4.5× |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$691.50–$1,601.50 | $691.50–$1,601.50 | varies |
| Brachytx Isodose Plan Simple (77316) | $580.50 | $580.50 | 1.8× |
| Brain Image W/Flow < 4 Views (78601) | $1,273 | $1,273 | 3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,539 | $4,539 | 3.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$613–$17,946.50 | $613–$17,946.50 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,048.50 | $4,048.50 | 13.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,080 | $2,080 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $425.50 | $425.50 | 5.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$131.26–$2,283.50 | $131.26–$2,283.50 | varies |
| Cerebrospinal Fluid Scan (78630) | $51,300 | $51,300 | 109.6× |
| Chest 1 view (71045) range across 12 matching MRF lines |
$76–$2,300 | $76–$2,300 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$325.50–$11,400 | $325.50–$11,400 | varies |
| Chest 3 views (71047) | $362 | $362 | 4.8× |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$84–$2,134 | $84–$2,134 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $1,217 | $1,217 | 13.5× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$306–$7,568 | $306–$7,568 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,215 | $2,215 | 24.6× |
| Continuing medical physics consltj pr wk (77336) | $435 | $435 | 3.8× |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$273–$5,988 | $273–$5,988 | varies |
| Contrast X-Ray Bladder (74430) range across 5 matching MRF lines |
$74–$1,572 | $74–$1,572 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,357 | $1,357 | 4.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$157.50–$1,295.50 | $157.50–$1,295.50 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$22.11–$3,123 | $22.11–$3,123 | varies |
| CT abdomen and pelvis without contrast (74176) | $3,123 | $3,123 | 15.2× |
| CT abdomen w contrast (74160) | $3,475 | $3,475 | 23.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,434.50–$3,681 | $2,434.50–$3,681 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$377.12–$3,123 | $377.12–$3,123 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,627 | $2,627 | 8.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,314–$2,912.50 | $1,314–$2,912.50 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,314–$2,926 | $1,314–$2,926 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,938.50–$3,431 | $1,938.50–$3,431 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,314–$3,663.50 | $1,314–$3,663.50 | varies |
| CT Angio Neck (70498) | $1,314 | $1,314 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,153.50–$6,266 | $1,153.50–$6,266 | varies |
| CT cervical spine w/ contrast (72126) | $1,291 | $1,291 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,113 | $1,113 | 12.4× |
| CT cervical spine w/wo cont (72127) | $1,557 | $1,557 | 10.3× |
| CT chest w contrast (71260) | $3,399 | $3,399 | 22.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $540 | $540 | 3.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $473.50 | $473.50 | 5.3× |
| CT head/brain with contrast (70460) | $3,937 | $3,937 | 26.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,723–$4,284 | $2,723–$4,284 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$60–$3,431 | $60–$3,431 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $235 | $235 | 3.1× |
| CT hrt w/3d image congen (75573) | $3,431 | $3,431 | 11.4× |
| CT iac w contrast (70481) | $315 | $315 | 2.1× |
| CT l-spine w&w/o contrast (72133) | $4,217 | $4,217 | 27.9× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$103.20–$3,777.50 | $103.20–$3,777.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,234.50–$3,313 | $2,234.50–$3,313 | varies |
| CT lumbar spine w contrast (72132) | $4,251 | $4,251 | 14.1× |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$517–$3,690 | $517–$3,690 | varies |
| CT maxillofacial w contrast (70487) | $2,878 | $2,878 | 19.0× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$2,317.50–$4,696.50 | $2,317.50–$4,696.50 | varies |
| CT neck tissue combo (70492) | $3,690 | $3,690 | 24.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $315 | $315 | 2.1× |
| CT orbits w/o contrast (70480) | $3,475 | $3,475 | 38.6× |
| CT pelvis w&w/o contrast (72194) | $3,839 | $3,839 | 25.4× |
| CT pelvis w/o contrast (72192) | $3,123 | $3,123 | 34.7× |
| CT scan of leg combo (73702) | $785 | $785 | 5.2× |
| CT scans face/jaw combo (70488) | $3,376 | $3,376 | 22.3× |
| CT soft tissue neck w contrast (70491) | $770 | $770 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $3,782 | $3,782 | 42.0× |
| CT thoracic spine w contrast (72129) | $1,291 | $1,291 | 8.5× |
| CT thoracic spine w/o contrast (72128) | $1,113 | $1,113 | 12.4× |
| CT thoracic spine w/wo cont (72130) | $1,557 | $1,557 | 10.3× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$245.50–$3,047 | $245.50–$3,047 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$440–$3,123 | $440–$3,123 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$359–$3,559 | $359–$3,559 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,314 | $1,314 | 8.7× |
| Cta Abdomen (74175) | $1,314 | $1,314 | 8.7× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,163–$1,314 | $1,163–$1,314 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$843–$1,686 | $843–$1,686 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,122.50–$2,765 | $1,122.50–$2,765 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$253.50–$7,292.50 | $253.50–$7,292.50 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$6,077–$7,292.50 | $6,077–$7,292.50 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $282 | $282 | 3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $169 | $169 | 1.9× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$249–$787 | $249–$787 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $304.50 | $304.50 | 4.1× |
| Echo exam of fetal heart (76825) | $854 | $854 | 1.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$346–$1,650 | $346–$1,650 | varies |
| Echo Guide For Artery Repair (76936) | $917 | $917 | 4.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $408 | $408 | 2.0× |
| Esophagram (74220) range across 4 matching MRF lines |
$525.01–$7,130 | $525.01–$7,130 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,352 | $1,352 | 15.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$306–$10,404 | $306–$10,404 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,860.38–$3,432.46 | $2,860.38–$3,432.46 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$115.50–$717 | $115.50–$717 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$318.60–$484 | $318.60–$484 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$446–$2,728 | $446–$2,728 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 3 matching MRF lines |
$754–$52,500.01 | $754–$52,500.01 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,572–$1,830 | $1,572–$1,830 | varies |
| Gated Heart, Multiple (78473) | $1,868 | $1,868 | 5.4× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$10.89–$2,408.50 | $10.89–$2,408.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,302 | $1,302 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,516 | $1,516 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $507 | $507 | 0.8× |
| Heart Image (Pet) Multiple (78492) | $4,539 | $4,539 | 3.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,990 | $4,990 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $155.39 | $155.39 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,140–$37,500.01 | $1,140–$37,500.01 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,702–$3,541.50 | $1,702–$3,541.50 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,652.50 | $2,652.50 | 2.4× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$878–$1,348.50 | $878–$1,348.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $323 | $323 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $1,115 | $1,115 | 14.9× |
| Interstitial radiation source applic complex (77778) | $1,894 | $1,894 | 3.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,210.16 | $1,210.16 | 2.0× |
| Intracavitary radiation source applic simple (77761) | $926.76 | $926.76 | 1.9× |
| Joint Survey Single View (77077) | $486.50 | $486.50 | 5.4× |
| K Flow/Funct Image W/Drug (78708) range across 5 matching MRF lines |
$250.50–$13,125.01 | $250.50–$13,125.01 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$1,506.50–$4,959.50 | $1,506.50–$4,959.50 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$572–$1,041 | $572–$1,041 | varies |
| Leveen/Shunt Patency Exam (78291) | $610.50 | $610.50 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,352 | $1,352 | 3.9× |
| Liver imaging w/vascular flow (78202) | $1,058 | $1,058 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$59.55–$1,360 | $59.55–$1,360 | varies |
| Lung Ventilation Imaging (78579) | $1,502 | $1,502 | 4.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,027.50–$18,750.01 | $1,027.50–$18,750.01 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,678 | $2,678 | 2.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,024 | $1,024 | 1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,990 | $4,990 | 1.8× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,750.01–$3,937 | $3,750.01–$3,937 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$700.50–$3,613 | $700.50–$3,613 | varies |
| Meckels Divert Exam (78290) | $1,140 | $1,140 | 3.3× |
| Medical physics dose eval radiation expos w/rprt (76145) range across 2 matching MRF lines |
$241.16–$766.50 | $241.16–$766.50 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $562.50 | $562.50 | 1.7× |
| Mr safety determination physician/other qhp (76016) | $176 | $176 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49 | $49 | 2.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.50 | $183.50 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $119 | $119 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $483 | $483 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $4,357.50 | $4,357.50 | 14.5× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,989–$3,684.50 | $1,989–$3,684.50 | varies |
| MRA head with contrast (70545) | $3,810 | $3,810 | 12.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,540 | $3,540 | 11.8× |
| MRA neck w/o contrast (70547) | $1,989 | $1,989 | 9.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$600–$3,937 | $600–$3,937 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$328–$67,980 | $328–$67,980 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,747–$9,494.50 | $4,747–$9,494.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$436–$7,128 | $436–$7,128 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,380 | $4,380 | 21.3× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$124.90–$3,245 | $124.90–$3,245 | varies |
| MRI cardiac w/o contrast (75557) | $3,810 | $3,810 | 18.5× |
| MRI cervical spine w contrast (72142) | $4,499.50 | $4,499.50 | 15.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,937–$4,237.50 | $3,937–$4,237.50 | varies |
| MRI chest w/o contrast (71550) | $3,937 | $3,937 | 19.1× |
| MRI chest with contrast (71551) | $3,749 | $3,749 | 5.5× |
| MRI chest wo w contrast (71552) | $4,344 | $4,344 | 14.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$25.50–$3,749 | $25.50–$3,749 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,334.50–$8,668.50 | $4,334.50–$8,668.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$1,295–$4,011.50 | $1,295–$4,011.50 | varies |
| MRI lumbar spine w contrast (72149) | $4,548.50 | $4,548.50 | 15.1× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$195.50–$4,152 | $195.50–$4,152 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,461 | $4,461 | 14.8× |
| MRI pelvis w contrast (72196) | $550.20 | $550.20 | 1.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$325.50–$4,311 | $325.50–$4,311 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$88.50–$3,749 | $88.50–$3,749 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$154.50–$4,996.50 | $154.50–$4,996.50 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,937–$7,412 | $3,937–$7,412 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,749 | $3,749 | 12.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$35–$8,023 | $35–$8,023 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,230 | $4,230 | 14.1× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,311–$4,747 | $4,311–$4,747 | varies |
| MRI, dorsal spine combo (72157) | $4,152 | $4,152 | 13.8× |
| MRI, dorsal spine contrast (72147) | $3,926 | $3,926 | 13.1× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$2,129.50–$6,894 | $2,129.50–$6,894 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$59.50–$9,494 | $59.50–$9,494 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$102–$4,109 | $102–$4,109 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$252.50–$3,264.50 | $252.50–$3,264.50 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,865.94 | $1,865.94 | 2.5× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$354–$12,000 | $354–$12,000 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $443.50 | $443.50 | 1.3× |
| Nm whole blood volume (78122) | $2,515 | $2,515 | 5.4× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$150–$1,124 | $150–$1,124 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,790 | $7,790 | 6.5× |
| Nuclear Rx Intra-Arterial (79445) | $505 | $505 | 2.5× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$1,115–$11,040 | $1,115–$11,040 | varies |
| Ob us nuchal meas 1 gest (76813) | $15 | $15 | 0.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $846 | $846 | 11.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
$246–$2,425 | $246–$2,425 | varies |
| Panoramic X-ray of jaws (70355) | $433 | $433 | 5.8× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,710–$26,250.01 | $1,710–$26,250.01 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $444 | $444 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 10 matching MRF lines |
$27.96–$34,999 | $27.96–$34,999 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$214.50–$1,334 | $214.50–$1,334 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,556.50–$4,512.06 | $2,556.50–$4,512.06 | varies |
| PET image w/CT, full body (78816) | $4,512.06 | $4,512.06 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$227.50–$4,917 | $227.50–$4,917 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,990 | $4,990 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,407 | $1,407 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $542.50 | $542.50 | 6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
$39–$786 | $39–$786 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$572–$1,307 | $572–$1,307 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$13.25–$543 | $13.25–$543 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$572–$3,171 | $572–$3,171 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$305.81–$645 | $305.81–$645 | varies |
| Radex fingr minimum 2 views (73140) range across 24 matching MRF lines |
$109–$4,703.50 | $109–$4,703.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$436.80–$1,041 | $436.80–$1,041 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$572–$6,930.50 | $572–$6,930.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$320–$585.50 | $320–$585.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $289 | $289 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $645 | $645 | 8.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$369.83–$572 | $369.83–$572 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$439–$572 | $439–$572 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $413 | $413 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,169.50 | $1,169.50 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $449 | $449 | 6.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$571–$10,555.50 | $571–$10,555.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$759–$92,480 | $759–$92,480 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$97–$3,507 | $97–$3,507 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$385.80–$587.50 | $385.80–$587.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$225.90–$663.50 | $225.90–$663.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $634 | $634 | 7.0× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$412.82–$4,289.76 | $412.82–$4,289.76 | varies |
| Radiation treatment delivery level 3 (77412) | $7,521.98 | $7,521.98 | 15.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $858 | $858 | 9.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $434 | $434 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $1,425 | $1,425 | 9.4× |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$754–$2,430 | $754–$2,430 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,251 | $1,251 | 8.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$425–$775.50 | $425–$775.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$297–$1,236.80 | $297–$1,236.80 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$634–$963 | $634–$963 | varies |
| Radiologic exam swallow function contrast study (74230) | $416 | $416 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,139–$13,125.01 | $1,139–$13,125.01 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$131–$508.80 | $131–$508.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$424–$2,060 | $424–$2,060 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$273.50–$2,621 | $273.50–$2,621 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$566.40–$2,570 | $566.40–$2,570 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $443.50 | $443.50 | 1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $443.50 | $443.50 | 1.3× |
| Ribs bilateral 3 views (71110) | $634 | $634 | 7.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$73–$4,022.50 | $73–$4,022.50 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines |
$315–$2,034.50 | $315–$2,034.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$93–$2,518 | $93–$2,518 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$390–$1,572 | $390–$1,572 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,169.28 | $2,169.28 | 4.6× |
| Rp Therapy Intravenous Administration (79101) | $2,837 | $2,837 | 14.1× |
| Scapula (73010) | $652 | $652 | 7.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$60–$645 | $60–$645 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$331.20–$4,952 | $331.20–$4,952 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$280.50–$2,356.50 | $280.50–$2,356.50 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$39.30–$629 | $39.30–$629 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$387–$572 | $387–$572 | varies |
| Special dosimetry (77331) | $216.72 | $216.72 | 1.9× |
| Special Physics Consult (77370) | $253 | $253 | 2.2× |
| Special teletherapy port plan (77321) | $1,189 | $1,189 | 3.7× |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$668.57–$42,400 | $668.57–$42,400 | varies |
| Sternoclavicular joints (71130) | $543 | $543 | 7.2× |
| Superior sagittal sinus venogram (75870) | $2,406.50 | $2,406.50 | 0.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $220 | $220 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,178.50 | $1,178.50 | 3.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $513 | $513 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,432.50 | $1,432.50 | 7.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$1,153–$8,730 | $1,153–$8,730 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $862 | $862 | 2.7× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$581–$11,000 | $581–$11,000 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,573.50 | $1,573.50 | 10.4× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$434–$750.60 | $434–$750.60 | varies |
| Thoracic spine 3 views (72072) | $717 | $717 | 8.0× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$508–$717 | $508–$717 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,149.50 | $1,149.50 | 3.3× |
| Thyroid Met Imaging Body (78018) | $565.50 | $565.50 | 1.2× |
| Thyroid Uptake Measurement (78012) | $700 | $700 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,767 | $1,767 | 5.1× |
| Tx Devices Design & Construction Complex (77334) | $581 | $581 | 1.8× |
| Tx devices design & construction intermediate (77333) | $522 | $522 | 4.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$163–$242.70 | $163–$242.70 | varies |
| Ultrasound Elastography Parenchyma (76981) | $250 | $250 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $326.91 | $326.91 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$35.09–$1,753 | $35.09–$1,753 | varies |
| Umbilical-artery Doppler (OB) (76820) | $169 | $169 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) | $304.50 | $304.50 | 4.1× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$820–$3,274.50 | $820–$3,274.50 | varies |
| Unlisted magnetic resonance procedure (76498) | $827.50 | $827.50 | 11.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 2 matching MRF lines |
$573–$610.50 | $573–$610.50 | varies |
| Unlisted us procedure (76999) | $226 | $226 | 3.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$434–$1,007 | $434–$1,007 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $2,806 | $2,806 | 253.7× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$1,829–$60,000 | $1,829–$60,000 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$659–$7,050 | $659–$7,050 | varies |
| Urethrocystography retrograde (74450) | $356 | $356 | 1.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$367–$2,143.50 | $367–$2,143.50 | varies |
| Us chest (76604) range across 8 matching MRF lines |
$61.36–$3,265.50 | $61.36–$3,265.50 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$242–$1,217 | $242–$1,217 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$200–$457.50 | $200–$457.50 | varies |
| Us head (76506) range across 2 matching MRF lines |
$106–$326.91 | $106–$326.91 | varies |
| Us kidney transplant (76776) | $326.91 | $326.91 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$194.50–$1,217 | $194.50–$1,217 | varies |
| Us ob detailed single fetus (76811) | $346 | $346 | 1.7× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$200–$2,311.50 | $200–$2,311.50 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$218–$7,576.20 | $218–$7,576.20 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$591.50–$1,360 | $591.50–$1,360 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$105–$649 | $105–$649 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $169 | $169 | 1.9× |
| Us retroperitoneal complete (76770) | $249 | $249 | 2.8× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$202.50–$852 | $202.50–$852 | varies |
| Us scrotum and contents (76870) | $876 | $876 | 9.7× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$52–$414 | $52–$414 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$326.91–$1,115 | $326.91–$1,115 | varies |
| Us transrectal (76872) | $908 | $908 | 10.1× |
| Vasogram (74440) range across 3 matching MRF lines |
$629–$3,089.50 | $629–$3,089.50 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,004–$2,671.93 | $2,004–$2,671.93 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,406.50 | $2,406.50 | 0.9× |
| Vein X-Ray Skull Epidural (75872) | $110 | $110 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $4,990 | $4,990 | 1.8× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$288.54–$4,990 | $288.54–$4,990 | varies |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$497.50–$4,990 | $497.50–$4,990 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,540–$5,988 | $1,540–$5,988 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,008–$2,590.80 | $1,008–$2,590.80 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,008–$1,509 | $1,008–$1,509 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$292–$4,990 | $292–$4,990 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$676.25–$4,990 | $676.25–$4,990 | varies |
| Venous sampling by catheter (75893) | $4,990 | $4,990 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,069 | $1,069 | 3.1× |
| Vertebral fracture assessment via dxa (77086) | $5,539.10 | $5,539.10 | 73.9× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$52.50–$3,262 | $52.50–$3,262 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$472.50–$508 | $472.50–$508 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$645.50–$1,875.01 | $645.50–$1,875.01 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$823.80–$5,988 | $823.80–$5,988 | varies |
| X-Ray Bend Only L-S Spine (72120) | $31.02 | $31.02 | 0.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$7.30–$6,159.50 | $7.30–$6,159.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $946.80 | $946.80 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$634–$6,288 | $634–$6,288 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $634 | $634 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$591–$707.40 | $591–$707.40 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$331.20–$1,166 | $331.20–$1,166 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $676 | $676 | 7.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $541.50 | $541.50 | 6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $733.50 | $733.50 | 8.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $998.50 | $998.50 | 11.1× |
| X-Ray Exam L-S Spine Bending (72114) | $981 | $981 | 10.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$364–$572 | $364–$572 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $857 | $857 | 9.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $784.50 | $784.50 | 8.7× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$436.80–$4,780 | $436.80–$4,780 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$158.50–$1,190 | $158.50–$1,190 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $433 | $433 | 5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $123 | $123 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$398–$1,272.50 | $398–$1,272.50 | varies |
| X-ray nose-rectum child f.b. (76010) | $513 | $513 | 6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $455 | $455 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $543 | $543 | 6.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$81.50–$384.50 | $81.50–$384.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$242–$48,000 | $242–$48,000 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$91.65–$787 | $91.65–$787 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$791–$23,561.50 | $791–$23,561.50 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$43.55–$787 | $43.55–$787 | varies |
| X-Ray Tmj Unilat (70328) | $289 | $289 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 5 matching MRF lines |
$792.50–$1,901.72 | $792.50–$1,901.72 | varies |
| X-Rays Bone Length Studies (77073) | $543 | $543 | 6.0× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$70–$37,699 | $70–$37,699 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$857–$2,419 | $857–$2,419 | varies |
| Xr facial bones less than 3 views (70140) | $356 | $356 | 4.7× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$201–$8,219.50 | $201–$8,219.50 | varies |
| Xr orbits complete 4 views (70200) | $759 | $759 | 8.4× |
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.