Imaging prices at Regions Hospital
Saint Paul, MN · every code in this section with a posted price and a Medicare benchmark.
323 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) | $1,648.66 | $6,341 | 1.1× |
| Abdomen 1 View (74018) | $132.08 | $508 | 1.4× |
| Abdomen 2 views (74019) | $132.08 | $508 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $592.02 | $2,277 | 1.4× |
| Angio internal mammary (75756) | $1,280.76 | $4,926 | 0.4× |
| Angio pulmonary bilat (75743) | $2,367.30 | $9,105 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,041.52 | $7,852 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $2,041.52 | $7,852 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,367.30 | $9,105 | 0.7× |
| Ankle 2 views (73600) | $132.08 | $508 | 1.4× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,367.30 | $9,105 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,367.30 | $9,105 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,367.30 | $9,105 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,367.30 | $9,105 | 0.4× |
| Arthrogram ankle (73615) | $345.02 | $1,327 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $202.80 | $780 | 1.4× |
| Bone age studies (77072) | $132.08 | $508 | 1.2× |
| Bone Imaging 3 Phase (78315) | $592.02 | $2,277 | 1.4× |
| Bone Imaging Limited Area (78300) | $592.02 | $2,277 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $592.02 | $2,277 | 1.4× |
| Bone Imaging Whole Body (78306) | $592.02 | $2,277 | 1.4× |
| Bone marrow imaging limited area (78102) | $395.20 | $1,520 | 0.9× |
| Bone survey infant (77076) | $216.84 | $834 | 2.0× |
| Brachytx isodose intermed (77317) | $719.94 | $2,769 | 1.8× |
| Brachytx Isodose Plan Simple (77316) | $397.02 | $1,527 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $532.48 | $2,048 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,446.60 | $9,410 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $954.72 | $3,672 | 2.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,034.02 | $3,977 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $277.16 | $1,066 | 3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $305.50 | $1,175 | 0.5× |
| Cerebrospinal Fluid Scan (78630) | $532.48 | $2,048 | 0.9× |
| Chest 1 view (71045) | $132.08 | $508 | 1.4× |
| Chest 2 views (71046) | $132.08 | $508 | 1.4× |
| Chest 3 views (71047) | $132.08 | $508 | 1.4× |
| Chest 4 or more views (71048) | $216.84 | $834 | 2.0× |
| Clavicle complete (73000) | $132.08 | $508 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $37.96 | $146 | 0.3× |
| Continuing medical physics consltj pr wk (77336) | $257.92 | $992 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) | $2,367.30 | $9,105 | 0.7× |
| Contrast X-Ray Bladder (74430) | $207.22 | $797 | 0.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $177.84 | $684 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $513.24 | $1,974 | 1.4× |
| CT abdomen and pelvis without contrast (74176) | $307.58 | $1,183 | 1.2× |
| CT abdomen w contrast (74160) | $584.74 | $2,249 | 3.2× |
| CT abdomen w wo contrast (74170) | $649.74 | $2,499 | 3.5× |
| CT abdomen w/o contrast (74150) | $427.70 | $1,645 | 3.9× |
| CT Angio Abdomen and Pelvis (74174) | $513.24 | $1,974 | 1.4× |
| CT Angio Chest (71275) | $615.68 | $2,368 | 3.4× |
| CT Angio Head (70496) | $615.68 | $2,368 | 3.4× |
| CT angio hrt w/3d image (75574) | $124.02 | $477 | 0.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $615.68 | $2,368 | 3.4× |
| CT Angio Neck (70498) | $615.68 | $2,368 | 3.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $615.68 | $2,368 | 3.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $112.32 | $432 | 0.6× |
| CT cervical spine w/ contrast (72126) | $649.74 | $2,499 | 1.8× |
| CT cervical spine w/o contrast (72125) | $427.70 | $1,645 | 3.9× |
| CT cervical spine w/wo cont (72127) | $649.74 | $2,499 | 3.5× |
| CT chest w contrast (71260) | $584.74 | $2,249 | 3.2× |
| CT chest w/wo contrast (71270) | $649.74 | $2,499 | 3.5× |
| CT head/brain with contrast (70460) | $584.74 | $2,249 | 3.2× |
| CT head/brain without and with contrast (70470) | $584.74 | $2,249 | 3.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $126.10 | $485 | 0.3× |
| CT iac w contrast (70481) | $649.74 | $2,499 | 3.5× |
| CT l-spine w&w/o contrast (72133) | $649.74 | $2,499 | 3.5× |
| CT lower ext w/o (73700) | $427.70 | $1,645 | 3.9× |
| CT lower extremity w/contrast material (73701) | $649.74 | $2,499 | 3.5× |
| CT lumbar spine w contrast (72132) | $649.74 | $2,499 | 1.8× |
| CT lumbar spine w/o contrast (72131) | $427.70 | $1,645 | 3.9× |
| CT maxillofacial w contrast (70487) | $584.74 | $2,249 | 3.2× |
| CT maxillofacial wo contrast (70486) | $427.70 | $1,645 | 3.9× |
| CT neck tissue combo (70492) | $649.74 | $2,499 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $584.74 | $2,249 | 3.2× |
| CT orbits w/o contrast (70480) | $427.70 | $1,645 | 3.9× |
| CT pelvis w&w/o contrast (72194) | $649.74 | $2,499 | 3.5× |
| CT pelvis w/o contrast (72192) | $427.70 | $1,645 | 3.9× |
| CT scan of leg combo (73702) | $649.74 | $2,499 | 3.5× |
| CT scans face/jaw combo (70488) | $649.74 | $2,499 | 3.5× |
| CT soft tissue neck w contrast (70491) | $584.74 | $2,249 | 3.2× |
| CT soft tissue neck w/o contrast (70490) | $385.06 | $1,481 | 3.5× |
| CT thoracic spine w contrast (72129) | $649.74 | $2,499 | 3.5× |
| CT thoracic spine w/o contrast (72128) | $427.70 | $1,645 | 3.9× |
| CT thoracic spine w/wo cont (72130) | $649.74 | $2,499 | 3.5× |
| CT thorax w/o contrast (71250) | $427.70 | $1,645 | 3.9× |
| CT unlisted procedure (76497) | $184.86 | $711 | 2.0× |
| CT upper ext wo (73200) | $427.70 | $1,645 | 3.9× |
| CT upper extremity w/o & w/contrast material (73202) | $649.74 | $2,499 | 3.5× |
| CT upper extremity with contrast (73201) | $649.74 | $2,499 | 1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $615.68 | $2,368 | 3.4× |
| Cta Abdomen (74175) | $615.68 | $2,368 | 3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $223.60 | $860 | 0.6× |
| CTA pelvis (72191) | $554.32 | $2,132 | 3.0× |
| Dilation ureters/urethra rs&i (74485) | $1,262.82 | $4,857 | 0.6× |
| Dxa Bone Density Axial (77080) | $124.54 | $479 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $40.30 | $155 | 0.4× |
| Echo exam uterus (76831) | $395.20 | $1,520 | 1.6× |
| Echo Guide For Artery Repair (76936) | $305.50 | $1,175 | 1.4× |
| Esophagram (74220) | $177.84 | $684 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $197.86 | $761 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $183.30 | $705 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $158.08 | $608 | 0.6× |
| Follow-Up Angiography (75898) | $1,098.76 | $4,226 | 0.3× |
| Foot 2 views (73620) | $132.08 | $508 | 1.4× |
| Forearm 2 views (73090) | $132.08 | $508 | 1.4× |
| Gastric emptying imaging study (78264) | $592.02 | $2,277 | 1.4× |
| Gated Heart Planar Single (78472) | $670.80 | $2,580 | 1.6× |
| Hand 2 views (73120) | $132.08 | $508 | 1.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,404.26 | $5,401 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,404.26 | $5,401 | 1.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,367.30 | $9,105 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,367.30 | $9,105 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $512.72 | $1,972 | 0.9× |
| Hepatobiliary System Imaging (78226) | $512.72 | $1,972 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $444.60 | $1,710 | 0.3× |
| Hysterosalpingogram (74740) | $216.84 | $834 | 0.9× |
| Joint Survey Single View (77077) | $132.08 | $508 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $670.80 | $2,580 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $670.80 | $2,580 | 1.2× |
| Knee 3 Views (73562) | $132.08 | $508 | 1.4× |
| Lung perfusion differential (78597) | $395.20 | $1,520 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $631.28 | $2,428 | 1.1× |
| Lymph System Imaging (78195) | $395.20 | $1,520 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $752.70 | $2,895 | 3.0× |
| Magnetic Resonance Elastography (76391) | $752.70 | $2,895 | 3.0× |
| Meckels Divert Exam (78290) | $592.02 | $2,277 | 1.4× |
| Medical physics dose eval radiation expos w/rprt (76145) | $277.16 | $1,066 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) | $367.12 | $1,412 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,060.28 | $4,078 | 2.9× |
| MRA head w/o contrast (70544) | $752.70 | $2,895 | 3.0× |
| MRA head with contrast (70545) | $677.56 | $2,606 | 1.9× |
| MRA neck w contrast (70548) | $752.70 | $2,895 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,060.28 | $4,078 | 2.9× |
| MRA neck w/o contrast (70547) | $752.70 | $2,895 | 3.0× |
| MRI abdomen w contrast (74182) | $752.70 | $2,895 | 2.1× |
| MRI abdomen w/o contrast (74181) | $752.70 | $2,895 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) | $752.70 | $2,895 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,060.28 | $4,078 | 2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $752.70 | $2,895 | 0.9× |
| MRI brain functional w/o physician admnistration (70554) | $752.70 | $2,895 | 3.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $752.70 | $2,895 | 3.0× |
| MRI cardiac w/o contrast (75557) | $677.56 | $2,606 | 2.7× |
| MRI cervical spine w contrast (72142) | $752.70 | $2,895 | 2.1× |
| MRI cervical spine w/o cont (72141) | $752.70 | $2,895 | 3.0× |
| MRI chest w/o contrast (71550) | $752.70 | $2,895 | 3.0× |
| MRI chest wo w contrast (71552) | $1,060.28 | $4,078 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $752.70 | $2,895 | 2.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,060.28 | $4,078 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $752.70 | $2,895 | 3.0× |
| MRI lumbar spine w contrast (72149) | $752.70 | $2,895 | 2.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,060.28 | $4,078 | 2.9× |
| MRI orbit face &/neck w/o contrast (70540) | $752.70 | $2,895 | 3.0× |
| MRI orbit face neck w contrast (70542) | $752.70 | $2,895 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,060.28 | $4,078 | 2.9× |
| MRI pelvis w contrast (72196) | $998.92 | $3,842 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,060.28 | $4,078 | 2.9× |
| MRI pelvis w/o contrast (72195) | $752.70 | $2,895 | 3.0× |
| MRI thoracic spine w/o contrast (72146) | $752.70 | $2,895 | 3.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $752.70 | $2,895 | 2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $752.70 | $2,895 | 3.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,060.28 | $4,078 | 2.9× |
| MRI, abdomen, combo (74183) | $1,060.28 | $4,078 | 2.9× |
| MRI, dorsal spine combo (72157) | $1,060.28 | $4,078 | 2.9× |
| MRI, dorsal spine contrast (72147) | $752.70 | $2,895 | 2.1× |
| MRI, joint upper extrem (73221) | $752.70 | $2,895 | 3.0× |
| MRI, joint upper extrem combo (73223) | $1,060.28 | $4,078 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,060.28 | $4,078 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $859.30 | $3,305 | 0.6× |
| Neck soft tissue (70360) | $132.08 | $508 | 1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $227.50 | $875 | 0.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,870.70 | $7,195 | 1.3× |
| Nuclear Rx Intra-Arterial (79445) | $372.32 | $1,432 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $592.02 | $2,277 | 2.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$100.36–$143.78 | $386–$553 | varies |
| Panoramic X-ray of jaws (70355) | $158.08 | $608 | 1.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $227.50 | $875 | 0.4× |
| Parathyroid Planar Imaging (78070) | $473.46 | $1,821 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $193.18 | $743 | 0.5× |
| Pelvis 1 or 2 views (72170) | $132.08 | $508 | 1.2× |
| Peritoneogram Rs&I (74190) | $216.84 | $834 | 0.4× |
| Pet Image W/Ct Lmtd (78814) | $2,446.60 | $9,410 | 1.6× |
| PET image w/CT, full body (78816) | $2,446.60 | $9,410 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,446.60 | $9,410 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $395.20 | $1,520 | 0.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $370.50 | $1,425 | 0.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $216.84 | $834 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $132.08 | $508 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $132.08 | $508 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $132.08 | $508 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $216.84 | $834 | 2.0× |
| Radex fingr minimum 2 views (73140) | $132.08 | $508 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $132.08 | $508 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $132.08 | $508 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) | $132.08 | $508 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $132.08 | $508 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $132.08 | $508 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $132.08 | $508 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $132.08 | $508 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $132.08 | $508 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $132.08 | $508 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $132.08 | $508 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $132.08 | $508 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $132.08 | $508 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $132.08 | $508 | 1.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,837.22 | $26,297 | 0.9× |
| Radiation treatment delivery level 1 (77402) | $197.34 | $759 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $221.52 | $852 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $257.14 | $989 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $216.84 | $834 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $132.08 | $508 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $286 | $1,100 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $286 | $1,100 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $216.84 | $834 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $132.08 | $508 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $177.84 | $684 | 1.0× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$177.84–$407.16 | $684–$1,566 | varies |
| Radiologic examination femur 1 view (73551) | $132.08 | $508 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $132.08 | $508 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $132.08 | $508 | 1.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $216.84 | $834 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $132.08 | $508 | 1.4× |
| Ribs bilateral 3 views (71110) | $216.84 | $834 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $241.80 | $930 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $836.42 | $3,217 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $836.42 | $3,217 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$431.34–$836.42 | $1,659–$3,217 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $949.26 | $3,651 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $836.42 | $3,217 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $592.02 | $2,277 | 2.4× |
| Scapula (73010) | $132.08 | $508 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31.20 | $120 | 1.3× |
| Shoulder 1 view (73020) | $132.08 | $508 | 1.4× |
| Skull less than 4 views (70250) | $132.08 | $508 | 1.2× |
| Special dosimetry (77331) | $203.06 | $781 | 1.4× |
| Special Physics Consult (77370) | $441.22 | $1,697 | 3.1× |
| Special teletherapy port plan (77321) | $441.22 | $1,697 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) | $4,994.60 | $19,210 | 2.7× |
| Sternoclavicular joints (71130) | $132.08 | $508 | 1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $680.68 | $2,618 | 1.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $470.34 | $1,809 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $480.22 | $1,847 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) | $248.56 | $956 | 1.8× |
| Thoracic spine 2 views (72070) | $132.08 | $508 | 1.2× |
| Thoracic spine 3 views (72072) | $216.84 | $834 | 2.0× |
| Thoracolumbar 2 views (72080) | $132.08 | $508 | 1.4× |
| Thyroid Met Imaging Body (78018) | $631.28 | $2,428 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $473.46 | $1,821 | 1.1× |
| Tx Devices Design & Construction Complex (77334) | $385.84 | $1,484 | 1.0× |
| Tx devices design & construction simple (77332) | $348.14 | $1,339 | 2.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$38.22–$180.70 | $147–$695 | varies |
| Ultrasound Exam Aaa Screen (76706) | $197.86 | $761 | 1.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$35.10–$197.86 | $135–$761 | varies |
| Umbilical-artery Doppler (OB) (76820) | $187.46 | $721 | 1.7× |
| Unlisted Dx Radiographic Procedure (76499) | $11.70 | $45 | 0.1× |
| Unlisted fluoroscopic procedure (76496) | $495.56 | $1,906 | 5.4× |
| Unlisted magnetic resonance procedure (76498) | $56.68 | $218 | 0.6× |
| Upper gi w/o kub (74240) | $286 | $1,100 | 1.6× |
| Urethrocystogram voiding (74455) | $207.22 | $797 | 0.8× |
| Urethrocystography retrograde (74450) | $207.22 | $797 | 0.8× |
| Us breast unilateral complete (76641) | $180.70 | $695 | 1.7× |
| Us chest (76604) range across 2 matching MRF lines |
$99.32–$187.46 | $382–$721 | varies |
| Us complete joint (76881) | $197.86 | $761 | 1.8× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$60.84–$187.46 | $234–$721 | varies |
| Us head (76506) | $187.46 | $721 | 1.7× |
| Us kidney transplant (76776) | $197.86 | $761 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$39.78–$187.46 | $153–$721 | varies |
| Us ob detailed single fetus (76811) | $108.68 | $418 | 0.4× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$39.26–$187.46 | $151–$721 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$59.28–$187.46 | $228–$721 | varies |
| Us pelvic non ob complete (76856) | $197.86 | $761 | 1.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$59.28–$197.86 | $228–$761 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$94.90–$187.46 | $365–$721 | varies |
| Us retroperitoneal complete (76770) | $197.86 | $761 | 1.8× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$33.80–$197.86 | $130–$761 | varies |
| Us scrotum and contents (76870) | $197.86 | $761 | 1.8× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$197.86–$442 | $761–$1,700 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$137.28–$197.86 | $528–$761 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$40.56–$192.40 | $156–$740 | varies |
| Vein X-Ray Chest (75827) | $710.32 | $2,732 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,276.04 | $8,754 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,280.76 | $4,926 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,367.30 | $9,105 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $710.32 | $2,732 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $710.32 | $2,732 | 0.4× |
| Venography Renal Bilateral (75833) | $2,367.30 | $9,105 | 0.7× |
| Venography Renal Unilateral (75831) | $2,367.30 | $9,105 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,367.30 | $9,105 | 0.4× |
| Wrist 2 views (73100) | $132.08 | $508 | 1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $132.08 | $508 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $207.22 | $797 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,041.52 | $7,852 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $216.84 | $834 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $132.08 | $508 | 1.4× |
| X-Ray Exam Breast Specimen (76098) | $227.50 | $875 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $132.08 | $508 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $216.84 | $834 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $132.08 | $508 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $132.08 | $508 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $51.48 | $198 | 0.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $216.84 | $834 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $216.84 | $834 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $84.24 | $324 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) | $216.84 | $834 | 2.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $132.08 | $508 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $216.84 | $834 | 2.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $216.84 | $834 | 2.0× |
| X-ray eye for foreign body (70030) | $132.08 | $508 | 1.4× |
| X-ray humerus (73060) | $132.08 | $508 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $132.08 | $508 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $132.08 | $508 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $132.08 | $508 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $132.08 | $508 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $216.84 | $834 | 2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $132.08 | $508 | 1.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $132.08 | $508 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $132.08 | $508 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $216.84 | $834 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $216.84 | $834 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $150.28 | $578 | 0.4× |
| X-Rays Bone Length Studies (77073) | $216.84 | $834 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $216.84 | $834 | 2.0× |
| Xr c-spine 4 or 5 views (72050) | $216.84 | $834 | 2.0× |
| Xr facial bones less than 3 views (70140) | $132.08 | $508 | 1.4× |
| Xr orbits complete 4 views (70200) | $216.84 | $834 | 2.0× |
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.