Imaging prices at Reid Health
Richmond, IN · every code in this section with a posted price and a Medicare benchmark.
337 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) | $4,704.70 | $14,383.06 | 3.2× |
| Abdomen 1 View (74018) | $155.22 | $474.54 | 1.7× |
| Abdomen 2 views (74019) | $230.46 | $704.54 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $844.32 | $2,581.24 | 2.0× |
| Angio internal mammary (75756) | $1,631.76 | $4,988.56 | 0.5× |
| Angio pulmonary bilat (75743) | $1,427.28 | $4,363.44 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,044.06 | $3,191.88 | 0.3× |
| Angiography extremity bilateral rs&i (75716) | $3,059.69 | $9,354 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,331.95 | $7,129.17 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,256.27 | $3,840.63 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $370.26 | $1,131.95 | 0.1× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$93.45–$308.89 | $285.69–$944.34 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,570.01 | $4,799.78 | 0.3× |
| Artery X-Rays Abdomen (75726) | $3,428.21 | $10,480.63 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $1,044.06 | $3,191.88 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,496.17 | $7,631.20 | 0.4× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$238.37–$476.77 | $728.74–$1,457.58 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$160.74–$321.47 | $491.40–$982.80 | varies |
| Arthrogram Wrist (73115) | $145.37 | $444.42 | 0.4× |
| Basic radiation dosimetry calculation (77300) | $433.22 | $1,324.43 | 3.0× |
| Bone age studies (77072) | $199.01 | $608.41 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,316.75 | $4,025.54 | 3.1× |
| Bone Imaging Limited Area (78300) | $224.42 | $686.08 | 0.5× |
| Bone Imaging Multiple Areas (78305) | $224.42 | $686.08 | 0.5× |
| Bone Imaging Whole Body (78306) | $1,180.51 | $3,609.03 | 2.8× |
| Bone marrow imaging limited area (78102) | $174.74 | $534.21 | 0.4× |
| Brachytx isodose complex (77318) | $333.29 | $1,018.92 | 0.8× |
| Brachytx isodose intermed (77317) | $324.84 | $993.10 | 0.8× |
| Brachytx Isodose Plan Simple (77316) | $588.35 | $1,798.69 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $478.88 | $1,464.02 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $704.70 | $2,154.38 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $909.49 | $2,780.46 | 9.9× |
| Cerebrospinal Fluid Scan (78630) | $636.64 | $1,946.31 | 1.1× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$6.54–$134.88 | $20–$412.34 | varies |
| Chest 2 views (71046) | $166.31 | $508.43 | 1.8× |
| Chest 3 views (71047) | $169.60 | $518.49 | 1.8× |
| Chest 4 or more views (71048) | $146.09 | $446.61 | 1.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $74.58 | $228 | 0.7× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$82.96–$318.69 | $253.61–$974.28 | varies |
| Continuing medical physics consltj pr wk (77336) | $496.16 | $1,516.85 | 3.5× |
| Contrast Exam Abdominl Aorta (75625) | $2,518.27 | $7,698.79 | 0.8× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$40.14–$637.42 | $122.73–$1,948.71 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$238.37–$476.74 | $728.74–$1,457.48 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$223.90–$447.81 | $684.51–$1,369.02 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $832.67 | $2,545.60 | 2.3× |
| CT abdomen and pelvis without contrast (74176) | $537.06 | $1,641.87 | 2.1× |
| CT abdomen w contrast (74160) | $476.17 | $1,455.73 | 2.6× |
| CT abdomen w wo contrast (74170) | $482.85 | $1,476.15 | 2.6× |
| CT abdomen w/o contrast (74150) | $401.67 | $1,227.96 | 3.6× |
| CT Angio Abdomen and Pelvis (74174) | $825.24 | $2,522.89 | 2.2× |
| CT Angio Chest (71275) | $482.85 | $1,476.15 | 2.6× |
| CT Angio Head (70496) | $482.85 | $1,476.15 | 2.6× |
| CT angio hrt w/3d image (75574) | $482.85 | $1,476.15 | 1.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$482.85–$2,400.78 | $1,476.15–$7,339.58 | varies |
| CT Angio Neck (70498) | $482.85 | $1,476.15 | 2.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$576.43–$1,085.76 | $1,762.25–$3,319.36 | varies |
| CT bone density (77078) | $91.83 | $280.75 | 1.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $169.97 | $519.62 | 0.9× |
| CT cervical spine w/ contrast (72126) | $825.24 | $2,522.89 | 2.2× |
| CT cervical spine w/o contrast (72125) | $401.67 | $1,227.96 | 3.6× |
| CT cervical spine w/wo cont (72127) | $930.53 | $2,844.79 | 5.0× |
| CT chest w contrast (71260) | $482.85 | $1,476.15 | 2.6× |
| CT chest w/wo contrast (71270) | $482.85 | $1,476.15 | 2.6× |
| CT head/brain with contrast (70460) | $499.29 | $1,526.40 | 2.7× |
| CT head/brain without and with contrast (70470) | $373.02 | $1,140.37 | 2.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $388.41 | $1,187.45 | 1.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$29–$75.40 | $29–$230.50 | varies |
| CT hrt w/3d image congen (75573) | $302.62 | $925.16 | 0.8× |
| CT iac w contrast (70481) | $482.85 | $1,476.15 | 2.6× |
| CT l-spine w&w/o contrast (72133) | $833.56 | $2,548.32 | 4.5× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$403.28–$1,749.29 | $1,232.91–$5,347.86 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$499.35–$1,815.50 | $1,526.60–$5,550.28 | varies |
| CT lumbar spine w contrast (72132) | $825.24 | $2,522.89 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $401.67 | $1,227.96 | 3.6× |
| CT maxillofacial w contrast (70487) | $482.85 | $1,476.15 | 2.6× |
| CT maxillofacial wo contrast (70486) | $398.37 | $1,217.88 | 3.6× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$476.08–$767.16 | $1,455.46–$2,345.34 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$476.08–$948.97 | $1,455.46–$2,901.16 | varies |
| CT orbits w/o contrast (70480) | $401.67 | $1,227.96 | 3.6× |
| CT pelvis w&w/o contrast (72194) | $703.29 | $2,150.07 | 3.8× |
| CT pelvis w/o contrast (72192) | $371.63 | $1,136.13 | 3.4× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$795.49–$1,690.33 | $2,431.95–$5,167.63 | varies |
| CT scans face/jaw combo (70488) | $925.91 | $2,830.66 | 5.0× |
| CT soft tissue neck w contrast (70491) | $482.85 | $1,476.15 | 2.6× |
| CT soft tissue neck w/o contrast (70490) | $401.67 | $1,227.96 | 3.6× |
| CT thoracic spine w contrast (72129) | $482.85 | $1,476.15 | 2.6× |
| CT thoracic spine w/o contrast (72128) | $401.67 | $1,227.96 | 3.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$29–$309.11 | $29–$945 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$401.67–$1,462.15 | $1,227.96–$4,470.04 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$503.02–$947.48 | $1,537.82–$2,896.62 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$825.24–$1,242.98 | $2,522.89–$3,800 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,144.85 | $3,500 | 6.2× |
| Cta Abdomen (74175) | $482.85 | $1,476.15 | 2.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $965.70 | $2,952.30 | 2.6× |
| CTA pelvis (72191) | $1,244.11 | $3,803.45 | 6.7× |
| Dilation ureters/urethra rs&i (74485) | $1,074.71 | $3,285.56 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $1,293.81 | $3,955.40 | 0.6× |
| Diskography lumbar (72295) | $1,384.38 | $4,232.28 | 0.7× |
| Dxa Bone Density Axial (77080) | $149.57 | $457.27 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $107.98 | $330.10 | 1.2× |
| Echo exam uterus (76831) | $342.61 | $1,047.43 | 1.4× |
| Esophagram (74220) | $147.92 | $452.22 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $361.31 | $1,104.58 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $411.42 | $1,257.77 | 1.6× |
| Follow-Up Angiography (75898) | $1,100.37 | $3,364.01 | 0.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$110.61–$300.87 | $338.14–$919.82 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$99.54–$329.30 | $304.31–$1,006.74 | varies |
| Gastric emptying imaging study (78264) | $1,084.49 | $3,315.46 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $171.44 | $524.13 | 0.4× |
| Gated Heart Planar Single (78472) | $1,302.94 | $3,983.31 | 3.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$157.01–$410.74 | $480–$1,255.70 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $682.63 | $2,086.93 | 0.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $730.42 | $2,233.02 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,414.27 | $4,323.65 | 1.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,207.32 | $3,690.98 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,207.32 | $3,690.98 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $858.79 | $2,625.48 | 1.5× |
| Hepatobiliary System Imaging (78226) | $557.09 | $1,703.13 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $972.80 | $2,974 | 0.7× |
| Hysterosalpingogram (74740) | $643 | $1,965.77 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $294.39 | $900 | 3.2× |
| K Flow/Funct Image Multiple (78709) | $221.68 | $677.72 | 0.4× |
| K Flow/Funct Image W/Drug (78708) | $1,010.48 | $3,089.21 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $559.87 | $1,711.62 | 1.0× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$118.70–$364.35 | $362.90–$1,113.88 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$205.35–$440.93 | $627.79–$1,348 | varies |
| Lung perfusion differential (78597) | $157.07 | $480.19 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,032.21 | $3,155.63 | 1.8× |
| Lymph System Imaging (78195) | $1,348.72 | $4,123.27 | 2.3× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$890.49–$1,677.32 | $2,722.37–$5,127.84 | varies |
| Mammary ductogram or galactogram multiple (77054) | $202.30 | $618.47 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $156.42 | $478.20 | 0.6× |
| Meckels Divert Exam (78290) | $183.58 | $561.24 | 0.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,945.06 | $5,946.38 | 4.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$520.73–$777.21 | $1,591.96–$2,376.05 | varies |
| MRA head w/o contrast (70544) | $536.22 | $1,639.30 | 2.1× |
| MRA head with contrast (70545) | $809.28 | $2,474.10 | 2.2× |
| MRA neck w contrast (70548) | $1,388.62 | $4,245.25 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $644.39 | $1,970 | 1.7× |
| MRA neck w/o contrast (70547) | $631.76 | $1,931.41 | 2.5× |
| MRI abdomen w contrast (74182) | $553.56 | $1,692.32 | 1.5× |
| MRI abdomen w/o contrast (74181) | $536.22 | $1,639.30 | 2.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,288.65–$2,321.56 | $3,939.61–$7,097.40 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$888.38–$2,303.64 | $2,715.93–$7,042.62 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,288.65–$2,427.29 | $3,939.61–$7,420.63 | varies |
| MRI cardiac w/o contrast (75557) | $547.02 | $1,672.34 | 2.2× |
| MRI cervical spine w contrast (72142) | $755.41 | $2,309.42 | 2.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$536.22–$618.87 | $1,639.30–$1,892 | varies |
| MRI chest w/o contrast (71550) | $915.81 | $2,799.80 | 3.6× |
| MRI chest with contrast (71551) | $530.23 | $1,621 | 0.6× |
| MRI chest wo w contrast (71552) | $812.08 | $2,482.67 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,010.01 | $3,087.78 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $825.24 | $2,522.89 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$536.22–$1,010.01 | $1,639.30–$3,087.78 | varies |
| MRI lumbar spine w contrast (72149) | $948.45 | $2,899.58 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $825.24 | $2,522.89 | 2.2× |
| MRI orbit face &/neck w/o contrast (70540) | $840.05 | $2,568.19 | 3.3× |
| MRI orbit face neck w contrast (70542) | $562.84 | $1,720.70 | 1.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $825.24 | $2,522.89 | 2.2× |
| MRI pelvis w contrast (72196) | $716.10 | $2,189.23 | 1.9× |
| MRI pelvis w/o & w contrast (72197) | $825.24 | $2,522.89 | 2.2× |
| MRI pelvis w/o contrast (72195) | $536.22 | $1,639.30 | 2.1× |
| MRI spectroscopy (76390) | $563.55 | $1,722.86 | 6.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$536.22–$971.20 | $1,639.30–$2,969.11 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $794.05 | $2,427.55 | 2.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$536.22–$1,010.01 | $1,639.30–$3,087.78 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $825.24 | $2,522.89 | 2.2× |
| MRI, abdomen, combo (74183) | $825.24 | $2,522.89 | 2.2× |
| MRI, dorsal spine combo (72157) | $825.24 | $2,522.89 | 2.2× |
| MRI, dorsal spine contrast (72147) | $1,071.13 | $3,274.62 | 2.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$536.22–$1,010.01 | $1,639.30–$3,087.78 | varies |
| MRI, joint upper extrem combo (73223) | $825.24 | $2,522.89 | 2.2× |
| MRI, lumbar spine combo (72158) | $825.24 | $2,522.89 | 2.2× |
| Myelogram cervical (72240) | $983.57 | $3,006.94 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $1,131.20 | $3,458.28 | 0.8× |
| N-invas est c ffr sw aly CTA (75580) | $922.01 | $2,818.74 | 1.0× |
| Neck soft tissue (70360) | $163.72 | $500.51 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $310.74 | $950 | 2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,355.15 | $19,428.77 | 4.3× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$455.44–$867.67 | $1,392.37–$2,652.60 | varies |
| Ob us nuchal meas 1 gest (76813) | $42.24 | $129.14 | 0.4× |
| Panoramic X-ray of jaws (70355) | $104.38 | $319.12 | 1.1× |
| Parathyroid Planar Imaging (78070) | $222.65 | $680.69 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,361.29 | $4,161.70 | 3.2× |
| Pelvis 1 or 2 views (72170) | $218.68 | $668.53 | 2.0× |
| Perineogram (74775) | $142.08 | $434.36 | 0.6× |
| Peritoneogram Rs&I (74190) | $412.94 | $1,262.42 | 0.7× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$1,165.43–$1,328.98 | $3,562.93–$4,062.93 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$3,037.10–$5,938.48 | $9,284.92–$18,154.93 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$894.62–$5,951.68 | $2,735–$18,195.30 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,207.32 | $3,690.98 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $715.29 | $2,186.76 | 1.7× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) range across 2 matching MRF lines |
$170.09–$901.52 | $520–$2,756.10 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $195.54 | $597.79 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $736.17 | $2,250.61 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$116.88–$344.01 | $357.33–$1,051.70 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$82.96–$186.39 | $253.61–$569.84 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$110.61–$350.30 | $338.14–$1,070.94 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $258.73 | $790.98 | 2.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$156.23–$294.26 | $477.61–$899.61 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$110.61–$363.74 | $338.14–$1,112 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$143.34–$338.39 | $438.21–$1,034.52 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $174.91 | $534.74 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $173.14 | $529.31 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$110.61–$353.14 | $338.14–$1,079.60 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $157.66 | $482 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $206.73 | $632.02 | 1.1× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$55.31–$169.69 | $169.10–$518.77 | varies |
| Radex Sternum Minimum 2 Views (71120) | $100.03 | $305.80 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $98.65 | $301.59 | 1.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$144.01–$271.26 | $440.26–$829.28 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$104.27–$208.54 | $318.77–$637.54 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,411.15 | $34,885.82 | 1.5× |
| Radiation treatment delivery level 1 (77402) | $296.91 | $907.71 | 2.8× |
| Radiation treatment delivery level 2 (77407) | $1,122.67 | $3,432.18 | 2.8× |
| Radiation treatment delivery level 3 (77412) | $1,608.31 | $4,916.88 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $253.32 | $774.43 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $102.99 | $314.86 | 0.9× |
| Radiologic exam colon double contrast study (74280) | $545.34 | $1,667.21 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $392.56 | $1,200.13 | 2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $347.15 | $1,061.30 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$184.33–$473.97 | $563.52–$1,449.02 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$59.35–$228.19 | $181.45–$697.63 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $299.04 | $914.22 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $269.92 | $825.18 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $435.35 | $1,330.93 | 2.3× |
| Radiologic examination femur 1 view (73551) | $138.98 | $424.90 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$88.48–$327.89 | $270.51–$1,002.42 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$182.28–$343.34 | $557.26–$1,049.66 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $205.96 | $629.66 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$109.51–$324.35 | $334.79–$991.60 | varies |
| Ribs bilateral 3 views (71110) | $252.44 | $771.75 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$224.42–$273.13 | $686.08–$835 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $803.92 | $2,457.73 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $619.56 | $1,894.10 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$421.96–$1,869.94 | $1,290–$5,716.73 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $775.55 | $2,371 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $1,143.34 | $3,495.38 | 4.6× |
| Scapula (73010) range across 6 matching MRF lines |
$89.20–$366 | $272.71–$1,118.92 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$19.63–$39.34 | $60–$120.26 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$58.06–$143.92 | $177.51–$440 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$569.90–$1,073.46 | $1,742.28–$3,281.74 | varies |
| Sialogram (70390) | $178.12 | $544.54 | 0.7× |
| Skull less than 4 views (70250) | $234.90 | $718.13 | 2.1× |
| Special dosimetry (77331) | $111.84 | $341.90 | 0.8× |
| Special Physics Consult (77370) | $335.31 | $1,025.10 | 2.4× |
| Special teletherapy port plan (77321) | $183.84 | $562.03 | 0.5× |
| Special treatment procedure (77470) | $1,670.83 | $5,108.01 | 2.9× |
| Stereotactic Body Radiation Delivery (77373) | $3,291.97 | $10,064.10 | 1.7× |
| Sternoclavicular joints (71130) | $70.51 | $215.56 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,380.54 | $4,220.53 | 3.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $248.75 | $760.47 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,602.20 | $4,898.21 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $224.20 | $685.43 | 0.6× |
| Ther rad simulaj-aided field setting simple (77280) | $806.36 | $2,465.19 | 5.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $144.72 | $442.43 | 0.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$107.67–$228.38 | $329.16–$698.21 | varies |
| Thoracic spine 3 views (72072) | $242.98 | $742.84 | 2.2× |
| Thoracolumbar 2 views (72080) | $184.73 | $564.74 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $171.44 | $524.13 | 0.4× |
| Thyroid Met Imaging Body (78018) | $1,531.17 | $4,681.05 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $820.89 | $2,509.61 | 1.9× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$80.14–$582.54 | $245–$1,780.93 | varies |
| Tx devices design & construction intermediate (77333) | $175.72 | $537.21 | 1.2× |
| Tx devices design & construction simple (77332) | $41.49 | $126.84 | 0.3× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$119.93–$264.30 | $366.64–$808 | varies |
| Ultrasound Elastography Parenchyma (76981) | $351.88 | $1,075.75 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$14.72–$289.58 | $45–$885.31 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$91.44–$327.10 | $279.54–$1,000 | varies |
| Upper gi w/o kub (74240) | $403.22 | $1,232.70 | 2.2× |
| Ureteral Reflux Study (78740) | $220.15 | $673.05 | 0.5× |
| Urethrocystogram voiding (74455) | $447.25 | $1,367.31 | 1.8× |
| Urethrocystography retrograde (74450) | $403.58 | $1,233.81 | 1.6× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$119.93–$588.78 | $366.64–$1,800 | varies |
| Us chest (76604) | $233.52 | $713.91 | 2.1× |
| Us complete joint (76881) | $215.68 | $659.36 | 1.9× |
| Us exam, pelvic, limited (76857) | $273.42 | $835.90 | 2.5× |
| Us head (76506) | $211.10 | $645.38 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$246.16–$463.67 | $752.56–$1,417.52 | varies |
| Us ob limited 1 or more fetuses (76815) | $261.68 | $800 | 2.4× |
| Us ob transvaginal (76817) | $310.44 | $949.08 | 2.8× |
| Us pelvic non ob complete (76856) | $373.49 | $1,141.82 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $261.68 | $800 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $285.26 | $872.10 | 2.6× |
| Us retroperitoneal complete (76770) | $392.19 | $1,198.98 | 3.5× |
| Us retroperitoneal limited (76775) | $331.46 | $1,013.32 | 3.0× |
| Us scrotum and contents (76870) | $361.25 | $1,104.39 | 3.3× |
| Us spinal canal and contents (76800) | $182.34 | $557.45 | 1.6× |
| Us thyroid (76536) | $342.14 | $1,045.98 | 3.1× |
| Us transrectal (76872) | $681.40 | $2,083.15 | 6.2× |
| Vein X-Ray Chest (75827) | $1,119.61 | $3,422.85 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $589.89 | $1,803.39 | 0.2× |
| Venogram Sinus/Jugular (75860) | $1,819.23 | $5,561.70 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,044.06 | $3,191.88 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,648.51 | $5,039.77 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,004.98 | $3,072.40 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $590.14 | $1,804.17 | 0.4× |
| Venography Renal Bilateral (75833) | $1,256.27 | $3,840.63 | 0.4× |
| Venography Renal Unilateral (75831) | $1,450.99 | $4,435.92 | 0.4× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,703.53 | $8,265.14 | 0.5× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$61.61–$291.32 | $188.34–$890.60 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $75.78 | $231.67 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $274.52 | $839.24 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $1,641.94 | $5,019.68 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $205.66 | $628.73 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$102.68–$319.63 | $313.91–$977.16 | varies |
| X-Ray Exam Breast Specimen (76098) | $441.40 | $1,349.42 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $182.18 | $556.94 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $266.22 | $813.88 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $140.49 | $429.50 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$107.38–$212.94 | $328.29–$651 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $256.95 | $785.54 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$231.32–$245.61 | $707.17–$750.87 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $163.24 | $499.05 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $369.94 | $1,130.98 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $311.19 | $951.37 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $219.55 | $671.21 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $276.05 | $843.94 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.08 | $712.57 | 2.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$112.75–$212.38 | $344.70–$649.28 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$94.01–$329.89 | $287.40–$1,008.54 | varies |
| X-ray IV pyelogram (ivp) (74400) | $442.77 | $1,353.61 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $55.30 | $169.07 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$60.83–$179.96 | $185.97–$550.18 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $253.88 | $776.15 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $151.12 | $462 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $294.39 | $900 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $229.11 | $700.44 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $178.02 | $544.25 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $206.46 | $631.19 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $297.29 | $908.86 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $73.29 | $224.06 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $593.88 | $1,815.60 | 1.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$60.83–$223.47 | $185.97–$683.18 | varies |
| X-Rays Bone Survey Complete (77075) | $318.53 | $973.79 | 2.9× |
| Xr c-spine 4 or 5 views (72050) | $264.59 | $808.90 | 2.4× |
| Xr facial bones less than 3 views (70140) | $83.70 | $255.89 | 0.9× |
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.