Imaging prices at Research Medical Center
Kansas City, MO · every code in this section with a posted price and a Medicare benchmark.
408 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$10,615.23–$55,745.16 | $10,615.23–$55,745.16 | varies |
| Abdomen 1 View (74018) | $2,502.45 | $2,502.45 | 28.7× |
| Abdomen 2 views (74019) | $3,234.21 | $3,234.21 | 30.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$7,290.65–$8,901.62 | $7,290.65–$8,901.62 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$18,439.46–$41,297.05 | $18,439.46–$41,297.05 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $58,002.36 | $58,002.36 | 18.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,623.40–$51,676.70 | $4,623.40–$51,676.70 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$10,835.20–$18,439.46 | $10,835.20–$18,439.46 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$18,439.46–$29,863.45 | $18,439.46–$29,863.45 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $29,863.45 | $29,863.45 | 9.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$16,701.11–$18,439.46 | $16,701.11–$18,439.46 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$18,439.46–$43,877.52 | $18,439.46–$43,877.52 | varies |
| Artery X-Rays Adrenal Gland (75731) | $56,958.62 | $56,958.62 | 18.0× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$30,119.27–$39,455.18 | $30,119.27–$39,455.18 | varies |
| Artery X-Rays Spine (75705) | $16,999.65 | $16,999.65 | 3.1× |
| Arthrogram ankle (73615) range across 5 matching MRF lines |
$5,717.11–$26,697.32 | $5,717.11–$26,697.32 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$5,717.11–$26,697.32 | $5,717.11–$26,697.32 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$5,717.11–$26,697.32 | $5,717.11–$26,697.32 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,193.80–$5,880.27 | $1,193.80–$5,880.27 | varies |
| Bone age studies (77072) | $4,153.31 | $4,153.31 | 39.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$12,038.54–$14,698.28 | $12,038.54–$14,698.28 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$6,227.86–$7,604.14 | $6,227.86–$7,604.14 | varies |
| Bone Imaging Multiple Areas (78305) | $14,669.46 | $14,669.46 | 36.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$12,013.62–$14,669.46 | $12,013.62–$14,669.46 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$3,901.90–$4,763.58 | $3,901.90–$4,763.58 | varies |
| Bone survey infant (77076) | $4,601.73 | $4,601.73 | 43.9× |
| Brachytx isodose complex (77318) | $16,914.03 | $16,914.03 | 45.1× |
| Brachytx isodose intermed (77317) | $12,880.30 | $12,880.30 | 34.3× |
| Brachytx Isodose Plan Simple (77316) | $7,550.67 | $7,550.67 | 20.1× |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$5,207.17–$8,351.91 | $5,207.17–$8,351.91 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $7,871.57 | $7,871.57 | 14.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $11,310.26 | $11,310.26 | 20.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $43,055.84 | $43,055.84 | 30.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $10,777.68 | $10,777.68 | 26.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$4,013.61–$4,277.66 | $4,013.61–$4,277.66 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,894.42 | $4,894.42 | 6.2× |
| Cardiac Shunt Detection (78428) | $5,342.06 | $5,342.06 | 13.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$5,556.21–$6,389.84 | $5,556.21–$6,389.84 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$9,267.33–$11,316.52 | $9,267.33–$11,316.52 | varies |
| Chest 1 view (71045) | $1,269.95 | $1,269.95 | 14.6× |
| Chest 2 views (71046) | $3,171.95 | $3,171.95 | 36.4× |
| Chest 3 views (71047) | $3,227.30 | $3,227.30 | 37.0× |
| Chest 4 or more views (71048) | $5,635.56 | $5,635.56 | 53.8× |
| Cholecystography Oral Contrast (74290) | $3,415.95 | $3,415.95 | 19.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,963.90–$5,920.55 | $2,963.90–$5,920.55 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $458.84 | $458.84 | 4.4× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$1,193.80–$7,853.85 | $1,193.80–$7,853.85 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$18,439.46–$29,362.04 | $18,439.46–$29,362.04 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$3,212.50–$7,806.41 | $3,212.50–$7,806.41 | varies |
| Contrast X-Ray Of Elbow (73085) range across 5 matching MRF lines |
$5,717.11–$26,697.32 | $5,717.11–$26,697.32 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$5,717.11–$26,697.32 | $5,717.11–$26,697.32 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,730.96 | $2,730.96 | 15.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$23,990.34–$27,589.03 | $23,990.34–$27,589.03 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$17,725.93–$20,384.99 | $17,725.93–$20,384.99 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$12,372.29–$14,228.27 | $12,372.29–$14,228.27 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$14,212.71–$16,344.51 | $14,212.71–$16,344.51 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$11,409.37–$13,121.01 | $11,409.37–$13,121.01 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$33,766.30–$38,831.34 | $33,766.30–$38,831.34 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| CT angio hrt w/3d image (75574) | $1,804.42 | $1,804.42 | 5.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$16,882.88–$38,827.99 | $16,882.88–$38,827.99 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$16,882.88–$38,827.99 | $16,882.88–$38,827.99 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$12,835.71–$14,761.07 | $12,835.71–$14,761.07 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$12,835.71–$14,761.07 | $12,835.71–$14,761.07 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$13,230.48–$15,215.63 | $13,230.48–$15,215.63 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$13,117.68–$15,085.18 | $13,117.68–$15,085.18 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$14,197.72–$16,327.30 | $14,197.72–$16,327.30 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$11,690.73–$13,444.60 | $11,690.73–$13,444.60 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$14,197.72–$16,327.30 | $14,197.72–$16,327.30 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,743.41 | $2,743.41 | 7.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$283.44–$303.27 | $283.44–$303.27 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$11,650.79–$13,398.52 | $11,650.79–$13,398.52 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$13,230.48–$15,215.63 | $13,230.48–$15,215.63 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$9,595.57–$19,201.70 | $9,595.57–$19,201.70 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$9,308.10–$21,410.10 | $9,308.10–$21,410.10 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$12,766.92–$14,681.71 | $12,766.92–$14,681.71 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$12,766.92–$14,681.71 | $12,766.92–$14,681.71 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$9,238.72–$10,624.56 | $9,238.72–$10,624.56 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$10,519.66–$12,097.58 | $10,519.66–$12,097.58 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$12,727.52–$14,636.75 | $12,727.52–$14,636.75 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$14,197.72–$16,327.30 | $14,197.72–$16,327.30 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$10,692.83–$12,296.82 | $10,692.83–$12,296.82 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$11,936.62–$13,727.08 | $11,936.62–$13,727.08 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$7,911.68–$9,098.28 | $7,911.68–$9,098.28 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$9,780.40–$22,496.24 | $9,780.40–$22,496.24 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$14,197.72–$16,327.30 | $14,197.72–$16,327.30 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$9,780.40–$11,247.30 | $9,780.40–$11,247.30 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$8,811.88–$10,133.93 | $8,811.88–$10,133.93 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$12,766.92–$14,681.71 | $12,766.92–$14,681.71 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$12,766.92–$14,681.71 | $12,766.92–$14,681.71 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$13,230.48–$15,215.63 | $13,230.48–$15,215.63 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$12,151.41–$13,974.07 | $12,151.41–$13,974.07 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$8,344.02–$19,201.70 | $8,344.02–$19,201.70 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$9,780.40–$22,496.24 | $9,780.40–$22,496.24 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$9,308.10–$21,410.10 | $9,308.10–$21,410.10 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$16,882.88–$19,415.40 | $16,882.88–$19,415.40 | varies |
| Dilation ureters/urethra rs&i (74485) | $28,386.31 | $28,386.31 | 13.6× |
| Discography Cerv/Thor Spine (72285) | $6,563.25 | $6,563.25 | 3.4× |
| Diskography lumbar (72295) | $6,563.25 | $6,563.25 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$1,665–$1,768.16 | $1,665–$1,768.16 | varies |
| Dxa Bone Density Axial (77080) | $2,663.53 | $2,663.53 | 25.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,337.49 | $1,337.49 | 15.3× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$7,542.13–$10,238.22 | $7,542.13–$10,238.22 | varies |
| Echograp Trans R Pros Study (76873) | $2,264.08 | $2,264.08 | 21.6× |
| Esophagram (74220) | $2,709.27 | $2,709.27 | 15.4× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$1,230.95–$2,940.31 | $1,230.95–$2,940.31 | varies |
| Follow-Up Angiography (75898) | $10,835.20 | $10,835.20 | 3.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,522.67–$5,026.68 | $2,522.67–$5,026.68 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,846.72–$3,700.65 | $1,846.72–$3,700.65 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$9,761.69–$14,442.54 | $9,761.69–$14,442.54 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $9,853.75 | $9,853.75 | 24.6× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$7,958.10–$9,716.49 | $7,958.10–$9,716.49 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $10,348.30 | $10,348.30 | 19.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,522.67–$5,026.68 | $2,522.67–$5,026.68 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,485.36 | $5,485.36 | 7.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,485.36 | $5,485.36 | 7.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,485.36 | $5,485.36 | 7.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $28,841.38 | $28,841.38 | 9.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $24,550.83 | $24,550.83 | 7.8× |
| Hepatobil Syst Image W/Drug (78227) | $3,660.92 | $3,660.92 | 6.7× |
| Hepatobiliary System Imaging (78226) | $3,660.92 | $3,660.92 | 9.1× |
| Ht Musc Image Planar Mult (78454) | $10,543 | $10,543 | 8.1× |
| Ht Muscle Image Spect Sing (78451) | $24,146.53 | $24,146.53 | 18.6× |
| Hysterosalpingogram (74740) | $500.29 | $500.29 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$3,493.14–$3,708.51 | $3,493.14–$3,708.51 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$2,812.17–$2,986.29 | $2,812.17–$2,986.29 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$4,556.62–$9,941.43 | $4,556.62–$9,941.43 | varies |
| Interstitial radiation source applic complex (77778) | $143,102.08 | $143,102.08 | 205.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $143,102.08 | $143,102.08 | 258.6× |
| Intracavitary radiation source applic simple (77761) | $143,102.08 | $143,102.08 | 258.6× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$15,722.09–$19,197.44 | $15,722.09–$19,197.44 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$10,468.15–$12,782.44 | $10,468.15–$12,782.44 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$10,468.15–$12,782.44 | $10,468.15–$12,782.44 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $6,018.92 | $6,018.92 | 15.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,345.73–$4,684.21 | $2,345.73–$4,684.21 | varies |
| Leveen/Shunt Patency Exam (78291) | $4,101.45 | $4,101.45 | 10.2× |
| Liver & Spleen Imaging Static Only (78215) | $13,767.25 | $13,767.25 | 34.4× |
| Liver imaging static only (78201) | $4,712.83 | $4,712.83 | 8.7× |
| Lung Perf&Ventilat Diferentl (78598) | $3,949.46 | $3,949.46 | 7.3× |
| Lung perfusion differential (78597) | $2,527.17 | $2,527.17 | 6.3× |
| Lung Ventilat&Perfus Imaging (78582) | $3,949.46 | $3,949.46 | 7.3× |
| Lung Ventilation Imaging (78579) | $2,527.17 | $2,527.17 | 6.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$10,265.43–$12,534.49 | $10,265.43–$12,534.49 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $13,507.84 | $13,507.84 | 4.3× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$13,986.86–$16,084.84 | $13,986.86–$16,084.84 | varies |
| Magnetic Resonance Elastography (76391) | $920.70 | $920.70 | 3.9× |
| Mammary ductogram or galactogram multiple (77054) | $5,473.34 | $5,473.34 | 22.9× |
| Mammary ductogram or galactogram single (77053) | $4,023.90 | $4,023.90 | 16.8× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$8,715.23–$10,641.24 | $8,715.23–$10,641.24 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $2,967.41 | $2,967.41 | 7.9× |
| Mr safety determination physician/other qhp (76016) | $380.38 | $380.38 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $105.80 | $105.80 | 3.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $396.53 | $396.53 | 4.2× |
| Mr safety implt pos&/immoblj (76019) | $256.61 | $256.61 | 4.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,044.23 | $1,044.23 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$21,901.97–$25,187.25 | $21,901.97–$25,187.25 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$17,739.54–$20,400.26 | $17,739.54–$20,400.26 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$19,714.89–$22,672.18 | $19,714.89–$22,672.18 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$19,714.89–$22,672.18 | $19,714.89–$22,672.18 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$21,901.97–$25,187.25 | $21,901.97–$25,187.25 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$17,739.54–$20,400.26 | $17,739.54–$20,400.26 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$15,381.13–$17,688.18 | $15,381.13–$17,688.18 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$13,986.86–$16,084.84 | $13,986.86–$16,084.84 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$15,381.13–$35,375.83 | $15,381.13–$35,375.83 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$16,915.85–$38,910.55 | $16,915.85–$38,910.55 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$15,381.13–$35,375.83 | $15,381.13–$35,375.83 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $10,857.40 | $10,857.40 | 45.4× |
| MRI cardiac w/o cont stress (75559) | $3,196.75 | $3,196.75 | 5.8× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$3,719.67–$4,277.66 | $3,719.67–$4,277.66 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$18,523.92–$21,302.51 | $18,523.92–$21,302.51 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$13,986.86–$16,084.84 | $13,986.86–$16,084.84 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$13,986.86–$16,084.84 | $13,986.86–$16,084.84 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$15,381.13–$17,688.18 | $15,381.13–$17,688.18 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$16,915.85–$19,453.42 | $16,915.85–$19,453.42 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$15,381.13–$35,375.83 | $15,381.13–$35,375.83 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$16,915.85–$38,910.55 | $16,915.85–$38,910.55 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$13,986.86–$32,170.19 | $13,986.86–$32,170.19 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$18,523.92–$21,302.51 | $18,523.92–$21,302.51 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$20,452.65–$23,520.49 | $20,452.65–$23,520.49 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$12,070.18–$13,880.49 | $12,070.18–$13,880.49 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$15,381.13–$17,688.18 | $15,381.13–$17,688.18 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$16,915.85–$19,453.42 | $16,915.85–$19,453.42 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$15,381.13–$17,688.18 | $15,381.13–$17,688.18 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$16,915.85–$19,453.42 | $16,915.85–$19,453.42 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$13,986.86–$16,084.84 | $13,986.86–$16,084.84 | varies |
| MRI spectroscopy (76390) | $9,599.64 | $9,599.64 | 110.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$15,599.64–$17,939.70 | $15,599.64–$17,939.70 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$15,381.13–$35,375.83 | $15,381.13–$35,375.83 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$13,986.86–$32,170.19 | $13,986.86–$32,170.19 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$16,915.85–$38,910.55 | $16,915.85–$38,910.55 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$16,915.85–$19,453.42 | $16,915.85–$19,453.42 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$20,452.65–$23,520.49 | $20,452.65–$23,520.49 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$18,523.92–$21,302.51 | $18,523.92–$21,302.51 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$13,986.86–$32,170.19 | $13,986.86–$32,170.19 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$16,915.85–$35,375.83 | $16,915.85–$35,375.83 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$20,452.65–$23,520.49 | $20,452.65–$23,520.49 | varies |
| Myelogram cervical (72240) | $10,344.76 | $10,344.76 | 13.2× |
| Myelogram Lumbar (72265) | $10,344.76 | $10,344.76 | 13.2× |
| Myelography thoracic (72255) | $10,344.76 | $10,344.76 | 13.2× |
| Myelograpy 2/more regions rs&i (72270) | $13,221.35 | $13,221.35 | 16.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $10,543 | $10,543 | 8.1× |
| Myocardial Spect Multiple Studies (78452) | $26,681.46 | $26,681.46 | 20.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $6,018.46 | $6,018.46 | 4.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $6,018.46 | $6,018.46 | 4.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $9,149.64 | $9,149.64 | 4.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $11,182.44 | $11,182.44 | 5.1× |
| N-invas est c ffr sw aly CTA (75580) | $3,326.57 | $3,326.57 | 3.9× |
| Neck soft tissue (70360) | $2,261.44 | $2,261.44 | 25.9× |
| Nm csf leak detection (78650) | $5,202.49 | $5,202.49 | 4.0× |
| Nm myocard infarct spect (78469) | $4,244.19 | $4,244.19 | 7.8× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$596.69–$1,687.81 | $596.69–$1,687.81 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$46,266.25–$73,080.86 | $46,266.25–$73,080.86 | varies |
| Nuclear Rx Intra-Arterial (79445) | $3,489.40 | $3,489.40 | 14.9× |
| Nuclear Rx Oral Admin (79005) range across 6 matching MRF lines |
$9,352.20–$21,236.47 | $9,352.20–$21,236.47 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $993.72 | $993.72 | 9.5× |
| Optic foramina (70190) range across 3 matching MRF lines |
$2,250.62–$4,471.14 | $2,250.62–$4,471.14 | varies |
| Panoramic X-ray of jaws (70355) | $3,252.82 | $3,252.82 | 37.3× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$5,964.33–$7,280.53 | $5,964.33–$7,280.53 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $21,659.92 | $21,659.92 | 54.1× |
| Pelvis 1 or 2 views (72170) | $2,385.45 | $2,385.45 | 22.8× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,150.29–$5,717.11 | $1,150.29–$5,717.11 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$5,416.47–$43,055.84 | $5,416.47–$43,055.84 | varies |
| PET image w/CT, full body (78816) | $43,055.84 | $43,055.84 | 30.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $43,055.84 | $43,055.84 | 30.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $29,600.40 | $29,600.40 | 9.4× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$10,139.89–$12,380.05 | $10,139.89–$12,380.05 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $6,192.64 | $6,192.64 | 59.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,868.98–$2,617.79 | $1,868.98–$2,617.79 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$3,133.04–$6,288.96 | $3,133.04–$6,288.96 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$2,194.64–$4,382.05 | $2,194.64–$4,382.05 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,901.28 | $2,901.28 | 27.7× |
| Radex fingr minimum 2 views (73140) | $1,846.72 | $1,846.72 | 21.2× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,709.27–$5,428.20 | $2,709.27–$5,428.20 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,709.27–$5,428.20 | $2,709.27–$5,428.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$2,522.67–$5,026.68 | $2,522.67–$5,026.68 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $3,060.80 | $3,060.80 | 29.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,296.35 | $2,296.35 | 26.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $2,261.44 | $2,261.44 | 25.9× |
| Radex Ribs Unilateral 2 Views (71100) | $2,345.73 | $2,345.73 | 26.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,415.95–$6,814.43 | $3,415.95–$6,814.43 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,581.89 | $1,581.89 | 18.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $6,786.75 | $6,786.75 | 38.6× |
| Radex Spine 1 View Specify Level (72020) | $1,162.33 | $1,162.33 | 13.3× |
| Radex Sternum Minimum 2 Views (71120) | $2,500.41 | $2,500.41 | 28.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $3,060.80 | $3,060.80 | 35.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,846.72–$3,700.65 | $1,846.72–$3,700.65 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$2,522.67–$5,026.68 | $2,522.67–$5,026.68 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,709.27–$5,428.20 | $2,709.27–$5,428.20 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $8,299.96 | $8,299.96 | 79.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$52,428.50–$57,517.65 | $52,428.50–$57,517.65 | varies |
| Radiation treatment delivery level 1 (77402) | $4,141.57 | $4,141.57 | 40.5× |
| Radiation treatment delivery level 2 (77407) | $5,038.70 | $5,038.70 | 13.0× |
| Radiation treatment delivery level 3 (77412) | $6,485.29 | $6,485.29 | 11.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,201.66 | $3,201.66 | 30.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,622.32 | $3,622.32 | 34.6× |
| Radiologic exam colon double contrast study (74280) | $6,520.08 | $6,520.08 | 37.1× |
| Radiologic exam colon single contrast study (74270) | $5,449.27 | $5,449.27 | 31.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,906.70–$5,831.49 | $2,906.70–$5,831.49 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,432.77 | $3,432.77 | 32.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,617.99 | $4,617.99 | 26.3× |
| Radiologic exam swallow function contrast study (74230) | $1,802.78 | $1,802.78 | 10.3× |
| Radiologic exam teeth complete full mouth (70320) | $2,809.18 | $2,809.18 | 11.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $2,448.66 | $2,448.66 | 10.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,445.06 | $5,445.06 | 31.0× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$2,015.13–$4,030.27 | $2,015.13–$4,030.27 | varies |
| Radiologic examination femur minimum 2 views (73552) | $2,121.21 | $2,121.21 | 24.3× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $8,401.73 | $8,401.73 | 80.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,944.26 | $1,944.26 | 3.6× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $6,018.11 | $6,018.11 | 15.0× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $6,135.06 | $6,135.06 | 11.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,531.26 | $1,531.26 | 4.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,531.26 | $1,531.26 | 4.0× |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$1,361.57–$1,882.23 | $1,361.57–$1,882.23 | varies |
| Ribs bilateral 3 views (71110) | $3,676.57 | $3,676.57 | 35.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$8,715.23–$10,641.24 | $8,715.23–$10,641.24 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,811.02 | $2,811.02 | 7.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $18,489.01 | $18,489.01 | 34.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$11,773.45–$14,377.80 | $11,773.45–$14,377.80 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $14,802.02 | $14,802.02 | 27.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $10,248.15 | $10,248.15 | 7.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $13,216.08 | $13,216.08 | 9.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $13,767.47 | $13,767.47 | 10.6× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$3,901.90–$4,763.58 | $3,901.90–$4,763.58 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$3,415.95–$6,814.43 | $3,415.95–$6,814.43 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $57.57 | $57.57 | 2.5× |
| Sella turcica (70240) | $2,137.45 | $2,137.45 | 24.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$2,296.35–$4,605.94 | $2,296.35–$4,605.94 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$5,575.06–$26,697.32 | $5,575.06–$26,697.32 | varies |
| Sialogram (70390) | $8,547.97 | $8,547.97 | 35.8× |
| Skull less than 4 views (70250) | $1,678.19 | $1,678.19 | 16.0× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$2,037.68–$8,161.96 | $2,037.68–$8,161.96 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,193.80–$10,576.48 | $1,193.80–$10,576.48 | varies |
| Special teletherapy port plan (77321) | $19,762.84 | $19,762.84 | 52.7× |
| Special treatment procedure (77470) | $6,264.56 | $6,264.56 | 11.3× |
| Srs Multisource (77371) | $189,736.70 | $189,736.70 | 25.7× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$11,611.43–$13,172.76 | $11,611.43–$13,172.76 | varies |
| Sternoclavicular joints (71130) | $3,415.95 | $3,415.95 | 39.2× |
| Superior sagittal sinus venogram (75870) | $35,729.22 | $35,729.22 | 11.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $29,601.97 | $29,601.97 | 78.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $17,873.67 | $17,873.67 | 47.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $11,313.59 | $11,313.59 | 30.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $8,161.96 | $8,161.96 | 21.8× |
| Ther rad simulaj-aided field setting simple (77280) | $4,094.03 | $4,094.03 | 30.4× |
| Thoracic spine 2 views (72070) | $2,272.28 | $2,272.28 | 21.7× |
| Thoracic spine 3 views (72072) | $3,309.41 | $3,309.41 | 31.6× |
| Thoracolumbar 2 views (72080) | $2,272.28 | $2,272.28 | 26.1× |
| Thyroid Imaging With Vascular Flow (78013) | $7,604.14 | $7,604.14 | 19.0× |
| Thyroid Met Imaging Body (78018) | $15,266.73 | $15,266.73 | 28.1× |
| Thyroid Uptake Measurement (78012) | $4,897.58 | $4,897.58 | 12.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $12,643.65 | $12,643.65 | 31.6× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$7,010.67–$9,185.64 | $7,010.67–$9,185.64 | varies |
| Tx devices design & construction intermediate (77333) | $5,351.98 | $5,351.98 | 39.8× |
| Tx devices design & construction simple (77332) | $3,464.29 | $3,464.29 | 25.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$729.05–$1,458.08 | $729.05–$1,458.08 | varies |
| Ultrasound Exam Aaa Screen (76706) | $852.42 | $852.42 | 8.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$3,950.99–$5,364.51 | $3,950.99–$5,364.51 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$1,665–$1,768.16 | $1,665–$1,768.16 | varies |
| Upper gi w/o kub (74240) | $4,708.28 | $4,708.28 | 26.8× |
| Urethrocystogram voiding (74455) | $6,294.97 | $6,294.97 | 26.3× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,698.65–$6,294.97 | $1,698.65–$6,294.97 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$1,210.88–$2,421.77 | $1,210.88–$2,421.77 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$3,950.99–$4,196.67 | $3,950.99–$4,196.67 | varies |
| Us complete joint (76881) | $3,490.99 | $3,490.99 | 33.3× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Us head (76506) range across 2 matching MRF lines |
$4,334.02–$4,601.65 | $4,334.02–$4,601.65 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$452.06–$2,235.71 | $452.06–$2,235.71 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$3,860.73–$4,098.01 | $3,860.73–$4,098.01 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$1,329.03–$3,938.21 | $1,329.03–$3,938.21 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,579.88–$1,675.96 | $1,579.88–$1,675.96 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$9,196.83–$9,763.64 | $9,196.83–$9,763.64 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$3,150.73–$3,344.83 | $3,150.73–$3,344.83 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$4,711.25–$5,002.12 | $4,711.25–$5,002.12 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$3,711.10–$3,938.21 | $3,711.10–$3,938.21 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$4,978.22–$5,285.28 | $4,978.22–$5,285.28 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$7,237.77–$7,684.66 | $7,237.77–$7,684.66 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$7,237.77–$7,684.66 | $7,237.77–$7,684.66 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$6,373.69–$6,766.39 | $6,373.69–$6,766.39 | varies |
| Vascular Flow Imaging (78445) | $6,018.92 | $6,018.92 | 15.0× |
| Vein X-Ray Chest (75827) | $35,729.22 | $35,729.22 | 22.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $28,922.65 | $28,922.65 | 9.1× |
| Vein X-Ray Skull Epidural (75872) | $35,729.22 | $35,729.22 | 56.9× |
| Vein X-Ray Spleen/Liver (75810) | $29,600.40 | $29,600.40 | 9.4× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$5,947.64–$35,729.22 | $5,947.64–$35,729.22 | varies |
| Venography Adrenal Unilateral (75840) | $24,550.83 | $24,550.83 | 7.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$31,068.90–$35,729.22 | $31,068.90–$35,729.22 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$9,345.23–$13,091.94 | $9,345.23–$13,091.94 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$6,882.90–$11,903.14 | $6,882.90–$11,903.14 | varies |
| Venography Renal Bilateral (75833) | $28,129.90 | $28,129.90 | 8.9× |
| Venography Renal Unilateral (75831) | $17,489.60 | $17,489.60 | 5.5× |
| Venous sampling by catheter (75893) | $16,870.22 | $16,870.22 | 3.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,309.41 | $3,309.41 | 38.0× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$4,933.40–$12,890.29 | $4,933.40–$12,890.29 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$18,439.46–$73,657.92 | $18,439.46–$73,657.92 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$2,810.41–$3,734.96 | $2,810.41–$3,734.96 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,846.72–$3,689.83 | $1,846.72–$3,689.83 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,326.03–$1,491.58 | $1,326.03–$1,491.58 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $7,151.76 | $7,151.76 | 82.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $7,528.30 | $7,528.30 | 71.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $7,904.74 | $7,904.74 | 75.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,516.35 | $2,516.35 | 28.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,648.80 | $2,648.80 | 30.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,920.32 | $2,920.32 | 27.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,648.80 | $2,648.80 | 25.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,920.32 | $2,920.32 | 27.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,066.35 | $3,066.35 | 29.3× |
| X-Ray Exam L-S Spine Bending (72114) | $5,529.90 | $5,529.90 | 52.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,261.44 | $2,261.44 | 25.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $5,174.18 | $5,174.18 | 49.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,037.35 | $3,037.35 | 29.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$3,031.92–$6,077.68 | $3,031.92–$6,077.68 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,891.85–$3,689.83 | $1,891.85–$3,689.83 | varies |
| X-ray IV pyelogram (ivp) (74400) | $13,081.08 | $13,081.08 | 74.5× |
| X-ray IV pyelogram+tomography (74415) | $11,098.95 | $11,098.95 | 63.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,250.62 | $2,250.62 | 25.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,121.21 | $2,121.21 | 24.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,393.07 | $3,393.07 | 32.4× |
| X-ray nose-rectum child f.b. (76010) | $1,422.35 | $1,422.35 | 16.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,362.78 | $4,362.78 | 41.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,272.28 | $2,272.28 | 21.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,006.85 | $2,006.85 | 19.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,460.69 | $2,460.69 | 28.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,901.28 | $2,901.28 | 33.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,459.68 | $4,459.68 | 42.6× |
| X-Ray Stress View (77071) | $2,034.53 | $2,034.53 | 23.3× |
| X-ray thoracic spine 4 vw (72074) | $3,904.72 | $3,904.72 | 37.3× |
| X-Ray Tmj Unilat (70328) | $2,063.42 | $2,063.42 | 23.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,872 | $4,872 | 13.9× |
| X-Rays Bone Length Studies (77073) | $3,795.16 | $3,795.16 | 36.2× |
| X-Rays Bone Survey Complete (77075) | $15,362.41 | $15,362.41 | 146.7× |
| Xr c-spine 4 or 5 views (72050) | $4,112.38 | $4,112.38 | 39.3× |
| Xr facial bones less than 3 views (70140) | $2,272.28 | $2,272.28 | 26.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $2,833.27 | $2,833.27 | 27.1× |
| Xr myelogram posterior fossa (70010) | $10,344.76 | $10,344.76 | 29.6× |
| Xr orbits complete 4 views (70200) | $4,673.96 | $4,673.96 | 44.6× |
| Xr Tomogram Single Plane (76100) | $6,605.56 | $6,605.56 | 63.1× |
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.