Imaging prices at Reynolds Memorial Hospital
Glen Dale, WV · every code in this section with a posted price and a Medicare benchmark.
324 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,718 | $3,436 | 4.5× |
| Angio internal mammary (75756) | $2,669.50 | $5,339 | 0.9× |
| Angio pulmonary bilat (75743) | $2,669.50 | $5,339 | 0.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,621.50–$2,753 | $5,243–$5,506 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$2,669.50–$3,143.50 | $5,339–$6,287 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,669.50 | $5,339 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,669.50 | $5,339 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,687.50 | $9,375 | 0.9× |
| Artery X-Rays Abdomen (75726) | $2,970.50 | $5,941 | 0.6× |
| Artery X-Rays Pelvis (75736) | $4,687.50 | $9,375 | 0.9× |
| Arthrogram hip (73525) | $614 | $1,228 | 1.8× |
| Basic radiation dosimetry calculation (77300) | $59 | $118 | 0.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,635.50–$1,750 | $3,271–$3,500 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$707.50–$757.50 | $1,415–$1,515 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,635.50–$1,750 | $3,271–$3,500 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,635.50–$1,750 | $3,271–$3,500 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$1,649–$1,764.50 | $3,298–$3,529 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,334 | $6,668 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $418.50 | $837 | 5.0× |
| Cerebrospinal Fluid Scan (78630) | $3,066 | $6,132 | 5.9× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$56–$217.50 | $112–$435 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Chest 3 views (71047) | $132 | $264 | 1.6× |
| Chest 4 or more views (71048) | $157.50 | $315 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$207–$435 | $414–$870 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,582.50–$2,712 | $5,165–$5,424 | varies |
| Contrast X-Ray Bladder (74430) | $338.50 | $677 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $748 | $1,496 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $778.50 | $1,557 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,892.50–$2,025 | $3,785–$4,050 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,324–$1,417 | $2,648–$2,834 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,905–$2,038.50 | $3,810–$4,077 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,446.50 | $2,893 | 8.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$794.50–$850.50 | $1,589–$1,701 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT head/brain with contrast (70460) | $1,176 | $2,352 | 7.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $99 | $198 | 1.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$685.50–$733.50 | $1,371–$1,467 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,176–$2,352 | $2,352–$4,704 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT neck tissue combo (70492) | $1,302.50 | $2,605 | 7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,394 | $2,788 | 8.3× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT pelvis w&w/o contrast (72194) | $1,394 | $2,788 | 8.3× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,302.50–$1,394 | $2,605–$2,788 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT thoracic spine w/wo cont (72130) | $1,394 | $2,788 | 8.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$686.50–$735 | $1,373–$1,470 | varies |
| CT unlisted procedure (76497) | $1,067 | $2,134 | 12.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$682–$730 | $1,364–$1,460 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,394 | $2,788 | 8.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,176–$1,258.50 | $2,352–$2,517 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$755.50–$1,072 | $1,511–$2,144 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,342.50–$1,436.50 | $2,685–$2,873 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $77.50 | $155 | 0.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$333–$350 | $666–$700 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$158.50–$166.50 | $317–$333 | varies |
| Echo exam uterus (76831) | $552.50 | $1,105 | 2.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$373–$392 | $746–$784 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$158–$166 | $316–$332 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$465–$480.50 | $930–$961 | varies |
| Follow-Up Angiography (75898) | $2,669.50 | $5,339 | 0.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,605.50–$1,718 | $3,211–$3,436 | varies |
| Gated Heart Planar Single (78472) | $2,066.50 | $4,133 | 5.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,964 | $3,928 | 3.8× |
| Hepatobiliary System Imaging (78226) | $182.50 | $365 | 0.5× |
| Ht Muscle Image Spect Sing (78451) | $4,545.50 | $9,091 | 3.7× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$309–$324.50 | $618–$649 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$205–$215.50 | $410–$431 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$2,081.50–$2,227.50 | $4,163–$4,455 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$979–$1,048 | $1,958–$2,096 | varies |
| K Flow/Funct Image W/O Drug (78707) | $2,227.50 | $4,455 | 4.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,227.50 | $4,455 | 5.8× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,101.50 | $4,203 | 5.5× |
| Liver imaging static only (78201) | $2,101.50 | $4,203 | 4.0× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$605.50–$648 | $1,211–$1,296 | varies |
| Lung perfusion differential (78597) | $828.50 | $1,657 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,103 | $4,206 | 4.0× |
| Lung Ventilation Imaging (78579) | $1,478 | $2,956 | 3.9× |
| Magnetic Image Jaw Joint (70336) | $1,352 | $2,704 | 5.9× |
| Meckels Divert Exam (78290) | $1,718 | $3,436 | 4.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,531.50 | $5,063 | 7.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,458–$1,560.50 | $2,916–$3,121 | varies |
| MRA head with contrast (70545) | $2,094 | $4,188 | 6.3× |
| MRA neck w contrast (70548) | $2,094 | $4,188 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,252.50–$2,365.50 | $2,505–$4,731 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,458–$1,560.50 | $2,916–$3,121 | varies |
| MRI abdomen w contrast (74182) | $1,815.50 | $3,631 | 5.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,352–$1,420 | $2,704–$2,840 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,815.50–$2,007.50 | $3,631–$4,015 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,194.50–$2,948 | $4,389–$5,896 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,815.50–$2,310 | $3,631–$4,620 | varies |
| MRI brain functional w/physician admnistration (70555) | $370.50 | $741 | 1.6× |
| MRI cervical spine w contrast (72142) | $2,094 | $4,188 | 6.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,458–$1,580 | $2,916–$3,160 | varies |
| MRI chest w/o contrast (71550) | $1,352 | $2,704 | 5.9× |
| MRI chest with contrast (71551) | $1,815.50 | $3,631 | 2.4× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,815.50 | $3,631 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,352–$1,420 | $2,704–$2,840 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,815.50–$1,943 | $3,631–$3,886 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$2,259.50–$2,484 | $4,519–$4,968 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,531 | $3,062 | 6.7× |
| MRI orbit face neck w contrast (70542) | $1,957 | $3,914 | 5.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,365.50–$2,484 | $4,731–$4,968 | varies |
| MRI pelvis w contrast (72196) | $1,815.50 | $3,631 | 5.4× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,352–$1,420 | $2,704–$2,840 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,352–$1,669.50 | $2,704–$3,339 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,815.50 | $3,631 | 5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,352–$1,420 | $2,704–$2,840 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,194.50–$2,348.50 | $4,389–$4,697 | varies |
| MRI, dorsal spine contrast (72147) | $1,943 | $3,886 | 5.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,352–$2,840 | $2,704–$5,680 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,194.50–$2,304.50 | $4,389–$4,609 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,194.50–$2,259.50 | $4,389–$4,519 | varies |
| Myelogram cervical (72240) | $1,668.50 | $3,337 | 2.2× |
| Myelogram Lumbar (72265) | $1,663 | $3,326 | 2.2× |
| Myelography thoracic (72255) | $1,264.50 | $2,529 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,139.50 | $4,279 | 2.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,066.50 | $4,133 | 5.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,248–$4,545.50 | $8,496–$9,091 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,496.50 | $6,993 | 2.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,496.50 | $6,993 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,451.50 | $10,903 | 2.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $5,451.50 | $10,903 | 2.6× |
| N-invas est c ffr sw aly CTA (75580) | $3,066.50 | $6,133 | 3.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Nuclear Rx Oral Admin (79005) | $1,584 | $3,168 | 7.1× |
| Ob us nuchal meas 1 gest (76813) | $199 | $398 | 2.0× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $160 | $320 | 1.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$160–$168 | $320–$336 | varies |
| Optic foramina (70190) | $217.50 | $435 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,090 | $2,180 | 2.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,457–$1,559 | $2,914–$3,118 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Perineogram (74775) | $403.50 | $807 | 1.8× |
| Peritoneogram Rs&I (74190) | $765 | $1,530 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $3,334 | $6,668 | 2.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,175–$3,334 | $6,350–$6,668 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,175–$3,312 | $6,350–$6,624 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,478 | $2,956 | 3.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,069.50 | $2,139 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $242.50 | $485 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$201.50–$212 | $403–$424 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$207–$435 | $414–$870 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$207–$435 | $414–$870 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$160–$168 | $320–$336 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $4,919.50 | $9,839 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $635 | $1,270 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $217.50 | $435 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $581.50 | $1,163 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $553.50 | $1,107 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$348–$365.50 | $696–$731 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$318.50–$637 | $637–$1,274 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$194.50–$204.50 | $389–$409 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$376.50–$395.50 | $753–$791 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$373–$392 | $746–$784 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$294–$653.50 | $588–$1,307 | varies |
| Radiologic examination femur 1 view (73551) | $132 | $264 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$207–$414 | $414–$828 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $334.50 | $669 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $334.50 | $669 | 0.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $886 | $1,772 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $886 | $1,772 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,877–$3,078.50 | $5,754–$6,157 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,078.50–$3,360.50 | $6,157–$6,721 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,877–$3,213 | $5,754–$6,426 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,078.50 | $6,157 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,563.50 | $7,127 | 2.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,935.50–$3,141 | $5,871–$6,282 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$37.50–$69 | $75–$138 | varies |
| Sella turcica (70240) | $217.50 | $435 | 2.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Shoulder Arthrography (73040) | $658.50 | $1,317 | 2.0× |
| Sialogram (70390) | $454.50 | $909 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Special treatment procedure (77470) | $1,645.50 | $3,291 | 3.1× |
| Sternoclavicular joints (71130) | $217.50 | $435 | 2.6× |
| Testicular Imaging W/Flow (78761) | $2,227.50 | $4,455 | 5.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,163 | $2,326 | 3.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$176.50–$185.50 | $353–$371 | varies |
| Thyroid Met Imaging Body (78018) | $2,007 | $4,014 | 3.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,457 | $2,914 | 3.8× |
| Tx Devices Design & Construction Complex (77334) | $805.50 | $1,611 | 2.2× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$291–$582 | $582–$1,164 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$44.50–$281 | $89–$562 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$297.50–$312.50 | $595–$625 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$180.50–$469 | $361–$938 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$51.50–$81.50 | $103–$163 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $303.50 | $607 | 3.6× |
| Unlisted fluoroscopic procedure (76496) | $445 | $890 | 5.3× |
| Unlisted magnetic resonance procedure (76498) | $1,352 | $2,704 | 16.2× |
| Unlisted us procedure (76999) | $536 | $1,072 | 6.4× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$294–$332.50 | $588–$665 | varies |
| Urethrocystogram voiding (74455) | $396.50 | $793 | 1.7× |
| Urethrocystography retrograde (74450) | $410.50 | $821 | 1.8× |
| Us breast unilateral complete (76641) | $291 | $582 | 2.9× |
| Us chest (76604) range across 3 matching MRF lines |
$291–$306 | $582–$612 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$185–$726 | $370–$1,452 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$248.50–$261 | $497–$522 | varies |
| Us head (76506) range across 3 matching MRF lines |
$185–$199.50 | $370–$399 | varies |
| Us kidney transplant (76776) | $476.50 | $953 | 4.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$257.50–$1,054 | $515–$2,108 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$283.50–$298 | $567–$596 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$291–$340.50 | $582–$681 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$291–$306 | $582–$612 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$445.50–$468 | $891–$936 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Us spinal canal and contents (76800) | $124.50 | $249 | 1.2× |
| Us thyroid (76536) range across 3 matching MRF lines |
$447–$469.50 | $894–$939 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$313–$702 | $626–$1,404 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$2,068.50–$2,213.50 | $4,137–$4,427 | varies |
| Vein X-Ray Chest (75827) | $2,905 | $5,810 | 1.9× |
| Venogram Sinus/Jugular (75860) | $2,803 | $5,606 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,803 | $5,606 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $858 | $1,716 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $1,024 | $2,048 | 0.7× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$207–$414 | $414–$828 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$323.50–$335 | $647–$670 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,844 | $5,688 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $334.50 | $669 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Breast Specimen (76098) | $197.50 | $395 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$185–$194.50 | $370–$389 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$160–$168 | $320–$336 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$207–$435 | $414–$870 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$207–$414 | $414–$828 | varies |
| X-ray IV pyelogram (ivp) (74400) | $990.50 | $1,981 | 5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $207 | $414 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-ray nose-rectum child f.b. (76010) | $217.50 | $435 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $201 | $402 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$207–$217.50 | $414–$435 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-Ray Stress View (77071) | $217.50 | $435 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $166.50 | $333 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$943–$990.50 | $1,886–$1,981 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$188–$197.50 | $376–$395 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Xr facial bones less than 3 views (70140) | $217.50 | $435 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $334.50 | $669 | 3.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Xr Tomogram Single Plane (76100) | $334.50 | $669 | 3.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.