Imaging prices at Ridgeview Medical Center
Waconia, MN · every code in this section with a posted price and a Medicare benchmark.
315 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 |
$377.79–$1,341.62 | $771–$2,738 | varies |
| Abdomen 1 View (74018) | — | $75 | — |
| Abdomen 2 views (74019) | — | $90 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $977.55 | $1,995 | 2.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$122.01–$2,265.76 | $249–$4,624 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$117.11–$1,749.79 | $239–$3,571 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$87.71–$140.63 | $179–$287 | varies |
| Ankle 2 views (73600) | — | $86 | — |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$88.69–$115.64 | $181–$236 | varies |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$131.32–$2,071.72 | $268–$4,228 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$156.31–$1,999.20 | $319–$4,080 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$46.06–$171.01 | $94–$349 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$47.53–$727.65 | $97–$1,485 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$45.08–$677.18 | $92–$1,382 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$54.88–$95.55 | $112–$195 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$15.68–$162.68 | $32–$332 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,315.65 | $163–$2,685 | 3.1× |
| Bone Imaging Limited Area (78300) | $684.04 | $1,396 | 1.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$975.10 | $136–$1,990 | 2.3× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$55.86–$292.53 | $114–$597 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,293.20 | $4,680 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $428.26 | $874 | 1.2× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$75.95–$151.41 | $155–$309 | varies |
| Chest 1 view (71045) | — | $60 | — |
| Chest 2 views (71046) | — | $81 | — |
| Chest 3 views (71047) range across 2 matching MRF lines |
$22.05–$49.98 | $45–$102 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$24.50–$53.41 | $50–$109 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$25.48–$118.58 | $52–$242 | varies |
| Clavicle complete (73000) | — | $86 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$85.75–$861.42 | $175–$1,758 | varies |
| Continuing medical physics consltj pr wk (77336) | $249.90 | $510 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$112.21–$2,202.06 | $207–$4,494 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$25.48–$491.96 | $52–$1,004 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$43.12–$126.42 | $88–$258 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$51.45–$439.53 | $105–$897 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$158.76–$1,955.59 | $324–$3,991 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$137.69–$1,433.74 | $281–$2,926 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$100.94–$747.74 | $206–$1,526 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$110.74–$931 | $226–$1,900 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$94.57–$565.46 | $193–$1,154 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$487.06–$1,640.52 | $354–$3,348 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$144.06–$1,037.33 | $294–$2,117 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$138.18–$1,023.12 | $282–$2,088 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$188.65–$1,718.92 | $385–$3,508 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$148.96–$1,089.76 | $304–$2,224 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$138.18–$1,327.41 | $282–$2,709 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$141.61–$1,122.59 | $289–$2,291 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$96.53–$893.27 | $197–$1,823 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$78.89–$547.82 | $161–$1,118 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$100.45–$893.27 | $205–$1,823 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$92.61–$805.07 | $189–$1,643 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$98.98–$945.70 | $202–$1,930 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$89.67–$735 | $183–$1,500 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$100.94–$985.88 | $206–$2,012 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$137.20–$1,151.50 | $280–$2,350 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$46.06–$100 | $94–$130 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$200.41–$326.34 | $409–$666 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$89.67–$785.47 | $183–$1,603 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$100.45–$1,263.22 | $205–$2,578 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$78.89–$604.17 | $161–$1,233 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$92.12–$900.13 | $188–$1,837 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$96.53–$906.99 | $197–$1,851 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$78.89–$617.40 | $161–$1,260 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$89.18–$941.78 | $182–$1,922 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$67.62–$768.81 | $138–$1,569 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$127.40–$1,093.68 | $260–$2,232 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$100.45–$985.88 | $205–$2,012 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$102.41–$715.40 | $209–$1,460 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$96.04–$633.08 | $196–$1,292 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$86.24–$641.90 | $176–$1,310 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$96.04–$1,012.34 | $196–$2,066 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$100.45–$1,017.24 | $205–$2,076 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$109.76–$834.96 | $224–$1,704 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$101.43–$632.59 | $207–$1,291 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$97.02–$872.69 | $198–$1,781 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$78.89–$599.76 | $161–$1,224 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$100.94–$956.97 | $206–$1,953 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$85.75–$770.77 | $175–$1,573 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$78.89–$783.02 | $161–$1,598 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$96.04–$1,122.59 | $196–$2,291 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$92.12–$959.91 | $188–$1,959 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$187.18–$1,610.63 | $382–$3,287 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$143.57–$1,028.02 | $293–$2,098 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$141.61–$1,200.50 | $289–$2,450 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$65.17–$137.20 | $133–$280 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$55.86–$186.69 | $114–$381 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$50.47–$279.79 | $33–$571 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$16.17–$38.22 | $33–$78 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$132.30–$341.53 | $270–$697 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$57.82–$139.65 | $118–$285 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$155.82–$512.05 | $318–$1,045 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$65.66–$199.92 | $134–$408 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$47.53–$273.91 | $97–$559 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$83.79–$288.12 | $171–$588 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$61.25–$288.12 | $125–$588 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$24.99–$454.72 | $51–$928 | varies |
| Follow-Up Angiography (75898) | $151.90 | $310 | 0.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
— | $74–$98 | — |
| Forearm 2 views (73090) | — | $75 | — |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$524.30 | $126–$1,070 | 1.3× |
| Gated Heart Planar Single (78472) | $1,112.79 | $2,271 | 2.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
— | $29–$114 | — |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$86.24–$122.50 | $176–$250 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$86.24–$123.48 | $176–$252 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$603.19–$1,560.16 | $143–$3,184 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,329.86 | $119–$2,714 | 3.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,947.26 | $218–$3,974 | 1.4× |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$30.87–$631.12 | $63–$1,288 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$58.80–$414.54 | $120–$846 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 4 matching MRF lines |
$49.49–$414.54 | $101–$846 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$735.49 | $190–$1,501 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,164.73 | $2,377 | 2.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $795.27 | $1,623 | 1.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
— | $91–$111 | — |
| Leveen/Shunt Patency Exam (78291) | $340.06 | $694 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,759.59 | $3,591 | 3.1× |
| Lung perfusion differential (78597) | $655.62 | $1,338 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$894.25 | $170–$1,825 | 1.6× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,080.45 | $189–$2,205 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$117.11–$1,219.12 | $239–$2,488 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$378.28–$834.96 | $772–$1,704 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$117.60–$1,706.67 | $240–$3,483 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$95.06–$733.04 | $194–$1,496 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$95.06–$1,302.42 | $194–$2,658 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$119.07–$1,233.33 | $243–$2,517 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$142.10–$1,598.87 | $290–$3,263 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$95.06–$980.49 | $194–$2,001 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$136.71–$989.31 | $279–$2,019 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$115.64–$1,376.90 | $236–$2,810 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$128.87–$1,922.27 | $263–$3,923 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$170.52–$1,768.90 | $348–$3,610 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$129.36–$1,922.27 | $264–$3,923 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$254.31–$1,814.96 | $258–$3,704 | varies |
| MRI cardiac w/o contrast (75557) | $299.88 | $612 | 1.2× |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$142.10–$1,772.33 | $290–$3,617 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$117.60–$1,421 | $240–$2,900 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$115.64–$1,038.80 | $236–$2,120 | varies |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$178.85–$1,473.92 | $365–$3,008 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$128.38–$1,848.77 | $262–$3,773 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$170.03–$1,932.07 | $347–$3,943 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$106.82–$1,300.95 | $218–$2,655 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$141.61–$1,546.44 | $289–$3,156 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$181.79–$1,897.28 | $371–$3,872 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$106.82–$1,101.52 | $218–$2,248 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$128.38–$1,271.06 | $262–$2,594 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$170.03–$1,694.42 | $347–$3,458 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$136.71–$1,178.94 | $279–$2,406 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$173.95–$1,583.19 | $355–$3,231 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$116.13–$1,225.49 | $237–$2,501 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$117.60–$1,389.64 | $240–$2,836 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$128.87–$820.26 | $263–$1,674 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$107.80–$1,640.52 | $220–$3,348 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$170.52–$1,829.66 | $348–$3,734 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$173.95–$1,699.32 | $355–$3,468 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$181.79–$1,897.28 | $371–$3,872 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$141.12–$1,487.64 | $288–$3,036 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$107.80–$1,394.05 | $220–$2,845 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$171.01–$1,839.46 | $349–$3,754 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$181.79–$1,897.28 | $371–$3,872 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$73.01–$117.11 | $149–$239 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$72.52–$110.25 | $148–$225 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$125.93–$2,106.02 | $257–$4,298 | varies |
| Neck soft tissue (70360) | — | $79 | — |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$38.22–$100.45 | $78–$205 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$704.13–$1,876.70 | $1,437–$3,830 | varies |
| Nuclear Rx Intra-Arterial (79445) | $691.88 | $1,412 | 2.8× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$685.02 | $285–$1,398 | 2.8× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$93.59–$102.41 | $191–$209 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$53.90–$160.72 | $110–$328 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$219.52 | $104–$448 | 2.0× |
| Optic foramina (70190) range across 2 matching MRF lines |
$18.13–$46.06 | $37–$94 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,373.47 | $249–$2,803 | 2.4× |
| Pelvis 1 or 2 views (72170) | — | $68 | — |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,185.40–$3,765.65 | $4,460–$7,685 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,546.04–$2,783.69 | $387–$5,681 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$2,546.04–$4,745.16 | $383–$9,684 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$108.29–$122.50 | $221–$250 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $799.68 | $1,632 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | — | $121 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$41.16–$458.64 | $84–$936 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | — | $98 | — |
| Radex Calcaneus Minimum 2 Views (73650) | — | $73 | — |
| Radex elbow complete minimum 3 views (73080) | — | $86 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) | — | $121 | — |
| Radex fingr minimum 2 views (73140) | — | $110 | — |
| Radex foot complete minimum 3 views (73630) | — | $91 | — |
| Radex Hand Minimum 3 Views (73130) | — | $101 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$13.23–$234.71 | $27–$479 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$27.44–$77.91 | $56–$159 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | — | $103 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $91 | — |
| Radex shoulder complete minimum 2 views (73030) | — | $90 | — |
| Radex Sinuses Paransl < 3 Views (70210) | — | $83 | — |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$13.23–$266.07 | $27–$543 | varies |
| Radex Sternum Minimum 2 Views (71120) | — | $84 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$19.60–$199.43 | $40–$407 | varies |
| Radex Toe Minimum 2 Views (73660) | — | $80 | — |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$13.23–$234.71 | $27–$479 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | — | $114 | — |
| Radiation treatment delivery level 1 (77402) | $88.69 | $181 | 0.8× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$382.08–$414.54 | $779.76–$846 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$20.09–$223.93 | $41–$457 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$21.56–$51.45 | $44–$105 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$99.96–$319.48 | $204–$652 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$81.83–$291.06 | $167–$594 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$18.62–$222.95 | $38–$455 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $105 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$63.70–$505.68 | $130–$1,032 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$42.63–$238.14 | $87–$486 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$71.05–$316.54 | $145–$646 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$13.72–$36.26 | $28–$74 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
— | $52–$94 | — |
| Radiologic examination knee 1/2 views (73560) | — | $91 | — |
| Radiologic examination tibia & fibula 2 views (73590) | — | $83 | — |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$28.91–$76.44 | $59–$156 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$23.52–$231.77 | $48–$473 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$51.45–$474.81 | $105–$969 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,631.70 | $3,330 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,469.51 | $171–$2,999 | 2.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$111.72–$1,611.12 | $228–$3,288 | varies |
| Scapula (73010) | — | $53 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$40.67–$113.68 | $83–$232 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$12.74–$170.03 | $26–$347 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$44.59–$389.55 | $91–$795 | varies |
| Skull less than 4 views (70250) | — | $95 | — |
| Special Physics Consult (77370) | $241.08 | $492 | 1.7× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$179.34–$630.14 | $366–$1,286 | varies |
| Stereotactic Body Radiation Delivery (77373) | $5,424.79 | $11,071 | 2.9× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$17.64–$189.63 | $36–$387 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$255.29–$1,097.60 | $521–$2,240 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $759.01 | $1,549 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$138.18–$444.43 | $282–$907 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $366.03 | $747 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$63.21–$227.85 | $129–$465 | varies |
| Thoracic spine 2 views (72070) | — | $81 | — |
| Thoracic spine 3 views (72072) | — | $101 | — |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$17.15–$42.14 | $35–$86 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$896.70 | $132–$1,830 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$596.33 | $79–$1,217 | 1.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$101.43–$222.46 | $207–$454 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$66.15–$132.30 | $135–$270 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$40.18–$95.55 | $82–$195 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$54.39–$245 | $111–$500 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$43.61–$381.71 | $89–$779 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$46.55–$358.68 | $95–$732 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$36.26–$186.69 | $74–$381 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$63.70–$324.38 | $130–$662 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$25.97–$642.39 | $53–$1,311 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$25.97–$551.74 | $53–$1,126 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$58.31–$308.21 | $119–$629 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$45.08–$296.45 | $92–$605 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$18.62–$227.85 | $38–$465 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$39.20–$286.16 | $80–$584 | varies |
| Us head (76506) range across 4 matching MRF lines |
$51.94–$342.02 | $106–$698 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$59.78–$388.57 | $122–$793 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$52.43–$264.60 | $107–$540 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$149.45–$779.10 | $305–$1,590 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$51.45–$311.15 | $105–$635 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$97.02–$320.95 | $122–$655 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$54.39–$445.90 | $111–$910 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$78.40–$320.95 | $160–$655 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$67.62–$216.58 | $138–$442 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$58.80–$383.67 | $120–$783 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$46.06–$381.71 | $94–$779 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$50.47–$342.02 | $103–$698 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$103.88–$298.90 | $212–$610 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$44.59–$294.49 | $91–$601 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$54.39–$284.20 | $111–$580 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$89.18–$1,165.71 | $182–$2,379 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$88.69–$123.48 | $181–$252 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$4,084.64 | $181–$8,336 | 1.2× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$111.23–$754.11 | $227–$1,539 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$81.83–$771.75 | $167–$1,575 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$116.13–$134.26 | $237–$274 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$2,793.98 | $175–$5,702 | 0.8× |
| Wrist 2 views (73100) | — | $90 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$15.68–$248.92 | $32–$508 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$39.69–$190.12 | $81–$388 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$155.82–$2,770.95 | $224–$5,655 | varies |
| X-Ray Bend Only L-S Spine (72120) | — | $104 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$13.72–$169.54 | $28–$346 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$25.48–$238.14 | $52–$486 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$21.07–$51.45 | $43–$105 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | — | $191 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$15.68–$139.16 | $32–$284 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | — | $128 | — |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$22.05–$154.35 | $45–$315 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$18.13–$227.85 | $37–$465 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$24.01–$67.62 | $49–$138 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$25.48–$416.50 | $52–$850 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$24.50–$79.87 | $50–$163 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | — | $101 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$24.50–$81.83 | $50–$167 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | — | $103 | — |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$14.21–$190.61 | $29–$389 | varies |
| X-ray humerus (73060) | — | $84 | — |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$39.20–$555.66 | $80–$1,134 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $105 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $111 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | — | $102 | — |
| X-ray nose-rectum child f.b. (76010) | — | $73 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $129 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$18.13–$233.24 | $37–$476 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$13.72–$43.12 | $28–$88 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | — | $84 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$17.64–$128.87 | $36–$263 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$22.54–$53.41 | $46–$109 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$14.70–$44.10 | $30–$90 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$40.67–$507.64 | $83–$1,036 | varies |
| X-Rays Bone Length Studies (77073) | $22.05 | $45 | 0.2× |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$44.10–$494.41 | $90–$1,009 | varies |
| Xr c-spine 4 or 5 views (72050) | — | $142 | — |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$16.17–$38.71 | $33–$79 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$14.70–$50.47 | $30–$103 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$22.54–$58.80 | $46–$120 | varies |
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.