Imaging prices at River Falls Area Hospital
River Falls, WI · every code in this section with a posted price and a Medicare benchmark.
399 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) | $3,912.83 | $6,987.20 | 2.7× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$139.33–$313.66 | $248.80–$560.10 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,105.70 | $5,545.90 | 7.4× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,114.68 | $1,990.50 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Arthrogram ankle (73615) | $304.53 | $543.80 | 0.8× |
| Arthrogram hip (73525) | $278.66 | $497.60 | 0.8× |
| Arthrogram Wrist (73115) | $278.77 | $497.80 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $489.05 | $873.30 | 3.5× |
| Bone age studies (77072) | $139.33 | $248.80 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,294.05 | $2,310.80 | 3.1× |
| Bone Imaging Limited Area (78300) | $1,035.16 | $1,848.50 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $958.61 | $1,711.80 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,035.16 | $1,848.50 | 2.5× |
| Bone marrow imaging limited area (78102) | $830.09 | $1,482.30 | 2.0× |
| Bone marrow imaging; multiple areas (78103) | $902.61 | $1,611.80 | 2.2× |
| Bone marrow imaging; whole body (78104) | $980 | $1,750 | 2.3× |
| Bone survey infant (77076) | $278.66 | $497.60 | 2.5× |
| Brain Flow Imaging Only (78610) | $552.44 | $986.50 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $920.75 | $1,644.20 | 2.2× |
| Brain imaging < 4 static views (78600) | $575.29 | $1,027.30 | 1.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,192.58 | $2,129.60 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $708.23 | $1,264.70 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,554.78 | $4,562.10 | 1.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,298.25 | $2,318.30 | 3.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $949.03 | $1,694.70 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,310.06 | $4,125.10 | 6.3× |
| Cardiovasc nucl exam unlisted (78499) | $665.62 | $1,188.60 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $600.99 | $1,073.20 | 6.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,357.89 | $2,424.80 | 2.4× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $693.56 | $1,238.50 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $4,140.98 | $7,394.60 | 7.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Chest 3 views (71047) | $138.54 | $247.40 | 1.5× |
| Chest 4 or more views (71048) | $138.49 | $247.30 | 1.3× |
| Cholecystography Oral Contrast (74290) | $201.99 | $360.70 | 1.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$139.33–$278.60 | $248.80–$497.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $912.46 | $1,629.40 | 8.3× |
| Continuing medical physics consltj pr wk (77336) | $488.82 | $872.90 | 3.5× |
| Contrast X-Ray Bladder (74430) | $556.14 | $993.10 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $295.96 | $528.50 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $278.66 | $497.60 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,281.27 | $4,073.70 | 6.2× |
| CT abdomen and pelvis without contrast (74176) | $1,368.81 | $2,444.30 | 5.5× |
| CT abdomen w contrast (74160) | $1,368.81 | $2,444.30 | 7.5× |
| CT abdomen w wo contrast (74170) | $1,824.98 | $3,258.90 | 9.9× |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$698.38–$912.46 | $1,247.10–$1,629.40 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,193.90 | $5,703.40 | 8.7× |
| CT Angio Chest (71275) | $912.46 | $1,629.40 | 5.0× |
| CT Angio Head (70496) | $1,824.98 | $3,258.90 | 9.9× |
| CT angio hrt w/3d image (75574) | $4,562.54 | $8,147.40 | 12.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,281.27 | $4,073.70 | 12.4× |
| CT Angio Neck (70498) | $1,368.81 | $2,444.30 | 7.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,824.98 | $3,258.90 | 9.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $351.23 | $627.20 | 1.9× |
| CT cervical spine w/ contrast (72126) | $1,368.81 | $2,444.30 | 3.7× |
| CT cervical spine w/o contrast (72125) | $912.46 | $1,629.40 | 8.3× |
| CT cervical spine w/wo cont (72127) | $1,083.26 | $1,934.40 | 5.9× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$456.29–$912.46 | $814.80–$1,629.40 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$456.29–$1,368.81 | $814.80–$2,444.30 | varies |
| CT colonography screening (74263) | $2,281.27 | $4,073.70 | 9.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,281.27 | $4,073.70 | 12.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,281.27 | $4,073.70 | 20.8× |
| CT head/brain with contrast (70460) | $1,368.81 | $2,444.30 | 7.5× |
| CT head/brain without and with contrast (70470) | $1,824.98 | $3,258.90 | 9.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $698.60 | $1,247.50 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $912.46 | $1,629.40 | 10.0× |
| CT hrt w/3d image congen (75573) | $4,553.86 | $8,131.90 | 12.5× |
| CT iac w contrast (70481) | $1,368.81 | $2,444.30 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $1,821.51 | $3,252.70 | 9.9× |
| CT lower ext w/o (73700) | $1,520.96 | $2,716 | 13.9× |
| CT lower extremity w/contrast material (73701) | $1,977.19 | $3,530.70 | 10.8× |
| CT lumbar spine w contrast (72132) | $1,368.81 | $2,444.30 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $912.46 | $1,629.40 | 8.3× |
| CT maxillofacial w contrast (70487) | $1,368.81 | $2,444.30 | 7.5× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$912.46–$1,824.98 | $1,629.40–$3,258.90 | varies |
| CT neck tissue combo (70492) | $1,368.81 | $2,444.30 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,824.98 | $3,258.90 | 9.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$683.03–$912.46 | $1,219.70–$1,629.40 | varies |
| CT pelvis w&w/o contrast (72194) | $1,824.98 | $3,258.90 | 9.9× |
| CT pelvis w/o contrast (72192) | $1,368.81 | $2,444.30 | 12.5× |
| CT scan of leg combo (73702) | $2,433.37 | $4,345.30 | 13.2× |
| CT scans face/jaw combo (70488) | $1,824.98 | $3,258.90 | 9.9× |
| CT soft tissue neck w contrast (70491) | $912.46 | $1,629.40 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $608.33 | $1,086.30 | 5.6× |
| CT thoracic spine w contrast (72129) | $1,368.81 | $2,444.30 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $912.46 | $1,629.40 | 8.3× |
| CT thoracic spine w/wo cont (72130) | $1,081.47 | $1,931.20 | 5.9× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$304.14–$912.46 | $543.10–$1,629.40 | varies |
| CT upper ext wo (73200) | $1,368.81 | $2,444.30 | 12.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,281.22 | $4,073.60 | 12.4× |
| CT upper extremity with contrast (73201) | $1,824.98 | $3,258.90 | 5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,824.98 | $3,258.90 | 9.9× |
| Cta Abdomen (74175) | $1,824.98 | $3,258.90 | 9.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,007.66 | $1,799.40 | 2.8× |
| CTA pelvis (72191) | $1,688.90 | $3,015.90 | 9.2× |
| Diskography lumbar (72295) | $1,049.22 | $1,873.60 | 0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $604.97 | $1,080.30 | 5.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $105.11 | $187.70 | 1.0× |
| Dxa Bone Density Axial (77080) | $144.76 | $258.50 | 1.3× |
| Dxa bone density study (77085) | $302.12 | $539.50 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $92.85 | $165.80 | 1.0× |
| Echo exam of fetal heart (76825) | $210.34 | $375.60 | 0.4× |
| Echo exam uterus (76831) | $610.34 | $1,089.90 | 2.4× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$630.95–$1,009.51 | $1,126.70–$1,802.70 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $105.11 | $187.70 | 0.4× |
| Esophageal Motility Study (78258) | $422.63 | $754.70 | 1.0× |
| Esophagram (74220) | $208.99 | $373.20 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$457.74–$702.07 | $817.40–$1,253.70 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$456.68–$686.67 | $815.50–$1,226.20 | varies |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$298.87–$2,092.94 | $533.70–$3,737.40 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$104.50–$208.99 | $186.60–$373.20 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$17.47–$208.99 | $31.20–$373.20 | varies |
| Gastric emptying imaging study (78264) | $2,329.21 | $4,159.30 | 5.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,053.90 | $5,453.40 | 7.3× |
| Gastric Mucosa Imaging (78261) | $995.01 | $1,776.80 | 2.4× |
| Gastroesophageal Reflux Exam (78262) | $3,105.70 | $5,545.90 | 7.4× |
| Gastrointestinal Protein Loss (78282) | $793.63 | $1,417.20 | 1.9× |
| Gated Heart Planar Single (78472) | $1,552.94 | $2,773.10 | 3.7× |
| Gated Heart, Multiple (78473) | $968.69 | $1,729.80 | 2.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$104.50–$208.99 | $186.60–$373.20 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $581.84 | $1,039 | 0.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $581.84 | $1,039 | 0.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $581.84 | $1,039 | 0.8× |
| Heart first pass single,planar (78481) | $858.20 | $1,532.50 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,070.54 | $3,697.40 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,811.66 | $3,235.10 | 4.3× |
| Ht Musc Image Planar Mult (78454) | $2,695.73 | $4,813.80 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $3,105.70 | $5,545.90 | 2.3× |
| Hysterosalpingogram (74740) | $208.99 | $373.20 | 0.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$456.68–$457.74 | $815.50–$817.40 | varies |
| Infant hip ultrasound, limited static exam (76886) | $456.68 | $815.50 | 5.0× |
| Infusion Ivp (74410) | $278.77 | $497.80 | 1.5× |
| Interstitial radiation source applic complex (77778) | $1,532.44 | $2,736.50 | 2.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,459.86 | $2,606.90 | 2.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,194.42 | $2,132.90 | 2.1× |
| Intracavitary radiation source applic simple (77761) | $929.10 | $1,659.10 | 1.6× |
| Joint Survey Single View (77077) | $152.43 | $272.20 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $1,294.05 | $2,310.80 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,552.94 | $2,773.10 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,552.94 | $2,773.10 | 2.7× |
| Kidney Imaging Morphol (78700) | $1,294.05 | $2,310.80 | 3.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,071.67 | $1,913.70 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$139.33–$209.05 | $248.80–$373.30 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,354.08 | $2,418 | 3.2× |
| Liver & Spleen Imaging Static Only (78215) | $935.59 | $1,670.70 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,259.55 | $2,249.20 | 3.0× |
| Liver imaging static only (78201) | $794.75 | $1,419.20 | 1.4× |
| Liver imaging w/vascular flow (78202) | $997.42 | $1,781.10 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,035.16 | $1,848.50 | 1.8× |
| Lung perfusion differential (78597) | $1,806.73 | $3,226.30 | 4.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,035.16 | $1,848.50 | 1.8× |
| Lung Ventilation Imaging (78579) | $799.29 | $1,427.30 | 1.9× |
| Lymph System Imaging (78195) | $2,588.04 | $4,621.50 | 4.6× |
| Magnetic Image Jaw Joint (70336) | $2,079 | $3,712.50 | 8.3× |
| Magnetic Resonance Elastography (76391) | $2,450.39 | $4,375.70 | 9.8× |
| Mammary ductogram or galactogram single (77053) | $201.99 | $360.70 | 0.8× |
| Meckels Divert Exam (78290) | $1,035.16 | $1,848.50 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $977.87 | $1,746.20 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,772.11 | $4,950.20 | 7.6× |
| MRA head w/o contrast (70544) | $1,848.11 | $3,300.20 | 7.4× |
| MRA head with contrast (70545) | $2,310.06 | $4,125.10 | 6.3× |
| MRA neck w contrast (70548) | $1,848.95 | $3,301.70 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,310.06 | $4,125.10 | 6.3× |
| MRA neck w/o contrast (70547) | $1,386 | $2,475 | 5.5× |
| MRI abdomen w contrast (74182) | $3,118.53 | $5,568.80 | 8.5× |
| MRI abdomen w/o contrast (74181) | $2,772.11 | $4,950.20 | 11.1× |
| MRI any jt lower extrem w/contrast material (73722) | $4,158.28 | $7,425.50 | 5.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,234.06 | $5,775.10 | 8.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,234.06 | $5,775.10 | 3.9× |
| MRI bone marrow blood supply (77084) | $2,075.98 | $3,707.10 | 8.3× |
| MRI brain functional w/o physician admnistration (70554) | $1,898.57 | $3,390.30 | 7.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,155.11 | $2,062.70 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $924.39 | $1,650.70 | 3.7× |
| MRI cardiac w/o contrast (75557) | $1,386 | $2,475 | 5.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,442.39–$1,922.31 | $2,575.70–$3,432.70 | varies |
| MRI cervical spine w/o cont (72141) | $1,386 | $2,475 | 5.5× |
| MRI chest w/o contrast (71550) | $2,079 | $3,712.50 | 8.3× |
| MRI chest with contrast (71551) | $2,541.06 | $4,537.60 | 3.1× |
| MRI chest wo w contrast (71552) | $3,003.22 | $5,362.90 | 8.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,934.97 | $3,455.30 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,465.11 | $6,187.70 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,772.11 | $4,950.20 | 11.1× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,447.77–$1,848.11 | $2,585.30–$3,300.20 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,861.38–$2,310.06 | $3,323.90–$4,125.10 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,848.11 | $3,300.20 | 7.4× |
| MRI orbit face neck w contrast (70542) | $2,310.06 | $4,125.10 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,696.17 | $6,600.30 | 10.1× |
| MRI pelvis w contrast (72196) | $2,205.39 | $3,938.20 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $3,234.06 | $5,775.10 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,310.06 | $4,125.10 | 9.2× |
| MRI spectroscopy (76390) | $952 | $1,700 | 10.4× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,240.46–$1,386 | $2,215.10–$2,475 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,772.11 | $4,950.20 | 11.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,696.17 | $6,600.30 | 10.1× |
| MRI, abdomen, combo (74183) | $3,465.11 | $6,187.70 | 9.5× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,861.38–$2,310.06 | $3,323.90–$4,125.10 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,447.77–$1,848.11 | $2,585.30–$3,300.20 | varies |
| MRI, joint upper extrem (73221) | $2,310.06 | $4,125.10 | 9.2× |
| MRI, joint upper extrem combo (73223) | $3,234.06 | $5,775.10 | 8.9× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,861.38–$2,310.06 | $3,323.90–$4,125.10 | varies |
| Musculoskeletal Nuclear Exam (78399) | $665.62 | $1,188.60 | 1.6× |
| Myelogram cervical (72240) | $203.17 | $362.80 | 0.2× |
| Myelogram Lumbar (72265) | $265.72 | $474.50 | 0.3× |
| Myelography thoracic (72255) | $463.51 | $827.70 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,098.61 | $1,961.80 | 2.6× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,098.61 | $1,961.80 | 1.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,057.89 | $3,674.80 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $3,105.70 | $5,545.90 | 2.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,063.88 | $3,685.50 | 2.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $464.07 | $828.70 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $345.02 | $616.10 | 0.8× |
| Nm csf leak detection (78650) | $1,758.62 | $3,140.40 | 1.3× |
| Nm myocard infarct spect (78469) | $1,552.94 | $2,773.10 | 2.7× |
| Nm unlisted gi procedure (78299) | $673.46 | $1,202.60 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $22,491.67 | $40,163.70 | 15.5× |
| Nuclear Rx Oral Admin (79005) | $97.66 | $174.40 | 0.4× |
| Ob us nuchal meas 1 gest (76813) | $305.09 | $544.80 | 2.8× |
| Ophthalmic us dx quantitative a-scan only (76511) | $238.34 | $425.60 | 2.2× |
| Panoramic X-ray of jaws (70355) | $138.54 | $247.40 | 1.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,795.79 | $6,778.20 | 6.7× |
| Parathyroid Planar Imaging (78070) | $3,105.70 | $5,545.90 | 7.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Perineogram (74775) | $302.90 | $540.90 | 1.2× |
| Pet Image W/Ct Lmtd (78814) | $2,554.78 | $4,562.10 | 1.7× |
| PET image w/CT, full body (78816) | $2,554.78 | $4,562.10 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,554.78 | $4,562.10 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $776.38 | $1,386.40 | 1.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,863.01 | $3,326.80 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $139.33 | $248.80 | 1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $506.97 | $905.30 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$103.99–$139.33 | $185.70–$248.80 | varies |
| Radex elbow complete minimum 3 views (73080) | $139.33 | $248.80 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $139.33 | $248.80 | 1.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex Hand Minimum 3 Views (73130) | $139.33 | $248.80 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $139.33 | $248.80 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $139.33 | $248.80 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $139.33 | $248.80 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $139.33 | $248.80 | 1.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $605.86 | $1,081.90 | 3.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex Sternum Minimum 2 Views (71120) | $139.33 | $248.80 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $139.33 | $248.80 | 1.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $139.33 | $248.80 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $319.20 | $570 | 2.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,825.78 | $13,974.60 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $896.78 | $1,601.40 | 8.4× |
| Radiation treatment delivery level 2 (77407) | $7,476.95 | $13,351.70 | 18.5× |
| Radiation treatment delivery level 3 (77412) | $1,306.82 | $2,333.60 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $139.33 | $248.80 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $139.33 | $248.80 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $278.66 | $497.60 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $374.86 | $669.40 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $139.33 | $248.80 | 1.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $139.33 | $248.80 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $417.98 | $746.40 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $208.99 | $373.20 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $208.99 | $373.20 | 1.1× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$104.50–$232.18 | $186.60–$414.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $208.99 | $373.20 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$104.55–$208.99 | $186.70–$373.20 | varies |
| Radiopharm Dacryocystography (78660) | $438.54 | $783.10 | 1.0× |
| Ribs bilateral 3 views (71110) | $139.33 | $248.80 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$226.13–$857.70 | $403.80–$1,531.60 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,086.74 | $1,940.60 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,278.24 | $5,854 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,294.05 | $2,310.80 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,552.94 | $2,773.10 | 1.1× |
| Scapula (73010) | $139.33 | $248.80 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$28.06–$30.07 | $50.10–$53.70 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| Shoulder Arthrography (73040) | $278.66 | $497.60 | 0.8× |
| Sialogram (70390) | $821.74 | $1,467.40 | 3.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$139.33–$209.05 | $248.80–$373.30 | varies |
| Special dosimetry (77331) | $501.14 | $894.90 | 3.6× |
| Special Physics Consult (77370) | $2,934.62 | $5,240.40 | 20.8× |
| Special teletherapy port plan (77321) | $587.83 | $1,049.70 | 1.5× |
| Special treatment procedure (77470) | $2,096.75 | $3,744.20 | 3.6× |
| Spleen Imaging (78185) | $877.07 | $1,566.20 | 2.1× |
| Stereotactic Body Radiation Delivery (77373) | $1,956.58 | $3,493.90 | 1.0× |
| Sternoclavicular joints (71130) | $139.33 | $248.80 | 1.5× |
| Superior sagittal sinus venogram (75870) | $935.48 | $1,670.50 | 0.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $595.28 | $1,063 | 5.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,445.52 | $4,367 | 6.2× |
| Testicular Imaging W/Flow (78761) | $1,441.33 | $2,573.80 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,912.83 | $6,987.20 | 10.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,912.83 | $6,987.20 | 10.0× |
| Ther rad simulaj-aided field setting simple (77280) | $3,912.83 | $6,987.20 | 27.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $275.30 | $491.60 | 1.5× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$139.33–$212.02 | $248.80–$378.60 | varies |
| Thoracic spine 3 views (72072) | $139.33 | $248.80 | 1.3× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$139.33–$212.02 | $248.80–$378.60 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $830.09 | $1,482.30 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $695.02 | $1,241.10 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,164.24 | $2,079 | 2.0× |
| Thyroid Uptake Measurement (78012) | $1,552.94 | $2,773.10 | 3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,035.16 | $1,848.50 | 2.5× |
| Tx Devices Design & Construction Complex (77334) | $978.26 | $1,746.90 | 2.5× |
| Tx devices design & construction intermediate (77333) | $638.51 | $1,140.20 | 4.5× |
| Tx devices design & construction simple (77332) | $489.05 | $873.30 | 3.5× |
| Ultrasound Breast Limited (76642) | $268.24 | $479 | 2.9× |
| Ultrasound elastography first target lesion (76982) | $405.94 | $724.90 | 3.7× |
| Ultrasound Elastography Parenchyma (76981) | $405.94 | $724.90 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) | $279.44 | $499 | 2.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $333.31 | $595.20 | 0.9× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$304.47–$508.65 | $543.70–$908.30 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$197.34–$197.74 | $352.40–$353.10 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$151.87–$417.54 | $271.20–$745.60 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $805.62 | $1,438.60 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $2,772.11 | $4,950.20 | 30.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $735.39 | $1,313.20 | 1.8× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$489.05–$1,194.42 | $873.30–$2,132.90 | varies |
| Unlisted respiratory px dx nuclear medicine (78599) | $665.62 | $1,188.60 | 1.6× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$457.74–$544.71 | $817.40–$972.70 | varies |
| Upper gi w/o kub (74240) | $208.99 | $373.20 | 1.1× |
| Ureteral Reflux Study (78740) | $1,073.58 | $1,917.10 | 2.6× |
| Urethrocystogram voiding (74455) | $417.98 | $746.40 | 1.7× |
| Urethrocystography retrograde (74450) | $358.06 | $639.40 | 1.4× |
| Us breast unilateral complete (76641) | $357.67 | $638.70 | 3.3× |
| Us chest (76604) range across 5 matching MRF lines |
$194.88–$505.79 | $348–$903.20 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$456.68–$457.74 | $815.50–$817.40 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$305.70–$508.65 | $545.90–$908.30 | varies |
| Us head (76506) range across 2 matching MRF lines |
$304.47–$305.09 | $543.70–$544.80 | varies |
| Us kidney transplant (76776) | $630.95 | $1,126.70 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $300.72 | $537 | 2.7× |
| Us ob detailed single fetus (76811) | $456.68 | $815.50 | 1.8× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$260.96–$661.19 | $466–$1,180.70 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$228.87–$509.49 | $408.70–$909.80 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$305.09–$508.65 | $544.80–$908.30 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$366.18–$510.78 | $653.90–$912.10 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$213.30–$510.83 | $380.90–$912.20 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$304.47–$508.65 | $543.70–$908.30 | varies |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$289.24–$457.74 | $516.50–$817.40 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$457.74–$791.90 | $817.40–$1,414.10 | varies |
| Us spinal canal and contents (76800) | $457.74 | $817.40 | 4.2× |
| Us thyroid (76536) range across 3 matching MRF lines |
$455.45–$456.57 | $813.30–$815.30 | varies |
| Us transrectal (76872) | $601.16 | $1,073.50 | 5.5× |
| Vascular Flow Imaging (78445) | $552.44 | $986.50 | 1.3× |
| Vein X-Ray Chest (75827) | $1,232.56 | $2,201 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $966.95 | $1,726.70 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $455.39 | $813.20 | 0.3× |
| Venous thrombosis imaging (78457) | $602.84 | $1,076.50 | 1.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,207.30 | $2,155.90 | 2.9× |
| Vertebral fracture assessment via dxa (77086) | $151.09 | $269.80 | 1.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $139.33 | $248.80 | 1.5× |
| X-ray antegrade pyelogram tube (74425) | $794.08 | $1,418 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $139.33 | $248.80 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$104.50–$208.99 | $186.60–$373.20 | varies |
| X-Ray Exam Breast Specimen (76098) | $69.66 | $124.40 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$208.99–$313.49 | $373.20–$559.80 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $253.06 | $451.90 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $275.18 | $491.40 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$278.66–$418.04 | $497.60–$746.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$185.86–$418.04 | $331.90–$746.50 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$238.17–$535.92 | $425.30–$957 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$287.39–$431.03 | $513.20–$769.70 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $374.58 | $668.90 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $399.45 | $713.30 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $139.33 | $248.80 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $208.99 | $373.20 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $139.33 | $248.80 | 1.3× |
| X-ray eye for foreign body (70030) | $139.33 | $248.80 | 1.5× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$17.47–$208.99 | $31.20–$373.20 | varies |
| X-ray IV pyelogram (ivp) (74400) | $208.99 | $373.20 | 1.1× |
| X-ray IV pyelogram+tomography (74415) | $228.54 | $408.10 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $139.33 | $248.80 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $139.33 | $248.80 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$139.33–$208.99 | $248.80–$373.20 | varies |
| X-ray nose-rectum child f.b. (76010) | $139.33 | $248.80 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $139.33 | $248.80 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $139.33 | $248.80 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $138.54 | $247.40 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $139.33 | $248.80 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $139.33 | $248.80 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $139.33 | $248.80 | 1.3× |
| X-Ray Stress View (77071) | $137.37 | $245.30 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $139.33 | $248.80 | 1.3× |
| X-Ray Tmj Unilat (70328) | $139.38 | $248.90 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $278.66 | $497.60 | 0.8× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$208.99–$209.33 | $373.20–$373.80 | varies |
| X-Rays Bone Survey Complete (77075) | $208.99 | $373.20 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $139.33 | $248.80 | 1.3× |
| Xr facial bones less than 3 views (70140) | $139.33 | $248.80 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $138.66 | $247.60 | 1.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$104.50–$139.38 | $186.60–$248.90 | varies |
| Xr Tomogram Single Plane (76100) | $141.29 | $252.30 | 1.3× |
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.