Imaging prices at Riverside Methodist Hospital
Columbus, OH · every code in this section with a posted price and a Medicare benchmark.
438 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) | $5,070 | $7,800 | 3.8× |
| Abdomen 1 View (74018) | $163.15 | $251 | 1.9× |
| Abdomen 2 views (74019) | $252.20 | $388 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,767.70 | $4,258 | 7.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,818.05 | $2,797 | 1.5× |
| Angio internal mammary (75756) | $1,785.55 | $2,747 | 0.6× |
| Angio pulmonary bilat (75743) | $3,378.05 | $5,197 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,332.55 | $5,127 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $3,409.25 | $5,245 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,332.55 | $5,127 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,332.55 | $5,127 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,115.45 | $4,793 | 1.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,639.40 | $8,676 | 1.1× |
| Artery X-Rays Abdomen (75726) | $5,526.30 | $8,502 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $2,198.95 | $3,383 | 0.7× |
| Artery X-Rays Pelvis (75736) | $5,526.30 | $8,502 | 1.0× |
| Artery X-Rays Spine (75705) | $5,526.30 | $8,502 | 1.0× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$509.60–$1,019.20 | $784–$1,568 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$561.60–$1,123.20 | $864–$1,728 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$533.65–$1,067.30 | $821–$1,642 | varies |
| Basic radiation dosimetry calculation (77300) | $1,795.30 | $2,762 | 13.9× |
| Bone age studies (77072) | $205.40 | $316 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,868.10 | $2,874 | 4.8× |
| Bone Imaging Limited Area (78300) | $1,293.50 | $1,990 | 3.4× |
| Bone Imaging Multiple Areas (78305) | $1,422.85 | $2,189 | 3.7× |
| Bone Imaging Whole Body (78306) | $1,504.10 | $2,314 | 3.9× |
| Bone marrow imaging limited area (78102) | $729.30 | $1,122 | 1.9× |
| Bone marrow imaging; multiple areas (78103) | $923 | $1,420 | 2.4× |
| Bone marrow imaging; whole body (78104) | $1,116.70 | $1,718 | 2.9× |
| Bone survey infant (77076) | $282.75 | $435 | 2.8× |
| Brachytx isodose complex (77318) | $5,525 | $8,500 | 15.3× |
| Brachytx isodose intermed (77317) | $5,525 | $8,500 | 15.3× |
| Brachytx Isodose Plan Simple (77316) | $3,168.75 | $4,875 | 8.8× |
| Brain Flow Imaging Only (78610) | $801.45 | $1,233 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $974.35 | $1,499 | 2.5× |
| Brain imaging < 4 static views (78600) | $974.35 | $1,499 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,255.80 | $1,932 | 2.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,255.80 | $1,932 | 2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,603.95 | $7,083 | 3.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,490.45 | $2,293 | 3.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,296.75 | $1,995 | 3.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,355.90 | $2,086 | 1.8× |
| Cardiac Shunt Detection (78428) | $635.70 | $978 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $421.85 | $649 | 5.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $801.45 | $1,233 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,004.25 | $1,545 | 1.9× |
| Chest 1 view (71045) | $170.95 | $263 | 2.0× |
| Chest 2 views (71046) | $199.55 | $307 | 2.4× |
| Chest 3 views (71047) | $250.90 | $386 | 3.0× |
| Chest 4 or more views (71048) | $273.65 | $421 | 2.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$193.05–$386.10 | $297–$594 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $345.80 | $532 | 3.4× |
| Continuing medical physics consltj pr wk (77336) | $1,574.95 | $2,423 | 12.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,332.55 | $5,127 | 1.1× |
| Contrast X-Ray Bladder (74430) | $472.55 | $727 | 1.4× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$658.45–$1,316.90 | $1,013–$2,026 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$509.60–$1,019.20 | $784–$1,568 | varies |
| Corpora cavernosography (74445) | $1,454.05 | $2,237 | 14.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,051.40 | $3,156 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,571.05 | $2,417 | 6.8× |
| CT abdomen w contrast (74160) | $1,167.40 | $1,796 | 6.9× |
| CT abdomen w wo contrast (74170) | $1,266.20 | $1,948 | 7.5× |
| CT abdomen w/o contrast (74150) | $1,068.60 | $1,644 | 10.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,152.80 | $3,312 | 6.4× |
| CT Angio Chest (71275) | $1,416.35 | $2,179 | 8.4× |
| CT Angio Head (70496) | $1,301.95 | $2,003 | 7.7× |
| CT angio hrt w/3d image (75574) | $1,220.70 | $1,878 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,343.55–$2,687.10 | $2,067–$4,134 | varies |
| CT Angio Neck (70498) | $1,300.65 | $2,001 | 7.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,361.10 | $2,094 | 8.0× |
| CT cervical spine w/ contrast (72126) | $1,180.40 | $1,816 | 3.5× |
| CT cervical spine w/o contrast (72125) | $1,073.15 | $1,651 | 10.6× |
| CT cervical spine w/wo cont (72127) | $1,241.50 | $1,910 | 7.3× |
| CT chest w contrast (71260) | $1,368.90 | $2,106 | 8.1× |
| CT chest w/wo contrast (71270) | $1,633.45 | $2,513 | 9.7× |
| CT colonography screening (74263) | $816.40 | $1,256 | 3.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $816.40 | $1,256 | 8.1× |
| CT head/brain with contrast (70460) | $950.95 | $1,463 | 5.6× |
| CT head/brain without and with contrast (70470) | $1,077.70 | $1,658 | 6.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $995.80 | $1,532 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $380.25 | $585 | 4.5× |
| CT hrt w/3d image congen (75573) | $1,115.40 | $1,716 | 3.3× |
| CT iac w contrast (70481) | $1,054.95 | $1,623 | 6.2× |
| CT l-spine w&w/o contrast (72133) | $1,128.40 | $1,736 | 6.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$872.30–$1,744.60 | $1,342–$2,684 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,014–$2,028 | $1,560–$3,120 | varies |
| CT lumbar spine w contrast (72132) | $950.95 | $1,463 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $867.75 | $1,335 | 8.6× |
| CT maxillofacial w contrast (70487) | $1,150.50 | $1,770 | 6.8× |
| CT maxillofacial wo contrast (70486) | $875.55 | $1,347 | 8.7× |
| CT neck tissue combo (70492) | $1,274 | $1,960 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,248 | $1,920 | 7.4× |
| CT orbits w/o contrast (70480) | $861.90 | $1,326 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,182.35 | $1,819 | 7.0× |
| CT pelvis w/o contrast (72192) | $1,019.85 | $1,569 | 10.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,231.75–$2,463.50 | $1,895–$3,790 | varies |
| CT scans face/jaw combo (70488) | $1,259.70 | $1,938 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,181.70 | $1,818 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $995.15 | $1,531 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,005.55 | $1,547 | 5.9× |
| CT thoracic spine w/o contrast (72128) | $835.25 | $1,285 | 8.3× |
| CT thoracic spine w/wo cont (72130) | $1,107.60 | $1,704 | 6.5× |
| CT thorax w/o contrast (71250) | $996.45 | $1,533 | 9.9× |
| CT unlisted procedure (76497) | $3,196.05 | $4,917 | 38.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$846.95–$1,693.90 | $1,303–$2,606 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,106.95–$2,213.90 | $1,703–$3,406 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,019.85–$2,039.70 | $1,569–$3,138 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $913.25 | $1,405 | 5.4× |
| Cta Abdomen (74175) | $1,329.90 | $2,046 | 7.9× |
| CTA pelvis (72191) | $1,242.80 | $1,912 | 7.3× |
| Dilation ureters/urethra rs&i (74485) | $2,193.75 | $3,375 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $2,646.15 | $4,071 | 1.4× |
| Diskography lumbar (72295) | $1,907.10 | $2,934 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $127.40 | $196 | 1.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $390 | $600 | 3.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $144.95 | $223 | 1.4× |
| Dxa Bone Density Axial (77080) | $291.20 | $448 | 2.9× |
| Dxa bone density study (77085) | $452.40 | $696 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $203.45 | $313 | 2.4× |
| Echo exam of fetal heart (76825) | $623.35 | $959 | 1.2× |
| Echo exam uterus (76831) | $405.60 | $624 | 1.8× |
| Echo Guide For Artery Repair (76936) | $337.35 | $519 | 1.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $224.25 | $345 | 1.0× |
| Echograp Trans R Pros Study (76873) | $445.25 | $685 | 4.4× |
| Esophagram (74220) | $353.60 | $544 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $268.45 | $413 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $244.40 | $376 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $357.50 | $550 | 1.6× |
| Follow-Up Angiography (75898) | $2,280.85 | $3,509 | 0.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$184.60–$369.20 | $284–$568 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$215.80–$431.60 | $332–$664 | varies |
| Gastric emptying imaging study (78264) | $2,206.10 | $3,394 | 5.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,206.10 | $3,394 | 5.7× |
| Gated Heart Planar Single (78472) | $1,802.45 | $2,773 | 4.7× |
| Gated Heart, Multiple (78473) | $1,802.45 | $2,773 | 4.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,206.10 | $3,394 | 4.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$159.90–$319.80 | $246–$492 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $6,654.70 | $10,238 | 9.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $6,654.70 | $10,238 | 9.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,654.70 | $10,238 | 9.9× |
| Heart first pass single,planar (78481) | $817.05 | $1,257 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,332.55 | $5,127 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,332.55 | $5,127 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $3,136.90 | $4,826 | 6.0× |
| Hepatobiliary System Imaging (78226) | $2,078.05 | $3,197 | 5.4× |
| Ht Musc Image Planar Mult (78454) | $2,544.75 | $3,915 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,011.75 | $3,095 | 1.6× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $3,087.50 | $4,750 | 4.6× |
| Hysterosalpingogram (74740) | $384.80 | $592 | 1.7× |
| Interstitial radiation source applic complex (77778) | $3,207.75 | $4,935 | 4.8× |
| Joint Survey Single View (77077) | $215.80 | $332 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,025.70 | $1,578 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $881.40 | $1,356 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $801.45 | $1,233 | 1.5× |
| Kidney Imaging Morphol (78700) | $734.50 | $1,130 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $773.50 | $1,190 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$245.05–$490.10 | $377–$754 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $924.30 | $1,422 | 2.4× |
| Leveen/Shunt Patency Exam (78291) | $724.75 | $1,115 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,088.75 | $1,675 | 2.8× |
| Liver imaging static only (78201) | $1,576.25 | $2,425 | 3.0× |
| Liver imaging w/vascular flow (78202) | $1,837.55 | $2,827 | 3.5× |
| Lung perfusion differential (78597) | $651.30 | $1,002 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,090.70 | $1,678 | 2.1× |
| Lung Ventilation Imaging (78579) | $863.20 | $1,328 | 2.2× |
| Lymph System Imaging (78195) | $1,543.75 | $2,375 | 2.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,963 | $3,020 | 1.3× |
| Lymphangiography extremity only unilateral rs&i (75801) | $815.10 | $1,254 | 1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,332.55 | $5,127 | 1.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,280.85 | $3,509 | 0.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,320.80–$2,641.60 | $2,032–$4,064 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $2,174.90 | $3,346 | 12.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,978.60 | $3,044 | 3.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $2,371.20 | $3,648 | 14.0× |
| Mammary ductogram or galactogram multiple (77054) | $336.05 | $517 | 1.5× |
| Mammary ductogram or galactogram single (77053) | $336.05 | $517 | 1.5× |
| Meckels Divert Exam (78290) | $2,395.90 | $3,686 | 6.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,944.15 | $2,991 | 5.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,107.60 | $1,704 | 3.1× |
| Mr safety determination physician/other qhp (76016) | $172.25 | $265 | 2.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $48.75 | $75 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $178.75 | $275 | 1.9× |
| Mr safety implt pos&/immoblj (76019) | $117 | $180 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,233.70 | $1,898 | 3.7× |
| MRA head w/o contrast (70544) | $928.20 | $1,428 | 4.0× |
| MRA head with contrast (70545) | $1,080.95 | $1,663 | 3.2× |
| MRA neck w contrast (70548) | $1,084.20 | $1,668 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,240.20 | $1,908 | 3.7× |
| MRA neck w/o contrast (70547) | $928.20 | $1,428 | 4.0× |
| MRI abdomen w contrast (74182) | $1,629.55 | $2,507 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,285.05 | $1,977 | 5.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,446.90–$2,893.80 | $2,226–$4,452 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,688.05–$3,376.10 | $2,597–$5,194 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,381.90–$2,763.80 | $2,126–$4,252 | varies |
| MRI bone marrow blood supply (77084) | $1,537.90 | $2,366 | 6.7× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,626.30–$3,252.60 | $2,502–$5,004 | varies |
| MRI brain functional w/physician admnistration (70555) | $1,870.05 | $2,877 | 8.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,969.50 | $3,030 | 8.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,534.65 | $2,361 | 6.7× |
| MRI cardiac w/o contrast (75557) | $1,167.40 | $1,796 | 5.1× |
| MRI cervical spine w contrast (72142) | $1,581.45 | $2,433 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,291.55 | $1,987 | 5.6× |
| MRI chest w/o contrast (71550) | $1,281.80 | $1,972 | 5.6× |
| MRI chest with contrast (71551) | $1,586 | $2,440 | 2.1× |
| MRI chest wo w contrast (71552) | $1,889.55 | $2,907 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,353.30–$2,706.60 | $2,082–$4,164 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,702.35–$3,404.70 | $2,619–$5,238 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,285.05–$2,570.10 | $1,977–$3,954 | varies |
| MRI lumbar spine w contrast (72149) | $1,631.50 | $2,510 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,864.20 | $2,868 | 5.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,322.10 | $2,034 | 5.7× |
| MRI orbit face neck w contrast (70542) | $1,561.30 | $2,402 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,840.80 | $2,832 | 5.5× |
| MRI pelvis w contrast (72196) | $1,606.80 | $2,472 | 4.8× |
| MRI pelvis w/o & w contrast (72197) | $1,891.50 | $2,910 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,323.40 | $2,036 | 5.8× |
| MRI spectroscopy (76390) | $1,155.05 | $1,777 | 13.8× |
| MRI thoracic spine w/o contrast (72146) | $1,286.35 | $1,979 | 5.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,381.90–$2,763.80 | $2,126–$4,252 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,188.20–$2,376.40 | $1,828–$3,656 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,638.65–$3,277.30 | $2,521–$5,042 | varies |
| MRI, abdomen, combo (74183) | $2,029.30 | $3,122 | 6.0× |
| MRI, dorsal spine combo (72157) | $1,935.70 | $2,978 | 5.8× |
| MRI, dorsal spine contrast (72147) | $1,550.90 | $2,386 | 4.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,264.25–$2,528.50 | $1,945–$3,890 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,508.65–$3,017.30 | $2,321–$4,642 | varies |
| MRI, lumbar spine combo (72158) | $1,842.75 | $2,835 | 5.5× |
| Myelogram cervical (72240) | $921.05 | $1,417 | 1.2× |
| Myelogram Lumbar (72265) | $970.45 | $1,493 | 1.3× |
| Myelography thoracic (72255) | $950.30 | $1,462 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,181.05 | $1,817 | 1.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,463.80 | $2,252 | 3.8× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,463.80 | $2,252 | 2.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,769.30 | $2,722 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $3,253.25 | $5,005 | 2.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,346.20 | $5,148 | 2.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,953.90 | $3,006 | 1.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,461.60 | $6,864 | 2.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $4,384.90 | $6,746 | 2.1× |
| N-invas est c ffr sw aly CTA (75580) | $2,446.60 | $3,764 | 3.0× |
| Neck soft tissue (70360) | $202.80 | $312 | 2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $673.40 | $1,036 | 1.7× |
| Nm csf leak detection (78650) | $1,940.90 | $2,986 | 1.6× |
| Nm myocard infarct spect (78469) | $1,463.80 | $2,252 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $389.35 | $599 | 3.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,989.60 | $19,984 | 9.7× |
| Nuclear Rx Intra-Arterial (79445) | $1,225.90 | $1,886 | 5.4× |
| Nuclear Rx Oral Admin (79005) | $1,519.05 | $2,337 | 6.8× |
| Ob us nuchal meas 1 gest (76813) | $147.55 | $227 | 1.5× |
| Optic foramina (70190) range across 2 matching MRF lines |
$246.35–$492.70 | $379–$758 | varies |
| Panoramic X-ray of jaws (70355) | $170.30 | $262 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,323.10 | $3,574 | 4.4× |
| Parathyroid Planar Imaging (78070) | $1,849.25 | $2,845 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,323.10 | $3,574 | 6.0× |
| Pelvis 1 or 2 views (72170) | $234.65 | $361 | 2.3× |
| Perineogram (74775) | $1,122.55 | $1,727 | 4.9× |
| Peritoneogram Rs&I (74190) | $744.25 | $1,145 | 1.4× |
| Pet Image W/Ct Lmtd (78814) | $4,086.55 | $6,287 | 3.0× |
| PET image w/CT, full body (78816) | $6,000.80 | $9,232 | 4.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,977.05 | $7,657 | 3.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,332.55 | $5,127 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $924.30 | $1,422 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $359.45 | $553 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $596.70 | $918 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$241.15–$482.30 | $371–$742 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$208–$416 | $320–$640 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$240.50–$481 | $370–$740 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $252.20 | $388 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$165.10–$330.20 | $254–$508 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$245.05–$490.10 | $377–$754 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$208–$416 | $320–$640 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$189.15–$378.30 | $291–$582 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$322.40–$644.80 | $496–$992 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $154.70 | $238 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $209.30 | $322 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$287.95–$575.90 | $443–$886 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $144.30 | $222 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $620.10 | $954 | 3.7× |
| Radex Spine 1 View Specify Level (72020) | $204.75 | $315 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $195 | $300 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $242.45 | $373 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$219.05–$438.10 | $337–$674 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$246.35–$492.70 | $379–$758 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$182–$364 | $280–$560 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $333.45 | $513 | 3.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $4,759.30 | $7,322 | 0.7× |
| Radiation treatment delivery level 1 (77402) | $1,210.30 | $1,862 | 12.3× |
| Radiation treatment delivery level 2 (77407) | $1,210.30 | $1,862 | 3.3× |
| Radiation treatment delivery level 3 (77412) | $1,326 | $2,040 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $235.95 | $363 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $263.90 | $406 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $665.60 | $1,024 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $528.45 | $813 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $497.25 | $765 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$263.90–$527.80 | $406–$812 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $300.95 | $463 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $494 | $760 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $300.95 | $463 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $626.60 | $964 | 3.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$124.80–$249.60 | $192–$384 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$152.75–$305.50 | $235–$470 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$204.10–$408.20 | $314–$628 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $282.75 | $435 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$199.55–$399.10 | $307–$614 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,223.95 | $1,883 | 2.3× |
| Renal Cyst Study (74470) | $2,323.75 | $3,575 | 4.4× |
| Ribs bilateral 3 views (71110) | $354.25 | $545 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,823.90 | $2,806 | 4.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,914.90 | $2,946 | 5.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,486.25 | $3,825 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,106.65 | $3,241 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,536.30 | $3,902 | 4.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,923.05 | $4,497 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,055.65 | $4,701 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,789.80 | $4,292 | 2.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,605.20 | $4,008 | 11.6× |
| Rp Therapy Intravenous Administration (79101) | $1,513.85 | $2,329 | 6.7× |
| Salivary Gland Imaging (78230) | $1,760.85 | $2,709 | 4.6× |
| Scapula (73010) range across 2 matching MRF lines |
$223.60–$447.20 | $344–$688 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42.90 | $66 | 1.8× |
| Sella turcica (70240) | $177.45 | $273 | 2.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$192.40–$384.80 | $296–$592 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$529.75–$1,059.50 | $815–$1,630 | varies |
| Sialogram (70390) | $478.40 | $736 | 2.1× |
| Skull less than 4 views (70250) | $233.35 | $359 | 2.3× |
| Special dosimetry (77331) | $702.65 | $1,081 | 5.4× |
| Special Physics Consult (77370) | $2,093.65 | $3,221 | 16.2× |
| Special teletherapy port plan (77321) | $5,023.20 | $7,728 | 13.9× |
| Special treatment procedure (77470) | $2,743 | $4,220 | 5.1× |
| Stereotactic Body Radiation Delivery (77373) | $3,263.65 | $5,021 | 1.9× |
| Sternoclavicular joints (71130) | $230.75 | $355 | 2.7× |
| Superior sagittal sinus venogram (75870) | $2,208.05 | $3,397 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $8,553.35 | $13,159 | 23.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $6,947.20 | $10,688 | 19.2× |
| Testicular Imaging W/Flow (78761) | $588.25 | $905 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,885.05 | $5,977 | 10.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,912.30 | $2,942 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) | $1,049.10 | $1,614 | 8.1× |
| Thoracic spine 2 views (72070) | $216.45 | $333 | 2.1× |
| Thoracic spine 3 views (72072) | $258.70 | $398 | 2.6× |
| Thoracolumbar 2 views (72080) | $204.75 | $315 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $846.95 | $1,303 | 2.2× |
| Thyroid Met Imaging Body (78018) | $1,891.50 | $2,910 | 3.6× |
| Thyroid Uptake Measurement (78012) | $727.35 | $1,119 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,564.55 | $2,407 | 4.1× |
| Tx Devices Design & Construction Complex (77334) | $1,143.35 | $1,759 | 3.2× |
| Tx devices design & construction intermediate (77333) | $1,143.35 | $1,759 | 8.8× |
| Tx devices design & construction simple (77332) | $1,143.35 | $1,759 | 8.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$464.75–$924.30 | $715–$1,422 | varies |
| Ultrasound Elastography Parenchyma (76981) | $313.95 | $483 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $150.15 | $231 | 1.5× |
| Ultrasound, abdomen limited (76705) | $354.90 | $546 | 3.5× |
| Umbilical-artery Doppler (OB) (76820) | $157.95 | $243 | 1.6× |
| Unlisted fluoroscopic procedure (76496) | $267.80 | $412 | 3.2× |
| Unlisted magnetic resonance procedure (76498) | $373.10 | $574 | 4.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,054.95 | $1,623 | 10.7× |
| Unlisted us procedure (76999) | $354.90 | $546 | 4.2× |
| Upper gi w/o kub (74240) | $534.95 | $823 | 3.2× |
| Ureteral Reflux Study (78740) | $2,340 | $3,600 | 6.1× |
| Urethrocystogram voiding (74455) | $661.05 | $1,017 | 2.9× |
| Urethrocystography retrograde (74450) | $614.25 | $945 | 2.7× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$146.25–$1,220.70 | $225–$1,878 | varies |
| Us chest (76604) | $247.65 | $381 | 2.5× |
| Us complete joint (76881) | $433.55 | $667 | 4.3× |
| Us exam, pelvic, limited (76857) | $183.30 | $282 | 1.8× |
| Us head (76506) | $225.55 | $347 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $278.85 | $429 | 2.8× |
| Us ob detailed single fetus (76811) | $446.55 | $687 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $137.15 | $211 | 1.4× |
| Us ob transvaginal (76817) | $284.70 | $438 | 2.8× |
| Us pelvic non ob complete (76856) | $225.55 | $347 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $300.95 | $463 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $212.55 | $327 | 2.1× |
| Us retroperitoneal complete (76770) | $438.75 | $675 | 4.4× |
| Us retroperitoneal limited (76775) | $321.10 | $494 | 3.2× |
| Us scrotum and contents (76870) | $399.75 | $615 | 4.0× |
| Us spinal canal and contents (76800) | $536.90 | $826 | 5.3× |
| Us thyroid (76536) | $478.40 | $736 | 4.7× |
| Us transrectal (76872) | $421.20 | $648 | 4.2× |
| Vascular Flow Imaging (78445) | $666.90 | $1,026 | 1.7× |
| Vein X-Ray Chest (75827) | $1,448.85 | $2,229 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,332.55 | $5,127 | 1.1× |
| Vein X-Ray Skull Epidural (75872) | $3,087.50 | $4,750 | 5.1× |
| Vein X-Ray Spleen/Liver (75810) | $4,351.10 | $6,694 | 1.4× |
| Venogram Sinus/Jugular (75860) | $3,332.55 | $5,127 | 1.1× |
| Venography Adrenal Unilateral (75840) | $3,332.55 | $5,127 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,332.55 | $5,127 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,331.20 | $2,048 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $758.55 | $1,167 | 0.5× |
| Venography Renal Bilateral (75833) | $3,687.45 | $5,673 | 1.2× |
| Venography Renal Unilateral (75831) | $3,332.55 | $5,127 | 1.1× |
| Venous sampling by catheter (75893) | $5,526.30 | $8,502 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,564.55 | $2,407 | 4.1× |
| Vertebral fracture assessment via dxa (77086) | $116.35 | $179 | 1.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$147.55–$295.10 | $227–$454 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $215.15 | $331 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $510.25 | $785 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $3,522.35 | $5,419 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $206.70 | $318 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$204.75–$409.50 | $315–$630 | varies |
| X-Ray Exam Breast Specimen (76098) | $628.55 | $967 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $130 | $200 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $237.25 | $365 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $283.40 | $436 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $207.35 | $319 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $235.30 | $362 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $263.90 | $406 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $215.15 | $331 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $315.25 | $485 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $354.90 | $546 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $366.60 | $564 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $235.95 | $363 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $360.75 | $555 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $328.25 | $505 | 3.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$178.75–$357.50 | $275–$550 | varies |
| X-ray humerus (73060) | $217.75 | $335 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $733.85 | $1,129 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $138.45 | $213 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $209.30 | $322 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $206.70 | $318 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $618.80 | $952 | 7.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $419.25 | $645 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $235.30 | $362 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $173.55 | $267 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $223.60 | $344 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $258.70 | $398 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $337.35 | $519 | 3.3× |
| X-Ray Stress View (77071) | $156.65 | $241 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $321.10 | $494 | 3.2× |
| X-Ray Tmj Unilat (70328) | $147.55 | $227 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $831.35 | $1,279 | 2.5× |
| X-Rays Bone Length Studies (77073) | $223.60 | $344 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $515.45 | $793 | 5.1× |
| Xr c-spine 4 or 5 views (72050) | $299.65 | $461 | 3.0× |
| Xr facial bones less than 3 views (70140) | $133.90 | $206 | 1.6× |
| Xr orbits complete 4 views (70200) | $278.20 | $428 | 2.8× |
| Xr Tomogram Single Plane (76100) | $492.05 | $757 | 4.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.