Imaging prices at Roper St. Francis Mount Pleasant Hospital
Mount Pleasant, SC · every code in this section with a posted price and a Medicare benchmark.
332 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $438.10 | $674 | 5.4× |
| Abdomen 2 views (74019) | $578.50 | $890 | 5.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,368.90 | $2,106 | 3.7× |
| Angio internal mammary (75756) | $4,325.10 | $6,654 | 1.5× |
| Angio pulmonary bilat (75743) | $4,687.15 | $7,211 | 1.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,905.80 | $2,932 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $3,963.70 | $6,098 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $2,345.20 | $3,608 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,009.80 | $3,092 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,089.10 | $3,214 | 0.7× |
| Ankle 2 views (73600) | $297.70 | $458 | 3.7× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,529.80 | $3,892 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,468.75 | $6,875 | 1.5× |
| Artery X-Rays Abdomen (75726) | $5,861.05 | $9,017 | 1.1× |
| Artery X-Rays Adrenal Gland (75731) | $2,042.30 | $3,142 | 0.7× |
| Artery X-Rays Pelvis (75736) | $4,402.45 | $6,773 | 0.9× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,124.85 | $3,269 | 0.4× |
| Arthrogram ankle (73615) | $658.45 | $1,013 | 2.0× |
| Arthrogram hip (73525) | $658.45 | $1,013 | 2.0× |
| Arthrogram Wrist (73115) | $390.65 | $601 | 1.2× |
| Bone age studies (77072) | $163.80 | $252 | 1.7× |
| Bone Imaging 3 Phase (78315) | $2,290.60 | $3,524 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,233.70 | $1,898 | 3.3× |
| Bone Imaging Multiple Areas (78305) | $1,472.25 | $2,265 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,828.45 | $2,813 | 4.9× |
| Bone marrow imaging limited area (78102) | $876.20 | $1,348 | 2.4× |
| Bone survey infant (77076) | $307.45 | $473 | 3.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,867.45 | $2,873 | 3.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,020.55 | $4,647 | 9.3× |
| Cat Scan Follow-Up Study (76380) | $1,799.85 | $2,769 | 22.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,320.15 | $2,031 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $2,084.55 | $3,207 | 4.1× |
| Chest 1 view (71045) | $175.50 | $270 | 2.2× |
| Chest 2 views (71046) | $466.70 | $718 | 5.8× |
| Chest 3 views (71047) | $537.55 | $827 | 6.6× |
| Chest 4 or more views (71048) | $692.90 | $1,066 | 7.1× |
| Clavicle complete (73000) | $681.85 | $1,049 | 8.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $343.85 | $529 | 3.5× |
| Contrast Exam Abdominl Aorta (75625) | $1,936.35 | $2,979 | 0.7× |
| Contrast X-Ray Bladder (74430) | $585 | $900 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $2,409.55 | $3,707 | 7.4× |
| Contrast X-Ray Of Knee Joint (73580) | $432.90 | $666 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,442.05 | $3,757 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $3,185.65 | $4,901 | 14.4× |
| CT abdomen w contrast (74160) | $1,282.45 | $1,973 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,282.45 | $1,973 | 7.9× |
| CT abdomen w/o contrast (74150) | $1,282.45 | $1,973 | 13.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,794 | $2,760 | 5.5× |
| CT Angio Chest (71275) | $2,172.95 | $3,343 | 13.3× |
| CT Angio Head (70496) | $2,069.60 | $3,184 | 12.7× |
| CT angio hrt w/3d image (75574) | $1,552.20 | $2,388 | 4.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,282.45 | $1,973 | 7.9× |
| CT Angio Neck (70498) | $1,709.50 | $2,630 | 10.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,709.50 | $2,630 | 10.5× |
| CT cervical spine w/ contrast (72126) | $1,282.45 | $1,973 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,282.45 | $1,973 | 13.2× |
| CT cervical spine w/wo cont (72127) | $1,709.50 | $2,630 | 10.5× |
| CT chest w contrast (71260) | $1,282.45 | $1,973 | 7.9× |
| CT chest w/wo contrast (71270) | $1,709.50 | $2,630 | 10.5× |
| CT colonography screening (74263) | $1,799.85 | $2,769 | 8.1× |
| CT head/brain with contrast (70460) | $1,709.50 | $2,630 | 10.5× |
| CT head/brain without and with contrast (70470) | $1,282.45 | $1,973 | 7.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,552.20 | $2,388 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$175–$362 | $175–$362 | varies |
| CT iac w contrast (70481) | $1,282.45 | $1,973 | 7.9× |
| CT l-spine w&w/o contrast (72133) | $1,709.50 | $2,630 | 10.5× |
| CT lower ext w/o (73700) | $1,350.05 | $2,077 | 13.9× |
| CT lower extremity w/contrast material (73701) | $1,799.85 | $2,769 | 11.0× |
| CT lumbar spine w contrast (72132) | $1,282.45 | $1,973 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,282.45 | $1,973 | 13.2× |
| CT maxillofacial w contrast (70487) | $1,709.50 | $2,630 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,282.45 | $1,973 | 13.2× |
| CT neck tissue combo (70492) | $1,552.20 | $2,388 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,709.50 | $2,630 | 10.5× |
| CT orbits w/o contrast (70480) | $1,282.45 | $1,973 | 13.2× |
| CT pelvis w&w/o contrast (72194) | $1,709.50 | $2,630 | 10.5× |
| CT pelvis w/o contrast (72192) | $1,282.45 | $1,973 | 13.2× |
| CT scan of leg combo (73702) | $1,799.85 | $2,769 | 11.0× |
| CT scans face/jaw combo (70488) | $1,709.50 | $2,630 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,552.20 | $2,388 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $1,552.20 | $2,388 | 16.0× |
| CT thoracic spine w contrast (72129) | $1,709.50 | $2,630 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,709.50 | $2,630 | 17.6× |
| CT thoracic spine w/wo cont (72130) | $1,709.50 | $2,630 | 10.5× |
| CT thorax w/o contrast (71250) | $1,282.45 | $1,973 | 13.2× |
| CT upper ext wo (73200) | $1,282.45 | $1,973 | 13.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,709.50 | $2,630 | 10.5× |
| CT upper extremity with contrast (73201) | $2,906.80 | $4,472 | 9.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,282.45 | $1,973 | 7.9× |
| Cta Abdomen (74175) | $3,043.95 | $4,683 | 18.7× |
| CTA pelvis (72191) | $2,069.60 | $3,184 | 12.7× |
| Dilation ureters/urethra rs&i (74485) | $1,084.20 | $1,668 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $2,280.85 | $3,509 | 1.3× |
| Diskography lumbar (72295) | $2,167.10 | $3,334 | 1.2× |
| Dxa Bone Density Axial (77080) | $351.65 | $541 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $421.85 | $649 | 5.2× |
| Echo exam uterus (76831) | $623.35 | $959 | 2.8× |
| Echo Guide For Artery Repair (76936) | $2,087.15 | $3,211 | 10.4× |
| Esophagram (74220) | $609.05 | $937 | 3.7× |
| Fetal Biophys Profile W/Nst (76818) | $664.30 | $1,022 | 6.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $587.60 | $904 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $464.10 | $714 | 2.1× |
| Follow-Up Angiography (75898) | $4,468.75 | $6,875 | 1.5× |
| Foot 2 views (73620) | $393.90 | $606 | 4.9× |
| Forearm 2 views (73090) | $367.25 | $565 | 4.5× |
| Gastric emptying imaging study (78264) | $1,817.40 | $2,796 | 4.9× |
| Gated Heart Planar Single (78472) | $1,250.60 | $1,924 | 3.4× |
| GI Endoscopic US S&I (76975) | $174.85 | $269 | 0.8× |
| Hand 2 views (73120) | $226.20 | $348 | 2.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,781.05 | $5,817 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,554.20 | $5,468 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,874.95 | $4,423 | 5.7× |
| Hepatobiliary System Imaging (78226) | $2,237.30 | $3,442 | 6.0× |
| Ht Muscle Image Spect Sing (78451) | $2,538.25 | $3,905 | 2.1× |
| Hysterosalpingogram (74740) | $445.90 | $686 | 2.0× |
| Joint Survey Single View (77077) | $525.85 | $809 | 5.4× |
| K Flow/Funct Image Multiple (78709) | $2,502.50 | $3,850 | 5.0× |
| K Flow/Funct Image W/Drug (78708) | $1,801.15 | $2,771 | 3.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,350.70 | $2,078 | 2.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,566.50 | $2,410 | 4.2× |
| Knee 3 Views (73562) | $243.10 | $374 | 3.0× |
| Leveen/Shunt Patency Exam (78291) | $1,432.60 | $2,204 | 3.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,426.75 | $2,195 | 3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $287.30 | $442 | 0.8× |
| Liver imaging w/vascular flow (78202) | $1,716.65 | $2,641 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) | $3,016.65 | $4,641 | 6.0× |
| Lung perfusion differential (78597) | $1,899.95 | $2,923 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $3,298.75 | $5,075 | 6.5× |
| Lung Ventilation Imaging (78579) | $2,093.65 | $3,221 | 5.6× |
| Lymph System Imaging (78195) | $1,594.45 | $2,453 | 3.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,657.50 | $2,550 | 1.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $4,468.75 | $6,875 | 7.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,861.60 | $2,864 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $2,837.25 | $4,365 | 12.8× |
| Mammary ductogram or galactogram multiple (77054) | $2,409.55 | $3,707 | 10.9× |
| Mammary ductogram or galactogram single (77053) | $763.75 | $1,175 | 3.4× |
| Meckels Divert Exam (78290) | $2,126.80 | $3,272 | 5.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $50.05 | $77 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $187.85 | $289 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,116.10 | $4,794 | 9.6× |
| MRA head w/o contrast (70544) | $2,085.85 | $3,209 | 9.4× |
| MRA head with contrast (70545) | $2,780.70 | $4,278 | 8.6× |
| MRA neck w contrast (70548) | $2,361.45 | $3,633 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,205.80 | $4,932 | 9.9× |
| MRA neck w/o contrast (70547) | $3,148.60 | $4,844 | 14.2× |
| MRI abdomen w contrast (74182) | $3,262.35 | $5,019 | 10.1× |
| MRI abdomen w/o contrast (74181) | $2,446.60 | $3,764 | 11.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,262.35 | $5,019 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,743 | $4,220 | 8.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,446.60 | $3,764 | 3.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,262.35 | $5,019 | 14.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $492.05 | $757 | 2.2× |
| MRI cardiac w/o contrast (75557) | $2,694.90 | $4,146 | 12.1× |
| MRI cervical spine w contrast (72142) | $2,723.50 | $4,190 | 8.4× |
| MRI cervical spine w/o cont (72141) | $2,042.95 | $3,143 | 9.2× |
| MRI chest w/o contrast (71550) | $2,723.50 | $4,190 | 12.3× |
| MRI chest with contrast (71551) | $2,723.50 | $4,190 | 3.7× |
| MRI chest wo w contrast (71552) | $3,052.40 | $4,696 | 9.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,262.35 | $5,019 | 10.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,743 | $4,220 | 8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,446.60 | $3,764 | 11.0× |
| MRI lumbar spine w contrast (72149) | $2,694.90 | $4,146 | 8.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,265.90 | $3,486 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,893.15 | $4,451 | 13.0× |
| MRI orbit face neck w contrast (70542) | $2,893.15 | $4,451 | 8.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,276 | $5,040 | 10.1× |
| MRI pelvis w contrast (72196) | $3,006.90 | $4,626 | 9.3× |
| MRI pelvis w/o & w contrast (72197) | $3,371.55 | $5,187 | 10.4× |
| MRI pelvis w/o contrast (72195) | $3,006.90 | $4,626 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $3,396.25 | $5,225 | 15.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,234.40 | $4,976 | 10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,234.40 | $4,976 | 14.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,625.70 | $5,578 | 11.2× |
| MRI, abdomen, combo (74183) | $2,743 | $4,220 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,265.90 | $3,486 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,694.90 | $4,146 | 8.3× |
| MRI, joint upper extrem (73221) | $2,446.60 | $3,764 | 11.0× |
| MRI, joint upper extrem combo (73223) | $2,743 | $4,220 | 8.5× |
| MRI, lumbar spine combo (72158) | $2,265.90 | $3,486 | 7.0× |
| Myelogram cervical (72240) | $2,409.55 | $3,707 | 3.3× |
| Myelogram Lumbar (72265) | $2,409.55 | $3,707 | 3.3× |
| Myelography thoracic (72255) | $2,409.55 | $3,707 | 3.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,409.55 | $3,707 | 3.3× |
| Myocardial Spect Multiple Studies (78452) | $3,173.95 | $4,883 | 2.6× |
| N-invas est c ffr sw aly CTA (75580) | $3,690.70 | $5,678 | 4.6× |
| Neck soft tissue (70360) | $477.10 | $734 | 5.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $219.70 | $338 | 0.6× |
| Nm myocard infarct spect (78469) | $1,875.90 | $2,886 | 3.7× |
| Nonvascular Shunt X-Ray (75809) | $2,409.55 | $3,707 | 24.8× |
| Nuclear Rx Oral Admin (79005) | $853.45 | $1,313 | 3.9× |
| Ob us nuchal meas 1 gest (76813) | $523.90 | $806 | 5.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $487.50 | $750 | 5.0× |
| Panoramic X-ray of jaws (70355) | $500.50 | $770 | 6.2× |
| Parathyroid Planar Imaging (78070) | $2,527.20 | $3,888 | 6.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $5,335.20 | $8,208 | 14.3× |
| Pelvis 1 or 2 views (72170) | $273 | $420 | 2.8× |
| Peritoneogram Rs&I (74190) | $590.20 | $908 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,634.50 | $7,130 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,343.55 | $2,067 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $390 | $600 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $362.70 | $558 | 4.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $244.40 | $376 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $429 | $660 | 5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $358.80 | $552 | 3.7× |
| Radex fingr minimum 2 views (73140) | $258.05 | $397 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $442 | $680 | 5.5× |
| Radex Hand Minimum 3 Views (73130) | $404.95 | $623 | 5.0× |
| Radex lower extremity infant minimum 2 views (73592) | $178.10 | $274 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $450.45 | $693 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $323.05 | $497 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) | $276.25 | $425 | 3.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $281.45 | $433 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $151.45 | $233 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $434.20 | $668 | 5.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $586.30 | $902 | 7.2× |
| Radex Toe Minimum 2 Views (73660) | $269.10 | $414 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $179.40 | $276 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $365.30 | $562 | 4.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $969.80 | $1,492 | 10.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $612.30 | $942 | 6.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $537.55 | $827 | 5.5× |
| Radiologic exam colon double contrast study (74280) | $1,179.75 | $1,815 | 7.2× |
| Radiologic exam colon single contrast study (74270) | $910.65 | $1,401 | 5.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $700.05 | $1,077 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $400.40 | $616 | 4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $333.45 | $513 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,106.30 | $1,702 | 6.8× |
| Radiologic exam swallow function contrast study (74230) | $557.05 | $857 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $917.80 | $1,412 | 5.6× |
| Radiologic examination femur 1 view (73551) | $173.55 | $267 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $327.60 | $504 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $275.60 | $424 | 3.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $83.20 | $128 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $398.45 | $613 | 4.9× |
| Renal Cyst Study (74470) | $4,468.75 | $6,875 | 8.8× |
| Ribs bilateral 3 views (71110) | $475.80 | $732 | 4.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,099.15 | $1,691 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,742.65 | $2,681 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,289 | $5,060 | 6.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,742.65 | $2,681 | 3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,268.20 | $5,028 | 6.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,742.65 | $2,681 | 1.4× |
| Scapula (73010) | $369.85 | $569 | 3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $71.50 | $110 | 3.1× |
| Shoulder 1 view (73020) | $154.70 | $238 | 1.9× |
| Shoulder Arthrography (73040) | $774.15 | $1,191 | 2.4× |
| Skull less than 4 views (70250) | $176.80 | $272 | 1.8× |
| Sternoclavicular joints (71130) | $507.65 | $781 | 6.3× |
| Thoracic spine 2 views (72070) | $151.45 | $233 | 1.6× |
| Thoracic spine 3 views (72072) | $387.40 | $596 | 4.0× |
| Thoracolumbar 2 views (72080) | $185.90 | $286 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,200.55 | $1,847 | 3.2× |
| Thyroid Met Imaging Body (78018) | $1,424.80 | $2,192 | 2.8× |
| Thyroid Uptake Measurement (78012) | $897 | $1,380 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,045.25 | $4,685 | 8.2× |
| Ultrasound Breast Limited (76642) | $793.65 | $1,221 | 9.8× |
| Ultrasound Exam Aaa Screen (76706) | $572.65 | $881 | 5.9× |
| Ultrasound, abdomen limited (76705) | $868.40 | $1,336 | 8.9× |
| Umbilical-artery Doppler (OB) (76820) | $394.55 | $607 | 4.1× |
| Unlisted fluoroscopic procedure (76496) | $62.40 | $96 | 0.8× |
| Unlisted us procedure (76999) | $179.40 | $276 | 2.2× |
| Upper gi w/o kub (74240) | $1,205.75 | $1,855 | 7.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $754 | $1,160 | 68.2× |
| Ureteral Reflux Study (78740) | $611 | $940 | 1.6× |
| Urethrocystogram voiding (74455) | $617.50 | $950 | 2.8× |
| Urethrocystography retrograde (74450) | $592.15 | $911 | 2.7× |
| Us breast unilateral complete (76641) | $703.30 | $1,082 | 7.2× |
| Us chest (76604) | $889.85 | $1,369 | 9.2× |
| Us complete joint (76881) | $263.25 | $405 | 2.7× |
| Us exam, pelvic, limited (76857) | $793 | $1,220 | 8.2× |
| Us head (76506) | $543.40 | $836 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $797.55 | $1,227 | 8.2× |
| Us ob detailed single fetus (76811) | $887.90 | $1,366 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $483.60 | $744 | 5.0× |
| Us ob transvaginal (76817) | $820.95 | $1,263 | 8.4× |
| Us pelvic non ob complete (76856) | $797.55 | $1,227 | 8.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $837.20 | $1,288 | 8.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $824.85 | $1,269 | 8.5× |
| Us retroperitoneal complete (76770) | $1,146.60 | $1,764 | 11.8× |
| Us retroperitoneal limited (76775) | $626.60 | $964 | 6.4× |
| Us scrotum and contents (76870) | $1,134.25 | $1,745 | 11.7× |
| Us spinal canal and contents (76800) | $450.45 | $693 | 4.6× |
| Us thyroid (76536) | $1,085.50 | $1,670 | 11.2× |
| Us transrectal (76872) | $631.15 | $971 | 6.5× |
| Vein X-Ray Chest (75827) | $1,953.90 | $3,006 | 1.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,634.50 | $7,130 | 1.6× |
| Vein X-Ray Spleen/Liver (75810) | $4,468.75 | $6,875 | 1.5× |
| Venogram Sinus/Jugular (75860) | $4,634.50 | $7,130 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $1,953.90 | $3,006 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $834.60 | $1,284 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $661.05 | $1,017 | 0.5× |
| Venography Renal Bilateral (75833) | $2,057.25 | $3,165 | 0.7× |
| Venography Renal Unilateral (75831) | $2,057.25 | $3,165 | 0.7× |
| Venous sampling by catheter (75893) | $4,634.50 | $7,130 | 0.9× |
| Wrist 2 views (73100) | $186.55 | $287 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $438.75 | $675 | 5.4× |
| X-ray antegrade pyelogram tube (74425) | $965.25 | $1,485 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,303.65 | $6,621 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $408.20 | $628 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $322.40 | $496 | 4.0× |
| X-Ray Exam Breast Specimen (76098) | $367.90 | $566 | 0.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $299 | $460 | 3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $239.20 | $368 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $83.20 | $128 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $439.40 | $676 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $554.45 | $853 | 5.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $83.20 | $128 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) | $923 | $1,420 | 9.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $344.50 | $530 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $752.05 | $1,157 | 7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $354.90 | $546 | 3.6× |
| X-ray eye for foreign body (70030) | $778.05 | $1,197 | 9.6× |
| X-ray humerus (73060) | $250.90 | $386 | 3.1× |
| X-ray IV pyelogram (ivp) (74400) | $604.50 | $930 | 3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $493.35 | $759 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $389.35 | $599 | 4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $306.15 | $471 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $62.40 | $96 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $510.90 | $786 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $609.70 | $938 | 6.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $83.20 | $128 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $432.25 | $665 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $431.60 | $664 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $647.40 | $996 | 6.7× |
| X-ray thoracic spine 4 vw (72074) | $516.75 | $795 | 5.3× |
| X-Ray Tmj Unilat (70328) | $62.40 | $96 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $772.20 | $1,188 | 2.4× |
| X-Rays Bone Length Studies (77073) | $521.30 | $802 | 5.4× |
| X-Rays Bone Survey Complete (77075) | $960.05 | $1,477 | 9.9× |
| Xr c-spine 4 or 5 views (72050) | $479.05 | $737 | 4.9× |
| Xr facial bones less than 3 views (70140) | $289.90 | $446 | 3.6× |
| Xr orbits complete 4 views (70200) | $792.35 | $1,219 | 8.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.