Imaging prices at Roswell Park Comprehensive Cancer Center
Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.
323 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 3 matching MRF lines |
$7,110.81–$8,231.64 | $7,110.81–$8,231.64 | varies |
| Abdomen 1 View (74018) | $322.32 | $322.32 | 3.0× |
| Abdomen 2 views (74019) | $325.27 | $325.27 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,141.41 | $1,141.41 | 2.3× |
| Angio pulmonary bilat (75743) | $4,088.70 | $4,088.70 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $9,156.57 | $9,156.57 | 2.3× |
| Angiography extremity unilateral rs&i (75710) | $4,509.30 | $4,509.30 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,156.57 | $9,156.57 | 2.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,198.69 | $3,198.69 | 0.8× |
| Ankle 2 views (73600) | $233.11 | $233.11 | 2.1× |
| Aortography thoracic serialography rs&i (75605) | $4,088.70 | $4,088.70 | 0.6× |
| Artery X-Rays Abdomen (75726) | $9,156.57 | $9,156.57 | 1.3× |
| Artery X-Rays Pelvis (75736) | $4,047.84 | $4,047.84 | 0.6× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$682.59–$790.18 | $682.59–$790.18 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,055.16–$1,163.31 | $1,055.16–$1,163.31 | varies |
| Bone Imaging Multiple Areas (78305) | $1,621.69 | $1,621.69 | 3.2× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,827.87–$1,948.17 | $1,827.87–$1,948.17 | varies |
| Bone marrow imaging limited area (78102) | $1,174.10 | $1,174.10 | 2.4× |
| Bone marrow imaging; multiple areas (78103) | $1,174.10 | $1,174.10 | 2.4× |
| Brachytx isodose complex (77318) | $1,036.31 | $1,036.31 | 2.2× |
| Brachytx isodose intermed (77317) | $2,538.45 | $2,538.45 | 5.4× |
| Brachytx Isodose Plan Simple (77316) | $2,538.45 | $2,538.45 | 5.4× |
| Brain Flow Imaging Only (78610) | $1,098.01 | $1,098.01 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,172.49 | $1,172.49 | 1.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,122.94 | $1,122.94 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $767.88 | $767.88 | 7.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,414.11 | $1,414.11 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,398.77 | $1,398.77 | 2.1× |
| Chest 1 view (71045) | $293.69 | $293.69 | 2.7× |
| Chest 2 views (71046) | $354.25 | $354.25 | 3.3× |
| Chest 3 views (71047) | $209.29 | $209.29 | 1.9× |
| Chest 4 or more views (71048) | $205.53 | $205.53 | 1.6× |
| Cisternography Positive Contrast Rs&I (70015) | $2,226.64 | $2,226.64 | 2.3× |
| Clavicle complete (73000) | $219.78 | $219.78 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$752.33–$829.44 | $752.33–$829.44 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$719.32–$832.70 | $719.32–$832.70 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,246.78 | $4,246.78 | 1.1× |
| Contrast X-Ray Bladder (74430) | $706 | $706 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $782.13 | $782.13 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,021.13 | $5,021.13 | 11.5× |
| CT abdomen and pelvis without contrast (74176) | $3,614.24 | $3,614.24 | 12.1× |
| CT abdomen w contrast (74160) | $1,819.86 | $1,819.86 | 8.3× |
| CT abdomen w wo contrast (74170) | $2,878.21 | $2,878.21 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,830.32 | $1,830.32 | 14.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,793.37 | $1,793.37 | 4.1× |
| CT Angio Chest (71275) | $1,812.12 | $1,812.12 | 8.3× |
| CT Angio Head (70496) | $1,637.38 | $1,637.38 | 7.5× |
| CT angio hrt w/3d image (75574) | $1,551.80 | $1,551.80 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,538.27 | $1,538.27 | 7.0× |
| CT Angio Neck (70498) | $1,890.68 | $1,890.68 | 8.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,648.52 | $1,648.52 | 7.5× |
| CT cervical spine w/ contrast (72126) | $1,442.09 | $1,442.09 | 3.3× |
| CT cervical spine w/o contrast (72125) | $2,028.11 | $2,028.11 | 15.5× |
| CT cervical spine w/wo cont (72127) | $1,458.27 | $1,458.27 | 6.7× |
| CT chest w contrast (71260) | $1,826.30 | $1,826.30 | 8.3× |
| CT chest w/wo contrast (71270) | $2,369.25 | $2,369.25 | 10.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,973.45 | $2,973.45 | 13.6× |
| CT head/brain with contrast (70460) | $2,254.25 | $2,254.25 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,873.06 | $2,873.06 | 13.1× |
| CT iac w contrast (70481) | $1,879.82 | $1,879.82 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $1,679.49 | $1,679.49 | 7.7× |
| CT lower ext w/o (73700) | $901.78 | $901.78 | 6.9× |
| CT lower extremity w/contrast material (73701) | $2,026.09 | $2,026.09 | 9.3× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,442.10–$1,514.21 | $1,442.10–$1,514.21 | varies |
| CT lumbar spine w/o contrast (72131) | $1,023.75 | $1,023.75 | 7.8× |
| CT maxillofacial w contrast (70487) | $2,005.54 | $2,005.54 | 9.2× |
| CT maxillofacial wo contrast (70486) | $2,118.70 | $2,118.70 | 16.2× |
| CT neck tissue combo (70492) | $2,360.11 | $2,360.11 | 10.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,579.32 | $1,579.32 | 7.2× |
| CT orbits w/o contrast (70480) | $1,320.93 | $1,320.93 | 10.1× |
| CT pelvis w&w/o contrast (72194) | $2,142.90 | $2,142.90 | 9.8× |
| CT pelvis w/o contrast (72192) | $1,783.90 | $1,783.90 | 13.7× |
| CT scan of leg combo (73702) | $1,597.44 | $1,597.44 | 7.3× |
| CT scans face/jaw combo (70488) | $1,579.32 | $1,579.32 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,912.32 | $1,912.32 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $2,421.07 | $2,421.07 | 18.6× |
| CT thoracic spine w contrast (72129) | $1,442.09 | $1,442.09 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,204.37 | $1,204.37 | 9.2× |
| CT thoracic spine w/wo cont (72130) | $1,679.33 | $1,679.33 | 7.7× |
| CT thorax w/o contrast (71250) | $1,935.35 | $1,935.35 | 14.8× |
| CT unlisted procedure (76497) | $5,549.60 | $5,549.60 | 51.1× |
| CT upper ext wo (73200) | $1,036.15 | $1,036.15 | 7.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,597.44 | $1,597.44 | 7.3× |
| CT upper extremity with contrast (73201) | $1,492.06 | $1,492.06 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,366.96 | $1,366.96 | 6.2× |
| Cta Abdomen (74175) | $1,751.25 | $1,751.25 | 8.0× |
| CTA pelvis (72191) | $1,486.70 | $1,486.70 | 6.8× |
| Discography Cerv/Thor Spine (72285) | $2,714.64 | $2,714.64 | 1.1× |
| Diskography lumbar (72295) | $2,714.64 | $2,714.64 | 1.1× |
| Dxa Bone Density Axial (77080) | $590.07 | $590.07 | 4.5× |
| Echograp Trans R Pros Study (76873) | $457.51 | $457.51 | 3.5× |
| Esophagram (74220) | $523.31 | $523.31 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $625.57 | $625.57 | 2.1× |
| Follow-Up Angiography (75898) | $1,006.34 | $1,006.34 | 0.3× |
| Foot 2 views (73620) | $211.38 | $211.38 | 1.9× |
| Forearm 2 views (73090) | $203.53 | $203.53 | 1.9× |
| Gastric emptying imaging study (78264) | $1,581.52 | $1,581.52 | 3.2× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,154.28 | $1,154.28 | 2.3× |
| Gated Heart Planar Single (78472) | $2,034.47 | $2,034.47 | 4.1× |
| Hand 2 views (73120) | $213.69 | $213.69 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,261.12 | $3,261.12 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,261.12 | $3,261.12 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,261.12 | $3,261.12 | 3.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,658.15 | $4,658.15 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,321.20 | $2,321.20 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,068.32 | $1,068.32 | 1.6× |
| Hepatobiliary System Imaging (78226) | $1,301.33 | $1,301.33 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,841.54 | $1,841.54 | 1.1× |
| Interstitial radiation source applic complex (77778) | $9,117.35 | $9,117.35 | 10.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $9,230.59 | $9,230.59 | 10.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $10,815.62 | $10,815.62 | 15.7× |
| Intracavitary radiation source applic simple (77761) | $7,397.48 | $7,397.48 | 10.7× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,467.96–$1,541.36 | $1,467.96–$1,541.36 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,318.84 | $1,318.84 | 1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $672.55 | $672.55 | 1.3× |
| Knee 3 Views (73562) | $213.69 | $213.69 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,144.72 | $1,144.72 | 2.3× |
| Liver imaging static only (78201) | $1,098.01 | $1,098.01 | 1.6× |
| Liver imaging w/vascular flow (78202) | $1,288.32 | $1,288.32 | 1.9× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,298.88–$1,380.26 | $1,298.88–$1,380.26 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $462.93 | $462.93 | 0.7× |
| Lymph System Imaging (78195) | $1,230.35 | $1,230.35 | 1.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,655.54 | $1,655.54 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,655.54 | $1,655.54 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $1,724.95 | $1,724.95 | 5.8× |
| Mammary ductogram or galactogram multiple (77054) | $542.46 | $542.46 | 1.8× |
| Mammary ductogram or galactogram single (77053) | $934.70 | $934.70 | 3.1× |
| Meckels Divert Exam (78290) | $1,230.98 | $1,230.98 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $10,697.49 | $10,697.49 | 22.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,727.11 | $3,727.11 | 8.6× |
| MRA head w/o contrast (70544) | $2,280.02 | $2,280.02 | 7.7× |
| MRA neck w contrast (70548) | $2,311.01 | $2,311.01 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,874.36 | $3,874.36 | 8.9× |
| MRA neck w/o contrast (70547) | $1,895.72 | $1,895.72 | 6.4× |
| MRI abdomen w contrast (74182) | $2,313.19 | $2,313.19 | 5.3× |
| MRI abdomen w/o contrast (74181) | $4,683.27 | $4,683.27 | 15.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,307.66 | $2,307.66 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,718.08 | $4,718.08 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,307.66 | $2,307.66 | 2.4× |
| MRI bone marrow blood supply (77084) | $2,162.41 | $2,162.41 | 7.3× |
| MRI brain functional w/o physician admnistration (70554) | $1,499.58 | $1,499.58 | 5.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,043.53 | $5,043.53 | 16.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,690.76 | $4,690.76 | 15.7× |
| MRI cervical spine w contrast (72142) | $2,125.77 | $2,125.77 | 4.9× |
| MRI cervical spine w/o cont (72141) | $4,327.16 | $4,327.16 | 14.5× |
| MRI chest w/o contrast (71550) | $4,898.46 | $4,898.46 | 16.4× |
| MRI chest with contrast (71551) | $2,290.14 | $2,290.14 | 2.3× |
| MRI chest wo w contrast (71552) | $5,569.36 | $5,569.36 | 12.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,284.63 | $2,284.63 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,190.80 | $4,190.80 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,172.48 | $2,172.48 | 7.3× |
| MRI lumbar spine w contrast (72149) | $3,035.10 | $3,035.10 | 7.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,473.08 | $4,473.08 | 10.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,967.68 | $2,967.68 | 10.0× |
| MRI orbit face neck w contrast (70542) | $2,359.94 | $2,359.94 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,068.05 | $4,068.05 | 9.3× |
| MRI pelvis w contrast (72196) | $4,120.96 | $4,120.96 | 9.5× |
| MRI pelvis w/o & w contrast (72197) | $4,728.13 | $4,728.13 | 10.9× |
| MRI pelvis w/o contrast (72195) | $2,463.25 | $2,463.25 | 8.3× |
| MRI spectroscopy (76390) | $4,116.22 | $4,116.22 | 37.9× |
| MRI thoracic spine w/o contrast (72146) | $4,673.07 | $4,673.07 | 15.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,307.66 | $2,307.66 | 5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,577.18 | $2,577.18 | 8.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,157.53 | $4,157.53 | 9.5× |
| MRI, abdomen, combo (74183) | $5,024.51 | $5,024.51 | 11.5× |
| MRI, dorsal spine combo (72157) | $5,206.23 | $5,206.23 | 12.0× |
| MRI, dorsal spine contrast (72147) | $1,900.72 | $1,900.72 | 4.4× |
| MRI, joint upper extrem (73221) | $2,604.40 | $2,604.40 | 8.7× |
| MRI, joint upper extrem combo (73223) | $5,597.98 | $5,597.98 | 12.9× |
| MRI, lumbar spine combo (72158) | $5,235.57 | $5,235.57 | 12.0× |
| Neck soft tissue (70360) | $209.29 | $209.29 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $355.75 | $355.75 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,852.68 | $5,852.68 | 3.4× |
| Nuclear Rx Intra-Arterial (79445) | $1,008.50 | $1,008.50 | 3.5× |
| Nuclear Rx Oral Admin (79005) | $1,310.55 | $1,310.55 | 4.5× |
| Panoramic X-ray of jaws (70355) | $191.98 | $191.98 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,419.56 | $1,419.56 | 2.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,351.96–$1,419.56 | $1,351.96–$1,419.56 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,419.56 | $1,419.56 | 2.8× |
| Pelvis 1 or 2 views (72170) | $219.78 | $219.78 | 1.7× |
| Pet Image W/Ct Lmtd (78814) | $8,688.81 | $8,688.81 | 4.9× |
| PET image w/CT, full body (78816) | $8,688.81 | $8,688.81 | 4.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,688.81 | $8,688.81 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,259.83–$1,388.96 | $1,259.83–$1,388.96 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $332.83 | $332.83 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $934.70 | $934.70 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $238.47 | $238.47 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $211.38 | $211.38 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $203.53 | $203.53 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $209.29 | $209.29 | 1.6× |
| Radex fingr minimum 2 views (73140) | $230.76 | $230.76 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $219.78 | $219.78 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $213.69 | $213.69 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $210.48 | $210.48 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.38 | $211.38 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $219.78 | $219.78 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $456.07 | $456.07 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $209.41 | $209.41 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $203.53 | $203.53 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $211.38 | $211.38 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $211.38 | $211.38 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $203.53 | $203.53 | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $437.55 | $437.55 | 3.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,120.60 | $6,120.60 | 0.7× |
| Radiation treatment delivery level 1 (77402) | $595.72 | $595.72 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $867.68 | $867.68 | 1.8× |
| Radiation treatment delivery level 3 (77412) | $1,303.42 | $1,303.42 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $245.21 | $245.21 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $325.27 | $325.27 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $1,134.17 | $1,134.17 | 5.2× |
| Radiologic exam colon single contrast study (74270) | $443.60 | $443.60 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $197.55 | $197.55 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $238.47 | $238.47 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $524.20 | $524.20 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $678.42 | $678.42 | 3.1× |
| Radiologic exam teeth complete full mouth (70320) | $146.91 | $146.91 | 0.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $137.73 | $137.73 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $448.12 | $448.12 | 2.0× |
| Radiologic examination femur 1 view (73551) | $212.22 | $212.22 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $212.22 | $212.22 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $213.69 | $213.69 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $363.43 | $363.43 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $203.53 | $203.53 | 1.9× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $137.73 | $137.73 | 1.3× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $4,612.13 | $4,612.13 | 15.8× |
| Ribs bilateral 3 views (71110) | $219.78 | $219.78 | 1.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,141.41 | $1,141.41 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $588.96 | $588.96 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,677.71 | $2,677.71 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,413.16–$2,533.82 | $2,413.16–$2,533.82 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,488.28 | $4,488.28 | 6.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,716.50 | $3,716.50 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 6 matching MRF lines |
$4,097.45–$4,208.63 | $4,097.45–$4,208.63 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 9 matching MRF lines |
$4,717.01–$5,059.95 | $4,717.01–$5,059.95 | varies |
| Rp Therapy Intravenous Administration (79101) range across 7 matching MRF lines |
$2,735.92–$2,872.72 | $2,735.92–$2,872.72 | varies |
| Salivary Gland Imaging (78230) | $1,056.90 | $1,056.90 | 2.1× |
| Scapula (73010) | $219.78 | $219.78 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $376.97 | $376.97 | 16.1× |
| Shoulder 1 view (73020) | $233.11 | $233.11 | 2.1× |
| Shoulder Arthrography (73040) | $782.13 | $782.13 | 1.8× |
| Skull less than 4 views (70250) | $230.76 | $230.76 | 1.8× |
| Special dosimetry (77331) | $595.94 | $595.94 | 3.6× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$979.74–$1,080.16 | $979.74–$1,080.16 | varies |
| Special teletherapy port plan (77321) | $1,419.03 | $1,419.03 | 3.0× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,473.41–$2,863.28 | $2,473.41–$2,863.28 | varies |
| Spleen Imaging (78185) | $1,056.90 | $1,056.90 | 2.1× |
| Srs Multisource (77371) | $38,762.63 | $38,762.63 | 4.2× |
| Stereotactic Body Radiation Delivery (77373) range across 3 matching MRF lines |
$4,604.99–$31,890.11 | $4,604.99–$31,890.11 | varies |
| Sternoclavicular joints (71130) | $211.38 | $211.38 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,940.78 | $1,940.78 | 4.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,940.78 | $1,940.78 | 4.2× |
| Testicular Imaging W/Flow (78761) | $1,056.90 | $1,056.90 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,691.05 | $1,691.05 | 3.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,774.24 | $1,774.24 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $909.92 | $909.92 | 5.4× |
| Thoracic spine 2 views (72070) | $230.76 | $230.76 | 1.8× |
| Thoracic spine 3 views (72072) | $211.38 | $211.38 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $713.32 | $713.32 | 1.4× |
| Thyroid Met Imaging Body (78018) | $2,875.87 | $2,875.87 | 4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,058.74 | $1,058.74 | 2.1× |
| Tx Devices Design & Construction Complex (77334) range across 10 matching MRF lines |
$2,310.51–$2,674.71 | $2,310.51–$2,674.71 | varies |
| Tx devices design & construction intermediate (77333) | $1,053.56 | $1,053.56 | 6.3× |
| Tx devices design & construction simple (77332) | $1,053.56 | $1,053.56 | 6.3× |
| Ultrasound Breast Limited (76642) | $489.14 | $489.14 | 4.5× |
| Ultrasound Exam Aaa Screen (76706) | $431.99 | $431.99 | 3.3× |
| Ultrasound, abdomen limited (76705) | $767.70 | $767.70 | 5.9× |
| Unlisted Dx Radiographic Procedure (76499) | $105 | $105 | 1.0× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,296.20–$1,652.48 | $1,296.20–$1,652.48 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $596.16 | $596.16 | 4.7× |
| Unlisted us procedure (76999) | $859.62 | $859.62 | 7.9× |
| Upper gi w/o kub (74240) | $1,082.12 | $1,082.12 | 4.9× |
| Us breast unilateral complete (76641) | $535.49 | $535.49 | 4.1× |
| Us chest (76604) | $734.66 | $734.66 | 5.6× |
| Us complete joint (76881) | $437.09 | $437.09 | 3.3× |
| Us exam, pelvic, limited (76857) | $320.18 | $320.18 | 2.5× |
| Us kidney transplant (76776) | $477.38 | $477.38 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $437.09 | $437.09 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $281.73 | $281.73 | 2.2× |
| Us pelvic non ob complete (76856) | $704.98 | $704.98 | 5.4× |
| Us retroperitoneal complete (76770) | $450.83 | $450.83 | 3.5× |
| Us retroperitoneal limited (76775) | $594.88 | $594.88 | 4.6× |
| Us scrotum and contents (76870) | $852.46 | $852.46 | 6.5× |
| Us thyroid (76536) | $713.67 | $713.67 | 5.5× |
| Us transrectal (76872) | $459.17 | $459.17 | 3.5× |
| Vein X-Ray Chest (75827) | $3,198.69 | $3,198.69 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,044.54 | $4,044.54 | 1.0× |
| Venogram Sinus/Jugular (75860) | $2,145.22 | $2,145.22 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $9,156.57 | $9,156.57 | 2.3× |
| Venography extremity bilateral rs&i (75822) | $1,665.13 | $1,665.13 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $3,198.69 | $3,198.69 | 1.6× |
| Venous sampling by catheter (75893) | $9,156.57 | $9,156.57 | 1.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,400.81 | $1,400.81 | 2.8× |
| Wrist 2 views (73100) | $199.75 | $199.75 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $4,088.70 | $4,088.70 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $209.29 | $209.29 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $1,507.61 | $1,507.61 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $144.95 | $144.95 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $229.48 | $229.48 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $212.22 | $212.22 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $212.22 | $212.22 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $212.22 | $212.22 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $212.22 | $212.22 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $212.22 | $212.22 | 1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $353.42 | $353.42 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) | $332.83 | $332.83 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $230.76 | $230.76 | 2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $348.73 | $348.73 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $209.41 | $209.41 | 1.6× |
| X-ray eye for foreign body (70030) | $199.84 | $199.84 | 1.8× |
| X-ray humerus (73060) | $270.36 | $270.36 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $245.21 | $245.21 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $230.76 | $230.76 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $348.73 | $348.73 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $245.21 | $245.21 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $211.38 | $211.38 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $203.53 | $203.53 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $379.89 | $379.89 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $219.47 | $219.47 | 1.7× |
| X-Rays Bone Length Studies (77073) | $213.61 | $213.61 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $1,084.22 | $1,084.22 | 8.3× |
| Xr c-spine 4 or 5 views (72050) | $342.62 | $342.62 | 2.6× |
| Xr facial bones less than 3 views (70140) | $473.13 | $473.13 | 4.4× |
| Xr orbits complete 4 views (70200) | $213.69 | $213.69 | 1.6× |
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.