Imaging prices at Russell Medical
Alexander City, AL · every code in this section with a posted price and a Medicare benchmark.
314 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) | $837.36 | $2,326 | 0.7× |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$19.80–$48.60 | $55–$135 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$31.32–$93.24 | $87–$259 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $261.36 | $726 | 0.7× |
| Angio internal mammary (75756) | $2,163.96 | $6,011 | 0.8× |
| Angio pulmonary bilat (75743) | $2,081.52 | $5,782 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,081.52 | $5,782 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,081.52 | $5,782 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,081.52 | $5,782 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,163.96 | $6,011 | 0.8× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$17.64–$36.36 | $49–$101 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,099.24 | $8,609 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,646.44 | $10,129 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,099.24 | $8,609 | 0.6× |
| Arthrogram hip (73525) | $270.36 | $751 | 0.9× |
| Arthrogram Wrist (73115) | $270.72 | $752 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $93.24 | $259 | 0.8× |
| Bone age studies (77072) | $36.36 | $101 | 0.4× |
| Bone Imaging 3 Phase (78315) | $292.32 | $812 | 0.8× |
| Bone Imaging Limited Area (78300) | $292.32 | $812 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $292.32 | $812 | 0.8× |
| Bone Imaging Whole Body (78306) | $292.32 | $812 | 0.8× |
| Bone survey infant (77076) | $72 | $200 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,013.76 | $2,816 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $198.72 | $552 | 2.5× |
| Chest 1 view (71045) range across 7 matching MRF lines |
$16.20–$48.60 | $45–$135 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$23.04–$48.60 | $64–$135 | varies |
| Chest 3 views (71047) | $48.60 | $135 | 0.6× |
| Chest 4 or more views (71048) | $93.24 | $259 | 1.0× |
| Cholecystography Oral Contrast (74290) | $88.92 | $247 | 0.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$18.36–$44.64 | $51–$124 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $144 | $400 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $140.40 | $390 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,081.52 | $5,782 | 0.7× |
| Contrast X-Ray Bladder (74430) | $155.16 | $431 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $304.92 | $847 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $227.88 | $633 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $471.60 | $1,310 | 1.5× |
| CT abdomen and pelvis without contrast (74176) | $329.04 | $914 | 1.5× |
| CT abdomen w contrast (74160) | $418.32 | $1,162 | 2.7× |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$226.44–$427.68 | $629–$1,188 | varies |
| CT abdomen w/o contrast (74150) | $251.28 | $698 | 2.7× |
| CT Angio Abdomen and Pelvis (74174) | $565.92 | $1,572 | 1.8× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$305.64–$437.40 | $849–$1,215 | varies |
| CT Angio Head (70496) | $274.99 | $763.87 | 1.7× |
| CT angio hrt w/3d image (75574) | $357.48 | $993 | 1.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $274.99 | $763.87 | 1.7× |
| CT Angio Neck (70498) | $274.99 | $763.87 | 1.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $274.99 | $763.87 | 1.7× |
| CT bone density (77078) | $145.44 | $404 | 1.9× |
| CT cervical spine w/ contrast (72126) | $244.08 | $678 | 0.8× |
| CT cervical spine w/o contrast (72125) | $338.04 | $939 | 3.6× |
| CT cervical spine w/wo cont (72127) | $271.44 | $754 | 1.7× |
| CT chest w contrast (71260) | $305.64 | $849 | 1.9× |
| CT chest w/wo contrast (71270) | $330.48 | $918 | 2.1× |
| CT head/brain with contrast (70460) | $311.40 | $865 | 2.0× |
| CT head/brain without and with contrast (70470) | $457.56 | $1,271 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $28.80 | $80 | 0.4× |
| CT iac w contrast (70481) | $302.40 | $840 | 1.9× |
| CT l-spine w&w/o contrast (72133) | $504.72 | $1,402 | 3.2× |
| CT lower ext w/o (73700) | $200.16 | $556 | 2.1× |
| CT lower extremity w/contrast material (73701) | $320.04 | $889 | 2.0× |
| CT lumbar spine w contrast (72132) | $354.96 | $986 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $338.04 | $939 | 3.6× |
| CT maxillofacial w contrast (70487) | $424.44 | $1,179 | 2.7× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$259.92–$338.04 | $722–$939 | varies |
| CT neck tissue combo (70492) | $453.24 | $1,259 | 2.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$139.68–$357.48 | $388–$993 | varies |
| CT orbits w/o contrast (70480) | $277.92 | $772 | 3.0× |
| CT pelvis w&w/o contrast (72194) | $452.52 | $1,257 | 2.9× |
| CT pelvis w/o contrast (72192) | $225.36 | $626 | 2.4× |
| CT scan of leg combo (73702) | $339.84 | $944 | 2.2× |
| CT scans face/jaw combo (70488) | $488.88 | $1,358 | 3.1× |
| CT soft tissue neck w contrast (70491) | $311.76 | $866 | 2.0× |
| CT soft tissue neck w/o contrast (70490) | $225.36 | $626 | 2.4× |
| CT thoracic spine w contrast (72129) | $477.72 | $1,327 | 3.0× |
| CT thoracic spine w/o contrast (72128) | $338.04 | $939 | 3.6× |
| CT thoracic spine w/wo cont (72130) | $551.88 | $1,533 | 3.5× |
| CT thorax w/o contrast (71250) | $189.72 | $527 | 2.0× |
| CT upper ext wo (73200) | $239.76 | $666 | 2.6× |
| CT upper extremity w/o & w/contrast material (73202) | $339.84 | $944 | 2.2× |
| CT upper extremity with contrast (73201) | $324.72 | $902 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $274.99 | $763.87 | 1.7× |
| Cta Abdomen (74175) | $274.99 | $763.87 | 1.7× |
| CTA pelvis (72191) | $274.99 | $763.87 | 1.7× |
| Dilation ureters/urethra rs&i (74485) | $1,298.88 | $3,608 | 0.7× |
| Dxa Bone Density Axial (77080) | $82.80 | $230 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$16.56–$28.80 | $46–$80 | varies |
| Echo Guide For Artery Repair (76936) | $402.12 | $1,117 | 2.1× |
| Esophagram (74220) | $79.92 | $222 | 0.5× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$60.84–$107.64 | $169–$299 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$38.52–$45.36 | $107–$126 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$24.48–$180.72 | $68–$502 | varies |
| Follow-Up Angiography (75898) | $668.16 | $1,856 | 0.2× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$17.28–$43.20 | $48–$120 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$17.64–$44.64 | $49–$124 | varies |
| Gastric emptying imaging study (78264) | $261.36 | $726 | 0.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $264.60 | $735 | 0.7× |
| Gated Heart Planar Single (78472) | $262.80 | $730 | 0.7× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$16.92–$43.20 | $47–$120 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,081.52 | $5,782 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $298.08 | $828 | 0.6× |
| Hepatobiliary System Imaging (78226) | $298.08 | $828 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $911.16 | $2,531 | 0.8× |
| Hysterosalpingogram (74740) | $192.24 | $534 | 0.9× |
| Image fusion (77399) | $108.36 | $301 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $336.24 | $934 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $336.24 | $934 | 0.7× |
| Kidney Imaging Morphol (78700) | $336.24 | $934 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $298.08 | $828 | 0.8× |
| Liver imaging static only (78201) | $298.08 | $828 | 0.6× |
| Lung perfusion differential (78597) | $325.44 | $904 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $351.72 | $977 | 0.7× |
| Lung Ventilation Imaging (78579) | $252.36 | $701 | 0.7× |
| Lymph System Imaging (78195) | $295.20 | $820 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $192.24 | $534 | 0.9× |
| Meckels Divert Exam (78290) | $261.36 | $726 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$159.12–$213.84 | $442–$594 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,208.88 | $3,358 | 3.9× |
| MRA head w/o contrast (70544) | $570.60 | $1,585 | 2.7× |
| MRA head with contrast (70545) | $684.72 | $1,902 | 2.2× |
| MRA neck w contrast (70548) | $684.72 | $1,902 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $729.72 | $2,027 | 2.3× |
| MRA neck w/o contrast (70547) | $570.60 | $1,585 | 2.7× |
| MRI abdomen w contrast (74182) | $784.44 | $2,179 | 2.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$180.72–$738.36 | $502–$2,051 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $784.44 | $2,179 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,343.52 | $3,732 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $784.44 | $2,179 | 1.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $686.16 | $1,906 | 3.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $343.08 | $953 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,041.48 | $2,893 | 3.3× |
| MRI cervical spine w/o cont (72141) | $738.36 | $2,051 | 3.5× |
| MRI chest w/o contrast (71550) | $730.44 | $2,029 | 3.4× |
| MRI chest with contrast (71551) | $1,041.48 | $2,893 | 1.5× |
| MRI chest wo w contrast (71552) | $1,343.52 | $3,732 | 4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $784.44 | $2,179 | 2.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,343.52 | $3,732 | 4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $738.36 | $2,051 | 3.5× |
| MRI lumbar spine w contrast (72149) | $1,041.48 | $2,893 | 3.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,343.52 | $3,732 | 4.3× |
| MRI orbit face &/neck w/o contrast (70540) | $738.36 | $2,051 | 3.5× |
| MRI orbit face neck w contrast (70542) | $1,041.48 | $2,893 | 3.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,343.52 | $3,732 | 4.3× |
| MRI pelvis w contrast (72196) | $1,041.48 | $2,893 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $1,099.80 | $3,055 | 3.5× |
| MRI pelvis w/o contrast (72195) | $738.36 | $2,051 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $738.36 | $2,051 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $776.52 | $2,157 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$730.44–$738.36 | $2,029–$2,051 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,343.52 | $3,732 | 4.3× |
| MRI, abdomen, combo (74183) | $1,343.52 | $3,732 | 4.3× |
| MRI, dorsal spine combo (72157) | $1,343.52 | $3,732 | 4.3× |
| MRI, dorsal spine contrast (72147) | $1,030.68 | $2,863 | 3.3× |
| MRI, joint upper extrem (73221) | $738.36 | $2,051 | 3.5× |
| MRI, joint upper extrem combo (73223) | $1,343.52 | $3,732 | 4.3× |
| MRI, lumbar spine combo (72158) | $1,343.52 | $3,732 | 4.3× |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$546.48–$614.16 | $1,518–$1,706 | varies |
| Neck soft tissue (70360) range across 6 matching MRF lines |
$19.80–$66.96 | $55–$186 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $314.64 | $874 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $188.28 | $523 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $829.44 | $2,304 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $312.48 | $868 | 1.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $107.64 | $299 | 1.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $107.64 | $299 | 1.1× |
| Parathyroid Planar Imaging (78070) | $225.36 | $626 | 0.6× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$17.28–$61.20 | $48–$170 | varies |
| Pet Image Skull-Thigh (78812) | $1,389.24 | $3,859 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $1,186.20 | $3,295 | 0.9× |
| PET image w/CT, full body (78816) | $1,186.20 | $3,295 | 0.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,186.20 | $3,295 | 0.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,389.24 | $3,859 | 1.2× |
| PET whole body (78813) | $1,389.24 | $3,859 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$116.28–$252.36 | $323–$701 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$37.08–$80.28 | $103–$223 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $450.72 | $1,252 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$20.52–$49.32 | $57–$137 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$17.64–$36.36 | $49–$101 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$22.32–$44.64 | $62–$124 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$27.36–$56.88 | $76–$158 | varies |
| Radex fingr minimum 2 views (73140) range across 8 matching MRF lines |
$3.41–$37.08 | $9.46–$103 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$20.16–$44.64 | $56–$124 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$20.52–$44.64 | $57–$124 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$19.08–$61.20 | $53–$170 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $127.44 | $354 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$21.24–$44.64 | $59–$124 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$19.44–$48.96 | $54–$136 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$19.80–$36.36 | $55–$101 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $152.64 | $424 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $69.84 | $194 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$20.88–$44.64 | $58–$124 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$18–$37.08 | $50–$103 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $44.64 | $124 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$22.32–$44.64 | $62–$124 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$33.12–$51.12 | $92–$142 | varies |
| Radiation treatment delivery level 1 (77402) | $91.44 | $254 | 1.0× |
| Radiation treatment delivery level 2 (77407) | $93.96 | $261 | 0.3× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$93.96–$154.44 | $261–$429 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$25.56–$37.08 | $71–$103 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$82.80–$93.24 | $230–$259 | varies |
| Radiologic exam colon double contrast study (74280) | $140.76 | $391 | 0.9× |
| Radiologic exam colon single contrast study (74270) | $106.92 | $297 | 0.7× |
| Radiologic exam knee complete 4/more views (73564) range across 14 matching MRF lines |
$25.92–$54 | $72–$150 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $69.84 | $194 | 0.4× |
| Radiologic exam swallow function contrast study (74230) | $221.76 | $616 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$105.48–$168.12 | $293–$467 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$11.52–$48.24 | $32–$134 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$13.32–$48.24 | $37–$134 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$18.72–$47.52 | $52–$132 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $36.36 | $101 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$17.64–$44.64 | $49–$124 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$31.32–$44.64 | $87–$124 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $949.68 | $2,638 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,010.52 | $2,807 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,072.80 | $2,980 | 2.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $300.60 | $835 | 1.4× |
| Scapula (73010) range across 6 matching MRF lines |
$18.36–$44.64 | $51–$124 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $20.16 | $56 | 0.9× |
| Sella turcica (70240) | $36.72 | $102 | 0.5× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$15.12–$36.36 | $42–$101 | varies |
| Shoulder Arthrography (73040) | $227.88 | $633 | 0.7× |
| Skull less than 4 views (70250) | $44.64 | $124 | 0.5× |
| Special dosimetry (77331) | $140.40 | $390 | 1.2× |
| Special Physics Consult (77370) | $135.72 | $377 | 1.1× |
| Special teletherapy port plan (77321) | $251.64 | $699 | 0.7× |
| Special treatment procedure (77470) | $334.08 | $928 | 0.7× |
| Spleen Imaging (78185) | $295.20 | $820 | 0.8× |
| Stereotactic Body Radiation Delivery (77373) | $1,387.08 | $3,853 | 0.9× |
| Sternoclavicular joints (71130) range across 7 matching MRF lines |
$21.60–$45 | $60–$125 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $124.20 | $345 | 0.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$90.36–$120.96 | $251–$336 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $251.64 | $699 | 0.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $251.64 | $699 | 0.7× |
| Ther rad simulaj-aided field setting simple (77280) | $199.80 | $555 | 1.7× |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$24.48–$54 | $68–$150 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $151.56 | $421 | 0.4× |
| Thyroid Uptake Measurement (78012) | $151.20 | $420 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $225.36 | $626 | 0.6× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$199.80–$232.20 | $555–$645 | varies |
| Tx devices design & construction intermediate (77333) | $172.80 | $480 | 1.4× |
| Tx devices design & construction simple (77332) | $172.80 | $480 | 1.4× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$38.52–$86.40 | $107–$240 | varies |
| Ultrasound Elastography Parenchyma (76981) | $112.68 | $313 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $88.92 | $247 | 0.9× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$57.60–$107.73 | $160–$299.25 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $47.16 | $131 | 0.6× |
| Unlisted us procedure (76999) | $73.08 | $203 | 0.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$91.08–$144.72 | $253–$402 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $10.44 | $29 | 0.9× |
| Urea breath test c-14 isotopic analysis (78268) | $73.44 | $204 | 0.8× |
| Urethrocystogram voiding (74455) | $173.52 | $482 | 0.8× |
| Urethrocystography retrograde (74450) | $132.48 | $368 | 0.6× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$46.80–$169.20 | $130–$470 | varies |
| Us chest (76604) | $107.64 | $299 | 1.1× |
| Us complete joint (76881) range across 5 matching MRF lines |
$88.56–$120.24 | $246–$334 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$41.04–$73.08 | $114–$203 | varies |
| Us kidney transplant (76776) | $130.32 | $362 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$24.48–$86.76 | $68–$241 | varies |
| Us ob limited 1 or more fetuses (76815) range across 6 matching MRF lines |
$42.12–$107.73 | $117–$299.25 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$54–$107.64 | $150–$299 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$65.88–$108.18 | $183–$300.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$50.40–$90 | $140–$250 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$52.92–$58.32 | $147–$162 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$68.40–$124.20 | $190–$345 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$59.04–$130.32 | $164–$362 | varies |
| Us scrotum and contents (76870) | $107.64 | $299 | 1.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$107.64–$107.73 | $299–$299.25 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$97.20–$133.92 | $270–$372 | varies |
| Vein X-Ray Chest (75827) | $714.45 | $1,984.58 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $660.96 | $1,836 | 0.2× |
| Venogram Sinus/Jugular (75860) | $2,163.96 | $6,011 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,081.52 | $5,782 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $714.24 | $1,984 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $714.24 | $1,984 | 0.5× |
| Venography Renal Bilateral (75833) | $2,081.52 | $5,782 | 0.7× |
| Venography Renal Unilateral (75831) | $2,081.52 | $5,782 | 0.7× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$19.08–$36.36 | $53–$101 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$23.40–$49.68 | $65–$138 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$302.40–$355.32 | $840–$987 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,081.52 | $5,782 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $37.44 | $104 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$17.64–$36.36 | $49–$101 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$21.60–$345.24 | $60–$959 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$16.20–$21.60 | $45–$60 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$25.56–$192.24 | $71–$534 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$27.72–$192.24 | $77–$534 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$12.24–$48.24 | $34–$134 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$16.92–$48.24 | $47–$134 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 6 matching MRF lines |
$21.24–$80.28 | $59–$223 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$16.56–$80.28 | $46–$223 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$20.16–$80.28 | $56–$223 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$23.40–$152.64 | $65–$424 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $61.20 | $170 | 0.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$23.76–$42.12 | $66–$117 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $61.20 | $170 | 0.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$25.56–$70.20 | $71–$195 | varies |
| X-ray eye for foreign body (70030) | $36.36 | $101 | 0.5× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$18.72–$44.64 | $52–$124 | varies |
| X-ray IV pyelogram (ivp) (74400) | $216.36 | $601 | 1.4× |
| X-ray IV pyelogram+tomography (74415) | $149.40 | $415 | 0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $36.36 | $101 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$24.48–$36.36 | $68–$101 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$25.20–$37.08 | $70–$103 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$33.84–$84.96 | $94–$236 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$22.32–$56.88 | $62–$158 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$18.72–$56.88 | $52–$158 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$25.20–$56.88 | $70–$158 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$30.60–$66.96 | $85–$186 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$52.20–$150.12 | $145–$417 | varies |
| X-Rays Bone Length Studies (77073) | $29.52 | $82 | 0.3× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$69.84–$105.84 | $194–$294 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$33.84–$79.92 | $94–$222 | varies |
| Xr facial bones less than 3 views (70140) | $36.36 | $101 | 0.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$25.20–$40.32 | $70–$112 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.