Imaging prices at Russellville Hospital
Russellville, AL · every code in this section with a posted price and a Medicare benchmark.
310 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) | $145.60 | $560 | 1.9× |
| Abdomen 2 views (74019) | $156.65 | $602.50 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $240.89 | $926.50 | 0.7× |
| Angio pulmonary bilat (75743) | $625.17 | $2,404.50 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $547.43 | $2,105.50 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $469.04 | $1,804 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $625.17 | $2,404.50 | 0.2× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$65.65–$137.02 | $252.50–$527 | varies |
| Aortography thoracic serialography rs&i (75605) | $625.17 | $2,404.50 | 0.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $328.25 | $1,262.50 | 0.1× |
| Artery X-Rays Abdomen (75726) | $625.17 | $2,404.50 | 0.1× |
| Arthrogram ankle (73615) | $547.43 | $2,105.50 | 1.8× |
| Arthrogram hip (73525) | $268.19 | $1,031.50 | 0.9× |
| Arthrogram Wrist (73115) | $224.64 | $864 | 0.7× |
| Basic radiation dosimetry calculation (77300) | $18.59 | $71.50 | 0.2× |
| Bone age studies (77072) | $114.14 | $439 | 1.3× |
| Bone Imaging 3 Phase (78315) | $381.03 | $1,465.50 | 1.1× |
| Bone Imaging Limited Area (78300) | $103.09 | $396.50 | 0.3× |
| Bone Imaging Multiple Areas (78305) | $579.28 | $2,228 | 1.7× |
| Bone Imaging Whole Body (78306) | $623.48 | $2,398 | 1.8× |
| Bone marrow imaging limited area (78102) | $353.60 | $1,360 | 1.0× |
| Bone marrow imaging; multiple areas (78103) | $353.60 | $1,360 | 1.0× |
| Bone marrow imaging; whole body (78104) | $353.60 | $1,360 | 1.0× |
| Bone survey infant (77076) | $147.94 | $569 | 1.6× |
| Brain Flow Imaging Only (78610) | $330.33 | $1,270.50 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $465.53 | $1,790.50 | 6.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $305.63 | $1,175.50 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $423.15 | $1,627.50 | 0.9× |
| Chest 1 view (71045) | $85.54 | $329 | 1.1× |
| Chest 2 views (71046) | $134.16 | $516 | 1.8× |
| Chest 3 views (71047) | $167.05 | $642.50 | 2.2× |
| Chest 4 or more views (71048) | $167.05 | $642.50 | 1.8× |
| Cholecystography Oral Contrast (74290) | $171.86 | $661 | 1.1× |
| Clavicle complete (73000) | $87.62 | $337 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $52.53 | $202.04 | 0.6× |
| Continuing medical physics consltj pr wk (77336) | $37.70 | $145 | 0.3× |
| Contrast Exam Abdominl Aorta (75625) | $625.17 | $2,404.50 | 0.2× |
| Contrast X-Ray Bladder (74430) | $644.93 | $2,480.50 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $367.51 | $1,413.50 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $423.54 | $1,629 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,954.68 | $7,518 | 6.5× |
| CT abdomen and pelvis without contrast (74176) | $1,186.25 | $4,562.50 | 5.7× |
| CT abdomen w contrast (74160) | $645.32 | $2,482 | 4.2× |
| CT abdomen w wo contrast (74170) | $913.51 | $3,513.50 | 6.0× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$575.90–$601.64 | $2,215–$2,314 | varies |
| CT Angio Abdomen and Pelvis (74174) | $551.72 | $2,122 | 1.8× |
| CT Angio Chest (71275) | $1,019.20 | $3,920 | 6.7× |
| CT Angio Head (70496) | $1,019.20 | $3,920 | 6.7× |
| CT angio hrt w/3d image (75574) | $471.12 | $1,812 | 1.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,048.97 | $4,034.50 | 6.9× |
| CT Angio Neck (70498) | $575.51 | $2,213.50 | 3.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,048.97 | $4,034.50 | 6.9× |
| CT cervical spine w/ contrast (72126) | $835.64 | $3,214 | 2.8× |
| CT cervical spine w/o contrast (72125) | $710.45 | $2,732.50 | 7.8× |
| CT chest w contrast (71260) | $962.39 | $3,701.50 | 6.3× |
| CT chest w/wo contrast (71270) | $1,164.80 | $4,480 | 7.7× |
| CT head/brain with contrast (70460) | $817.31 | $3,143.50 | 5.4× |
| CT head/brain without and with contrast (70470) | $1,021.67 | $3,929.50 | 6.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $13 | $50 | 0.2× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$654.68–$752.83 | $2,518–$2,895.50 | varies |
| CT l-spine w&w/o contrast (72133) | $1,006.07 | $3,869.50 | 6.6× |
| CT lower ext w/o (73700) | $783.25 | $3,012.50 | 8.7× |
| CT lower extremity w/contrast material (73701) | $680.81 | $2,618.50 | 4.5× |
| CT lumbar spine w contrast (72132) | $1,006.07 | $3,869.50 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $880.23 | $3,385.50 | 9.7× |
| CT maxillofacial w contrast (70487) | $772.72 | $2,972 | 5.1× |
| CT maxillofacial wo contrast (70486) | $570.96 | $2,196 | 6.3× |
| CT neck tissue combo (70492) | $817.05 | $3,142.50 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $785.98 | $3,023 | 5.2× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$556.53–$752.83 | $2,140.50–$2,895.50 | varies |
| CT pelvis w&w/o contrast (72194) | $1,041.30 | $4,005 | 6.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$113.33–$575.90 | $435.88–$2,215 | varies |
| CT scan of leg combo (73702) | $769.47 | $2,959.50 | 5.1× |
| CT scans face/jaw combo (70488) | $1,021.67 | $3,929.50 | 6.7× |
| CT soft tissue neck w contrast (70491) | $888.29 | $3,416.50 | 5.8× |
| CT soft tissue neck w/o contrast (70490) | $540.28 | $2,078 | 6.0× |
| CT thoracic spine w contrast (72129) | $835.64 | $3,214 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $931.06 | $3,581 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $1,012.70 | $3,895 | 6.7× |
| CT thorax w/o contrast (71250) | $901.94 | $3,469 | 10.0× |
| CT unlisted procedure (76497) | $43.81 | $168.50 | 0.6× |
| CT upper ext wo (73200) | $412.36 | $1,586 | 4.6× |
| CT upper extremity w/o & w/contrast material (73202) | $404.17 | $1,554.50 | 2.7× |
| CT upper extremity with contrast (73201) | $358.02 | $1,377 | 1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,198.60 | $4,610 | 7.9× |
| Cta Abdomen (74175) | $1,378.52 | $5,302 | 9.1× |
| CTA pelvis (72191) | $1,198.60 | $4,610 | 7.9× |
| Dxa Bone Density Axial (77080) | $63.05 | $242.50 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $28.34 | $109 | 0.4× |
| Esophagram (74220) | $103.09 | $396.50 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $214.89 | $826.50 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $205.79 | $791.50 | 1.0× |
| Follow-Up Angiography (75898) | $282.75 | $1,087.50 | 0.1× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$65.65–$70.46 | $252.50–$271 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$85.28–$115.57 | $328–$444.50 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$305.63–$346.06 | $1,175.50–$1,331 | varies |
| Gastroesophageal Reflux Exam (78262) | $305.63 | $1,175.50 | 0.9× |
| Gated Heart Planar Single (78472) | $353.34 | $1,359 | 1.0× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$79.95–$112.45 | $307.50–$432.50 | varies |
| Heart first pass single,planar (78481) | $295.23 | $1,135.50 | 0.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $261.56 | $1,006 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$616.46–$647.01 | $2,371–$2,488.50 | varies |
| Hepatobiliary System Imaging (78226) | $647.27 | $2,489.50 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $733.33 | $2,820.50 | 0.7× |
| Hysterosalpingogram (74740) | $222.82 | $857 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $99.97 | $384.50 | 1.3× |
| Infant hip ultrasound, limited static exam (76886) | $99.97 | $384.50 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $513.89 | $1,976.50 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$265.46–$423.15 | $1,021–$1,627.50 | varies |
| Knee 3 Views (73562) | $120.77 | $464.50 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $693.81 | $2,668.50 | 2.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $386.36 | $1,486 | 1.1× |
| Liver imaging static only (78201) | $386.36 | $1,486 | 0.8× |
| Liver imaging w/vascular flow (78202) | $381.03 | $1,465.50 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $278.33 | $1,070.50 | 0.6× |
| Lung perfusion differential (78597) | $278.33 | $1,070.50 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $524.68 | $2,018 | 1.1× |
| Lung Ventilation Imaging (78579) | $172.51 | $663.50 | 0.5× |
| Lymph System Imaging (78195) | $623.48 | $2,398 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $379.73 | $1,460.50 | 1.8× |
| Meckels Divert Exam (78290) | $387.14 | $1,489 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,404.39 | $5,401.50 | 4.6× |
| MRA head w/o contrast (70544) | $736.06 | $2,831 | 3.6× |
| MRA head with contrast (70545) | $908.96 | $3,496 | 3.0× |
| MRA neck w contrast (70548) | $1,044.94 | $4,019 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,614.60 | $6,210 | 5.3× |
| MRA neck w/o contrast (70547) | $772.59 | $2,971.50 | 3.7× |
| MRI abdomen w contrast (74182) | $664.04 | $2,554 | 2.2× |
| MRI abdomen w/o contrast (74181) | $564.72 | $2,172 | 2.7× |
| MRI any jt lower extrem w/contrast material (73722) | $879.19 | $3,381.50 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,614.60 | $6,210 | 5.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $572.65 | $2,202.50 | 0.8× |
| MRI cervical spine w contrast (72142) | $1,070.81 | $4,118.50 | 3.5× |
| MRI cervical spine w/o cont (72141) | $1,231.49 | $4,736.50 | 6.0× |
| MRI chest w/o contrast (71550) | $564.72 | $2,172 | 2.7× |
| MRI chest with contrast (71551) | $664.04 | $2,554 | 1.0× |
| MRI chest wo w contrast (71552) | $885.30 | $3,405 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,198.60 | $4,610 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,275.82 | $4,907 | 4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,275.82 | $4,907 | 6.2× |
| MRI lumbar spine w contrast (72149) | $917.80 | $3,530 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,641.25 | $6,312.50 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$379.73–$447.20 | $1,460.50–$1,720 | varies |
| MRI orbit face neck w contrast (70542) | $1,053.26 | $4,051 | 3.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,404.39–$1,614.60 | $5,401.50–$6,210 | varies |
| MRI pelvis w contrast (72196) | $772.59 | $2,971.50 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $1,614.60 | $6,210 | 5.3× |
| MRI pelvis w/o contrast (72195) | $764.53 | $2,940.50 | 3.7× |
| MRI thoracic spine w/o contrast (72146) | $1,231.49 | $4,736.50 | 6.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$1,041.30–$1,197.69 | $4,005–$4,606.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,041.30–$1,197.69 | $4,005–$4,606.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,427.40 | $5,490 | 4.7× |
| MRI, abdomen, combo (74183) | $1,017.77 | $3,914.50 | 3.4× |
| MRI, dorsal spine combo (72157) | $1,641.25 | $6,312.50 | 5.4× |
| MRI, dorsal spine contrast (72147) | $1,070.81 | $4,118.50 | 3.5× |
| MRI, joint upper extrem (73221) | $1,044.94 | $4,019 | 5.1× |
| MRI, joint upper extrem combo (73223) | $1,614.60 | $6,210 | 5.3× |
| MRI, lumbar spine combo (72158) | $1,641.25 | $6,312.50 | 5.4× |
| Myelogram cervical (72240) | $414.70 | $1,595 | 0.6× |
| Myelogram Lumbar (72265) | $476.97 | $1,834.50 | 0.7× |
| Myelography thoracic (72255) | $414.70 | $1,595 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $977.21 | $3,758.50 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,149.46 | $4,421 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $777.40 | $2,990 | 0.7× |
| Neck soft tissue (70360) | $98.41 | $378.50 | 1.3× |
| Nm whole blood volume (78122) | $693.81 | $2,668.50 | 1.5× |
| Optic foramina (70190) | $52.52 | $202 | 0.7× |
| Parathyroid Planar Imaging (78070) | $353.08 | $1,358 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$321.49–$359.06 | $1,236.50–$1,381 | varies |
| Pelvis 1 or 2 views (72170) | $131.04 | $504 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $157.82 | $607 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $166.14 | $639 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $212.94 | $819 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $209.95 | $807.50 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $92.43 | $355.50 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $100.75 | $387.50 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$122.72–$162.50 | $472–$625 | varies |
| Radex fingr minimum 2 views (73140) | $76.57 | $294.50 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $107.64 | $414 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $104.13 | $400.50 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$104.78–$142.22 | $403–$547 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $268.19 | $1,031.50 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $101.79 | $391.50 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $137.15 | $527.50 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$126.49–$136.50 | $486.50–$525 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $90.09 | $346.50 | 1.2× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$80.73–$120.25 | $310.50–$462.50 | varies |
| Radex Sternum Minimum 2 Views (71120) | $102.18 | $393 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $166.79 | $641.50 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $92.43 | $355.50 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $142.22 | $547 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $172.12 | $662 | 2.3× |
| Radiation treatment delivery level 1 (77402) | $33.54 | $129 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $50.83 | $195.50 | 0.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $123.89 | $476.50 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $156.65 | $602.50 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $164.19 | $631.50 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $163.41 | $628.50 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) | $128.18 | $493 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $124.67 | $479.50 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $339.56 | $1,306 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $189.54 | $729 | 1.2× |
| Radiologic examination femur 1 view (73551) | $115.57 | $444.50 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $187.07 | $719.50 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $106.47 | $409.50 | 1.4× |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$81.12–$91.52 | $312–$352 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $127.40 | $490 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$76.18–$118.82 | $293–$457 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $81.12 | $312 | 0.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $693.81 | $2,668.50 | 2.0× |
| Ribs bilateral 3 views (71110) | $201.89 | $776.50 | 2.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $574.73 | $2,210.50 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $212.55 | $817.50 | 0.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$314.86–$1,721.33 | $1,211–$6,620.50 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,323.14 | $5,089 | 1.2× |
| Salivary Gland Function Study (78232) | $153.40 | $590 | 0.4× |
| Salivary Gland Imaging (78230) | $327.47 | $1,259.50 | 0.9× |
| Scapula (73010) | $109.72 | $422 | 1.2× |
| Sella turcica (70240) | $32.24 | $124 | 0.4× |
| Shoulder 1 view (73020) | $108.03 | $415.50 | 1.4× |
| Shoulder Arthrography (73040) | $512.59 | $1,971.50 | 1.7× |
| Sialogram (70390) | $300.43 | $1,155.50 | 1.5× |
| Skull less than 4 views (70250) | $99.19 | $381.50 | 1.1× |
| Special dosimetry (77331) | $7.41 | $28.50 | 0.1× |
| Spleen Imaging (78185) | $353.60 | $1,360 | 1.0× |
| Sternoclavicular joints (71130) | $142.22 | $547 | 1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $23.53 | $90.50 | 0.1× |
| Testicular Imaging W/Flow (78761) | $353.08 | $1,358 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $119.73 | $460.50 | 0.4× |
| Ther rad simulaj-aided field setting simple (77280) | $54.34 | $209 | 0.5× |
| Thoracic spine 2 views (72070) | $94.90 | $365 | 1.0× |
| Thoracic spine 3 views (72072) | $126.49 | $486.50 | 1.4× |
| Thoracolumbar 2 views (72080) | $175.24 | $674 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$82.03–$281.03 | $315.50–$1,080.88 | varies |
| Thyroid Uptake Measurement (78012) | $117.52 | $452 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $248.04 | $954 | 0.7× |
| Tx Devices Design & Construction Complex (77334) | $45.11 | $173.50 | 0.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$124.02–$309.14 | $477–$1,189 | varies |
| Ultrasound Exam Aaa Screen (76706) | $116.61 | $448.50 | 1.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$43.81–$70.20 | $168.50–$270 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $154.96 | $596 | 2.1× |
| Upper gi w/o kub (74240) | $315.77 | $1,214.50 | 2.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $172.51 | $663.50 | 15.6× |
| Urethrocystogram voiding (74455) | $352.17 | $1,354.50 | 1.7× |
| Urethrocystography retrograde (74450) | $92.95 | $357.50 | 0.4× |
| Us breast unilateral complete (76641) range across 9 matching MRF lines |
$124.02–$309.14 | $477–$1,189 | varies |
| Us chest (76604) | $99.97 | $384.50 | 1.1× |
| Us complete joint (76881) | $191.88 | $738 | 2.1× |
| Us exam, pelvic, limited (76857) | $191.88 | $738 | 2.1× |
| Us head (76506) | $286 | $1,100 | 3.2× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$157.17–$198.25 | $604.50–$762.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$99.97–$108.55 | $384.50–$417.50 | varies |
| Us ob detailed single fetus (76811) | $271.31 | $1,043.50 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $34.58 | $133 | 0.4× |
| Us ob transvaginal (76817) | $107.64 | $414 | 1.2× |
| Us pelvic non ob complete (76856) | $165.23 | $635.50 | 1.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $210.21 | $808.50 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $101.14 | $389 | 1.1× |
| Us retroperitoneal complete (76770) | $312.65 | $1,202.50 | 3.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$94.77–$116.61 | $364.50–$448.50 | varies |
| Us scrotum and contents (76870) | $143 | $550 | 1.6× |
| Us thyroid (76536) range across 4 matching MRF lines |
$125.97–$398.83 | $484.50–$1,533.96 | varies |
| Us transrectal (76872) | $258.57 | $994.50 | 2.9× |
| Vein X-Ray Chest (75827) | $346.58 | $1,333 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$341.51–$2,305.68 | $1,313.50–$8,868 | varies |
| Venography extremity bilateral rs&i (75822) | $266.76 | $1,026 | 0.2× |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$203.71–$524.68 | $783.50–$2,018 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $567.58 | $2,183 | 1.6× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$76.83–$115.57 | $295.50–$444.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $96.33 | $370.50 | 1.3× |
| X-ray antegrade pyelogram tube (74425) | $253.63 | $975.50 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $772.72 | $2,972 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $81.12 | $312 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$65.65–$108.03 | $252.50–$415.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $445.25 | $1,712.50 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$175.24–$200.98 | $674–$773 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $348.92 | $1,342 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$63.18–$432.25 | $243–$1,662.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$63.18–$147.94 | $243–$569 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$104.78–$204.36 | $403–$786 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $104.78 | $403 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $199.68 | $768 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $176.41 | $678.50 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $98.80 | $380 | 1.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $283.14 | $1,089 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $149.50 | $575 | 1.7× |
| X-ray eye for foreign body (70030) | $171.34 | $659 | 2.3× |
| X-ray humerus (73060) range across 8 matching MRF lines |
$85.28–$115.57 | $328–$444.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $283.27 | $1,089.50 | 1.9× |
| X-ray IV pyelogram+tomography (74415) | $342.16 | $1,316 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $109.72 | $422 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $180.57 | $694.50 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$123.89–$348.92 | $476.50–$1,342 | varies |
| X-ray nose-rectum child f.b. (76010) | $52.52 | $202 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $256.36 | $986 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $71.89 | $276.50 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $52.52 | $202 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $75.92 | $292 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $203.71 | $783.50 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $222.95 | $857.50 | 2.5× |
| X-ray thoracic spine 4 vw (72074) | $134.42 | $517 | 1.5× |
| X-Ray Tmj Unilat (70328) | $106.86 | $411 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $130.91 | $503.50 | 0.4× |
| X-Rays Bone Length Studies (77073) | $106.47 | $409.50 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $175.24 | $674 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $187.46 | $721 | 2.1× |
| Xr facial bones less than 3 views (70140) | $144.04 | $554 | 1.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $81.12 | $312 | 0.9× |
| Xr orbits complete 4 views (70200) | $128.83 | $495.50 | 1.4× |
| Xr Tomogram Single Plane (76100) | $231.01 | $888.50 | 2.6× |
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.