Imaging prices at Rutherford Regional Medical Center
Rutherfordton, NC · every code in this section with a posted price and a Medicare benchmark.
292 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 2 matching MRF lines |
$1,851.64–$2,018.29 | $4,629.10–$5,045.72 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$257.72–$280.92 | $644.31–$702.30 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$245.46–$267.55 | $613.64–$668.87 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,274.93–$1,389.68 | $3,187.33–$3,474.19 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$5,138.13–$5,600.56 | $12,845.33–$14,001.41 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,423.32–$4,821.42 | $11,058.30–$12,053.55 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$11,386.20–$12,410.96 | $28,465.50–$31,027.40 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,421.92–$2,639.89 | $6,054.80–$6,599.73 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$204.81–$223.24 | $512.03–$558.11 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,275.79–$1,390.61 | $3,189.48–$3,476.53 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,275.79–$1,390.61 | $3,189.48–$3,476.53 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,275.79–$1,390.61 | $3,189.48–$3,476.53 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$1,363.98–$1,486.74 | $3,409.95–$3,716.85 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$1,363.98–$1,486.74 | $3,409.95–$3,716.85 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,363.98–$1,486.74 | $3,409.95–$3,716.85 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$2,099.49–$2,288.45 | $5,248.73–$5,721.12 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$837.92–$913.33 | $2,094.80–$2,283.33 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$2,099.49–$2,288.45 | $5,248.73–$5,721.12 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$2,099.49–$2,288.45 | $5,248.73–$5,721.12 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$296.38–$323.06 | $740.96–$807.65 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$288.44–$323.06 | $721.11–$807.65 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$296.38–$323.06 | $740.96–$807.65 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$282.27–$307.67 | $705.67–$769.18 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$147.93–$161.24 | $369.83–$403.11 | varies |
| Continuing medical physics consltj pr wk (77336) | $204.81 | $512.03 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$11,386.20–$12,410.96 | $28,465.50–$31,027.40 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,395.44–$4,791.02 | $10,988.59–$11,977.56 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,497.30–$3,812.05 | $8,743.24–$9,530.13 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,636.90–$2,874.22 | $6,592.26–$7,185.56 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,462.23–$2,683.83 | $6,155.57–$6,709.57 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,323.14–$2,532.22 | $5,807.85–$6,330.56 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,974.67–$2,152.39 | $4,936.67–$5,380.97 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,952.72–$2,128.46 | $4,881.79–$5,321.15 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,212.51–$2,411.64 | $5,531.28–$6,029.10 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,974.67–$2,152.39 | $4,936.67–$5,380.97 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,212.51–$2,411.64 | $5,531.28–$6,029.10 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,636.90–$2,874.22 | $6,592.26–$7,185.56 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,636.90–$2,874.22 | $6,592.26–$7,185.56 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,795.08–$1,956.63 | $4,487.69–$4,891.58 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,241.37–$2,443.10 | $5,603.43–$6,107.74 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$238.89–$260.39 | $597.22–$650.97 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,559.82–$1,956.63 | $3,899.54–$4,891.58 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,511.34–$2,737.36 | $6,278.35–$6,843.40 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,795.08–$1,956.63 | $4,487.69–$4,891.58 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,423.69–$1,551.82 | $3,559.22–$3,879.55 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,134.64–$2,326.76 | $5,336.61–$5,816.90 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,947.62–$2,443.10 | $4,869.05–$6,107.74 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,237.10–$1,551.82 | $3,092.74–$3,879.55 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,511.34–$2,737.36 | $6,278.35–$6,843.40 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,636.90–$2,874.22 | $6,592.26–$7,185.56 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,134.64–$2,326.76 | $5,336.61–$5,816.90 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,795.08–$1,956.63 | $4,487.69–$4,891.58 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,423.69–$1,551.82 | $3,559.22–$3,879.55 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,111.85–$2,301.92 | $5,279.63–$5,754.80 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,511.34–$2,737.36 | $6,278.35–$6,843.40 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,674.93–$1,825.68 | $4,187.33–$4,564.19 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,511.34–$2,737.36 | $6,278.35–$6,843.40 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,011.29–$2,301.92 | $5,028.22–$5,754.80 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,323.14–$2,532.22 | $5,807.85–$6,330.56 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,323.14–$2,532.22 | $5,807.85–$6,330.56 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,212.51–$2,411.64 | $5,531.28–$6,029.10 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$334.78–$364.92 | $836.96–$912.29 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$524.83–$572.07 | $1,312.08–$1,430.17 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$281.72–$307.07 | $704.29–$767.68 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$1,274.93–$1,389.68 | $3,187.33–$3,474.19 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$399.86–$435.85 | $999.66–$1,089.63 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,029.60–$1,122.26 | $2,573.99–$2,805.65 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$671.80–$732.26 | $1,679.49–$1,830.64 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$375.04–$408.79 | $937.60–$1,021.98 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,274.93–$1,389.68 | $3,187.33–$3,474.19 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$1,274.93–$1,389.68 | $3,187.33–$3,474.19 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,467.59–$1,599.68 | $3,668.98–$3,999.19 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,467.59–$1,599.68 | $3,668.98–$3,999.19 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$4,543.18–$4,952.06 | $11,357.94–$12,380.15 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$446.10–$486.25 | $1,115.26–$1,215.63 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,642.27–$1,790.07 | $4,105.67–$4,475.18 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,642.27–$1,790.07 | $4,105.67–$4,475.18 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,642.27–$1,790.07 | $4,105.67–$4,475.18 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$298.66–$561.86 | $746.64–$1,404.65 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,467.59–$1,599.68 | $3,668.98–$3,999.19 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,697.06–$1,849.80 | $4,242.66–$4,624.50 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,204.73–$1,313.15 | $3,011.82–$3,282.88 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,363.98–$1,486.74 | $3,409.95–$3,716.85 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,274.93–$1,389.68 | $3,187.33–$3,474.19 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$556.34–$606.41 | $1,390.84–$1,516.02 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$1,374.60–$2,784.36 | $3,436.51–$6,960.89 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,876.99–$2,045.92 | $4,692.48–$5,114.80 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,995.63–$2,175.24 | $4,989.07–$5,438.09 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,452.70–$2,673.44 | $6,131.74–$6,683.60 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,876.99–$2,045.92 | $4,692.48–$5,114.80 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,969.18–$6,290.40 | $7,422.94–$15,726.01 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$2,293.72–$2,500.16 | $5,734.30–$6,250.39 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,889.65–$3,236.40 | $7,224.12–$8,091 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,272.26–$3,715.14 | $5,680.64–$9,287.84 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,496.34–$2,045.92 | $3,740.84–$5,114.80 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,995.63–$2,175.24 | $4,989.07–$5,438.09 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,131.25–$2,673.44 | $5,328.12–$6,683.60 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,106.54–$2,296.13 | $5,266.35–$5,740.32 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,415.87–$2,633.30 | $6,039.67–$6,583.24 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,272.26–$2,476.76 | $5,680.64–$6,191.90 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,969.18–$3,236.40 | $7,422.94–$8,091 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$2,640.63–$2,878.28 | $6,601.57–$7,195.71 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,253.53–$1,366.34 | $3,133.82–$3,415.86 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,253.53–$1,366.34 | $3,133.82–$3,415.86 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,543.18–$4,952.06 | $11,357.94–$12,380.15 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$257.72–$280.92 | $644.31–$702.30 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$2,099.49–$2,288.45 | $5,248.73–$5,721.12 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$1,508.69–$1,644.47 | $3,771.72–$4,111.17 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$149.74–$163.21 | $374.34–$408.03 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,851.64–$2,018.29 | $4,629.10–$5,045.72 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$856.62–$933.71 | $2,141.54–$2,334.28 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,130.23–$1,231.95 | $2,825.57–$3,079.87 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$3,383.28–$3,687.78 | $8,458.20–$9,219.44 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,383.28–$3,687.78 | $8,458.20–$9,219.44 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,383.28–$3,687.78 | $8,458.20–$9,219.44 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,204.73–$1,313.15 | $3,011.82–$3,282.88 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$434.97–$474.12 | $1,087.42–$1,185.29 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$274–$535.11 | $684.99–$1,337.77 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$274–$403.11 | $684.99–$1,007.78 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$194.26–$211.74 | $485.65–$529.36 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$375.04–$408.79 | $937.60–$1,021.98 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$274–$403.11 | $684.99–$1,007.78 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radiation treatment delivery level 1 (77402) | $186.46 | $466.14 | 1.9× |
| Radiation treatment delivery level 3 (77412) | $343.90 | $859.74 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$414.25–$451.53 | $1,035.62–$1,128.83 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$399.86–$435.85 | $999.66–$1,089.63 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$399.86–$435.85 | $999.66–$1,089.63 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Radiopharm Dacryocystography (78660) range across 2 matching MRF lines |
$640.47–$698.11 | $1,601.17–$1,745.28 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$1,643.54–$2,820.42 | $4,108.86–$7,051.05 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,507.84–$1,643.54 | $3,769.60–$4,108.86 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,587.54–$2,820.42 | $6,468.85–$7,051.05 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$1,390.61–$2,820.42 | $3,476.53–$7,051.05 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,587.54–$2,820.42 | $6,468.85–$7,051.05 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$52.84–$57.59 | $132.09–$143.98 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$606.22–$660.78 | $1,515.54–$1,651.94 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$204.81–$223.24 | $512.03–$558.11 | varies |
| Special Physics Consult (77370) | $204.81 | $512.03 | 1.6× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$738.22–$804.66 | $1,845.54–$2,011.64 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$556.34–$606.41 | $1,390.84–$1,516.02 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$204.81–$223.24 | $512.03–$558.11 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,642.27–$1,790.07 | $4,105.67–$4,475.18 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$556.34–$606.41 | $1,390.84–$1,516.02 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$204.81–$223.24 | $512.03–$558.11 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$1,507.84–$1,643.54 | $3,769.60–$4,108.86 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$722.66–$787.70 | $1,806.65–$1,969.25 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,507.84–$1,643.54 | $3,769.60–$4,108.86 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$553.13–$602.91 | $1,382.82–$1,507.27 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,130.23–$1,231.95 | $2,825.57–$3,079.87 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$381.34–$415.66 | $953.34–$1,039.14 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$216.28–$235.75 | $540.71–$589.37 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$566.84–$617.85 | $1,417.09–$1,544.63 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$492.34–$536.65 | $1,230.85–$1,341.63 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$444.04–$686.90 | $1,110.10–$1,717.25 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$378.11–$412.14 | $945.27–$1,030.34 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.45–$1,717.24 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$630.18–$686.90 | $1,575.46–$1,717.25 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$3,806.41–$4,148.99 | $9,516.03–$10,372.47 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,654.41–$3,983.31 | $9,136.03–$9,958.27 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$11,386.20–$12,410.96 | $28,465.50–$31,027.40 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$878.50–$957.57 | $2,196.26–$2,393.92 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$735.51–$801.71 | $1,838.78–$2,004.27 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$1,251.81–$1,364.47 | $3,129.52–$3,411.18 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$1,251.81–$1,364.47 | $3,129.52–$3,411.18 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,416.37–$6,993.84 | $16,040.92–$17,484.60 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$399.79–$435.77 | $999.47–$1,089.42 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$490.92–$535.11 | $1,227.31–$1,337.77 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$490.92–$535.11 | $1,227.31–$1,337.77 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$583.10–$635.58 | $1,457.75–$1,588.95 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$216.44–$738.23 | $541.09–$1,845.57 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$462.43–$504.05 | $1,156.07–$1,260.12 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$274–$298.66 | $684.99–$746.64 | 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.