Imaging prices at Saint Francis Hospital
Hartford, CT · every code in this section with a posted price and a Medicare benchmark.
347 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) | $6,301.90 | $11,458 | 3.8× |
| Abdomen 1 View (74018) | $18,478.34 | — | 177.1× |
| Abdomen 2 views (74019) | $304.15 | $553 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,134.10 | $2,062 | 2.4× |
| Angio pulmonary bilat (75743) | $6,223.80 | $11,316 | 1.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,223.80 | $11,316 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $6,454.25 | $11,735 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $21,150.78 | — | 5.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,148.65 | $7,543 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,020.70 | $3,674 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$1,789.70–$16,452.91 | — | varies |
| Aortography thoracic serialography rs&i (75605) | $4,027.65 | $7,323 | 0.6× |
| Artery X-Rays Abdomen (75726) | $4,148.65 | $7,543 | 0.6× |
| Artery X-Rays Pelvis (75736) | $5,663.90 | $10,298 | 0.8× |
| Artery X-Rays Spine (75705) | $6,131.40 | $11,148 | 0.9× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,450.90–$2,176.35 | $2,638–$3,957 | varies |
| Basic radiation dosimetry calculation (77300) | $606.65 | $1,103 | 3.8× |
| Bone age studies (77072) | $253.55 | $461 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,377.20 | $2,504 | 2.9× |
| Bone Imaging Limited Area (78300) | $810.70 | $1,474 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,348.60 | $2,452 | 2.8× |
| Bone survey infant (77076) | $391.60 | $712 | 3.1× |
| Brachytx isodose complex (77318) | $1,680.80 | $3,056 | 3.7× |
| Brachytx isodose intermed (77317) | $1,167.10 | $2,122 | 2.6× |
| Brachytx Isodose Plan Simple (77316) | $850.30 | $1,546 | 1.9× |
| Brain Image W/Flow < 4 Views (78601) | $3,440.80 | $6,256 | 7.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,078.35 | $5,597 | 4.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$6,327.75–$6,517.50 | $11,505–$11,850 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,914.55 | $3,481 | 4.6× |
| Cat Scan Follow-Up Study (76380) | $446.60 | $812 | 4.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,375 | $2,500 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $3,366 | $6,120 | 5.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$20,834.45–$31,319.25 | — | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$361.90–$6,830.25 | — | varies |
| Chest 3 views (71047) | $380.60 | $692 | 3.6× |
| Chest 4 or more views (71048) | $384.45 | $699 | 3.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$498.30–$900.35 | — | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $575.30 | $1,046 | 4.6× |
| Continuing medical physics consltj pr wk (77336) | $520.85 | $947 | 3.2× |
| Contrast Exam Abdominl Aorta (75625) | $4,148.65 | $7,543 | 1.1× |
| Contrast X-Ray Bladder (74430) | $864.60 | $1,572 | 2.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,005.40–$1,508.10 | $1,828–$2,742 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,879.90 | $3,418 | 4.5× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,501.50–$3,259.49 | — | varies |
| CT abdomen w contrast (74160) | $1,275.45 | $2,319 | 6.1× |
| CT abdomen w wo contrast (74170) | $1,401.40 | $2,548 | 6.7× |
| CT abdomen w/o contrast (74150) | $1,105.50 | — | 8.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,969.55 | $3,581 | 4.7× |
| CT Angio Chest (71275) | $1,728.10 | $3,142 | 8.2× |
| CT Angio Head (70496) | $3,507.71 | — | 16.7× |
| CT angio hrt w/3d image (75574) | $1,361.25 | $2,475 | 3.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,403.60–$2,105.95 | $2,552–$3,829 | varies |
| CT Angio Neck (70498) | $3,516.89 | — | 16.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,079.65 | $1,963 | 5.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $347.05 | $631 | 1.7× |
| CT cervical spine w/ contrast (72126) | $1,158.85 | $2,107 | 2.8× |
| CT cervical spine w/o contrast (72125) | $1,097.80 | $1,996 | 8.8× |
| CT cervical spine w/wo cont (72127) | $1,268.30 | $2,306 | 6.0× |
| CT chest w contrast (71260) | $1,439.90 | $2,618 | 6.8× |
| CT chest w/wo contrast (71270) | $1,596.10 | $2,902 | 7.6× |
| CT colonography screening (74263) | $2,418.35 | $4,397 | 8.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,021.90 | $1,858 | 4.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $889.35 | $1,617 | 7.1× |
| CT head/brain with contrast (70460) | $993.85 | $1,807 | 4.7× |
| CT head/brain without and with contrast (70470) | $1,264.45 | $2,299 | 6.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,099.45 | $1,999 | 2.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $151.25 | $275 | 1.4× |
| CT iac w contrast (70481) | $999.10 | — | 4.8× |
| CT l-spine w&w/o contrast (72133) | $1,291.95 | $2,349 | 6.1× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$1,222.10–$1,832.60 | $2,222–$3,332 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$1,309–$1,964.05 | $2,380–$3,571 | varies |
| CT lumbar spine w contrast (72132) | $1,124.75 | $2,045 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $1,021.90 | $1,858 | 8.2× |
| CT maxillofacial w contrast (70487) | $993.85 | $1,807 | 4.7× |
| CT maxillofacial wo contrast (70486) | $880 | $1,600 | 7.0× |
| CT neck tissue combo (70492) | $1,342.55 | $2,441 | 6.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,045.55 | $1,901 | 5.0× |
| CT orbits w/o contrast (70480) | $757.35 | — | 6.0× |
| CT pelvis w&w/o contrast (72194) | $1,235.30 | $2,246 | 5.9× |
| CT pelvis w/o contrast (72192) | $981.75 | $1,785 | 7.8× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$1,508.65–$2,262.70 | $2,743–$4,114 | varies |
| CT scans face/jaw combo (70488) | $1,100 | $2,000 | 5.2× |
| CT soft tissue neck w contrast (70491) | $1,221 | $2,220 | 5.8× |
| CT soft tissue neck w/o contrast (70490) | $1,109.35 | $2,017 | 8.9× |
| CT thoracic spine w contrast (72129) | $1,103.30 | $2,006 | 5.2× |
| CT thoracic spine w/o contrast (72128) | $1,007.05 | $1,831 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $1,451.45 | $2,639 | 6.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$827.20–$2,598.20 | — | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$1,007.05–$1,510.85 | $1,831–$2,747 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$1,163.25–$1,744.60 | $2,115–$3,172 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$1,057.65–$1,587.30 | $1,923–$2,886 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,132.45 | $2,059 | 5.4× |
| Cta Abdomen (74175) | $1,594.45 | $2,899 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,341.25 | $6,075 | 8.0× |
| CTA pelvis (72191) | $1,112.65 | $2,023 | 5.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $568.70 | $1,034 | 4.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $3,456.75 | — | 27.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $597.85 | $1,087 | 4.8× |
| Dxa Bone Density Axial (77080) | $418.55 | $761 | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $242 | $440 | 2.3× |
| Echo exam of fetal heart (76825) | $3,456.75 | — | 5.3× |
| Echo exam uterus (76831) | $1,364.55 | $2,481 | 4.8× |
| Echo Guide For Artery Repair (76936) | $631.95 | $1,149 | 2.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,695.10 | $3,082 | 5.9× |
| Esophagram (74220) | $543.40 | $988 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $409.75 | $745 | 3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $309.10 | $562 | 2.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,056 | $1,920 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $589.05 | — | 2.1× |
| Follow-Up Angiography (75898) | $379.50 | $690 | 0.1× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$237.60–$356.40 | $432–$648 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$486.75–$1,399.20 | — | varies |
| Gastric emptying imaging study (78264) | $1,058.75 | $1,925 | 2.2× |
| Gated Heart Planar Single (78472) | $1,547.70 | $2,814 | 3.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$356.40–$475.20 | — | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,583.70 | $8,334 | 5.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,482.60 | $6,332 | 4.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,620.30 | $2,946 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,620.30 | $2,946 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $2,978.80 | $5,416 | 1.9× |
| Hysterosalpingogram (74740) | $2,068 | $3,760 | 7.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $178.75 | $325 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,240.80 | $2,256 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,177.55 | $2,141 | 1.8× |
| Kidney Imaging Morphol (78700) | $1,152.80 | $2,096 | 2.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,155.55 | $2,101 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$247.50–$371.25 | — | varies |
| Liver & Spleen Imaging Static Only (78215) | $972.95 | $1,769 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,301.30 | $2,366 | 2.0× |
| Lung perfusion differential (78597) | $885.50 | $1,610 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,647.80 | $2,996 | 2.5× |
| Lymph System Imaging (78195) | $1,051.05 | $1,911 | 1.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,325 | $11,500 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,519.65 | $2,763 | 5.3× |
| Meckels Divert Exam (78290) | $1,418.45 | $2,579 | 3.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,206.70 | $2,194 | 2.7× |
| Mr safety determination physician/other qhp (76016) | $205.70 | $374 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $75.35 | $137 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $205.70 | $374 | 1.8× |
| Mr safety implt pos&/immoblj (76019) | $205.70 | $374 | 2.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $205.70 | $374 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,227.75–$2,787.34 | — | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,348.60–$2,792.65 | — | varies |
| MRA head with contrast (70545) | $1,450.90 | $2,638 | 3.5× |
| MRA neck w contrast (70548) | $1,675.85 | $3,047 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,157.10 | $3,922 | 5.2× |
| MRA neck w/o contrast (70547) | $1,519.65 | $2,763 | 5.3× |
| MRI abdomen w contrast (74182) | $1,495.45 | $2,719 | 3.6× |
| MRI abdomen w/o contrast (74181) | $1,349.15 | $2,453 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,928.30–$2,893 | $3,506–$5,260 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$2,561.35–$3,841.75 | $4,657–$6,985 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,849.10–$2,774.20 | $3,362–$5,044 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,924.45 | $3,499 | 6.7× |
| MRI cardiac w/o contrast (75557) | $952.05 | $1,731 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,566.95 | $2,849 | 3.7× |
| MRI cervical spine w/o cont (72141) | $1,508.65 | $2,743 | 5.3× |
| MRI chest w/o contrast (71550) | $1,047.20 | $1,904 | 3.7× |
| MRI chest wo w contrast (71552) | $2,451.35 | $4,457 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,582.35–$2,373.80 | $2,877–$4,316 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,212.35 | — | 5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,498.20–$2,247.85 | $2,724–$4,087 | varies |
| MRI lumbar spine w contrast (72149) | $1,566.95 | $2,849 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,921.70 | $3,494 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,099.45 | $1,999 | 3.8× |
| MRI orbit face neck w contrast (70542) | $1,319.45 | $2,399 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,783.65 | $3,243 | 4.3× |
| MRI pelvis w contrast (72196) | $1,384.90 | $2,518 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $1,915.10 | $3,482 | 4.6× |
| MRI pelvis w/o contrast (72195) | $1,260.05 | $2,291 | 4.4× |
| MRI spectroscopy (76390) | $2,745.05 | $4,991 | 26.3× |
| MRI thoracic spine w/o contrast (72146) | $1,508.65 | $2,743 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$762.85–$1,145.10 | $1,387–$2,082 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,164.35–$1,746.25 | $2,117–$3,175 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$1,783.65–$2,676.30 | $3,243–$4,866 | varies |
| MRI, abdomen, combo (74183) | $2,209.90 | $4,018 | 5.3× |
| MRI, dorsal spine combo (72157) | $1,948.65 | $3,543 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,566.95 | $2,849 | 3.7× |
| MRI, joint upper extrem (73221) | $1,675.85 | — | 5.9× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,060.85–$3,091.55 | $3,747–$5,621 | varies |
| MRI, lumbar spine combo (72158) | $1,958 | $3,560 | 4.7× |
| Myelogram cervical (72240) | $2,951.30 | $5,366 | 3.1× |
| Myelogram Lumbar (72265) | $2,755.50 | $5,010 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $2,675.20 | $4,864 | 2.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,276.70 | $9,594 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $3,397.35 | $6,177 | 2.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $5,987.30 | $10,886 | 3.5× |
| Neck soft tissue (70360) | $213.40 | $388 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,512.65 | $10,023 | 3.3× |
| Nuclear Rx Intra-Arterial (79445) | $574.75 | $1,045 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $1,454.20 | $2,644 | 5.2× |
| Ob us nuchal meas 1 gest (76813) | $471.35 | $857 | 3.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,222.10 | $2,222 | 1.9× |
| Pelvis 1 or 2 views (72170) | $36,883.59 | — | 294.3× |
| Perineogram (74775) | $476.85 | $867 | 1.7× |
| Peritoneogram Rs&I (74190) | $1,081.30 | $1,966 | 1.7× |
| Pet Image W/Ct Lmtd (78814) | $5,171.65 | $9,403 | 3.0× |
| PET image w/CT, full body (78816) | $6,024.15 | $10,953 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,541.25 | $10,075 | 3.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,245.25 | $11,355 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $797.50 | $1,450 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $402.60 | $732 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,883.50 | — | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$539.55–$989.45 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$213.40–$320.10 | $388–$582 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$289.30–$805.20 | — | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $311.85 | $567 | 2.5× |
| Radex fingr minimum 2 views (73140) | $237.60 | — | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$1,024.10–$13,623.20 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$262.90–$767.80 | — | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$151.80–$227.70 | $276–$414 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $237.60 | $432 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $598.15 | — | 5.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$276.10–$414.15 | — | varies |
| Radex Spine 1 View Specify Level (72020) | $30,072.47 | — | 288.2× |
| Radex Sternum Minimum 2 Views (71120) | $237.60 | $432 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $237.60 | $432 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$213.40–$320.10 | $388–$582 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$216.15–$324.50 | $393–$590 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$276.10–$414.15 | — | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$15,453.90–$17,513.10 | $28,098–$31,842 | varies |
| Radiation treatment delivery level 1 (77402) | $494.45 | $899 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $1,918.40 | $3,488 | 4.1× |
| Radiation treatment delivery level 3 (77412) | $1,472.90 | $2,678 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $365.75 | $665 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $218.35 | $397 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $807.95 | $1,469 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $807.95 | $1,469 | 3.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $580.80 | $1,056 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$293.70–$440.55 | $534–$801 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $304.15 | $553 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $655.60 | $1,192 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $679.80 | $1,236 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $634.15 | $1,153 | 3.0× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$237.60–$356.40 | $432–$648 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$260.70–$640.20 | — | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$341.55–$539.55 | — | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$249.15–$374 | — | varies |
| Ribs bilateral 3 views (71110) | $437.80 | $796 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,326.05 | $2,411 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $790.90 | $1,438 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,166.90 | $5,758 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,045.45 | $3,719 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,813.35 | $3,297 | 2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,830.30 | $5,146 | 1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,845.40 | $10,628 | 3.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,561.90 | $4,658 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $1,075.80 | $1,956 | 3.8× |
| Scapula (73010) range across 6 matching MRF lines |
$237.60–$356.40 | $432–$648 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$82.50–$137.50 | $150–$250 | varies |
| Shoulder 1 view (73020) | $42,146.32 | — | 404.0× |
| Shoulder Arthrography (73040) | $1,555.40 | $2,828 | 3.7× |
| Skull less than 4 views (70250) | $237.60 | $432 | 1.9× |
| Special dosimetry (77331) | $734.80 | $1,336 | 4.6× |
| Special Physics Consult (77370) | $1,146.20 | $2,084 | 7.1× |
| Special teletherapy port plan (77321) | $2,341.35 | $4,257 | 5.2× |
| Special treatment procedure (77470) | $3,072.30 | $5,586 | 4.6× |
| Stereotactic Body Radiation Delivery (77373) range across 3 matching MRF lines |
$3,463.35–$15,921.95 | $6,297–$28,949 | varies |
| Sternoclavicular joints (71130) | $289.30 | $526 | 2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,617 | $2,940 | 3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,110.45 | $2,019 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,150.95 | $5,729 | 7.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,388.75 | $2,525 | 8.6× |
| Thoracic spine 2 views (72070) | $261.25 | $475 | 2.1× |
| Thoracic spine 3 views (72072) | $216.15 | $393 | 1.7× |
| Thoracolumbar 2 views (72080) | $173.80 | $316 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,083.50 | $1,970 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $960.30 | $1,746 | 2.0× |
| Tx Devices Design & Construction Complex (77334) | $3,132.25 | $5,695 | 7.0× |
| Tx devices design & construction intermediate (77333) | $855.25 | $1,555 | 5.3× |
| Tx devices design & construction simple (77332) | $823.35 | $1,497 | 5.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$297.55–$446.60 | $541–$812 | varies |
| Ultrasound Elastography Parenchyma (76981) | $222.75 | $405 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $288.75 | $525 | 2.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$494.45–$956.45 | — | varies |
| Umbilical-artery Doppler (OB) (76820) | $322.30 | $586 | 2.6× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$173.80–$178.75 | $316–$325 | varies |
| Upper gi w/o kub (74240) | $607.75 | $1,105 | 2.9× |
| Urethrocystogram voiding (74455) | $660 | $1,200 | 2.3× |
| Urethrocystography retrograde (74450) | $520.30 | $946 | 1.8× |
| Us breast unilateral complete (76641) range across 9 matching MRF lines |
$320.10–$480.70 | $582–$874 | varies |
| Us chest (76604) | $391.60 | $712 | 3.1× |
| Us complete joint (76881) | $308.55 | $561 | 2.5× |
| Us exam, pelvic, limited (76857) | $310.75 | $565 | 2.5× |
| Us head (76506) | $256.85 | $467 | 2.0× |
| Us kidney transplant (76776) | $379.50 | $690 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $272.80 | — | 2.2× |
| Us ob detailed single fetus (76811) | $912.45 | $1,659 | 3.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$589.60–$597.85 | — | varies |
| Us ob transvaginal (76817) | $695.75 | $1,265 | 5.6× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$695.75–$1,511.95 | — | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $542.85 | $987 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $515.90 | — | 4.1× |
| Us retroperitoneal complete (76770) | $501.05 | $911 | 4.0× |
| Us retroperitoneal limited (76775) | $478.50 | — | 3.8× |
| Us scrotum and contents (76870) | $525.25 | $955 | 4.2× |
| Us spinal canal and contents (76800) | $526.35 | $957 | 4.2× |
| Us thyroid (76536) | $543.95 | $989 | 4.3× |
| Us transrectal (76872) | $7,177.50 | — | 57.3× |
| Vein X-Ray Chest (75827) | $1,845.80 | $3,356 | 1.0× |
| Venogram Sinus/Jugular (75860) | $2,081.20 | $3,784 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $6,131.40 | $11,148 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $2,081.20 | $3,784 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,426.15 | $2,593 | 0.8× |
| Venography Renal Bilateral (75833) | $6,208.40 | $11,288 | 1.6× |
| Venography Renal Unilateral (75831) | $4,148.65 | $7,543 | 1.1× |
| Venous sampling by catheter (75893) | $4,594.15 | $8,353 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$497.75–$1,139.05 | — | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $237.60 | $432 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $560.45 | $1,019 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,941.85 | $7,167 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $211.75 | $385 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$237.60–$1,164.35 | — | varies |
| X-Ray Exam Breast Specimen (76098) | $21,067.54 | — | 32.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $180.40 | $328 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $365.75 | $665 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $237.60 | — | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $260.70 | — | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $250.25 | $455 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $328.90 | $598 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $364.10 | $662 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $400.40 | $728 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $446.05 | $811 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $749.10 | — | 7.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $446.05 | $811 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $382.25 | $695 | 3.0× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$237.60–$356.40 | $432–$648 | varies |
| X-ray humerus (73060) | $262.90 | — | 2.5× |
| X-ray IV pyelogram (ivp) (74400) | $810.70 | $1,474 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $180.40 | $328 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $256.85 | $467 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $274.45 | $499 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $178.75 | $325 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $466.95 | $849 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $237.60 | $432 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $218.35 | $397 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $261.80 | $476 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $365.75 | $665 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $365.75 | $665 | 2.9× |
| X-Ray Stress View (77071) | $71.50 | $130 | 0.7× |
| X-ray thoracic spine 4 vw (72074) | $218.35 | $397 | 1.7× |
| X-Ray Tmj Unilat (70328) | $173.80 | $316 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $756.25 | $1,375 | 1.8× |
| X-Rays Bone Length Studies (77073) | $404.25 | $735 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $391.60 | $712 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $425.70 | $774 | 3.4× |
| Xr facial bones less than 3 views (70140) | $178.75 | $325 | 1.7× |
| Xr orbits complete 4 views (70200) | $293.70 | $534 | 2.3× |
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.