Imaging prices at Saint Francis Hospital-Memphis
Memphis, TN · every code in this section with a posted price and a Medicare benchmark.
345 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) | $8,607.75 | $11,477 | 6.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$974.25–$1,014.75 | $1,299–$1,353 | varies |
| Abdomen 2 views (74019) | $1,611 | $2,148 | 16.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,918.50 | $2,558 | 5.2× |
| Adrenal Cortex & Medulla Img (78075) | $782.25 | $1,043 | 0.7× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,694.75–$4,603.50 | $3,593–$6,138 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,814.50–$3,861 | $5,086–$5,148 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,370.75–$8,628.75 | $11,161–$11,505 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,661.75–$6,390.75 | $7,549–$8,521 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$2,506.50–$2,530.50 | $3,342–$3,374 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,610.75–$2,817.75 | $3,481–$3,757 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$880.50–$978 | $1,174–$1,304 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,924.25–$3,818.25 | $3,899–$5,091 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$3,635.25–$4,479 | $4,847–$5,972 | varies |
| Artery X-Rays Adrenal Gland (75731) | $19,834.50 | $26,446 | 6.8× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$2,022.75–$2,772.75 | $2,697–$3,697 | varies |
| Artery X-Rays Spine (75705) | $7,663.50 | $10,218 | 1.5× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,470–$2,767.50 | $1,960–$3,690 | varies |
| Arthrogram Wrist (73115) | $2,082.75 | $2,777 | 6.4× |
| Basic radiation dosimetry calculation (77300) | $1,615.50 | $2,154 | 13.0× |
| Bone age studies (77072) range across 2 matching MRF lines |
$455.25–$478.50 | $607–$638 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,914–$6,355.50 | $2,552–$8,474 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,320–$1,884 | $1,760–$2,512 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,182.50–$5,907.75 | $2,910–$7,877 | varies |
| Bone marrow imaging limited area (78102) | $2,094.75 | $2,793 | 5.7× |
| Bone survey infant (77076) | $558 | $744 | 5.8× |
| Brachytx isodose complex (77318) | $2,591.25 | $3,455 | 7.5× |
| Brachytx isodose intermed (77317) | $2,970.75 | $3,961 | 8.6× |
| Brachytx Isodose Plan Simple (77316) | $1,324.50 | $1,766 | 3.8× |
| Brain Flow Imaging Only (78610) | $2,130.75 | $2,841 | 4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,817 | $3,756 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,024.75 | $4,033 | 9.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,812.75–$2,118 | $2,417–$2,824 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,755.75 | $2,341 | 3.5× |
| Chest 1 view (71045) | $834 | $1,112 | 10.3× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$870–$1,073.25 | $1,160–$1,431 | varies |
| Chest 3 views (71047) | $1,077 | $1,436 | 13.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$891–$1,077 | $1,188–$1,436 | varies |
| Cholecystography Oral Contrast (74290) | $1,857 | $2,476 | 11.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$1,017.75–$1,143.75 | $1,357–$1,525 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,470.75 | $1,961 | 15.2× |
| Continuing medical physics consltj pr wk (77336) | $1,919.25 | $2,559 | 15.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,482–$7,685.25 | $9,976–$10,247 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,105.50–$1,136.25 | $1,474–$1,515 | varies |
| Contrast X-Ray Of Elbow (73085) | $799.50 | $1,066 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$662.25–$714 | $883–$952 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$17,442–$22,830 | $23,256–$30,440 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$11,244–$12,395.25 | $14,992–$16,527 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$6,999.75–$8,123.25 | $9,333–$10,831 | varies |
| CT abdomen w wo contrast (74170) | $7,877.25 | $10,503 | 48.5× |
| CT abdomen w/o contrast (74150) | $5,434.50 | $7,246 | 56.1× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$11,901.75–$14,577.75 | $15,869–$19,437 | varies |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$4,533.75–$7,285.50 | $6,045–$9,714 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$6,527.25–$7,285.50 | $8,703–$9,714 | varies |
| CT angio hrt w/3d image (75574) | $2,326.50 | $3,102 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$5,739.75–$7,286.25 | $7,653–$9,715 | varies |
| CT Angio Neck (70498) range across 6 matching MRF lines |
$6,527.25–$7,285.50 | $8,703–$9,714 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$5,739.75–$6,939.75 | $7,653–$9,253 | varies |
| CT cervical spine w/ contrast (72126) | $5,862 | $7,816 | 18.1× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$5,244.75–$6,131.25 | $6,993–$8,175 | varies |
| CT cervical spine w/wo cont (72127) | $5,904.75 | $7,873 | 36.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$7,269.75–$7,665.75 | $9,693–$10,221 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$8,257.50–$9,111.75 | $11,010–$12,149 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$6,227.25–$7,911 | $8,303–$10,548 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$7,413.75–$8,538.75 | $9,885–$11,385 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $389.25 | $519 | 4.8× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$6,291–$7,003.50 | $8,388–$9,338 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$4,052.25–$5,146.50 | $5,403–$6,862 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$5,320.50–$5,586.75 | $7,094–$7,449 | varies |
| CT lower extremity w/contrast material (73701) | $6,803.25 | $9,071 | 41.9× |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$5,862–$7,141.50 | $7,816–$9,522 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$5,244.75–$6,146.25 | $6,993–$8,195 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$5,523–$6,679.50 | $7,364–$8,906 | varies |
| CT maxillofacial wo contrast (70486) range across 6 matching MRF lines |
$4,526.25–$5,248.50 | $6,035–$6,998 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$7,856.25–$9,413.25 | $10,475–$12,551 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,577.50 | $8,770 | 40.5× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$4,574.25–$5,174.25 | $6,099–$6,899 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$9,898.50–$11,972.25 | $13,198–$15,963 | varies |
| CT pelvis w/o contrast (72192) | $4,923 | $6,564 | 50.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$6,534–$8,299.50 | $8,712–$11,066 | varies |
| CT scans face/jaw combo (70488) range across 5 matching MRF lines |
$7,501.50–$8,985.75 | $10,002–$11,981 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$5,666.25–$6,040.50 | $7,555–$8,054 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$4,367.25–$5,544.75 | $5,823–$7,393 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$5,862–$6,416.25 | $7,816–$8,555 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$5,244.75–$6,438 | $6,993–$8,584 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$6,201–$7,141.50 | $8,268–$9,522 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$5,011.50–$6,061.50 | $6,682–$8,082 | varies |
| CT upper ext wo (73200) | $5,271 | $7,028 | 54.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$6,534–$8,299.50 | $8,712–$11,066 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$6,864.75–$8,718 | $9,153–$11,624 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$6,237–$7,290.75 | $8,316–$9,721 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$3,813.75–$7,290.75 | $5,085–$9,721 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$3,497.25–$7,285.50 | $4,663–$9,714 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,845 | $2,460 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $2,126.25 | $2,835 | 1.2× |
| Diskography lumbar (72295) | $1,956.75 | $2,609 | 1.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$675–$1,361.25 | $900–$1,815 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$407.25–$1,361.25 | $543–$1,815 | varies |
| Echo exam uterus (76831) | $2,220 | $2,960 | 10.0× |
| Echo Guide For Artery Repair (76936) | $2,599.50 | $3,466 | 13.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$1,138.50–$1,332 | $1,518–$1,776 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$940.50–$1,195.50 | $1,254–$1,594 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $504.75 | $673 | 5.2× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,798.50–$2,290.50 | $2,398–$3,054 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,174.50–$1,371.75 | $1,566–$1,829 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$1,062.75–$1,144.50 | $1,417–$1,526 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$1,070.25–$1,147.50 | $1,427–$1,530 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$4,710.75–$4,829.25 | $6,281–$6,439 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,437.75–$6,593.25 | $1,917–$8,791 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$955.50–$1,080.75 | $1,274–$1,441 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,257.75 | $5,677 | 6.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,866.25 | $5,155 | 6.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,439.75 | $3,253 | 3.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $16,816.50 | $22,422 | 5.7× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,061.25–$6,073.50 | $1,415–$8,098 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,061.25–$4,872.75 | $1,415–$6,497 | varies |
| Ht Muscle Image Spect Sing (78451) | $6,816 | $9,088 | 5.7× |
| Hysterosalpingogram (74740) | $2,290.50 | $3,054 | 10.4× |
| Interstitial radiation source applic complex (77778) | $9,093.75 | $12,125 | 14.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,176.25 | $4,235 | 4.9× |
| Intracavitary radiation source applic simple (77761) | $1,482 | $1,976 | 2.9× |
| Joint Survey Single View (77077) | $290.25 | $387 | 3.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,027.50–$5,054.25 | $1,370–$6,739 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,487.25–$6,206.25 | $1,983–$8,275 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$1,017.75–$1,290.75 | $1,357–$1,721 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,189.50–$8,098.50 | $1,586–$10,798 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$878.25–$898.50 | $1,171–$1,198 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $7,605.75 | $10,141 | 15.1× |
| Lung perfusion differential (78597) | $7,605.75 | $10,141 | 20.5× |
| Lung Ventilat&Perfus Imaging (78582) | $8,745.75 | $11,661 | 17.4× |
| Lung Ventilation Imaging (78579) | $5,002.50 | $6,670 | 13.5× |
| Lymph System Imaging (78195) | $1,387.50 | $1,850 | 2.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $14,497.50 | $19,330 | 5.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,150.25 | $2,867 | 0.7× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$4,053–$4,513.50 | $5,404–$6,018 | varies |
| Mammary ductogram or galactogram multiple (77054) | $689.25 | $919 | 3.1× |
| Mammary ductogram or galactogram single (77053) | $521.25 | $695 | 2.4× |
| Meckels Divert Exam (78290) | $4,520.25 | $6,027 | 12.2× |
| Mlc imrt design & construction per imrt plan (77338) | $9,549 | $12,732 | 27.5× |
| Mr safety determination physician/other qhp (76016) | $308.25 | $411 | 3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $47.25 | $63 | 1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $488.25 | $651 | 5.5× |
| Mr safety implt pos&/immoblj (76019) | $639.75 | $853 | 11.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $965.25 | $1,287 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) | $6,758.25 | $9,011 | 20.9× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,609.75–$4,239 | $4,813–$5,652 | varies |
| MRA head with contrast (70545) | $5,633.25 | $7,511 | 17.4× |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$4,821–$5,633.25 | $6,428–$7,511 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$5,868–$6,437.25 | $7,824–$8,583 | varies |
| MRA neck w/o contrast (70547) | $3,609.75 | $4,813 | 16.3× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$6,972.75–$7,320.75 | $9,297–$9,761 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,503.50–$5,743.50 | $7,338–$7,658 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$5,861.25–$7,018.50 | $7,815–$9,358 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$7,059.75–$7,413.75 | $9,413–$9,885 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$5,861.25–$8,502 | $7,815–$11,336 | varies |
| MRI cardiac w/o contrast (75557) | $2,809.50 | $3,746 | 12.7× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$7,347.75–$8,995.50 | $9,797–$11,994 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$6,352.50–$7,106.25 | $8,470–$9,475 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$2,809.50–$2,879.25 | $3,746–$3,839 | varies |
| MRI chest with contrast (71551) | $3,332.25 | $4,443 | 4.6× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$3,123.75–$3,599.25 | $4,165–$4,799 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$6,212.25–$7,018.50 | $8,283–$9,358 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$7,059.75–$7,557.75 | $9,413–$10,077 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$4,980–$5,533.50 | $6,640–$7,378 | varies |
| MRI lumbar spine w contrast (72149) | $7,347.75 | $9,797 | 22.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,805.25 | $10,407 | 24.1× |
| MRI orbit face &/neck w/o contrast (70540) | $4,343.25 | $5,791 | 19.6× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$6,747–$7,509.75 | $8,996–$10,013 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,913.75 | $7,885 | 18.3× |
| MRI pelvis w contrast (72196) | $4,083.75 | $5,445 | 12.6× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$6,815.25–$9,015.75 | $9,087–$12,021 | varies |
| MRI pelvis w/o contrast (72195) | $4,980 | $6,640 | 22.5× |
| MRI thoracic spine w/o contrast (72146) | $6,352.50 | $8,470 | 28.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,018.50 | $9,358 | 21.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,980 | $6,640 | 22.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,446.25 | $8,595 | 19.9× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$7,059.75–$7,557.75 | $9,413–$10,077 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,523.25–$8,464.50 | $10,031–$11,286 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$7,985.25–$8,196.75 | $10,647–$10,929 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$4,980–$5,670.75 | $6,640–$7,561 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$7,059.75–$8,248.50 | $9,413–$10,998 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$8,141.25–$9,234.75 | $10,855–$12,313 | varies |
| Myelogram cervical (72240) | $4,078.50 | $5,438 | 5.6× |
| Myelogram Lumbar (72265) | $4,113 | $5,484 | 5.7× |
| Myelography thoracic (72255) | $4,422 | $5,896 | 6.1× |
| Myelograpy 2/more regions rs&i (72270) | $7,446 | $9,928 | 10.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,817 | $3,756 | 2.3× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $6,554.25 | $8,739 | 13.0× |
| Myocardial Spect Multiple Studies (78452) | $10,707.75 | $14,277 | 8.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$345–$360.75 | $460–$481 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,176.50 | $2,902 | 5.9× |
| Nonvascular Shunt X-Ray (75809) | $825.75 | $1,101 | 8.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $21,966 | $29,288 | 17.1× |
| Nuclear Rx Intra-Arterial (79445) | $2,052 | $2,736 | 9.5× |
| Nuclear Rx Oral Admin (79005) | $4,062.75 | $5,417 | 18.8× |
| Panoramic X-ray of jaws (70355) | $505.50 | $674 | 6.3× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$803.25–$3,139.50 | $1,071–$4,186 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,361.75 | $3,149 | 6.4× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$1,108.50–$1,159.50 | $1,478–$1,546 | varies |
| Peritoneogram Rs&I (74190) | $2,955 | $3,940 | 5.8× |
| Pet Image Skull-Thigh (78812) | $6,104.25 | $8,139 | 4.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,240.75 | $4,321 | 2.4× |
| PET whole body (78813) | $6,104.25 | $8,139 | 4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,279.75 | $4,373 | 8.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,089–$1,242.75 | $1,452–$1,657 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$1,056.75–$1,235.25 | $1,409–$1,647 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$942.75–$1,910.25 | $1,257–$2,547 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$1,893–$2,107.50 | $2,524–$2,810 | varies |
| Radex fingr minimum 2 views (73140) | $429.75 | $573 | 5.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$939–$1,229.25 | $1,252–$1,639 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,038.75–$1,224.75 | $1,385–$1,633 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$363–$383.25 | $484–$511 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$1,192.50–$1,422 | $1,590–$1,896 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$1,068–$1,327.50 | $1,424–$1,770 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$489–$496.50 | $652–$662 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$973.50–$1,136.25 | $1,298–$1,515 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$1,129.50–$1,434.75 | $1,506–$1,913 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$397.50–$482.25 | $530–$643 | varies |
| Radex Toe Minimum 2 Views (73660) | $423.75 | $565 | 5.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$964.50–$1,168.50 | $1,286–$1,558 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $40,701 | $54,268 | 6.0× |
| Radiation treatment delivery level 1 (77402) | $1,611.75 | $2,149 | 17.1× |
| Radiation treatment delivery level 2 (77407) | $2,096.25 | $2,795 | 5.9× |
| Radiation treatment delivery level 3 (77412) | $2,385.75 | $3,181 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$1,445.25–$1,689.75 | $1,927–$2,253 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,617.75 | $2,157 | 16.7× |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$3,039.75–$3,861 | $4,053–$5,148 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$1,457.25–$2,851.50 | $1,943–$3,802 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,138.50 | $1,518 | 7.0× |
| Radiologic exam knee complete 4/more views (73564) | $963.75 | $1,285 | 9.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$2,105.25–$2,475.75 | $2,807–$3,301 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,279.50 | $1,706 | 7.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$2,463.75–$2,550 | $3,285–$3,400 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,062.75–$1,275 | $1,417–$1,700 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$991.50–$1,026 | $1,322–$1,368 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$999.75–$1,207.50 | $1,333–$1,610 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,434–$1,542 | $1,912–$2,056 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $5,961.75 | $7,949 | 16.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$6,458.25–$8,202 | $8,611–$10,936 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,781.50 | $9,042 | 13.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$5,265–$6,066 | $7,020–$8,088 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,937.50 | $9,250 | 5.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,398.75 | $5,865 | 3.7× |
| Rp Therapy Intravenous Administration (79101) | $1,492.50 | $1,990 | 6.9× |
| Scapula (73010) range across 3 matching MRF lines |
$998.25–$1,266 | $1,331–$1,688 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$138–$146.25 | $184–$195 | varies |
| Shoulder 1 view (73020) | $588 | $784 | 7.3× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$3,440.25–$4,369.50 | $4,587–$5,826 | varies |
| Sialogram (70390) | $1,271.25 | $1,695 | 5.8× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$1,159.50–$1,473.75 | $1,546–$1,965 | varies |
| Special dosimetry (77331) | $200.25 | $267 | 1.6× |
| Special Physics Consult (77370) | $2,417.25 | $3,223 | 19.4× |
| Special teletherapy port plan (77321) | $1,908 | $2,544 | 5.5× |
| Special treatment procedure (77470) | $3,532.50 | $4,710 | 6.9× |
| Speech evaluation, complex (70371) | $2,138.25 | $2,851 | 9.7× |
| Stereotactic Body Radiation Delivery (77373) | $24,862.50 | $33,150 | 15.0× |
| Sternoclavicular joints (71130) | $454.50 | $606 | 5.6× |
| Superior sagittal sinus venogram (75870) | $6,498 | $8,664 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,553.25 | $2,071 | 4.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $735 | $980 | 2.1× |
| Testicular Imaging W/Flow (78761) | $4,542.75 | $6,057 | 12.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,532.25 | $6,043 | 13.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,872.25 | $5,163 | 11.2× |
| Ther rad simulaj-aided field setting simple (77280) | $2,308.50 | $3,078 | 18.5× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$1,392.75–$1,736.25 | $1,857–$2,315 | varies |
| Thoracic spine 3 views (72072) | $680.25 | $907 | 7.0× |
| Thoracolumbar 2 views (72080) | $410.25 | $547 | 5.1× |
| Thyroid Met Imaging Body (78018) | $1,669.50 | $2,226 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,130.25 | $1,507 | 3.1× |
| Tx Devices Design & Construction Complex (77334) | $3,778.50 | $5,038 | 10.9× |
| Tx devices design & construction intermediate (77333) | $2,262.75 | $3,017 | 18.2× |
| Tx devices design & construction simple (77332) | $1,589.25 | $2,119 | 12.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$675–$729 | $900–$972 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$880.50–$1,062 | $1,174–$1,416 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,938.75–$2,156.25 | $2,585–$2,875 | varies |
| Umbilical-artery Doppler (OB) (76820) | $773.25 | $1,031 | 8.0× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$1,247.25–$1,359 | $1,663–$1,812 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,878–$2,514.75 | $2,504–$3,353 | varies |
| Unlisted us procedure (76999) | $691.50 | $922 | 8.6× |
| Upper gi w/o kub (74240) | $1,337.25 | $1,783 | 8.2× |
| Urethrocystogram voiding (74455) | $1,410 | $1,880 | 6.4× |
| Urethrocystography retrograde (74450) | $790.50 | $1,054 | 3.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,215–$1,351.50 | $1,620–$1,802 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,556.25–$1,642.50 | $2,075–$2,190 | varies |
| Us complete joint (76881) | $2,303.25 | $3,071 | 23.8× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$504.75–$630 | $673–$840 | varies |
| Us head (76506) | $798.75 | $1,065 | 8.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $956.25 | $1,275 | 9.9× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$859.50–$955.50 | $1,146–$1,274 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$456.75–$567 | $609–$756 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$321–$437.25 | $428–$583 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,682–$2,816.25 | $3,576–$3,755 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$320.25–$420.75 | $427–$561 | varies |
| Us retroperitoneal complete (76770) | $1,526.25 | $2,035 | 15.8× |
| Us retroperitoneal limited (76775) | $1,061.25 | $1,415 | 11.0× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$2,205–$2,315.25 | $2,940–$3,087 | varies |
| Us spinal canal and contents (76800) | $768 | $1,024 | 7.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,967.25–$2,046 | $2,623–$2,728 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$605.25–$666 | $807–$888 | varies |
| Vein X-Ray Chest (75827) | $9,789 | $13,052 | 6.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,213 | $8,284 | 2.1× |
| Venogram Sinus/Jugular (75860) | $2,576.25 | $3,435 | 0.9× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,260–$8,081.25 | $9,680–$10,775 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$5,765.25–$7,526.25 | $7,687–$10,035 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$3,217.50–$3,645.75 | $4,290–$4,861 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$5,996.25–$6,861.75 | $7,995–$9,149 | varies |
| Venography Renal Unilateral (75831) | $5,229 | $6,972 | 1.8× |
| Venous sampling by catheter (75893) | $20,025 | $26,700 | 3.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,937 | $3,916 | 7.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$1,048.50–$1,069.50 | $1,398–$1,426 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $627.75 | $837 | 7.8× |
| X-ray antegrade pyelogram tube (74425) | $1,874.25 | $2,499 | 5.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$24,700.50–$28,699.50 | $32,934–$38,266 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$821.25–$1,044.75 | $1,095–$1,393 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,104–$1,140.75 | $1,472–$1,521 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$338.25–$468.75 | $451–$625 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$765–$2,019 | $1,020–$2,692 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$1,372.50–$1,557 | $1,830–$2,076 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,404.75 | $1,873 | 14.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,601.75 | $3,469 | 26.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$1,540.50–$1,955.25 | $2,054–$2,607 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,212 | $1,616 | 15.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$1,227.75–$1,562.25 | $1,637–$2,083 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$1,386–$1,542 | $1,848–$2,056 | varies |
| X-ray eye for foreign body (70030) | $744 | $992 | 9.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$952.50–$1,211.25 | $1,270–$1,615 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$2,492.25–$2,987.25 | $3,323–$3,983 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$2,844.75–$3,408 | $3,793–$4,544 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,140.75–$1,332.75 | $1,521–$1,777 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$1,409.25–$1,646.25 | $1,879–$2,195 | varies |
| X-ray nose-rectum child f.b. (76010) | $555 | $740 | 6.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$1,782.75–$2,020.50 | $2,377–$2,694 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$438.75–$509.25 | $585–$679 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,201.50–$1,333.50 | $1,602–$1,778 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,833.75–$2,182.50 | $2,445–$2,910 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$1,647–$1,991.25 | $2,196–$2,655 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$1,477.50–$1,874.25 | $1,970–$2,499 | varies |
| X-Ray Tmj Unilat (70328) | $394.50 | $526 | 4.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,813.50 | $2,418 | 5.6× |
| X-Rays Bone Length Studies (77073) | $609 | $812 | 6.3× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$1,011–$1,283.25 | $1,348–$1,711 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,368.75–$1,607.25 | $1,825–$2,143 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$982.50–$1,189.50 | $1,310–$1,586 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$552–$581.25 | $736–$775 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$2,398.50–$2,904 | $3,198–$3,872 | 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.