Imaging prices at Saint Luke's North Hospital–Barry Road
Kansas City, MO · every code in this section with a posted price and a Medicare benchmark.
307 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $559.20 | $932 | 6.4× |
| Abdomen 2 views (74019) | $789 | $1,315 | 7.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,362 | $2,270 | 3.4× |
| Angio pulmonary bilat (75743) | $6,973.80 | $11,623 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $5,643.60 | $9,406 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $4,379.40 | $7,299 | 1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,844.80 | $11,408 | 2.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$594.60–$892.20 | $991–$1,487 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,461 | $7,435 | 0.8× |
| Artery X-Rays Abdomen (75726) | $3,319.80 | $5,533 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $1,932.60 | $3,221 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,319.80 | $5,533 | 0.6× |
| Arthrogram ankle (73615) | $880.80 | $1,468 | 2.5× |
| Arthrogram hip (73525) | $1,461 | $2,435 | 4.2× |
| Bone age studies (77072) | $299.40 | $499 | 2.9× |
| Bone Imaging 3 Phase (78315) | $2,437.80 | $4,063 | 6.1× |
| Bone Imaging Limited Area (78300) | $1,125 | $1,875 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,625.40 | $2,709 | 4.1× |
| Bone marrow imaging limited area (78102) | $1,232.40 | $2,054 | 3.1× |
| Bone marrow imaging; whole body (78104) | $1,755 | $2,925 | 4.4× |
| Bone survey infant (77076) | $2,528.40 | $4,214 | 24.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,357.20 | $2,262 | 2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,400.80 | $5,668 | 2.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $836.40 | $1,394 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $937.20 | $1,562 | 10.8× |
| Chest 1 view (71045) | $418.80 | $698 | 4.8× |
| Chest 2 views (71046) | $564 | $940 | 6.5× |
| Chest 3 views (71047) | $709.20 | $1,182 | 8.1× |
| Chest 4 or more views (71048) | $757.80 | $1,263 | 7.2× |
| Cisternography Positive Contrast Rs&I (70015) | $1,296.60 | $2,161 | 1.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$600–$900 | $1,000–$1,500 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $144 | $240 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,019.80 | $5,033 | 1.0× |
| Contrast X-Ray Bladder (74430) | $778.20 | $1,297 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,109.40 | $1,849 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $7,394.40 | $12,324 | 21.2× |
| CT abdomen and pelvis without contrast (74176) | $6,001.20 | $10,002 | 25.1× |
| CT abdomen w contrast (74160) | $3,255.60 | $5,426 | 18.5× |
| CT abdomen w wo contrast (74170) | $3,690.60 | $6,151 | 21.0× |
| CT abdomen w/o contrast (74150) | $2,454.60 | $4,091 | 23.4× |
| CT Angio Abdomen and Pelvis (74174) | $8,329.80 | $13,883 | 23.8× |
| CT Angio Chest (71275) | $4,706.40 | $7,844 | 26.8× |
| CT Angio Head (70496) | $4,870.80 | $8,118 | 27.7× |
| CT angio hrt w/3d image (75574) | $936 | $1,560 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,486.40–$3,729.60 | $4,144–$6,216 | varies |
| CT Angio Neck (70498) | $4,902.60 | $8,171 | 27.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,668.80 | $4,448 | 15.2× |
| CT cervical spine w/ contrast (72126) | $3,630 | $6,050 | 10.4× |
| CT cervical spine w/o contrast (72125) | $3,592.80 | $5,988 | 34.3× |
| CT cervical spine w/wo cont (72127) | $4,485.60 | $7,476 | 25.5× |
| CT chest w contrast (71260) | $2,535.60 | $4,226 | 14.4× |
| CT chest w/wo contrast (71270) | $3,679.20 | $6,132 | 20.9× |
| CT head/brain with contrast (70460) | $3,903 | $6,505 | 22.2× |
| CT head/brain without and with contrast (70470) | $4,665 | $7,775 | 26.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $966 | $1,610 | 2.8× |
| CT hrt w/3d image congen (75573) | $1,224 | $2,040 | 3.5× |
| CT iac w contrast (70481) | $4,909.20 | $8,182 | 27.9× |
| CT l-spine w&w/o contrast (72133) | $4,530 | $7,550 | 25.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,226–$3,339 | $3,710–$5,565 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,234.40–$3,351.60 | $3,724–$5,586 | varies |
| CT lumbar spine w contrast (72132) | $4,314 | $7,190 | 12.3× |
| CT lumbar spine w/o contrast (72131) | $4,108.80 | $6,848 | 39.2× |
| CT maxillofacial w contrast (70487) | $2,873.40 | $4,789 | 16.4× |
| CT maxillofacial wo contrast (70486) | $2,701.20 | $4,502 | 25.8× |
| CT neck tissue combo (70492) | $4,600.20 | $7,667 | 26.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,824.20 | $9,707 | 33.2× |
| CT orbits w/o contrast (70480) | $3,808.80 | $6,348 | 36.4× |
| CT pelvis w&w/o contrast (72194) | $3,504 | $5,840 | 19.9× |
| CT pelvis w/o contrast (72192) | $2,454.60 | $4,091 | 23.4× |
| CT scan of leg combo (73702) | $2,368.20 | $3,947 | 13.5× |
| CT scans face/jaw combo (70488) | $3,605.40 | $6,009 | 20.5× |
| CT soft tissue neck w contrast (70491) | $4,354.20 | $7,257 | 24.8× |
| CT soft tissue neck w/o contrast (70490) | $3,280.20 | $5,467 | 31.3× |
| CT thoracic spine w contrast (72129) | $5,244.60 | $8,741 | 29.9× |
| CT thoracic spine w/o contrast (72128) | $5,042.40 | $8,404 | 48.2× |
| CT thoracic spine w/wo cont (72130) | $5,506.80 | $9,178 | 31.3× |
| CT thorax w/o contrast (71250) | $1,971.60 | $3,286 | 18.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,985.40–$2,978.40 | $3,309–$4,964 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,368.20 | $3,947 | 13.5× |
| CT upper extremity with contrast (73201) | $2,232 | $3,720 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,089 | $6,815 | 23.3× |
| Cta Abdomen (74175) | $3,992.40 | $6,654 | 22.7× |
| CTA pelvis (72191) | $3,680.40 | $6,134 | 20.9× |
| Dxa Bone Density Axial (77080) | $468.60 | $781 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $424.20 | $707 | 4.9× |
| Echo exam uterus (76831) | $830.40 | $1,384 | 3.5× |
| Esophagram (74220) | $627.60 | $1,046 | 3.6× |
| Fetal Biophys Profile W/Nst (76818) | $486 | $810 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $348 | $580 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $748.80 | $1,248 | 3.1× |
| Follow-Up Angiography (75898) | $2,037 | $3,395 | 0.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$312.60–$469.20 | $521–$782 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$382.20–$573.60 | $637–$956 | varies |
| Gastric emptying imaging study (78264) | $1,863 | $3,105 | 4.7× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$312.60–$469.20 | $521–$782 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,861.60 | $6,436 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,981.40 | $4,969 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,796 | $4,660 | 5.1× |
| Hepatobiliary System Imaging (78226) | $1,854.60 | $3,091 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $5,955 | $9,925 | 4.6× |
| Hysterosalpingogram (74740) | $913.20 | $1,522 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $831 | $1,385 | 9.5× |
| Joint Survey Single View (77077) | $301.80 | $503 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $2,944.80 | $4,908 | 5.4× |
| K Flow/Funct Image W/Drug (78708) | $2,804.40 | $4,674 | 5.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,698 | $2,830 | 3.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$595.20–$892.80 | $992–$1,488 | varies |
| Leveen/Shunt Patency Exam (78291) | $970.80 | $1,618 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $971.40 | $1,619 | 2.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,856.40 | $3,094 | 3.4× |
| Lung perfusion differential (78597) | $1,214.40 | $2,024 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,671.60 | $2,786 | 3.1× |
| Lung Ventilation Imaging (78579) | $1,177.20 | $1,962 | 2.9× |
| Lymph System Imaging (78195) | $3,336.60 | $5,561 | 6.1× |
| Magnetic Image Jaw Joint (70336) | $671.40 | $1,119 | 2.8× |
| Mammary ductogram or galactogram single (77053) | $353.40 | $589 | 1.5× |
| Meckels Divert Exam (78290) | $844.80 | $1,408 | 2.1× |
| Mr safety determination physician/other qhp (76016) | $193.80 | $323 | 2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $64.20 | $107 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $206.40 | $344 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $315.60 | $526 | 5.3× |
| Mra Head W/O & W/Contrast Material (70546) | $4,012.20 | $6,687 | 11.5× |
| MRA head w/o contrast (70544) | $2,461.80 | $4,103 | 10.3× |
| MRA head with contrast (70545) | $2,640 | $4,400 | 7.6× |
| MRA neck w contrast (70548) | $2,216.40 | $3,694 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,686.80 | $4,478 | 7.7× |
| MRA neck w/o contrast (70547) | $2,014.20 | $3,357 | 8.4× |
| MRI abdomen w contrast (74182) | $3,310.20 | $5,517 | 9.5× |
| MRI abdomen w/o contrast (74181) | $3,152.40 | $5,254 | 13.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,123.20–$6,184.80 | $6,872–$10,308 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,947.60 | $8,246 | 14.2× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,748.20–$5,622.60 | $6,247–$9,371 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $696.60 | $1,161 | 2.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $633 | $1,055 | 2.6× |
| MRI cervical spine w contrast (72142) | $4,045.80 | $6,743 | 11.6× |
| MRI cervical spine w/o cont (72141) | $3,853.20 | $6,422 | 16.1× |
| MRI chest w/o contrast (71550) | $3,027.60 | $5,046 | 12.7× |
| MRI chest wo w contrast (71552) | $4,599 | $7,665 | 13.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,091.20 | $5,152 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,904.80–$5,857.20 | $6,508–$9,762 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,066.60–$4,600.20 | $5,111–$7,667 | varies |
| MRI lumbar spine w contrast (72149) | $4,045.80 | $6,743 | 11.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,248 | $7,080 | 12.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,027.60 | $5,046 | 12.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,500.60 | $7,501 | 12.9× |
| MRI pelvis w contrast (72196) | $4,384.20 | $7,307 | 12.5× |
| MRI pelvis w/o & w contrast (72197) | $4,888.20 | $8,147 | 14.0× |
| MRI pelvis w/o contrast (72195) | $3,748.20 | $6,247 | 15.7× |
| MRI thoracic spine w/o contrast (72146) | $3,853.20 | $6,422 | 16.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,994.20–$5,991.60 | $6,657–$9,986 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$3,748.20–$5,622.60 | $6,247–$9,371 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$4,502.40–$6,753.60 | $7,504–$11,256 | varies |
| MRI, abdomen, combo (74183) | $4,683 | $7,805 | 13.4× |
| MRI, dorsal spine combo (72157) | $4,248 | $7,080 | 12.2× |
| MRI, dorsal spine contrast (72147) | $4,045.80 | $6,743 | 11.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,209.20–$3,313.80 | $3,682–$5,523 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$4,683–$7,024.80 | $7,805–$11,708 | varies |
| MRI, lumbar spine combo (72158) | $4,248 | $7,080 | 12.2× |
| Myocardial Spect Multiple Studies (78452) | $7,850.40 | $13,084 | 6.1× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,451.20 | $5,752 | 2.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,616.80 | $6,028 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,943.60 | $9,906 | 2.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $6,690 | $11,150 | 3.0× |
| Neck soft tissue (70360) | $358.80 | $598 | 4.1× |
| Nuclear Rx Oral Admin (79005) | $1,989.60 | $3,316 | 8.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $328.20 | $547 | 3.1× |
| Panoramic X-ray of jaws (70355) | $717 | $1,195 | 8.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,482.60 | $2,471 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,368.60 | $2,281 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,471.80 | $2,453 | 3.7× |
| Pelvis 1 or 2 views (72170) | $492 | $820 | 4.7× |
| Pet Image W/Ct Lmtd (78814) | $3,796.20 | $6,327 | 2.7× |
| PET image w/CT, full body (78816) | $5,571.60 | $9,286 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,529.60 | $9,216 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,219.20 | $2,032 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $949.20 | $1,582 | 9.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $780.60 | $1,301 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$700.20–$1,050.60 | $1,167–$1,751 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$357–$535.80 | $595–$893 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$649.20–$973.80 | $1,082–$1,623 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $640.80 | $1,068 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$483–$724.80 | $805–$1,208 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$607.20–$910.80 | $1,012–$1,518 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$628.20–$942.60 | $1,047–$1,571 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$365.40–$548.40 | $609–$914 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $622.20 | $1,037 | 7.1× |
| Radex Ribs Unilateral 2 Views (71100) | $383.40 | $639 | 4.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$756.60–$1,135.20 | $1,261–$1,892 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $401.40 | $669 | 4.6× |
| Radex Spine 1 View Specify Level (72020) | $438 | $730 | 5.0× |
| Radex Sternum Minimum 2 Views (71120) | $549 | $915 | 6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $689.40 | $1,149 | 7.9× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$355.20–$532.80 | $592–$888 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$365.40–$548.40 | $609–$914 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$673.20–$1,009.80 | $1,122–$1,683 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $845.40 | $1,409 | 8.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $630.60 | $1,051 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $1,702.20 | $2,837 | 9.7× |
| Radiologic exam colon single contrast study (74270) | $1,112.40 | $1,854 | 6.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $697.20 | $1,162 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$675.60–$1,013.40 | $1,126–$1,689 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $703.80 | $1,173 | 6.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $638.40 | $1,064 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $1,031.40 | $1,719 | 5.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $874.80 | $1,458 | 5.0× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$211.80–$318 | $353–$530 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$268.20–$402.60 | $447–$671 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$434.40–$651.60 | $724–$1,086 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $390.60 | $651 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$476.40–$714.60 | $794–$1,191 | varies |
| Renal Cyst Study (74470) | $680.40 | $1,134 | 1.2× |
| Ribs bilateral 3 views (71110) | $682.20 | $1,137 | 6.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,038 | $1,730 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,108.20 | $1,847 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,775 | $4,625 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,258.80 | $2,098 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,531.20 | $2,552 | 2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,915.40 | $4,859 | 2.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,737.40 | $6,229 | 2.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,896 | $3,160 | 1.5× |
| Scapula (73010) | $586.20 | $977 | 5.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $18 | $30 | 0.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$463.20–$694.80 | $772–$1,158 | varies |
| Shoulder Arthrography (73040) | $792.60 | $1,321 | 2.3× |
| Sialogram (70390) | $1,336.80 | $2,228 | 5.6× |
| Skull less than 4 views (70250) | $375.60 | $626 | 3.6× |
| Sternoclavicular joints (71130) | $576.60 | $961 | 6.6× |
| Thoracic spine 2 views (72070) | $591 | $985 | 5.6× |
| Thoracic spine 3 views (72072) | $730.20 | $1,217 | 7.0× |
| Thoracolumbar 2 views (72080) | $661.80 | $1,103 | 7.6× |
| Thyroid Imaging With Vascular Flow (78013) | $782.40 | $1,304 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,878 | $3,130 | 3.5× |
| Thyroid Uptake Measurement (78012) | $700.20 | $1,167 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,321.80 | $2,203 | 3.3× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$255.60–$383.40 | $426–$639 | varies |
| Ultrasound Exam Aaa Screen (76706) | $373.80 | $623 | 3.6× |
| Ultrasound, abdomen limited (76705) | $670.20 | $1,117 | 6.4× |
| Umbilical-artery Doppler (OB) (76820) | $262.20 | $437 | 2.5× |
| Unlisted fluoroscopic procedure (76496) | $180 | $300 | 2.1× |
| Upper gi w/o kub (74240) | $533.40 | $889 | 3.0× |
| Urethrocystogram voiding (74455) | $1,019.40 | $1,699 | 4.3× |
| Urethrocystography retrograde (74450) | $1,079.40 | $1,799 | 4.5× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$329.40–$494.40 | $549–$824 | varies |
| Us chest (76604) | $816.60 | $1,361 | 7.8× |
| Us complete joint (76881) | $1,311.60 | $2,186 | 12.5× |
| Us exam, pelvic, limited (76857) | $630 | $1,050 | 6.0× |
| Us head (76506) | $926.40 | $1,544 | 8.8× |
| Us kidney transplant (76776) | $996.60 | $1,661 | 9.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,212 | $2,020 | 11.6× |
| Us ob limited 1 or more fetuses (76815) | $583.80 | $973 | 5.6× |
| Us ob transvaginal (76817) | $708.60 | $1,181 | 6.8× |
| Us pelvic non ob complete (76856) | $987.60 | $1,646 | 9.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $766.80 | $1,278 | 7.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $484.80 | $808 | 4.6× |
| Us retroperitoneal complete (76770) | $938.40 | $1,564 | 9.0× |
| Us retroperitoneal limited (76775) | $868.20 | $1,447 | 8.3× |
| Us scrotum and contents (76870) | $1,065 | $1,775 | 10.2× |
| Us spinal canal and contents (76800) | $396.60 | $661 | 3.8× |
| Us thyroid (76536) | $1,095.60 | $1,826 | 10.5× |
| Vein X-Ray Chest (75827) | $4,205.40 | $7,009 | 2.7× |
| Venography Adrenal Unilateral (75840) | $2,904.60 | $4,841 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $3,929.40 | $6,549 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,486.80 | $2,478 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,398 | $2,330 | 0.9× |
| Venography Renal Bilateral (75833) | $3,849.60 | $6,416 | 1.2× |
| Venography Renal Unilateral (75831) | $3,279.60 | $5,466 | 1.0× |
| Venous sampling by catheter (75893) | $3,306 | $5,510 | 0.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$530.40–$795.60 | $884–$1,326 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $574.80 | $958 | 6.6× |
| X-ray antegrade pyelogram tube (74425) | $579.60 | $966 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) | $5,643.60 | $9,406 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $211.80 | $353 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$561.60–$842.40 | $936–$1,404 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $211.80 | $353 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $349.20 | $582 | 3.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $667.20 | $1,112 | 6.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $211.80 | $353 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $326.40 | $544 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $349.20 | $582 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $349.20 | $582 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $455.40 | $759 | 4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $666.60 | $1,111 | 6.4× |
| X-Ray Exam L-S Spine Bending (72114) | $1,102.80 | $1,838 | 10.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $637.80 | $1,063 | 7.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,304.40 | $2,174 | 12.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $948.60 | $1,581 | 9.1× |
| X-ray eye for foreign body (70030) | $310.20 | $517 | 3.6× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$490.20–$735.60 | $817–$1,226 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,338.60 | $2,231 | 7.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $597.60 | $996 | 6.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $319.80 | $533 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $637.20 | $1,062 | 6.1× |
| X-ray nose-rectum child f.b. (76010) | $318 | $530 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,194 | $1,990 | 11.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $577.80 | $963 | 5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $415.80 | $693 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $586.20 | $977 | 6.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $543 | $905 | 6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $651 | $1,085 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $775.80 | $1,293 | 7.4× |
| X-Ray Tmj Unilat (70328) | $217.20 | $362 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,169.40 | $1,949 | 3.3× |
| X-Rays Bone Length Studies (77073) | $478.80 | $798 | 4.6× |
| X-Rays Bone Survey Complete (77075) | $2,505.60 | $4,176 | 23.9× |
| Xr c-spine 4 or 5 views (72050) | $1,128.60 | $1,881 | 10.8× |
| Xr facial bones less than 3 views (70140) | $535.80 | $893 | 6.1× |
| Xr orbits complete 4 views (70200) | $738 | $1,230 | 7.0× |
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.