Imaging prices at Sanford

Fargo, ND · every code in this section with a posted price and a Medicare benchmark.

426 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,372 $7,965 4.5×
Abdomen 1 View (74018) $369.60 $462 4.2×
Abdomen 2 views (74019) $452 $565 4.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,367.20 $1,709 3.3×
Angio internal mammary (75756) $3,067.20 $3,834 1.0×
Angio pulmonary bilat (75743) $4,293.60 $5,367 1.3×
Angiography extremity bilateral rs&i (75716) $4,875.20 $6,094 1.5×
Angiography extremity unilateral rs&i (75710) $5,014.40 $6,268 1.6×
Angiography pulmonary unilateral slctv rs&i (75741) $2,384 $2,980 0.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $396 $495 0.1×
Ankle 2 views (73600) $404 $505 4.5×
Aortography thoracic serialography rs&i (75605) $3,267.20 $4,084 0.6×
Aortography thoracic w/o serialography rs&i (75600) $3,192 $3,990 1.0×
Artery X-Rays Abdomen (75726) $4,988.80 $6,236 0.9×
Artery X-Rays Pelvis (75736) $4,551.20 $5,689 0.8×
Artery X-Rays Spine (75705) $3,516.80 $4,396 0.6×
Arthrogram ankle (73615) $413.60 $517 1.2×
Arthrogram hip (73525) $902.40 $1,128 2.5×
Arthrogram Wrist (73115) $724 $905 2.0×
Basic radiation dosimetry calculation (77300) $760.80 $951 5.5×
Bone age studies (77072) $314.40 $393 2.9×
Bone Imaging 3 Phase (78315) $1,470.40 $1,838 3.6×
Bone Imaging Limited Area (78300) $956.80 $1,196 2.3×
Bone Imaging Multiple Areas (78305) $1,417.60 $1,772 3.5×
Bone Imaging Whole Body (78306) $1,819.20 $2,274 4.5×
Bone marrow imaging limited area (78102) $717.60 $897 1.8×
Bone marrow imaging; whole body (78104) $1,556 $1,945 3.8×
Bone survey infant (77076) $230.40 $288 2.2×
Brachytx isodose complex (77318) $2,101.60 $2,627 5.5×
Brachytx isodose intermed (77317) $1,696 $2,120 4.4×
Brachytx Isodose Plan Simple (77316) $1,260.80 $1,576 3.3×
Brain Flow Imaging Only (78610) $732.80 $916 1.3×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,157.60 $1,447 2.1×
Brain Imaging Minimum 4 Static Views (78605) $600 $750 1.1×
Brain Imaging Pet Metabolic Evaluation (78608) $6,608.80 $8,261 4.5×
Cardiac MRI w/w/o contrast & further seq (75561) $3,404 $4,255 9.6×
Cardiac Shunt Detection (78428) $1,419.20 $1,774 3.5×
Cardiovasc nucl exam unlisted (78499) $812 $1,015 2.0×
Cat Scan Follow-Up Study (76380) $907.20 $1,134 10.2×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,166.40 $1,458 2.1×
Cerebrospinal Fluid Scan (78630) $1,217.60 $1,522 2.2×
Chest 1 view (71045) $315.20 $394 3.5×
Chest 2 views (71046) $364.80 $456 4.1×
Chest 3 views (71047) $387.20 $484 4.4×
Chest 4 or more views (71048) $451.20 $564 4.2×
Cholecystography Oral Contrast (74290) $188 $235 1.0×
Cisternography Positive Contrast Rs&I (70015) $344 $430 0.4×
Clavicle complete (73000) $400.80 $501 4.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $586.40 $733 5.5×
Continuing medical physics consltj pr wk (77336) $923.20 $1,154 6.7×
Contrast Exam Abdominl Aorta (75625) $5,200 $6,500 1.6×
Contrast X-Ray Bladder (74430) $757.60 $947 2.1×
Contrast X-Ray Of Elbow (73085) $476 $595 1.3×
Contrast X-Ray Of Knee Joint (73580) $683.20 $854 1.9×
Contrast Xray Throat/Cerv Esopha (74210) $315.20 $394 1.8×
Corpora cavernosography (74445) $138.40 $173 1.3×
CT abdomen and pelvis without and with contrast (74178) $4,232 $5,290 11.9×
CT abdomen and pelvis without contrast (74176) $3,200.80 $4,001 13.1×
CT abdomen w contrast (74160) $2,469.60 $3,087 13.8×
CT abdomen w wo contrast (74170) $3,026.40 $3,783 16.9×
CT abdomen w/o contrast (74150) $2,175.20 $2,719 20.4×
CT Angio Abdomen and Pelvis (74174) $5,313.60 $6,642 14.9×
CT Angio Chest (71275) $3,312 $4,140 18.5×
CT Angio Head (70496) $2,796.80 $3,496 15.6×
CT angio hrt w/3d image (75574) $2,102.40 $2,628 5.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,692 $3,365 15.0×
CT Angio Neck (70498) $3,357.60 $4,197 18.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,308.80 $2,886 12.9×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $800 $1,000 4.5×
CT cervical spine w/ contrast (72126) $2,572.80 $3,216 7.2×
CT cervical spine w/o contrast (72125) $2,472.80 $3,091 23.2×
CT cervical spine w/wo cont (72127) $2,744.80 $3,431 15.3×
CT chest w contrast (71260) $2,702.40 $3,378 15.1×
CT chest w/wo contrast (71270) $2,960.80 $3,701 16.5×
CT colonography screening (74263) $2,472 $3,090 10.1×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,920 $2,400 10.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,790.40 $2,238 16.8×
CT head/brain with contrast (70460) $2,187.20 $2,734 12.2×
CT head/brain without and with contrast (70470) $2,848 $3,560 15.9×
CT heart contrast eval cardiac structure&morph (75572) $1,868.80 $2,336 5.2×
CT heart no contrast quant eval coronry calcium (75571) $428.80 $536 4.8×
CT hrt w/3d image congen (75573) $2,114.40 $2,643 5.9×
CT iac w contrast (70481) $2,140 $2,675 11.9×
CT l-spine w&w/o contrast (72133) $2,922.40 $3,653 16.3×
CT lower ext w/o (73700) $1,832 $2,290 17.2×
CT lower extremity w/contrast material (73701) $2,397.60 $2,997 13.4×
CT lumbar spine w contrast (72132) $2,820.80 $3,526 7.9×
CT lumbar spine w/o contrast (72131) $2,568.80 $3,211 24.1×
CT maxillofacial w contrast (70487) $2,292.80 $2,866 12.8×
CT maxillofacial wo contrast (70486) $2,207.20 $2,759 20.7×
CT neck tissue combo (70492) $3,240 $4,050 18.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,584 $3,230 14.4×
CT orbits w/o contrast (70480) $2,128 $2,660 19.9×
CT pelvis w&w/o contrast (72194) $2,576.80 $3,221 14.4×
CT pelvis w/o contrast (72192) $2,039.20 $2,549 19.1×
CT scan of leg combo (73702) $2,599.20 $3,249 14.5×
CT scans face/jaw combo (70488) $2,660 $3,325 14.8×
CT soft tissue neck w contrast (70491) $2,478.40 $3,098 13.8×
CT soft tissue neck w/o contrast (70490) $2,184 $2,730 20.4×
CT thoracic spine w contrast (72129) $2,820.80 $3,526 15.7×
CT thoracic spine w/o contrast (72128) $2,528.80 $3,161 23.7×
CT thoracic spine w/wo cont (72130) $2,922.40 $3,653 16.3×
CT thorax w/o contrast (71250) $2,344.80 $2,931 22.0×
CT upper ext wo (73200) $2,038.40 $2,548 19.1×
CT upper extremity w/o & w/contrast material (73202) $2,344 $2,930 13.1×
CT upper extremity with contrast (73201) $2,123.20 $2,654 6.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,721.60 $3,402 15.2×
Cta Abdomen (74175) $2,949.60 $3,687 16.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $4,080 $5,100 11.4×
CTA pelvis (72191) $2,488.80 $3,111 13.9×
Dilation ureters/urethra rs&i (74485) $1,042.40 $1,303 0.5×
Diskography lumbar (72295) $2,849.60 $3,562 1.4×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $351.20 $439 3.3×
Doppler Echo Fetal Spectral Display Complete (76827) $658.40 $823 6.2×
Doppler Fetal Mid Cerebral Artery (76821) $432.80 $541 4.1×
Dxa Bone Density Axial (77080) $242.40 $303 2.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $95.20 $119 1.1×
Echo exam of fetal heart (76825) $1,300 $1,625 2.3×
Echo exam uterus (76831) $335.20 $419 1.4×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,142.40 $1,428 4.7×
Echograp Trans R Pros Study (76873) $871.20 $1,089 8.2×
Esophagram (74220) $635.20 $794 3.5×
Fetal Biophys Profile W/Nst (76818) $371.20 $464 3.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $627.20 $784 5.9×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $2,231.20 $2,789 9.2×
Fluoroscopy up to 1 hr (76000) $789.60 $987 3.2×
Follow-Up Angiography (75898) $1,233.60 $1,542 0.4×
Foot 2 views (73620) $377.60 $472 4.2×
Forearm 2 views (73090) $376.80 $471 4.2×
Gastric emptying imaging study (78264) $2,047.20 $2,559 5.0×
Gastroesophageal Reflux Exam (78262) $800.80 $1,001 2.0×
Gated Heart Planar Single (78472) $2,083.20 $2,604 5.1×
Hand 2 views (73120) $419.20 $524 3.9×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $5,166.40 $6,458 7.3×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $4,665.60 $5,832 6.6×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $4,043.20 $5,054 5.7×
Heart Image (Pet) Multiple (78492) $5,299.20 $6,624 3.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $2,756 $3,445 0.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,126.40 $3,908 1.0×
Hepatobil Syst Image W/Drug (78227) $2,038.40 $2,548 3.7×
Hepatobiliary System Imaging (78226) $2,038.40 $2,548 5.0×
Ht Muscle Image Spect Sing (78451) $2,984.80 $3,731 2.3×
Hysterosalpingogram (74740) $824 $1,030 3.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $348.80 $436 3.9×
Infant hip ultrasound, limited static exam (76886) $391.20 $489 4.4×
Interstitial radiation source applic complex (77778) $3,843.20 $4,804 5.4×
Intracavitary Radiation Source Applic Complex (77763) $1,634.40 $2,043 2.3×
Intracavitary Radiation Source Applic Intermed (77762) $1,335.20 $1,669 2.4×
Intracavitary radiation source applic simple (77761) $1,543.20 $1,929 2.7×
Joint Survey Single View (77077) $116.80 $146 1.1×
K Flow/Funct Image Multiple (78709) $2,119.20 $2,649 3.8×
K Flow/Funct Image W/Drug (78708) $2,134.40 $2,668 3.8×
K Flow/Funct Image W/O Drug (78707) $1,824.80 $2,281 3.3×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $360.80 $451 0.9×
Kidney Imaging Morphol (78700) $922.40 $1,153 2.3×
Knee 3 Views (73562) $413.60 $517 4.7×
Leveen/Shunt Patency Exam (78291) $1,048.80 $1,311 2.6×
Liver & Spleen Imaging Static Only (78215) $1,496 $1,870 3.7×
Liver imaging static only (78201) $888.80 $1,111 1.6×
Lung Perf&Ventilat Diferentl (78598) $2,120 $2,650 3.8×
Lung perfusion differential (78597) $1,718.40 $2,148 4.2×
Lung Ventilat&Perfus Imaging (78582) $2,012 $2,515 3.6×
Lung Ventilation Imaging (78579) $1,619.20 $2,024 4.0×
Lymph System Imaging (78195) $1,955.20 $2,444 3.5×
Magnetic Image Jaw Joint (70336) $3,025.60 $3,782 12.4×
Magnetic Resonance Elastography (76391) $1,050.40 $1,313 4.3×
Meckels Divert Exam (78290) $1,259.20 $1,574 3.1×
Mlc imrt design & construction per imrt plan (77338) $1,980.80 $2,476 5.2×
Mra Head W/O & W/Contrast Material (70546) $3,644 $4,555 10.2×
MRA head w/o contrast (70544) $2,667.20 $3,334 10.9×
MRA head with contrast (70545) $2,922.40 $3,653 8.2×
MRA neck w contrast (70548) $3,083.20 $3,854 8.7×
Mra Neck W/O &W/Contrast Material (70549) $3,864.80 $4,831 10.8×
MRA neck w/o contrast (70547) $2,816 $3,520 11.6×
MRI abdomen w contrast (74182) $3,443.20 $4,304 9.7×
MRI abdomen w/o contrast (74181) $3,204 $4,005 13.1×
MRI any jt lower extrem w/contrast material (73722) $3,288.80 $4,111 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,838.40 $4,798 10.8×
MRI any jt upper extremity w/contrast matrl (73222) $3,301.60 $4,127 4.1×
MRI bone marrow blood supply (77084) $2,096.80 $2,621 8.6×
MRI Breast W/O Contrast Bilateral (77047) $3,409.60 $4,262 14.0×
MRI Breast Without Contrast Material Unilateral (77046) $2,700.80 $3,376 11.1×
MRI cardiac w/o contrast (75557) $2,618.40 $3,273 10.7×
MRI cervical spine w contrast (72142) $3,480 $4,350 9.8×
MRI cervical spine w/o cont (72141) $3,425.60 $4,282 14.1×
MRI chest w/o contrast (71550) $3,102.40 $3,878 12.7×
MRI chest with contrast (71551) $3,218.40 $4,023 4.0×
MRI chest wo w contrast (71552) $4,180 $5,225 11.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,088 $3,860 8.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,726.40 $4,658 10.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,834.40 $3,543 11.6×
MRI lumbar spine w contrast (72149) $3,528.80 $4,411 9.9×
Mri Neck Spine W/O & W/Dye (72156) $3,971.20 $4,964 11.1×
MRI orbit face &/neck w/o contrast (70540) $2,872.80 $3,591 11.8×
MRI orbit face neck w contrast (70542) $3,039.20 $3,799 8.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,974.40 $4,968 11.2×
MRI pelvis w contrast (72196) $3,724.80 $4,656 10.5×
MRI pelvis w/o & w contrast (72197) $4,402.40 $5,503 12.4×
MRI pelvis w/o contrast (72195) $3,293.60 $4,117 13.5×
MRI thoracic spine w/o contrast (72146) $3,093.60 $3,867 12.7×
MRI upper extremity oth than jt w/contr matrl (73219) $1,987.20 $2,484 5.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,548.80 $3,186 10.5×
Mri Uppr Extremity W/O&W/Dye (73220) $3,508 $4,385 9.8×
MRI, abdomen, combo (74183) $4,209.60 $5,262 11.8×
MRI, dorsal spine combo (72157) $4,052.80 $5,066 11.4×
MRI, dorsal spine contrast (72147) $3,355.20 $4,194 9.4×
MRI, joint upper extrem (73221) $3,229.60 $4,037 13.2×
MRI, joint upper extrem combo (73223) $3,686.40 $4,608 10.3×
MRI, lumbar spine combo (72158) $4,228 $5,285 11.9×
Myelogram cervical (72240) $1,544.80 $1,931 1.9×
Myelogram Lumbar (72265) $1,588.80 $1,986 2.0×
Myelography thoracic (72255) $1,500.80 $1,876 1.9×
Myelograpy 2/more regions rs&i (72270) $1,940.80 $2,426 2.4×
Myocardial Imaging Pet Metabolic Evaluation (78459) $5,549.60 $6,937 4.2×
Myocardial Spect Multiple Studies (78452) $3,676.80 $4,596 2.8×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $2,891.20 $3,614 2.0×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $2,891.20 $3,614 2.0×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $6,204.80 $7,756 2.8×
Neck soft tissue (70360) $380.80 $476 4.3×
Nm csf leak detection (78650) $1,057.60 $1,322 0.8×
Nm whole blood volume (78122) $1,438.40 $1,798 2.6×
Nonvascular Shunt X-Ray (75809) $533.60 $667 5.0×
Ntsty modul radthx pln dose-vol histos (77301) $8,612 $10,765 6.1×
Nuclear Rx Intra-Arterial (79445) $512 $640 2.1×
Nuclear Rx Oral Admin (79005) $1,510.40 $1,888 6.3×
Ob us nuchal meas 1 gest (76813) $404 $505 3.8×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $390.40 $488 3.7×
Optic foramina (70190) $86.40 $108 1.0×
Panoramic X-ray of jaws (70355) $388.80 $486 4.4×
Parathyroid imaging w/tomographic spect & CT (78072) $2,074.40 $2,593 3.7×
Parathyroid Planar Imaging (78070) $1,422.40 $1,778 3.5×
Parathyroid planar imaging w/wo subtraction (78071) $1,643.20 $2,054 4.0×
Pelvis 1 or 2 views (72170) $389.60 $487 3.6×
Perineogram (74775) $240.80 $301 1.0×
Peritoneogram Rs&I (74190) $466.40 $583 0.8×
Pet Image Skull-Thigh (78812) $6,074.40 $7,593 4.2×
Pet Image W/Ct Lmtd (78814) $7,195.20 $8,994 4.9×
PET image w/CT, full body (78816) $7,863.20 $9,829 5.4×
PET imaging CT attenuation skull base mid-thigh (78815) $7,493.60 $9,367 5.1×
Pet Myocardial Sngl Study (78491) $5,708.80 $7,136 3.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $2,788 $3,485 0.9×
Pulmonary Perfusion Imaging Particulate (78580) $1,708.80 $2,136 4.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $512.80 $641 4.8×
Radex abscess/fistula/sinus tract rs&i (76080) $920 $1,150 1.6×
Radex Ankle Complete Minimum 3 Views (73610) $408 $510 4.6×
Radex Calcaneus Minimum 2 Views (73650) $327.20 $409 3.7×
Radex elbow complete minimum 3 views (73080) $455.20 $569 5.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $442.40 $553 4.1×
Radex fingr minimum 2 views (73140) $324.80 $406 3.7×
Radex foot complete minimum 3 views (73630) $444.80 $556 5.0×
Radex Hand Minimum 3 Views (73130) $415.20 $519 4.7×
Radex lower extremity infant minimum 2 views (73592) $221.60 $277 2.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $130.40 $163 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $411.20 $514 4.6×
Radex Ribs Unilateral 2 Views (71100) $424.80 $531 4.8×
Radex shoulder complete minimum 2 views (73030) $430.40 $538 4.8×
Radex Sinuses Paransl < 3 Views (70210) $368 $460 4.1×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,164.80 $1,456 6.5×
Radex Spine 1 View Specify Level (72020) $414.40 $518 4.7×
Radex Sternum Minimum 2 Views (71120) $330.40 $413 3.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $410.40 $513 4.6×
Radex Toe Minimum 2 Views (73660) $313.60 $392 3.5×
Radex upper extremity infant minimum 2 views (73092) $152.80 $191 1.4×
Radex Wrist Complete Minimum 3 Views (73110) $417.60 $522 4.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $448.80 $561 4.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $12,160 $15,200 1.6×
Radiation treatment delivery level 1 (77402) $752.80 $941 7.2×
Radiation treatment delivery level 2 (77407) $2,852.80 $3,566 7.2×
Radiation treatment delivery level 3 (77412) $4,083.20 $5,104 7.2×
Radiolog exam mandible compl minimum 4 views (70110) $319.20 $399 3.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $485.60 $607 4.5×
Radiologic exam colon double contrast study (74280) $1,132.80 $1,416 6.3×
Radiologic exam colon single contrast study (74270) $1,024 $1,280 5.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $608 $760 3.4×
Radiologic exam knee complete 4/more views (73564) $457.60 $572 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $468 $585 4.4×
Radiologic Exam Small Int Single Contrast Study (74250) $741.60 $927 4.1×
Radiologic exam swallow function contrast study (74230) $734.40 $918 4.1×
Radiologic exam teeth complete full mouth (70320) $158.40 $198 0.6×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $103.20 $129 0.4×
Radiologic exam upr gi trc double contrast study (74246) $984 $1,230 5.5×
Radiologic examination femur 1 view (73551) $379.20 $474 4.3×
Radiologic examination femur minimum 2 views (73552) $379.20 $474 4.3×
Radiologic examination knee 1/2 views (73560) $413.60 $517 4.7×
Radiologic Examination Osseous Survey Limited (77074) $360.80 $451 3.4×
Radiologic Examination Salivary Gland Calculus (70380) $86.40 $108 1.0×
Radiologic examination tibia & fibula 2 views (73590) $414.40 $518 4.7×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $126.40 $158 0.2×
Radiologic examination, teeth; single view Non-Facility (70300) $34.40 $43 0.4×
Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) $244 $305 1.0×
Red Cell Volume Determination Spx Mult Samplings (78121) $912 $1,140 1.6×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $3,388.80 $4,236 8.6×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $3,411.20 $4,264 8.7×
Ribs bilateral 3 views (71110) $468.80 $586 4.4×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,173.60 $1,467 2.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,940 $2,425 4.7×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $3,619.20 $4,524 6.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,826.40 $3,533 5.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,702.40 $3,378 4.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,757.60 $3,447 2.1×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,176 $3,970 2.2×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,757.60 $3,447 2.1×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $682.40 $853 2.9×
Rp Therapy Intravenous Administration (79101) $1,322.40 $1,653 5.5×
Scapula (73010) $372 $465 3.5×
Screening Digital Breast Tomosynthesis Bi (77063) $84 $105 3.6×
Sella turcica (70240) $70.40 $88 0.8×
Shoulder 1 view (73020) $385.60 $482 4.3×
Shoulder Arthrography (73040) $1,075.20 $1,344 3.0×
Sialogram (70390) $462.40 $578 1.9×
Skull less than 4 views (70250) $396 $495 3.7×
Special dosimetry (77331) $709.60 $887 5.2×
Special Physics Consult (77370) $1,028.80 $1,286 7.5×
Special teletherapy port plan (77321) $1,494.40 $1,868 3.9×
Special treatment procedure (77470) $3,086.40 $3,858 5.5×
Stereotactic Body Radiation Delivery (77373) $6,920 $8,650 3.8×
Sternoclavicular joints (71130) $310.40 $388 3.5×
Superior sagittal sinus venogram (75870) $1,228.80 $1,536 0.4×
Surf radj ther supfc dlvr<=150 kv per fraction (77437) $540 $675 5.2×
Surf radj ther supfc/orthvlt treatment planning (77436) $1,495.20 $1,869 39.2×
Surface Applic Low Dose Rate Radionuclide Source (77789) $222.40 $278 2.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,169.60 $2,712 5.7×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,082.40 $1,353 2.8×
Temporomandble Jt Arthrography Rs&I (70332) $382.40 $478 1.6×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,710.40 $3,388 7.1×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,747.20 $2,184 4.6×
Ther rad simulaj-aided field setting simple (77280) $1,495.20 $1,869 10.9×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $726.40 $908 4.1×
Thoracic spine 2 views (72070) $388 $485 3.6×
Thoracic spine 3 views (72072) $443.20 $554 4.1×
Thoracolumbar 2 views (72080) $369.60 $462 4.2×
Thyroid Imaging With Vascular Flow (78013) $1,142.40 $1,428 2.8×
Thyroid Met Imaging Body (78018) $2,178.40 $2,723 3.9×
Thyroid Uptake Measurement (78012) $1,069.60 $1,337 2.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,396 $1,745 3.4×
Tx Devices Design & Construction Complex (77334) $1,589.60 $1,987 4.2×
Tx devices design & construction intermediate (77333) $928.80 $1,161 6.8×
Tx devices design & construction simple (77332) $707.20 $884 5.2×
Ultrasound Breast Limited (76642) $376.80 $471 4.2×
Ultrasound Elastography Parenchyma (76981) $241.60 $302 2.3×
Ultrasound Exam Aaa Screen (76706) $458.40 $573 4.3×
Ultrasound, abdomen limited (76705) $766.40 $958 7.2×
Umbilical-artery Doppler (OB) (76820) $512 $640 4.8×
Unlisted Dx Radiographic Procedure (76499) $317.60 $397 3.6×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $171.20–$528.80 $214–$661 varies
Unlisted us procedure (76999) $415.20 $519 4.7×
Upper gi w/o kub (74240) $893.60 $1,117 5.0×
Ureteral Reflux Study (78740) $692 $865 1.7×
Urethrocystogram voiding (74455) $915.20 $1,144 3.8×
Urethrocystography retrograde (74450) $679.20 $849 2.8×
Us breast unilateral complete (76641) $343.20 $429 3.2×
Us chest (76604) $533.60 $667 5.0×
Us complete joint (76881) $549.60 $687 5.1×
Us exam, pelvic, limited (76857) $474.40 $593 4.4×
Us head (76506) $483.20 $604 4.5×
Us kidney transplant (76776) $987.20 $1,234 9.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $248 $310 2.3×
Us ob detailed single fetus (76811) $565.60 $707 2.3×
Us ob limited 1 or more fetuses (76815) $421.60 $527 3.9×
Us ob transvaginal (76817) $492.80 $616 4.6×
Us pelvic non ob complete (76856) $902.40 $1,128 8.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $717.60 $897 6.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $486.40 $608 4.6×
Us retroperitoneal complete (76770) $893.60 $1,117 8.4×
Us retroperitoneal limited (76775) $693.60 $867 6.5×
Us scrotum and contents (76870) $739.20 $924 6.9×
Us spinal canal and contents (76800) $520 $650 4.9×
Us thyroid (76536) $646.40 $808 6.1×
Us transrectal (76872) $638.40 $798 6.0×
Vascular Flow Imaging (78445) $612.80 $766 1.5×
Vein X-Ray Chest (75827) $2,959.20 $3,699 1.8×
Vein X-Ray Liver W/O Hemodyn (75887) $358.40 $448 0.1×
Vein X-Ray Spleen/Liver (75810) $2,447.20 $3,059 0.8×
Venogram Sinus/Jugular (75860) $2,341.60 $2,927 0.7×
Venography Adrenal Unilateral (75840) $1,641.60 $2,052 0.5×
Venography caval inferior serialography rs&i (75825) $3,001.60 $3,752 0.9×
Venography extremity bilateral rs&i (75822) $1,860.80 $2,326 1.2×
Venography extremity unilateral rs&i (75820) $1,472 $1,840 0.9×
Venography Renal Bilateral (75833) $3,140.80 $3,926 1.0×
Venography Renal Unilateral (75831) $3,418.40 $4,273 1.1×
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure		 $2,037.60 $2,547 0.4×
Wrist 2 views (73100) $379.20 $474 4.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $308.80 $386 3.5×
X-ray antegrade pyelogram tube (74425) $830.40 $1,038 2.3×
X-Ray Aorta Leg Arteries (75630) $4,083.20 $5,104 1.3×
X-Ray Bend Only L-S Spine (72120) $151.20 $189 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $331.20 $414 3.7×
X-Ray Exam Breast Specimen (76098) $662.40 $828 1.2×
X-Ray Exam Entire Spi 1 Vw (72081) $148.80 $186 1.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $281.60 $352 2.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $434.40 $543 4.1×
X-Ray Exam Hip Uni 1 View (73501) $457.60 $572 5.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $495.20 $619 5.6×
X-Ray Exam Hip Uni 4/> Views (73503) $453.60 $567 4.2×
X-Ray Exam Hips Bi 2 Views (73521) $424 $530 4.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $488 $610 4.6×
X-Ray Exam Hips Bi 5/> Views (73523) $601.60 $752 5.6×
X-Ray Exam L-S Spine Bending (72114) $632 $790 5.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $445.60 $557 5.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $753.60 $942 7.1×
X-Ray Exam Unilat Ribs/Chest (71101) $443.20 $554 4.1×
X-ray eye for foreign body (70030) $301.60 $377 3.4×
X-ray head for orthodontia (70350) $188.80 $236 2.1×
X-ray humerus (73060) $393.60 $492 4.4×
X-ray IV pyelogram (ivp) (74400) $795.20 $994 4.4×
X-ray IV pyelogram+tomography (74415) $912.80 $1,141 5.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $88 $110 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $401.60 $502 4.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $505.60 $632 4.7×
X-ray nose-rectum child f.b. (76010) $215.20 $269 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $700.80 $876 6.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $368.80 $461 3.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $88.80 $111 0.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $376.80 $471 4.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $479.20 $599 5.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $530.40 $663 5.0×
X-ray thoracic spine 4 vw (72074) $132 $165 1.2×
X-Ray Tmj Unilat (70328) $372.80 $466 4.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,029.60 $1,287 2.9×
X-Rays Bone Length Studies (77073) $370.40 $463 3.5×
X-Rays Bone Survey Complete (77075) $809.60 $1,012 7.6×
Xr c-spine 4 or 5 views (72050) $606.40 $758 5.7×
Xr facial bones less than 3 views (70140) $250.40 $313 2.8×
XR Mastoids < 3 Views Bilateral (70120) $88 $110 0.8×
Xr orbits complete 4 views (70200) $459.20 $574 4.3×
Xr Tomogram Single Plane (76100) $555.20 $694 5.2×

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.