Imaging prices at Sarah Bush Lincoln Health Center
Mattoon, IL · every code in this section with a posted price and a Medicare benchmark.
322 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$1,294–$10,088 | $1,294–$10,088 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$50–$614 | $50–$614 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$73–$749 | $73–$749 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$263–$3,135 | $263–$3,135 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,302–$8,083 | $3,302–$8,083 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$478–$7,594 | $478–$7,594 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$47–$945 | $47–$945 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,488 | $12,488 | 2.1× |
| Artery X-Rays Abdomen (75726) | $7,594 | $7,594 | 1.3× |
| Arthrogram ankle (73615) | $564 | $564 | 1.5× |
| Arthrogram hip (73525) | $1,497 | $1,497 | 4.0× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$771–$1,054 | $771–$1,054 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$189–$1,074 | $189–$1,074 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$52–$259 | $52–$259 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$271–$2,947 | $271–$2,947 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$167–$1,945 | $167–$1,945 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$223–$2,206 | $223–$2,206 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$229–$2,641 | $229–$2,641 | varies |
| Bone marrow imaging limited area (78102) | $947 | $947 | 2.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$193–$237 | $193–$237 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,707 | $1,707 | 2.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$641–$4,313 | $641–$4,313 | varies |
| Cerebrospinal Fluid Scan (78630) | $2,340 | $2,340 | 4.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$50–$492 | $50–$492 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$60–$598 | $60–$598 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$77–$678 | $77–$678 | varies |
| Chest 4 or more views (71048) | $770 | $770 | 6.9× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $623 | $623 | 5.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$47–$972 | $47–$972 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$292–$763 | $292–$763 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,391 | $1,391 | 9.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$398–$7,746 | $398–$7,746 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$87–$1,481 | $87–$1,481 | varies |
| Contrast X-Ray Of Elbow (73085) | $593 | $593 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$177–$1,500 | $177–$1,500 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$544–$7,870 | $544–$7,870 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$471–$5,888 | $471–$5,888 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$344–$4,720 | $344–$4,720 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$376–$5,304 | $376–$5,304 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$320–$3,871 | $320–$3,871 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$598–$6,078 | $598–$6,078 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$506–$4,813 | $506–$4,813 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$473–$4,311 | $473–$4,311 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$648–$4,384 | $648–$4,384 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$512–$6,342 | $512–$6,342 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$473–$4,245 | $473–$4,245 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$488–$5,597 | $488–$5,597 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$328–$4,800 | $328–$4,800 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$281–$4,121 | $281–$4,121 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$389–$5,767 | $389–$5,767 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$331–$3,672 | $331–$3,672 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$363–$4,957 | $363–$4,957 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$305–$3,432 | $305–$3,432 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$344–$4,057 | $344–$4,057 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$429–$1,955 | $429–$1,955 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$158–$220 | $158–$220 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,556–$1,568 | $1,556–$1,568 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$365–$4,227 | $365–$4,227 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$389–$5,464 | $389–$5,464 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$269–$4,763 | $269–$4,763 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$313–$5,372 | $313–$5,372 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$328–$4,981 | $328–$4,981 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$269–$3,675 | $269–$3,675 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$344–$4,168 | $344–$4,168 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$304–$3,507 | $304–$3,507 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$436–$4,696 | $436–$4,696 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$382–$4,550 | $382–$4,550 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$348–$3,603 | $348–$3,603 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$328–$4,505 | $328–$4,505 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$294–$2,941 | $294–$2,941 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$326–$5,709 | $326–$5,709 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$376–$4,634 | $376–$4,634 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$372–$3,985 | $372–$3,985 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$348–$2,852 | $348–$2,852 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$331–$4,155 | $331–$4,155 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$269–$3,680 | $269–$3,680 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$389–$5,297 | $389–$5,297 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$292–$3,078 | $292–$3,078 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$268–$4,388 | $268–$4,388 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$326–$6,918 | $326–$6,918 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$313–$5,496 | $313–$5,496 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$644–$4,677 | $644–$4,677 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$504–$5,166 | $504–$5,166 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$652–$6,845 | $652–$6,845 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$488–$5,689 | $488–$5,689 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$222–$1,096 | $222–$1,096 | varies |
| Diskography lumbar (72295) | $4,334 | $4,334 | 2.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$57–$916 | $57–$916 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$63–$546 | $63–$546 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$202–$1,039 | $202–$1,039 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$545–$1,407 | $545–$1,407 | varies |
| Echograp Trans R Pros Study (76873) | $2,189 | $2,189 | 19.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$163–$1,174 | $163–$1,174 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$282–$1,486 | $282–$1,486 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$206–$1,299 | $206–$1,299 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$131–$1,168 | $131–$1,168 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$44–$987 | $44–$987 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$47–$863 | $47–$863 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$212–$3,034 | $212–$3,034 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,626 | $1,626 | 3.8× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$259–$3,938 | $259–$3,938 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$47–$854 | $47–$854 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$240–$3,346 | $240–$3,346 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$199–$2,644 | $199–$2,644 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$362–$3,884 | $362–$3,884 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$104–$1,291 | $104–$1,291 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$202–$426 | $202–$426 | varies |
| Infusion Ivp (74410) | $1,864 | $1,864 | 9.9× |
| Joint Survey Single View (77077) | $768 | $768 | 6.9× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$319–$2,576 | $319–$2,576 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$252–$2,534 | $252–$2,534 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,381 | $1,381 | 3.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$57–$1,041 | $57–$1,041 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$357–$3,783 | $357–$3,783 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$219–$2,663 | $219–$2,663 | varies |
| Lung perfusion differential (78597) | $1,960 | $1,960 | 4.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$282–$2,940 | $282–$2,940 | varies |
| Lung Ventilation Imaging (78579) | $1,482 | $1,482 | 3.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$315–$2,681 | $315–$2,681 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$398–$4,708 | $398–$4,708 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$98–$1,262 | $98–$1,262 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$181–$2,013 | $181–$2,013 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,294–$3,023 | $1,294–$3,023 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $61.23 | $61.23 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$484–$7,266 | $484–$7,266 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$480–$4,326 | $480–$4,326 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$405–$5,923 | $405–$5,923 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$486–$7,641 | $486–$7,641 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$324–$4,006 | $324–$4,006 | varies |
| MRI abdomen w contrast (74182) | $6,246 | $6,246 | 16.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$394–$4,309 | $394–$4,309 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$439–$5,804 | $439–$5,804 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$588–$7,455 | $588–$7,455 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$439–$7,044 | $439–$7,044 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,365 | $4,365 | 17.1× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$577–$3,282 | $577–$3,282 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$511–$7,513 | $511–$7,513 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$426–$5,517 | $426–$5,517 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$396–$4,249 | $396–$4,249 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$617–$7,413 | $617–$7,413 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$703–$5,748 | $703–$5,748 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$588–$10,079 | $588–$10,079 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$365–$7,784 | $365–$7,784 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$487–$6,200 | $487–$6,200 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$682–$7,584 | $682–$7,584 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$363–$4,431 | $363–$4,431 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$438–$4,931 | $438–$4,931 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$586–$6,646 | $586–$6,646 | varies |
| MRI pelvis w contrast (72196) | $6,107 | $6,107 | 16.3× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$599–$8,164 | $599–$8,164 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$396–$5,503 | $396–$5,503 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$426–$4,777 | $426–$4,777 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$468–$5,603 | $468–$5,603 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$367–$4,983 | $367–$4,983 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$588–$7,999 | $588–$7,999 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$599–$7,425 | $599–$7,425 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$682–$7,654 | $682–$7,654 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$482–$5,394 | $482–$5,394 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$369–$7,773 | $369–$7,773 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$588–$7,653 | $588–$7,653 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$630–$7,491 | $630–$7,491 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$180–$1,659 | $180–$1,659 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,140 | $7,140 | 5.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$427–$7,701 | $427–$7,701 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$205–$4,875 | $205–$4,875 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$50–$662 | $50–$662 | varies |
| Nm csf leak detection (78650) | $3,584 | $3,584 | 2.6× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,417–$10,040 | $2,417–$10,040 | varies |
| Nuclear Rx Oral Admin (79005) | $2,478 | $2,478 | 9.9× |
| Ob us nuchal meas 1 gest (76813) | $917 | $917 | 8.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $639 | $639 | 5.7× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $177 | $177 | 5.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$216–$2,007 | $216–$2,007 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,834 | $2,834 | 6.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$52–$609 | $52–$609 | varies |
| Pet Image W/Ct Lmtd (78814) | $8,273 | $8,273 | 5.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$652–$10,047 | $652–$10,047 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$649–$9,709 | $649–$9,709 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$199–$2,031 | $199–$2,031 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) range across 2 matching MRF lines |
$247–$2,669 | $247–$2,669 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$89–$842 | $89–$842 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$253–$1,648 | $253–$1,648 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$48–$1,002 | $48–$1,002 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$45–$974 | $45–$974 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$48–$1,088 | $48–$1,088 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$72–$995 | $72–$995 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$62–$954 | $62–$954 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$47–$1,112 | $47–$1,112 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$48–$1,053 | $48–$1,053 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$72–$305 | $72–$305 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $342 | $342 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$48–$717 | $48–$717 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$66–$699 | $66–$699 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$57–$1,188 | $57–$1,188 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$48–$569 | $48–$569 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$44–$596 | $44–$596 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$56–$680 | $56–$680 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$65–$734 | $65–$734 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$34–$882 | $34–$882 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$45–$305 | $45–$305 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$48–$1,104 | $48–$1,104 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$111–$1,873 | $111–$1,873 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $27,043 | $27,043 | 3.4× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$739–$4,121 | $739–$4,121 | varies |
| Radiation treatment delivery level 2 (77407) | $819 | $819 | 2.0× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,570–$4,121 | $1,570–$4,121 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$69–$950 | $69–$950 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$209–$823 | $209–$823 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$340–$1,889 | $340–$1,889 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$278–$1,461 | $278–$1,461 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$69–$1,248 | $69–$1,248 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$69–$881 | $69–$881 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$219–$1,142 | $219–$1,142 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$145–$1,187 | $145–$1,187 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$242–$1,551 | $242–$1,551 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$56–$830 | $56–$830 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$56–$860 | $56–$860 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$48–$978 | $48–$978 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$79–$810 | $79–$810 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$177–$2,048 | $177–$2,048 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$208–$2,547 | $208–$2,547 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,211 | $4,211 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,196 | $4,196 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$284–$3,783 | $284–$3,783 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,891 | $2,891 | 11.6× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$303–$1,227 | $303–$1,227 | varies |
| Salivary Gland Imaging Serial Images (78231) | $1,252 | $1,252 | 2.9× |
| Scapula (73010) range across 2 matching MRF lines |
$56–$687 | $56–$687 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$152–$203 | $152–$203 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$44–$419 | $44–$419 | varies |
| Shoulder Arthrography (73040) | $1,605 | $1,605 | 4.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$70–$689 | $70–$689 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$265–$1,064 | $265–$1,064 | varies |
| Special Physics Consult (77370) | $1,843 | $1,843 | 12.8× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$287–$2,596 | $287–$2,596 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$614–$4,218 | $614–$4,218 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$93–$1,740 | $93–$1,740 | varies |
| Stereotactic Body Radiation Delivery (77373) | $9,656 | $9,656 | 5.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$62–$317 | $62–$317 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$879–$924 | $879–$924 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$421–$711 | $421–$711 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$405–$1,238 | $405–$1,238 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$471–$3,720 | $471–$3,720 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$323–$2,506 | $323–$2,506 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$215–$1,941 | $215–$1,941 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$575–$1,005 | $575–$1,005 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$56–$709 | $56–$709 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$62–$1,015 | $62–$1,015 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$62–$730 | $62–$730 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$133–$2,074 | $133–$2,074 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$345–$2,622 | $345–$2,622 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$228–$1,614 | $228–$1,614 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$137–$1,458 | $137–$1,458 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$187–$1,493 | $187–$1,493 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$156–$967 | $156–$967 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$160–$1,625 | $160–$1,625 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$139–$628 | $139–$628 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $23 | $23 | 0.2× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$152–$727 | $152–$727 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$303–$9,284 | $303–$9,284 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$219–$1,345 | $219–$1,345 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$117–$1,688 | $117–$1,688 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$89–$1,663 | $89–$1,663 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$201–$1,989 | $201–$1,989 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$156–$958 | $156–$958 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$134–$977 | $134–$977 | varies |
| Us head (76506) range across 2 matching MRF lines |
$174–$684 | $174–$684 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$206–$1,446 | $206–$1,446 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$189–$1,233 | $189–$1,233 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$177–$1,254 | $177–$1,254 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$203–$1,341 | $203–$1,341 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$186–$1,685 | $186–$1,685 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$268–$1,330 | $268–$1,330 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$234–$1,267 | $234–$1,267 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$200–$1,573 | $200–$1,573 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$158–$1,185 | $158–$1,185 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$173–$1,418 | $173–$1,418 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$371–$498 | $371–$498 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$154–$1,363 | $154–$1,363 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$186–$1,276 | $186–$1,276 | varies |
| Vascular Flow Imaging (78445) | $1,600 | $1,600 | 3.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,781–$4,140 | $3,781–$4,140 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$315–$5,498 | $315–$5,498 | varies |
| Venography extremity bilateral rs&i (75822) | $4,146 | $4,146 | 2.5× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$279–$4,146 | $279–$4,146 | varies |
| Venography Renal Bilateral (75833) | $3,619 | $3,619 | 1.1× |
| Venography Renal Unilateral (75831) | $3,619 | $3,619 | 1.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$244–$1,279 | $244–$1,279 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$52–$924 | $52–$924 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$66–$689 | $66–$689 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$139–$1,432 | $139–$1,432 | varies |
| X-Ray Aorta Leg Arteries (75630) | $8,438 | $8,438 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$67–$763 | $67–$763 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$46–$891 | $46–$891 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$87–$979 | $87–$979 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$89–$846 | $89–$846 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$89–$1,329 | $89–$1,329 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$53–$437 | $53–$437 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$61–$660 | $61–$660 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$248–$807 | $248–$807 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$66–$756 | $66–$756 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$89–$1,115 | $89–$1,115 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$95–$1,263 | $95–$1,263 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$61–$839 | $61–$839 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$102–$1,278 | $102–$1,278 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$73–$822 | $73–$822 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$50–$630 | $50–$630 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$48–$832 | $48–$832 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$56–$452 | $56–$452 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$67–$847 | $67–$847 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50–$135 | $50–$135 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$89–$1,057 | $89–$1,057 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$62–$771 | $62–$771 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$70–$655 | $70–$655 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$48–$700 | $48–$700 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$70–$846 | $70–$846 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$99–$1,694 | $99–$1,694 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$83–$871 | $83–$871 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$150–$1,322 | $150–$1,322 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$89–$995 | $89–$995 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$57–$627 | $57–$627 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$77–$893 | $77–$893 | 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.