Imaging prices at SCK Health
Arkansas City, KS · every code in this section with a posted price and a Medicare benchmark.
269 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) range across 4 matching MRF lines |
$18–$404.19 | $18–$404.19 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$27–$319.02 | $27–$319.02 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,205.49 | $1,205.49 | 3.3× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$18–$312.21 | $18–$312.21 | varies |
| Arthrogram Wrist (73115) | $1,071.39 | $1,071.39 | 3.3× |
| Bone age studies (77072) | $418.14 | $418.14 | 4.3× |
| Bone Imaging 3 Phase (78315) | $1,205.49 | $1,205.49 | 3.3× |
| Bone Imaging Limited Area (78300) | $1,205.49 | $1,205.49 | 3.3× |
| Bone Imaging Whole Body (78306) | $1,205.49 | $1,205.49 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $1,372.59 | $1,372.59 | 17.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,614.81 | $1,614.81 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,614.81 | $1,614.81 | 3.2× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$18–$370.74 | $18–$370.74 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$23–$452.31 | $23–$452.31 | varies |
| Chest 3 views (71047) range across 5 matching MRF lines |
$37–$470.85 | $37–$470.85 | varies |
| Chest 4 or more views (71048) range across 5 matching MRF lines |
$45–$401 | $45–$401 | varies |
| Cholecystography Oral Contrast (74290) | $534.06 | $534.06 | 3.3× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$16–$342.87 | $16–$342.87 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,372.59 | $1,372.59 | 14.3× |
| Contrast X-Ray Bladder (74430) | $1,071.39 | $1,071.39 | 3.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,071.39 | $1,071.39 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,372.59 | $1,372.59 | 4.3× |
| CT abdomen and pelvis without contrast (74176) | $1,372.59 | $1,372.59 | 6.3× |
| CT abdomen w contrast (74160) | $1,372.59 | $1,372.59 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,372.59 | $1,372.59 | 8.5× |
| CT abdomen w/o contrast (74150) | $1,372.59 | $1,372.59 | 14.3× |
| CT Angio Chest (71275) | $3,431.55 | $3,431.55 | 21.3× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$779.39–$3,476.13 | $779.39–$3,476.13 | varies |
| CT angio hrt w/3d image (75574) | $1,650.27 | $1,650.27 | 5.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $534.06 | $534.06 | 3.3× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$984.83–$3,478.92 | $984.83–$3,478.92 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $534.06 | $534.06 | 3.3× |
| CT bone density (77078) | $779.39 | $779.39 | 9.7× |
| CT cervical spine w/ contrast (72126) | $1,372.59 | $1,372.59 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,372.59 | $1,372.59 | 14.3× |
| CT cervical spine w/wo cont (72127) | $1,372.59 | $1,372.59 | 8.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$779.39–$1,372.59 | $779.39–$1,372.59 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$357.10–$1,372.59 | $357.10–$1,372.59 | varies |
| CT head/brain with contrast (70460) | $1,372.59 | $1,372.59 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,372.59 | $1,372.59 | 8.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,372.59 | $1,372.59 | 4.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $100 | $100 | 1.2× |
| CT hrt w/3d image congen (75573) | $1,372.59 | $1,372.59 | 4.3× |
| CT iac w contrast (70481) | $1,372.59 | $1,372.59 | 8.5× |
| CT l-spine w&w/o contrast (72133) | $1,372.59 | $1,372.59 | 8.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,372.59–$2,720 | $1,372.59–$2,720 | varies |
| CT lower extremity w/contrast material (73701) | $1,372.59 | $1,372.59 | 8.5× |
| CT lumbar spine w contrast (72132) | $1,372.59 | $1,372.59 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,372.59 | $1,372.59 | 14.3× |
| CT maxillofacial w contrast (70487) | $1,372.59 | $1,372.59 | 8.5× |
| CT maxillofacial wo contrast (70486) | $1,372.59 | $1,372.59 | 14.3× |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$779.39–$1,890 | $779.39–$1,890 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,372.59 | $1,372.59 | 8.5× |
| CT orbits w/o contrast (70480) | $1,372.59 | $1,372.59 | 14.3× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$779.39–$1,372.59 | $779.39–$1,372.59 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$779.39–$1,372.59 | $779.39–$1,372.59 | varies |
| CT scan of leg combo (73702) | $1,372.59 | $1,372.59 | 8.5× |
| CT scans face/jaw combo (70488) | $1,372.59 | $1,372.59 | 8.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$779.39–$1,372.59 | $779.39–$1,372.59 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,372.59 | $1,372.59 | 14.3× |
| CT thoracic spine w contrast (72129) | $1,372.59 | $1,372.59 | 8.5× |
| CT thoracic spine w/o contrast (72128) | $1,372.59 | $1,372.59 | 14.3× |
| CT thoracic spine w/wo cont (72130) | $1,372.59 | $1,372.59 | 8.5× |
| CT thorax w/o contrast (71250) | $1,372.59 | $1,372.59 | 14.3× |
| CT unlisted procedure (76497) | $1,372.59 | $1,372.59 | 17.2× |
| CT upper ext wo (73200) | $1,372.59 | $1,372.59 | 14.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,372.59 | $1,372.59 | 8.5× |
| CT upper extremity with contrast (73201) | $1,372.59 | $1,372.59 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,749.31 | $3,749.31 | 23.2× |
| Cta Abdomen (74175) | $3,559.77 | $3,559.77 | 22.1× |
| CTA pelvis (72191) | $534.06 | $534.06 | 3.3× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$30–$593.88 | $30–$593.88 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $130 | $130 | 1.6× |
| Echo exam uterus (76831) | $130 | $130 | 0.6× |
| Esophagram (74220) range across 3 matching MRF lines |
$49–$165 | $49–$165 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$195–$424.50 | $195–$424.50 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$170–$424.50 | $170–$424.50 | varies |
| Fluoroscopy up to 1 hr (76000) | $725.16 | $725.16 | 3.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$18–$284.34 | $18–$284.34 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$11–$373.53 | $11–$373.53 | varies |
| Gastric emptying imaging study (78264) | $1,205.49 | $1,205.49 | 3.3× |
| Gastroesophageal Reflux Exam (78262) | $1,205.49 | $1,205.49 | 3.3× |
| Gated Heart Planar Single (78472) | $1,255 | $1,255 | 3.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$15–$319.02 | $15–$319.02 | varies |
| Heart first pass single,planar (78481) | $1,614.81 | $1,614.81 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,311–$1,614.81 | $1,311–$1,614.81 | varies |
| Ht Musc Image Planar Mult (78454) | $3,916.44 | $3,916.44 | 3.3× |
| Hysterosalpingogram (74740) | $558 | $558 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,442.28 | $1,442.28 | 18.0× |
| K Flow/Funct Image Multiple (78709) | $1,614.81 | $1,614.81 | 3.2× |
| K Flow/Funct Image W/Drug (78708) | $2,520 | $2,520 | 5.0× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$23–$448.80 | $23–$448.80 | varies |
| Liver imaging static only (78201) | $1,614.81 | $1,614.81 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,079.54 | $2,079.54 | 4.2× |
| Lymph System Imaging (78195) | $1,614.81 | $1,614.81 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $1,578.63 | $1,578.63 | 7.2× |
| Mammary ductogram or galactogram multiple (77054) | $725.16 | $725.16 | 3.3× |
| Mammary ductogram or galactogram single (77053) | $725.16 | $725.16 | 3.3× |
| Meckels Divert Exam (78290) | $1,205.49 | $1,205.49 | 3.3× |
| MRA head w/o contrast (70544) | $1,899.81 | $1,899.81 | 8.7× |
| MRA head with contrast (70545) | $1,899.81 | $1,899.81 | 5.9× |
| MRA neck w contrast (70548) | $1,899.81 | $1,899.81 | 5.9× |
| MRA neck w/o contrast (70547) | $1,899.81 | $1,899.81 | 8.7× |
| MRI abdomen w contrast (74182) | $1,578.63 | $1,578.63 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,578.63 | $1,578.63 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,370.18 | $2,370.18 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,578.63 | $1,578.63 | 4.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,370.18 | $2,370.18 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,578.63 | $1,578.63 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,578.63 | $1,578.63 | 7.2× |
| MRI chest w/o contrast (71550) | $1,578.63 | $1,578.63 | 7.2× |
| MRI chest with contrast (71551) | $2,370.18 | $2,370.18 | 3.3× |
| MRI chest wo w contrast (71552) | $1,578.63 | $1,578.63 | 4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,578.63 | $1,578.63 | 4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,578.63 | $1,578.63 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,578.63 | $1,578.63 | 7.2× |
| MRI lumbar spine w contrast (72149) | $1,578.63 | $1,578.63 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,578.63 | $1,578.63 | 4.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,578.63 | $1,578.63 | 7.2× |
| MRI orbit face neck w contrast (70542) | $1,578.63 | $1,578.63 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,578.63 | $1,578.63 | 4.9× |
| MRI pelvis w contrast (72196) | $1,578.63 | $1,578.63 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $1,578.63 | $1,578.63 | 4.9× |
| MRI pelvis w/o contrast (72195) | $1,578.63 | $1,578.63 | 7.2× |
| MRI thoracic spine w/o contrast (72146) | $1,578.63 | $1,578.63 | 7.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,578.63 | $1,578.63 | 4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,578.63 | $1,578.63 | 7.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,578.63 | $1,578.63 | 4.9× |
| MRI, abdomen, combo (74183) | $1,578.63 | $1,578.63 | 4.9× |
| MRI, dorsal spine combo (72157) | $1,578.63 | $1,578.63 | 4.9× |
| MRI, dorsal spine contrast (72147) | $1,578.63 | $1,578.63 | 4.9× |
| MRI, joint upper extrem (73221) | $1,578.63 | $1,578.63 | 7.2× |
| MRI, joint upper extrem combo (73223) | $1,578.63 | $1,578.63 | 4.9× |
| MRI, lumbar spine combo (72158) | $1,578.63 | $1,578.63 | 4.9× |
| Myelogram cervical (72240) | $8,456.73 | $8,456.73 | 11.7× |
| Myelogram Lumbar (72265) | $8,456.73 | $8,456.73 | 11.7× |
| Myelography thoracic (72255) | $8,456.73 | $8,456.73 | 11.7× |
| Myelograpy 2/more regions rs&i (72270) | $8,456.73 | $8,456.73 | 11.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,916.44 | $3,916.44 | 3.3× |
| Myocardial Spect Multiple Studies (78452) | $4,404.24 | $4,404.24 | 3.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$50–$387.48 | $50–$387.48 | varies |
| Nuclear Rx Oral Admin (79005) | $1,485.78 | $1,485.78 | 6.9× |
| Optic foramina (70190) | $99 | $99 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,614.81 | $1,614.81 | 3.2× |
| Parathyroid Planar Imaging (78070) | $1,205.49 | $1,205.49 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,205.49 | $1,205.49 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$18–$379.11 | $18–$379.11 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,205.49 | $1,205.49 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$36–$791.67 | $36–$791.67 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,644.90 | $1,644.90 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$21–$418.14 | $21–$418.14 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$18–$342.87 | $18–$342.87 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$18–$454.38 | $18–$454.38 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$27–$568.68 | $27–$568.68 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$15–$317.79 | $15–$317.79 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$19–$404.19 | $19–$404.19 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$23–$676 | $23–$676 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$50–$415.35 | $50–$415.35 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$53–$319.02 | $53–$319.02 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$42–$443.22 | $42–$443.22 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$23–$401.40 | $23–$401.40 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$20–$420.93 | $20–$420.93 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$19–$320.58 | $19–$320.58 | varies |
| Radex Spine 1 View Specify Level (72020) | $55 | $55 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$55–$434.88 | $55–$434.88 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$95–$117.94 | $95–$117.94 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$10–$323.37 | $10–$323.37 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $319.02 | $319.02 | 3.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$18–$429.30 | $18–$429.30 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$100–$632.79 | $100–$632.79 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$37–$125 | $37–$125 | varies |
| Radiologic exam colon double contrast study (74280) | $3,020.91 | $3,020.91 | 18.7× |
| Radiologic exam colon single contrast study (74270) | $3,020.91 | $3,020.91 | 18.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,067.64 | $1,067.64 | 6.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$63–$649.50 | $63–$649.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$65–$406.98 | $65–$406.98 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$125–$933.84 | $125–$933.84 | varies |
| Radiologic exam swallow function contrast study (74230) | $936.63 | $936.63 | 5.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,067.64 | $1,067.64 | 6.6× |
| Radiologic examination femur 1 view (73551) | $50 | $50 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$19.50–$264.15 | $19.50–$264.15 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$18–$323.37 | $18–$323.37 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $319.02 | $319.02 | 3.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $264.15 | $264.15 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$19–$426.51 | $19–$426.51 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$27–$404.19 | $27–$404.19 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,205.49 | $1,205.49 | 3.3× |
| Scapula (73010) range across 4 matching MRF lines |
$12–$351.24 | $12–$351.24 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $233.31 | $233.31 | 10.0× |
| Sella turcica (70240) | $50 | $50 | 0.6× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$15–$317.79 | $15–$317.79 | varies |
| Sialogram (70390) | $725.16 | $725.16 | 3.3× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$24–$429.30 | $24–$429.30 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$50–$264.15 | $50–$264.15 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$23–$401.40 | $23–$401.40 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$38–$604.92 | $38–$604.92 | varies |
| Thoracolumbar 2 views (72080) | $117.94 | $117.94 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,205.49 | $1,205.49 | 3.3× |
| Thyroid Uptake Measurement (78012) | $1,273.92 | $1,273.92 | 3.5× |
| Ultrasound Breast Limited (76642) | $235 | $235 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$147–$454.50 | $147–$454.50 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$63–$351.48 | $63–$351.48 | varies |
| Umbilical-artery Doppler (OB) (76820) | $160 | $160 | 1.7× |
| Unlisted Dx Radiographic Procedure (76499) | $80 | $80 | 1.0× |
| Unlisted us procedure (76999) | $264.15 | $264.15 | 3.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$130–$1,279.50 | $130–$1,279.50 | varies |
| Urethrocystogram voiding (74455) | $1,218.18 | $1,218.18 | 5.6× |
| Us breast unilateral complete (76641) | $319.02 | $319.02 | 3.3× |
| Us chest (76604) | $333.30 | $333.30 | 3.5× |
| Us complete joint (76881) | $351.48 | $351.48 | 3.7× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$48–$319.02 | $48–$319.02 | varies |
| Us head (76506) | $1,442.28 | $1,442.28 | 15.0× |
| Us kidney transplant (76776) | $396.93 | $396.93 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $351.48 | $351.48 | 3.7× |
| Us ob detailed single fetus (76811) | $410 | $410 | 1.9× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$48–$424.50 | $48–$424.50 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$49–$424.50 | $49–$424.50 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$44–$369.66 | $44–$369.66 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$54–$366.93 | $54–$366.93 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$45–$424.50 | $45–$424.50 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$67–$454.50 | $67–$454.50 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$45–$351.48 | $45–$351.48 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$200–$369.66 | $200–$369.66 | varies |
| Us spinal canal and contents (76800) | $351.48 | $351.48 | 3.7× |
| Us thyroid (76536) range across 4 matching MRF lines |
$60–$1,442.28 | $60–$1,442.28 | varies |
| Us transrectal (76872) | $319.02 | $319.02 | 3.3× |
| Vascular Flow Imaging (78445) | $1,205.49 | $1,205.49 | 3.3× |
| Vein X-Ray Chest (75827) | $1,406.87 | $1,406.87 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $4,660.32 | $4,660.32 | 3.2× |
| Venography extremity unilateral rs&i (75820) | $4,660.32 | $4,660.32 | 3.2× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$15–$429.30 | $15–$429.30 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$21–$440.43 | $21–$440.43 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$15–$340.08 | $15–$340.08 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,644.90 | $1,644.90 | 3.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$50–$75 | $50–$75 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$80–$319.02 | $80–$319.02 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$23–$426.03 | $23–$426.03 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$30–$519.75 | $30–$519.75 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$37–$125 | $37–$125 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$30–$319.02 | $30–$319.02 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$37–$319.02 | $37–$319.02 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$45–$150 | $45–$150 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$125–$897.60 | $125–$897.60 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$24–$479.46 | $24–$479.46 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$125–$813.99 | $125–$813.99 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$64–$80 | $64–$80 | varies |
| X-ray eye for foreign body (70030) | $264.15 | $264.15 | 3.3× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$20–$412.56 | $20–$412.56 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,443.99 | $1,443.99 | 9.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$15–$264.15 | $15–$264.15 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $328.95 | $328.95 | 4.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$22–$524.07 | $22–$524.07 | varies |
| X-ray nose-rectum child f.b. (76010) | $337.29 | $337.29 | 4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $100 | $100 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $75 | $75 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$19–$426.51 | $19–$426.51 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$21–$429.30 | $21–$429.30 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$28–$582.60 | $28–$582.60 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$100–$632.79 | $100–$632.79 | varies |
| X-ray thoracic spine 4 vw (72074) | $105 | $105 | 1.1× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$42–$60 | $42–$60 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,071.39 | $1,071.39 | 3.3× |
| X-Rays Bone Length Studies (77073) | $719.19 | $719.19 | 7.5× |
| X-Rays Bone Survey Complete (77075) | $1,519.23 | $1,519.23 | 15.8× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$36–$691.32 | $36–$691.32 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$15–$538.02 | $15–$538.02 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$47–$319.02 | $47–$319.02 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$23–$546.36 | $23–$546.36 | varies |
| Xr Tomogram Single Plane (76100) | $319.02 | $319.02 | 3.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.