Imaging prices at Selby General Hospital
Marietta, OH · every code in this section with a posted price and a Medicare benchmark.
354 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 3 matching MRF lines |
$257.57–$5,335.89 | $429.28–$8,893.15 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$193.15–$241.43 | $321.91–$402.39 | varies |
| Abdomen 2 views (74019) range across 6 matching MRF lines |
$211.62–$264.53 | $352.70–$440.88 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$844.08–$1,100.39 | $1,406.80–$1,833.99 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,114.57–$3,183.66 | $3,524.28–$5,306.10 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$5,960.65–$9,348.20 | $9,934.42–$15,580.33 | varies |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$5,960.65–$8,974.27 | $9,934.42–$14,957.12 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$5,960.65–$8,974.27 | $9,934.42–$14,957.12 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$5,960.65–$8,974.27 | $9,934.42–$14,957.12 | varies |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$53.75–$238.15 | $89.58–$396.92 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$4,220.36–$6,354.12 | $7,033.94–$10,590.20 | varies |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$4,220.36–$6,354.12 | $7,033.94–$10,590.20 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$5,960.65–$8,974.27 | $9,934.42–$14,957.12 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$13,891.34–$20,914.61 | $23,152.24–$34,857.68 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$403.07–$606.86 | $671.78–$1,011.43 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$695.95–$869.93 | $1,159.91–$1,449.89 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$85.42–$669.05 | $142.37–$1,115.08 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$157.68–$197.10 | $262.80–$328.50 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$944.03–$1,230.69 | $1,573.38–$2,051.15 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$622.36–$811.35 | $1,037.27–$1,352.25 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$712.01–$928.22 | $1,186.68–$1,547.03 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,180.52–$1,538.99 | $1,967.53–$2,564.99 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$831.22–$1,083.63 | $1,385.37–$1,806.05 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$712.01–$928.22 | $1,186.68–$1,547.03 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$559–$698.74 | $931.66–$1,164.57 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 4 matching MRF lines |
$712.01–$928.22 | $1,186.68–$1,547.03 | varies |
| Brain imaging < 4 static views (78600) range across 2 matching MRF lines |
$653.80–$852.33 | $1,089.66–$1,420.55 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$912.89–$1,190.10 | $1,521.48–$1,983.50 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,791.50–$3,639.17 | $4,652.50–$6,065.29 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$777.79–$1,013.97 | $1,296.31–$1,689.95 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$972.73–$1,268.11 | $1,621.21–$2,113.51 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$173.85–$228.18 | $289.75–$380.30 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$159.54–$199.43 | $265.90–$332.38 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$175.12–$218.90 | $291.87–$364.84 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$134.31–$308.87 | $223.85–$514.79 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$210.85–$263.56 | $351.41–$439.26 | varies |
| Clavicle complete (73000) range across 8 matching MRF lines |
$83.03–$242.99 | $138.38–$404.98 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$294.53–$1,164 | $490.89–$1,940 | varies |
| Continuing medical physics consltj pr wk (77336) | $669.05 | $1,115.08 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) range across 6 matching MRF lines |
$5,068.58–$8,974.27 | $8,447.64–$14,957.12 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$318.58–$398.23 | $530.97–$663.71 | varies |
| Contrast X-Ray Of Elbow (73085) range across 8 matching MRF lines |
$672.44–$1,012.41 | $1,120.73–$1,687.35 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$347.96–$434.95 | $579.93–$724.91 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$1,164–$1,586.65 | $1,940–$2,644.41 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$1,164–$1,586.65 | $1,940–$2,644.41 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,164–$1,247.69 | $1,940–$2,079.49 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,164–$1,247.69 | $1,940–$2,079.49 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,164–$1,247.69 | $1,940–$2,079.49 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,164–$1,586.65 | $1,940–$2,644.41 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$1,164–$1,586.65 | $1,940–$2,644.41 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT lower ext w/o (73700) range across 28 matching MRF lines |
$1,164–$1,586.65 | $1,940–$2,644.41 | varies |
| CT lower extremity w/contrast material (73701) range across 26 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 8 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT orbits w/o contrast (70480) range across 6 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT scan of leg combo (73702) range across 26 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,164–$1,208.22 | $1,940–$2,013.70 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$227.84–$1,164 | $379.74–$1,940 | varies |
| CT upper ext wo (73200) range across 28 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 30 matching MRF lines |
$1,164–$1,530.07 | $1,940–$2,550.11 | varies |
| CT upper extremity with contrast (73201) range across 24 matching MRF lines |
$1,164–$1,529.96 | $1,940–$2,549.94 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,164–$1,713.57 | $1,940–$2,855.95 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,164–$1,712.72 | $1,940–$2,854.54 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$2,912.96–$3,641.20 | $4,854.93–$6,068.66 | varies |
| Diskography lumbar (72295) range across 6 matching MRF lines |
$2,626.03–$4,431.59 | $4,376.71–$7,385.99 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$378.92–$473.66 | $631.54–$789.43 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$274.78–$413.71 | $457.97–$689.51 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$206.04–$257.55 | $343.40–$429.25 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$568.40–$767.35 | $947.34–$1,278.92 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$720.98–$1,085.50 | $1,201.63–$1,809.16 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$781.39–$1,018.67 | $1,302.32–$1,697.79 | varies |
| Esophagram (74220) range across 5 matching MRF lines |
$347.06–$433.83 | $578.44–$723.05 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$197.42–$384.97 | $329.04–$641.61 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$478.25–$597.81 | $797.08–$996.35 | varies |
| Fluoroscopy up to 1 hr (76000) range across 9 matching MRF lines |
$322.10–$731.42 | $536.83–$1,219.04 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,445.85–$3,682.43 | $4,076.41–$6,137.38 | varies |
| Foot 2 views (73620) range across 10 matching MRF lines |
$61.81–$238.15 | $103.01–$396.92 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$97.64–$242.99 | $162.73–$404.98 | varies |
| Gastric emptying imaging study (78264) range across 6 matching MRF lines |
$1,035.06–$1,349.37 | $1,725.10–$2,248.95 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,403.17–$1,829.26 | $2,338.61–$3,048.76 | varies |
| Hand 2 views (73120) range across 12 matching MRF lines |
$106.60–$292.96 | $177.67–$488.26 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines |
$6,890.59–$10,706.98 | $11,484.31–$17,844.96 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$5,966.66–$8,983.31 | $9,944.43–$14,972.19 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$929.20–$1,211.36 | $1,548.66–$2,018.94 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$929.20–$1,211.36 | $1,548.66–$2,018.94 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,973.58–$3,876.55 | $4,955.97–$6,460.91 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$581.76–$727.20 | $969.60–$1,212 | varies |
| Interstitial radiation source applic complex (77778) | $19,691.82 | $32,819.70 | 29.9× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$912.89–$1,190.10 | $1,521.48–$1,983.50 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$907.50–$1,469.35 | $1,512.50–$2,448.91 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,032.09–$1,345.50 | $1,720.15–$2,242.50 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$594.73–$775.32 | $991.21–$1,292.20 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$117.23–$311.97 | $195.38–$519.95 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$814.91–$1,062.37 | $1,358.18–$1,770.61 | varies |
| Liver imaging w/vascular flow (78202) | $1,047.55 | $1,745.92 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$818.45–$1,066.98 | $1,364.08–$1,778.30 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$545.25–$710.83 | $908.75–$1,184.71 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,002.40–$1,306.79 | $1,670.67–$2,177.99 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$641.22–$835.94 | $1,068.70–$1,393.23 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$970.57–$1,265.30 | $1,617.62–$2,108.83 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$1,404.68–$2,114.87 | $2,341.14–$3,524.79 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 4 matching MRF lines |
$338.35–$422.93 | $563.91–$704.89 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$338.35–$422.93 | $563.91–$704.89 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$799.54–$1,042.33 | $1,332.56–$1,737.21 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,128.20 | $1,880.34 | 3.2× |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$594.04–$5,651.90 | $990.06–$9,419.83 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$1,920–$2,179.58 | $3,200–$3,632.64 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$1,920–$2,075.90 | $3,200–$3,459.84 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI abdomen w/o contrast (74181) range across 6 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 18 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 22 matching MRF lines |
$379.80–$2,270.40 | $633–$3,784 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,920–$2,179.58 | $3,200–$3,632.64 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,920–$2,179.58 | $3,200–$3,632.64 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 6 matching MRF lines |
$1,920–$2,179.58 | $3,200–$3,632.64 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,920–$2,179.58 | $3,200–$3,632.64 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI pelvis w contrast (72196) range across 6 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI pelvis w/o & w contrast (72197) range across 6 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI pelvis w/o contrast (72195) range across 8 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 20 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 20 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 20 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$747.02–$1,124.70 | $1,245.03–$1,874.50 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$815.26–$1,227.44 | $1,358.77–$2,045.74 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$778.15–$1,171.57 | $1,296.91–$1,952.61 | varies |
| Myocardial Spect Multiple Studies (78452) range across 8 matching MRF lines |
$2,460.64–$3,876.55 | $4,101.07–$6,460.91 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$163.91–$204.89 | $273.18–$341.48 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$845.24–$1,101.92 | $1,408.74–$1,836.53 | varies |
| Nm unlisted gi procedure (78299) range across 2 matching MRF lines |
$697.12–$908.81 | $1,161.86–$1,514.68 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$177.04–$221.30 | $295.07–$368.84 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$2,328.53–$5,335.89 | $3,880.88–$8,893.15 | varies |
| Nuclear Rx Intra-Arterial (79445) | $559 | $931.67 | 2.5× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$618.45–$806.25 | $1,030.75–$1,343.75 | varies |
| Ob us nuchal meas 1 gest (76813) | $198.68 | $331.14 | 2.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$56.22–$83.51 | $93.70–$139.19 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 3 matching MRF lines |
$45.22–$213.35 | $75.36–$355.59 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$10.86–$15.70 | $18.10–$26.17 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$384.30–$480.38 | $640.50–$800.63 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,012.33–$1,319.74 | $1,687.22–$2,199.56 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$560.20–$730.31 | $933.66–$1,217.18 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$201.55–$251.94 | $335.92–$419.90 | varies |
| Peritoneogram Rs&I (74190) | $964.61 | $1,607.69 | 1.9× |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$4,340.83–$5,658.98 | $7,234.72–$9,431.64 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,445.10–$4,491.26 | $5,741.84–$7,485.43 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 8 matching MRF lines |
$3,278.63–$4,491.26 | $5,464.38–$7,485.43 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$995.48–$1,297.77 | $1,659.14–$2,162.95 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$299.34–$374.18 | $498.90–$623.63 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 6 matching MRF lines |
$261.64–$1,311 | $436.06–$2,185 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$190.52–$315.89 | $317.54–$526.49 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$208.72–$391.35 | $347.86–$652.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$211.42–$396.41 | $352.36–$660.68 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$263.37–$329.21 | $438.95–$548.69 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$179.16–$223.95 | $298.60–$373.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$204.25–$382.97 | $340.42–$638.29 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$190.52–$315.89 | $317.54–$526.49 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$144.23–$180.29 | $240.38–$300.48 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$231.11–$288.89 | $385.19–$481.49 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$142.44–$178.05 | $237.40–$296.75 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$229.33–$430 | $382.22–$716.66 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$281.29–$351.62 | $468.82–$586.03 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$154.97–$193.72 | $258.29–$322.86 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$239.20–$298.99 | $398.66–$498.32 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$268.74–$335.93 | $447.90–$559.88 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$169.31–$211.63 | $282.18–$352.72 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$141.54–$176.92 | $235.90–$294.87 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$192.61–$361.15 | $321.02–$601.91 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$457.48–$571.84 | $762.46–$953.07 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $55,289.44 | $92,149.07 | 7.9× |
| Radiation treatment delivery level 1 (77402) | $566.18 | $943.63 | 5.9× |
| Radiation treatment delivery level 2 (77407) | $528.04 | $880.06 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $987.87 | $1,646.45 | 1.9× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$673.33–$841.67 | $1,122.22–$1,402.78 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$421.70–$527.12 | $702.83–$878.54 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $414.41 | $690.69 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$157.90–$342.66 | $263.16–$571.10 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$284.87–$356.08 | $474.78–$593.47 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$463.26–$579.08 | $772.10–$965.13 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$210.85–$628.13 | $351.41–$1,046.88 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$484.03–$605.04 | $806.72–$1,008.40 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$144.83–$271.56 | $241.38–$452.60 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$144.83–$271.54 | $241.38–$452.57 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$180.96–$452.39 | $301.60–$753.98 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$102.12–$381.29 | $170.20–$635.48 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$275.92–$344.89 | $459.86–$574.82 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 6 matching MRF lines |
$651.34–$1,184.24 | $1,085.57–$1,973.73 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$712.01–$928.22 | $1,186.68–$1,547.03 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 10 matching MRF lines |
$2,460.64–$4,474.50 | $4,101.07–$7,457.50 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 8 matching MRF lines |
$2,255.53–$3,207.85 | $3,759.22–$5,346.42 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$2,040.47–$3,207.85 | $3,400.78–$5,346.42 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,460.64–$3,207.85 | $4,101.07–$5,346.42 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 12 matching MRF lines |
$2,791.32–$3,638.94 | $4,652.20–$6,064.90 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 20 matching MRF lines |
$2,460.64–$3,207.85 | $4,101.07–$5,346.42 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$431.12–$562.03 | $718.53–$936.72 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$284.87–$356.08 | $474.78–$593.47 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$164.16–$205.20 | $273.60–$342 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$122.74–$153.43 | $204.57–$255.71 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$134.38–$167.97 | $223.96–$279.95 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$521.35–$784.94 | $868.92–$1,308.23 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$231.11–$288.89 | $385.19–$481.49 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$69.77–$985.24 | $116.29–$1,642.07 | varies |
| Special Physics Consult (77370) | $528.21 | $880.35 | 4.2× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$195.62–$1,670.90 | $326.03–$2,784.83 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$129.11–$2,371.68 | $215.18–$3,952.80 | varies |
| Stereotactic Body Radiation Delivery (77373) | $10,878.46 | $18,130.76 | 6.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$201.55–$251.94 | $335.92–$419.90 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$178.57–$640.11 | $297.62–$1,066.85 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$85.87–$640.11 | $143.11–$1,066.85 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$552.83–$720.70 | $921.38–$1,201.17 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$88.03–$2,641.07 | $146.71–$4,401.79 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$345.59–$1,232.49 | $575.99–$2,054.15 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$208.66–$792.34 | $347.77–$1,320.57 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$234.71–$293.39 | $391.19–$488.99 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$393.27–$491.59 | $655.45–$819.31 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$301–$376.25 | $501.66–$627.08 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$712.11–$928.35 | $1,186.85–$1,547.25 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$912.98–$1,190.23 | $1,521.64–$1,983.71 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$346.34–$451.52 | $577.24–$752.53 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$707.53–$922.38 | $1,179.22–$1,537.30 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$191.05–$1,584.63 | $318.42–$2,641.05 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$95.86–$1,056.41 | $159.76–$1,760.69 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$89.33–$1,056.41 | $148.89–$1,760.69 | varies |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$34.65–$751.67 | $57.75–$1,252.79 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$163.72–$204.65 | $272.86–$341.08 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$163.72–$204.65 | $272.86–$341.08 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$161.63–$202.04 | $269.38–$336.73 | varies |
| Ultrasound, abdomen limited (76705) range across 17 matching MRF lines |
$654.68–$818.35 | $1,091.13–$1,363.91 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$183.80–$276.74 | $306.34–$461.23 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$484.07–$728.81 | $806.78–$1,214.68 | varies |
| Unlisted fluoroscopic procedure (76496) | $226.46 | $377.43 | 2.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 4 matching MRF lines |
$670.70–$928.22 | $1,117.83–$1,547.03 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$127.91–$159.89 | $213.18–$266.48 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$450.94–$563.68 | $751.57–$939.46 | varies |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$666.95–$928.35 | $1,111.58–$1,547.25 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$560.99–$701.23 | $934.98–$1,168.72 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$430.16–$544.93 | $716.93–$908.21 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$300.67–$517.43 | $501.11–$862.39 | varies |
| Us chest (76604) range across 12 matching MRF lines |
$38.57–$404.09 | $64.28–$673.48 | varies |
| Us complete joint (76881) range across 9 matching MRF lines |
$69.14–$582.71 | $115.23–$971.18 | varies |
| Us exam, pelvic, limited (76857) range across 11 matching MRF lines |
$267.37–$521.33 | $445.62–$868.89 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$647.77–$809.71 | $1,079.61–$1,349.51 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 17 matching MRF lines |
$69.14–$818.35 | $115.23–$1,363.91 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$241.22–$357.11 | $402.04–$595.18 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$115.71–$257.48 | $192.85–$429.14 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$130.75–$254.92 | $217.91–$424.87 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$304.63–$594 | $507.72–$990 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$254.94–$318.67 | $424.90–$531.12 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$235.57–$294.47 | $392.62–$490.78 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$664.87–$831.09 | $1,108.12–$1,385.15 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$34.72–$567.22 | $57.86–$945.37 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$656.71–$820.89 | $1,094.52–$1,368.15 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$310–$387.50 | $516.67–$645.84 | varies |
| Us thyroid (76536) range across 7 matching MRF lines |
$76.80–$525.16 | $128–$875.26 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$86.40–$242.44 | $144–$404.07 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$459.14–$598.57 | $765.24–$997.62 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$2,182.68–$3,286.21 | $3,637.80–$5,477.02 | varies |
| Venogram Sinus/Jugular (75860) | $8,853.52 | $14,755.86 | 3.0× |
| Venography caval inferior serialography rs&i (75825) range across 6 matching MRF lines |
$2,907.98–$8,538.61 | $4,846.64–$14,231.02 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,145.35–$3,230.01 | $3,575.58–$5,383.35 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$721.52–$3,681.19 | $1,202.54–$6,135.31 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$5,479.70–$8,250.16 | $9,132.83–$13,750.26 | varies |
| Venous sampling by catheter (75893) | $13,473.26 | $22,455.43 | 2.6× |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$103.92–$238.15 | $173.20–$396.92 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$284.87–$356.08 | $474.78–$593.47 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$438.64–$548.29 | $731.06–$913.82 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$5,960.65–$10,235.08 | $9,934.42–$17,058.46 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$107.50–$267.62 | $179.16–$446.04 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$270.85–$338.56 | $451.41–$564.26 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$144.83–$181.04 | $241.38–$301.73 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$239.82–$299.77 | $399.70–$499.62 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$457.48–$571.84 | $762.46–$953.07 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$144.83–$181.04 | $241.38–$301.73 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$144.83–$181.04 | $241.38–$301.73 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$203.93–$254.91 | $339.88–$424.85 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$239.82–$299.77 | $399.70–$499.62 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$585.86–$732.33 | $976.44–$1,220.55 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$186.33–$232.91 | $310.55–$388.19 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$455.96–$569.95 | $759.94–$949.92 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$293.83–$367.28 | $489.71–$612.14 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$156.20–$195.26 | $260.34–$325.43 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$108.40–$269.87 | $180.66–$449.78 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$554.06–$692.57 | $923.43–$1,154.29 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$686.42–$858.03 | $1,144.04–$1,430.05 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$218.57–$273.22 | $364.29–$455.36 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$122.74–$153.43 | $204.57–$255.71 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$265.16–$331.45 | $441.94–$552.42 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$136.13–$170.16 | $226.88–$283.60 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$309.06–$386.32 | $515.10–$643.87 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$223.96–$279.95 | $373.27–$466.59 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$278.60–$348.25 | $464.33–$580.41 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$275.92–$344.89 | $459.86–$574.82 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$322.50–$403.12 | $537.50–$671.87 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$127.11–$158.89 | $211.85–$264.81 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$302.78–$378.48 | $504.64–$630.80 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$463.26–$579.08 | $772.10–$965.13 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$252.63–$315.79 | $421.05–$526.31 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$467.62–$584.53 | $779.37–$974.21 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$382.52–$478.15 | $637.53–$796.91 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$197.98–$247.48 | $329.97–$412.46 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$130.79–$163.49 | $217.99–$272.49 | 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.