Imaging prices at Self Regional Healthcare
Greenwood, SC · every code in this section with a posted price and a Medicare benchmark.
352 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) | $4,109.70 | $6,849.50 | 3.1× |
| Abdomen 1 View (74018) | $207.44 | $345.74 | 2.5× |
| Abdomen 2 views (74019) | $275.78 | $459.63 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $968.94 | $1,614.90 | 2.5× |
| Angio internal mammary (75756) | $5,799.52 | $9,665.86 | 1.9× |
| Angio pulmonary bilat (75743) | $2,616.97 | $4,361.61 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,309.44 | $3,849.06 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $5,799.52 | $9,665.86 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,297.34 | $3,828.90 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,799.52 | $9,665.86 | 1.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$204.10–$408.19 | $340.16–$680.32 | varies |
| Aortography thoracic serialography rs&i (75605) | $9,998.14 | $16,663.56 | 1.9× |
| Artery X-Rays Abdomen (75726) | $9,998.14 | $16,663.56 | 1.9× |
| Artery X-Rays Pelvis (75736) | $9,998.14 | $16,663.56 | 1.9× |
| Artery X-Rays Spine (75705) | $9,159.62 | $15,266.04 | 1.7× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$375.46–$750.91 | $625.77–$1,251.52 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$563.18–$1,126.37 | $938.64–$1,877.29 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$518.13–$1,036.26 | $863.55–$1,727.10 | varies |
| Basic radiation dosimetry calculation (77300) | $339.90 | $566.50 | 2.6× |
| Bone age studies (77072) | $227.56 | $379.26 | 2.3× |
| Bone Imaging 3 Phase (78315) | $1,261.11 | $2,101.85 | 3.3× |
| Bone Imaging Limited Area (78300) | $799.75 | $1,332.91 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,198.73 | $1,997.88 | 3.1× |
| Bone survey infant (77076) | $267.46 | $445.77 | 2.7× |
| Brachytx isodose complex (77318) | $951.07 | $1,585.11 | 2.6× |
| Brachytx isodose intermed (77317) | $509.71 | $849.52 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $543.59 | $905.99 | 1.5× |
| Brain Flow Imaging Only (78610) | $1,047.92 | $1,746.53 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,240 | $5,400 | 2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $491.25 | $818.75 | 1.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $954.43 | $1,590.71 | 1.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $786.83 | $1,311.38 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,166.14 | $1,943.56 | 2.2× |
| Chest 1 view (71045) | $192.11 | $320.19 | 2.3× |
| Chest 2 views (71046) | $234.27 | $390.45 | 2.8× |
| Chest 3 views (71047) | $239.99 | $399.99 | 2.9× |
| Chest 4 or more views (71048) | $243.85 | $406.42 | 2.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$220.43–$440.87 | $367.39–$734.78 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $97.45 | $162.41 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $599.60 | $999.34 | 4.7× |
| Contrast Exam Abdominl Aorta (75625) | $5,799.52 | $9,665.86 | 1.9× |
| Contrast X-Ray Bladder (74430) | $453.37 | $755.61 | 1.4× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$594.84–$1,189.68 | $991.40–$1,982.80 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$628.34–$1,256.69 | $1,047.24–$2,094.48 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,040 | $3,400 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,800 | $3,000 | 7.9× |
| CT abdomen w contrast (74160) | $1,020 | $1,700 | 6.1× |
| CT abdomen w wo contrast (74170) | $1,200 | $2,000 | 7.1× |
| CT abdomen w/o contrast (74150) | $780 | $1,300 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,040 | $3,400 | 6.1× |
| CT Angio Chest (71275) | $1,200 | $2,000 | 7.1× |
| CT Angio Head (70496) | $1,080 | $1,800 | 6.4× |
| CT angio hrt w/3d image (75574) | $630 | $1,050 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,080–$2,160 | $1,800–$3,600 | varies |
| CT Angio Neck (70498) | $1,080 | $1,800 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,020 | $1,700 | 6.1× |
| CT cervical spine w/ contrast (72126) | $1,020 | $1,700 | 3.0× |
| CT cervical spine w/o contrast (72125) | $960 | $1,600 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,200 | $2,000 | 7.1× |
| CT chest w contrast (71260) | $660 | $1,100 | 3.9× |
| CT chest w/wo contrast (71270) | $1,200 | $2,000 | 7.1× |
| CT head/brain with contrast (70460) | $960 | $1,600 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,080 | $1,800 | 6.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $66.17 | $110.28 | 0.8× |
| CT hrt w/3d image congen (75573) | $240.61 | $401.02 | 0.7× |
| CT iac w contrast (70481) | $960 | $1,600 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,200 | $2,000 | 7.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$660–$1,320 | $1,100–$2,200 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$780–$1,560 | $1,300–$2,600 | varies |
| CT lumbar spine w contrast (72132) | $1,080 | $1,800 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $960 | $1,600 | 9.6× |
| CT maxillofacial w contrast (70487) | $960 | $1,600 | 5.7× |
| CT maxillofacial wo contrast (70486) | $480 | $800 | 4.8× |
| CT neck tissue combo (70492) | $1,080 | $1,800 | 6.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,020 | $1,700 | 6.1× |
| CT orbits w/o contrast (70480) | $660 | $1,100 | 6.6× |
| CT pelvis w&w/o contrast (72194) | $1,200 | $2,000 | 7.1× |
| CT pelvis w/o contrast (72192) | $660 | $1,100 | 6.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,020–$2,040 | $1,700–$3,400 | varies |
| CT scans face/jaw combo (70488) | $1,020 | $1,700 | 6.1× |
| CT soft tissue neck w contrast (70491) | $960 | $1,600 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $660 | $1,100 | 6.6× |
| CT thoracic spine w contrast (72129) | $1,020 | $1,700 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $900 | $1,500 | 9.0× |
| CT thoracic spine w/wo cont (72130) | $1,140 | $1,900 | 6.8× |
| CT thorax w/o contrast (71250) | $480 | $800 | 4.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$660–$2,322.72 | $1,100–$3,871.20 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,020–$2,040 | $1,700–$3,400 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$900–$1,800 | $1,500–$3,000 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,200 | $2,000 | 7.1× |
| Cta Abdomen (74175) | $1,140 | $1,900 | 6.8× |
| CTA pelvis (72191) | $1,080 | $1,800 | 6.4× |
| Dilation ureters/urethra rs&i (74485) | $3,705.30 | $6,175.50 | 1.8× |
| Diskography lumbar (72295) | $1,674.72 | $2,791.20 | 0.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $191.41 | $319.02 | 1.9× |
| Dxa Bone Density Axial (77080) | $358.47 | $597.45 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $137.49 | $229.15 | 1.6× |
| Echo Guide For Artery Repair (76936) | $880.82 | $1,468.04 | 4.3× |
| Echograp Trans R Pros Study (76873) | $507.94 | $846.56 | 5.1× |
| Esophagram (74220) | $375.46 | $625.77 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $207.20 | $345.33 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $413.41 | $689.01 | 4.1× |
| Fluoroscopy up to 1 hr (76000) | $368.65 | $614.41 | 1.6× |
| Follow-Up Angiography (75898) | $6,936.50 | $11,560.84 | 2.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$203.19–$406.38 | $338.65–$677.30 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$223.54–$447.07 | $372.56–$745.12 | varies |
| Gastric emptying imaging study (78264) | $1,061.45 | $1,769.09 | 2.8× |
| Gated Heart Planar Single (78472) | $1,176.59 | $1,960.98 | 3.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,174.82 | $1,958.03 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$202.79–$405.59 | $337.99–$675.99 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,121.47 | $8,535.79 | 7.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,414.32 | $5,690.53 | 5.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,935.50 | $4,892.50 | 4.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,166.81 | $1,944.68 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,075.36 | $1,792.27 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $1,627.70 | $2,712.84 | 1.3× |
| Hysterosalpingogram (74740) | $535.57 | $892.61 | 2.3× |
| Image fusion (77399) | $279.56 | $465.94 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $500.11 | $833.51 | 6.0× |
| Infant hip ultrasound, limited static exam (76886) | $500.11 | $833.51 | 6.0× |
| Interstitial radiation source applic complex (77778) | $3,590.98 | $5,984.96 | 5.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,386.27 | $7,310.45 | 6.6× |
| Joint Survey Single View (77077) | $220.79 | $367.99 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,116.39 | $1,860.65 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,094.94 | $1,824.90 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$265.69–$531.37 | $442.82–$885.62 | varies |
| Liver & Spleen Imaging Static Only (78215) | $974.46 | $1,624.10 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,169.80 | $1,949.66 | 2.2× |
| Lymph System Imaging (78195) | $1,055.84 | $1,759.74 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $1,140 | $1,900 | 5.0× |
| Magnetic Resonance Elastography (76391) | $270 | $450 | 1.2× |
| Meckels Divert Exam (78290) | $850.60 | $1,417.67 | 2.2× |
| Mlc imrt design & construction per imrt plan (77338) | $2,163 | $3,605 | 6.0× |
| Mr safety determination physician/other qhp (76016) | $163.15 | $271.92 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $45.11 | $75.19 | 1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $169.95 | $283.25 | 1.9× |
| Mr safety implt pos&/immoblj (76019) | $110 | $183.34 | 1.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $448.05 | $746.75 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,380 | $2,300 | 4.1× |
| MRA head w/o contrast (70544) | $1,140 | $1,900 | 5.0× |
| MRA head with contrast (70545) | $1,200 | $2,000 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,338.89 | $3,898.15 | 7.0× |
| MRA neck w/o contrast (70547) | $1,080 | $1,800 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,200 | $2,000 | 5.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,200–$2,400 | $2,000–$4,000 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,440–$2,880 | $2,400–$4,800 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,320–$2,640 | $2,200–$4,400 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $660 | $1,100 | 2.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $300 | $500 | 1.3× |
| MRI cardiac w/o cont stress (75559) | $644.31 | $1,073.85 | 1.2× |
| MRI cardiac w/o contrast (75557) | $307.45 | $512.41 | 1.3× |
| MRI cervical spine w contrast (72142) | $1,380 | $2,300 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,200 | $2,000 | 5.2× |
| MRI chest w/o contrast (71550) | $1,200 | $2,000 | 5.2× |
| MRI chest with contrast (71551) | $491.25 | $818.75 | 0.7× |
| MRI chest wo w contrast (71552) | $1,440 | $2,400 | 4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,200–$2,400 | $2,000–$4,000 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,440–$2,880 | $2,400–$4,800 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,020–$2,040 | $1,700–$3,400 | varies |
| MRI lumbar spine w contrast (72149) | $1,380 | $2,300 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,800 | $3,000 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,200 | $2,000 | 5.2× |
| MRI orbit face neck w contrast (70542) | $955.09 | $1,591.82 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,440 | $2,400 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $1,440 | $2,400 | 4.3× |
| MRI pelvis w/o contrast (72195) | $1,200 | $2,000 | 5.2× |
| MRI spectroscopy (76390) | $660 | $1,100 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,200 | $2,000 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,020–$2,040 | $1,700–$3,400 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,440–$2,880 | $2,400–$4,800 | varies |
| MRI, abdomen, combo (74183) | $1,440 | $2,400 | 4.3× |
| MRI, dorsal spine combo (72157) | $1,440 | $2,400 | 4.3× |
| MRI, dorsal spine contrast (72147) | $1,320 | $2,200 | 3.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,200–$2,400 | $2,000–$4,000 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,440–$2,880 | $2,400–$4,800 | varies |
| MRI, lumbar spine combo (72158) | $1,800 | $3,000 | 5.4× |
| Myelogram cervical (72240) | $1,118.76 | $1,864.60 | 1.5× |
| Myelogram Lumbar (72265) | $994.96 | $1,658.26 | 1.3× |
| Myelography thoracic (72255) | $994.96 | $1,658.26 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,239.01 | $2,065.01 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $2,362.11 | $3,936.85 | 1.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,800 | $3,000 | 2.2× |
| Neck soft tissue (70360) | $209.42 | $349.04 | 2.5× |
| Nm whole blood volume (78122) | $1,142.33 | $1,903.88 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $526.36 | $877.26 | 5.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,376.60 | $8,961 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $1,583.19 | $2,638.65 | 7.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$241.01–$482.02 | $401.68–$803.36 | varies |
| Panoramic X-ray of jaws (70355) | $211.37 | $352.28 | 2.5× |
| Parathyroid Planar Imaging (78070) | $832.46 | $1,387.44 | 2.2× |
| Pelvis 1 or 2 views (72170) | $214.27 | $357.11 | 2.1× |
| Pet Image Skull-Thigh (78812) | $1,440 | $2,400 | 1.0× |
| Pet Image W/Ct Lmtd (78814) | $2,160 | $3,600 | 1.6× |
| PET image w/CT, full body (78816) | $2,160 | $3,600 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,160 | $3,600 | 1.6× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $2,472.96 | $4,121.60 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,731.55 | $9,552.58 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $849.55 | $1,415.92 | 2.2× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,722 | $2,870 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $369.44 | $615.73 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$247.90–$495.80 | $413.16–$826.33 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$205.04–$410.09 | $341.73–$683.48 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$247.06–$494.14 | $411.77–$823.57 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $317.53 | $529.22 | 3.2× |
| Radex fingr minimum 2 views (73140) | $186.68 | $311.14 | 2.2× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$244.66–$489.32 | $407.77–$815.54 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$246.44–$492.88 | $410.73–$821.47 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$221.73–$443.47 | $369.55–$739.11 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $240.86 | $401.44 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $241.96 | $403.26 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$257.16–$514.33 | $428.60–$857.21 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $194.61 | $324.35 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $206.85 | $344.75 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $241 | $401.67 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $265.79 | $442.99 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$186.80–$373.61 | $311.33–$622.68 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$204.91–$409.80 | $341.51–$683 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$242.34–$484.69 | $403.90–$807.81 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,205.50 | $20,342.50 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $1,200 | $2,000 | 12.3× |
| Radiation treatment delivery level 2 (77407) | $1,650 | $2,750 | 4.5× |
| Radiation treatment delivery level 3 (77412) | $1,854 | $3,090 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $312.38 | $520.64 | 3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $245.83 | $409.71 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $703 | $1,171.66 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $542.61 | $904.35 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$308.54–$617.09 | $514.24–$1,028.48 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $260.74 | $434.56 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $469.53 | $782.55 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $409.12 | $681.86 | 2.4× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $445.58 | $742.63 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $534.08 | $890.13 | 3.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$133.73–$267.47 | $222.88–$445.78 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$342.33–$684.67 | $570.55–$1,141.11 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$219.35–$438.71 | $365.59–$731.18 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $356.58 | $594.30 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$236.08–$472.16 | $393.47–$786.93 | varies |
| Ribs bilateral 3 views (71110) | $313.95 | $523.25 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $343.72 | $572.86 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,967.86 | $3,279.76 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,583.08 | $4,305.13 | 5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,664.06 | $4,440.10 | 5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,227.53 | $2,045.88 | 1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,615.88 | $2,693.14 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,583.08 | $4,305.13 | 2.1× |
| Rp Therapy Intravenous Administration (79101) | $886.19 | $1,476.99 | 4.0× |
| Scapula (73010) range across 2 matching MRF lines |
$226.66–$453.33 | $377.77–$755.55 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $88.10 | $146.83 | 3.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$157.70–$315.38 | $262.83–$525.64 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$627.41–$1,254.82 | $1,045.69–$2,091.36 | varies |
| Skull less than 4 views (70250) | $245.26 | $408.77 | 2.4× |
| Special dosimetry (77331) | $278.10 | $463.50 | 2.2× |
| Special Physics Consult (77370) | $803.40 | $1,339 | 6.2× |
| Special teletherapy port plan (77321) | $927 | $1,545 | 2.6× |
| Special treatment procedure (77470) | $1,483.20 | $2,472 | 2.8× |
| Stereotactic Body Radiation Delivery (77373) | $7,725 | $12,875 | 4.5× |
| Sternoclavicular joints (71130) | $218.12 | $363.54 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,236 | $2,060 | 3.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $410.67 | $684.45 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,081.50 | $1,802.50 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $775.59 | $1,292.65 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $648.90 | $1,081.50 | 5.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $674.89 | $1,124.81 | 4.0× |
| Thoracic spine 2 views (72070) | $251.39 | $418.99 | 2.5× |
| Thoracic spine 3 views (72072) | $309.06 | $515.10 | 3.1× |
| Thoracolumbar 2 views (72080) | $165.20 | $275.34 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $541.45 | $902.41 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,227.69 | $2,046.15 | 2.4× |
| Thyroid Uptake Measurement (78012) | $441.05 | $735.08 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $792.77 | $1,321.28 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $865.20 | $1,442 | 2.4× |
| Tx devices design & construction intermediate (77333) | $463.50 | $772.50 | 3.6× |
| Tx devices design & construction simple (77332) | $370.80 | $618 | 2.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$158.23–$316.46 | $263.72–$527.44 | varies |
| Ultrasound elastography first target lesion (76982) | $241.30 | $402.16 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $241.30 | $402.16 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $299.33 | $498.89 | 3.0× |
| Ultrasound, abdomen limited (76705) | $439.55 | $732.59 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $255.47 | $425.79 | 2.5× |
| Unlis px ther radiol clinical tx planning (77299) | $279.56 | $465.94 | 2.2× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$29.97–$585.53 | $49.95–$975.88 | varies |
| Unlisted magnetic resonance procedure (76498) | $124.88 | $208.13 | 1.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $714.41 | $1,190.68 | 1.9× |
| Unlisted us procedure (76999) | $129.04 | $215.07 | 1.5× |
| Upper gi w/o kub (74240) | $309.01 | $515.02 | 1.8× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $185 | $308.34 | 16.7× |
| Urethrocystogram voiding (74455) | $523.41 | $872.35 | 2.3× |
| Urethrocystography retrograde (74450) | $490.93 | $818.21 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$332.27–$664.54 | $553.78–$1,107.56 | varies |
| Us chest (76604) | $368.11 | $613.52 | 3.7× |
| Us complete joint (76881) | $292.17 | $486.95 | 2.9× |
| Us exam, pelvic, limited (76857) | $338.39 | $563.98 | 3.4× |
| Us head (76506) | $422.03 | $703.38 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $308.80 | $514.66 | 3.1× |
| Us ob detailed single fetus (76811) | $499.55 | $832.58 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $334.26 | $557.10 | 3.3× |
| Us ob transvaginal (76817) | $399.64 | $666.06 | 4.0× |
| Us pelvic non ob complete (76856) | $555.47 | $925.78 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $446.86 | $744.76 | 4.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $317.35 | $528.91 | 3.2× |
| Us retroperitoneal complete (76770) | $349.46 | $582.43 | 3.5× |
| Us retroperitoneal limited (76775) | $446.72 | $744.54 | 4.5× |
| Us scrotum and contents (76870) | $495.80 | $826.33 | 4.9× |
| Us spinal canal and contents (76800) | $367.91 | $613.18 | 3.7× |
| Us thyroid (76536) | $473.79 | $789.65 | 4.7× |
| Vein X-Ray Chest (75827) | $1,745.42 | $2,909.03 | 1.2× |
| Venogram Sinus/Jugular (75860) | $5,799.52 | $9,665.86 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $2,061.23 | $3,435.39 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,199.33 | $1,998.88 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $2,913.44 | $4,855.74 | 1.9× |
| Venography Renal Bilateral (75833) | $5,799.52 | $9,665.86 | 1.9× |
| Venography Renal Unilateral (75831) | $5,799.52 | $9,665.86 | 1.9× |
| Venous sampling by catheter (75893) | $9,998.14 | $16,663.56 | 1.9× |
| Vertebral fracture assessment via dxa (77086) | $140.83 | $234.72 | 1.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$199.81–$399.60 | $333.01–$666 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $231.67 | $386.12 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $462.92 | $771.54 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $5,799.52 | $9,665.86 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $212.02 | $353.37 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$205.42–$410.84 | $342.37–$684.74 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,003.19 | $1,671.98 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $232.45 | $387.41 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $367.34 | $612.24 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $179.06 | $298.43 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $239.82 | $399.70 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $385.89 | $643.15 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $322.97 | $538.29 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $200.51 | $334.18 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $445.10 | $741.83 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $260.41 | $434.02 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $422.30 | $703.83 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $300.64 | $501.06 | 3.0× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$185.77–$371.53 | $309.62–$619.22 | varies |
| X-ray humerus (73060) | $227.10 | $378.50 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $684.13 | $1,140.22 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.30 | $347.16 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $200.24 | $333.74 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $285.25 | $475.42 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $257.02 | $428.37 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $394.74 | $657.90 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $244.36 | $407.27 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $180.75 | $301.25 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $242.71 | $404.51 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $314.91 | $524.85 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $365.23 | $608.72 | 3.6× |
| X-ray thoracic spine 4 vw (72074) | $328.58 | $547.64 | 3.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $591.28 | $985.47 | 1.8× |
| X-Rays Bone Length Studies (77073) | $257.44 | $429.07 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $547.92 | $913.20 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $380.45 | $634.08 | 3.8× |
| Xr facial bones less than 3 views (70140) | $238.79 | $397.98 | 2.9× |
| Xr orbits complete 4 views (70200) | $299.85 | $499.75 | 3.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.