Imaging prices at Signature Healthcare Brockton Hospital
Brockton, MA · every code in this section with a posted price and a Medicare benchmark.
318 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) | $4,370.10 | $6,243 | 2.6× |
| Abdomen 1 View (74018) | $270.20 | $386 | 2.6× |
| Abdomen 2 views (74019) | $354.90 | $507 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,304.10 | $1,863 | 2.7× |
| Adrenal Cortex & Medulla Img (78075) | $4,519.90 | $6,457 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $9,903.60 | $14,148 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $9,903.60 | $14,148 | 2.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Artery X-Rays Abdomen (75726) | $16,289 | $23,270 | 2.4× |
| Artery X-Rays Pelvis (75736) | $16,289 | $23,270 | 2.4× |
| Arthrogram ankle (73615) | $1,273.30 | $1,819 | 3.0× |
| Arthrogram hip (73525) | $1,273.30 | $1,819 | 3.0× |
| Arthrogram Wrist (73115) | $1,273.30 | $1,819 | 3.0× |
| Basic radiation dosimetry calculation (77300) | $438.90 | $627 | 2.7× |
| Bone age studies (77072) | $376.60 | $538 | 3.0× |
| Bone Imaging 3 Phase (78315) | $1,304.10 | $1,863 | 2.7× |
| Bone Imaging Limited Area (78300) | $1,304.10 | $1,863 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,304.10 | $1,863 | 2.7× |
| Bone survey infant (77076) | $376.60 | $538 | 3.0× |
| Brain Image W/Flow < 4 Views (78601) | $1,304.10 | $1,863 | 2.7× |
| Brain imaging < 4 static views (78600) | $1,304.10 | $1,863 | 2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,692.60 | $2,418 | 2.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,692.60 | $2,418 | 2.6× |
| Chest 1 view (71045) | $270.20 | $386 | 2.6× |
| Chest 2 views (71046) | $270.20 | $386 | 2.6× |
| Chest 3 views (71047) | $270.20 | $386 | 2.6× |
| Chest 4 or more views (71048) | $354.90 | $507 | 2.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $254.80 | $364 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $438.90 | $627 | 2.7× |
| Contrast Exam Abdominl Aorta (75625) | $9,903.60 | $14,148 | 2.6× |
| Contrast X-Ray Bladder (74430) | $1,231.30 | $1,759 | 2.9× |
| Contrast X-Ray Of Elbow (73085) | $1,273.30 | $1,819 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,273.30 | $1,819 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,273.30 | $1,819 | 3.0× |
| CT abdomen and pelvis without contrast (74176) | $795.90 | $1,137 | 2.8× |
| CT abdomen w contrast (74160) | $624.40 | $892 | 3.0× |
| CT abdomen w wo contrast (74170) | $624.40 | $892 | 3.0× |
| CT abdomen w/o contrast (74150) | $376.60 | $538 | 3.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,273.30 | $1,819 | 3.0× |
| CT Angio Chest (71275) | $624.40 | $892 | 3.0× |
| CT Angio Head (70496) | $624.40 | $892 | 3.0× |
| CT angio hrt w/3d image (75574) | $624.40 | $892 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $624.40 | $892 | 3.0× |
| CT Angio Neck (70498) | $624.40 | $892 | 3.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $624.40 | $892 | 3.0× |
| CT bone density (77078) | $270.20 | $386 | 2.6× |
| CT cervical spine w/ contrast (72126) | $1,273.30 | $1,819 | 3.0× |
| CT cervical spine w/o contrast (72125) | $376.60 | $538 | 3.0× |
| CT cervical spine w/wo cont (72127) | $624.40 | $892 | 3.0× |
| CT chest w contrast (71260) | $624.40 | $892 | 3.0× |
| CT chest w/wo contrast (71270) | $624.40 | $892 | 3.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $624.40 | $892 | 3.0× |
| CT head/brain with contrast (70460) | $624.40 | $892 | 3.0× |
| CT head/brain without and with contrast (70470) | $624.40 | $892 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $243.60 | $348 | 2.3× |
| CT hrt w/3d image congen (75573) | $624.40 | $892 | 1.5× |
| CT iac w contrast (70481) | $624.40 | $892 | 3.0× |
| CT l-spine w&w/o contrast (72133) | $624.40 | $892 | 3.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$624.40–$1,248.80 | $892–$1,784 | varies |
| CT lumbar spine w contrast (72132) | $1,273.30 | $1,819 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $376.60 | $538 | 3.0× |
| CT maxillofacial w contrast (70487) | $624.40 | $892 | 3.0× |
| CT maxillofacial wo contrast (70486) | $376.60 | $538 | 3.0× |
| CT neck tissue combo (70492) | $624.40 | $892 | 3.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $624.40 | $892 | 3.0× |
| CT orbits w/o contrast (70480) | $376.60 | $538 | 3.0× |
| CT pelvis w&w/o contrast (72194) | $624.40 | $892 | 3.0× |
| CT pelvis w/o contrast (72192) | $376.60 | $538 | 3.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$624.40–$1,248.80 | $892–$1,784 | varies |
| CT scans face/jaw combo (70488) | $624.40 | $892 | 3.0× |
| CT soft tissue neck w contrast (70491) | $624.40 | $892 | 3.0× |
| CT soft tissue neck w/o contrast (70490) | $376.60 | $538 | 3.0× |
| CT thoracic spine w contrast (72129) | $654.50 | $935 | 3.1× |
| CT thoracic spine w/o contrast (72128) | $376.60 | $538 | 3.0× |
| CT thoracic spine w/wo cont (72130) | $624.40 | $892 | 3.0× |
| CT thorax w/o contrast (71250) | $376.60 | $538 | 3.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $624.40 | $892 | 3.0× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$1,273.30–$2,546.60 | $1,819–$3,638 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $624.40 | $892 | 3.0× |
| Cta Abdomen (74175) | $624.40 | $892 | 3.0× |
| CTA pelvis (72191) | $624.40 | $892 | 3.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $376.60 | $538 | 3.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $376.60 | $538 | 3.0× |
| Dxa Bone Density Axial (77080) | $376.60 | $538 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $269.50 | $385 | 2.6× |
| Echo exam uterus (76831) | $795.90 | $1,137 | 2.8× |
| Esophageal Motility Study (78258) | $1,304.10 | $1,863 | 2.7× |
| Esophagram (74220) | $591.50 | $845 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $376.60 | $538 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $376.60 | $538 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $795.90 | $1,137 | 2.8× |
| Follow-Up Angiography (75898) | $6,916 | $9,880 | 1.8× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Gastric emptying imaging study (78264) | $1,304.10 | $1,863 | 2.7× |
| Gated Heart Planar Single (78472) | $1,304.10 | $1,863 | 2.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| Heart first pass single,planar (78481) | $1,692.60 | $2,418 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,692.60 | $2,418 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,304.10 | $1,863 | 2.7× |
| Ht Musc Image Planar Mult (78454) | $4,519.90 | $6,457 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $3,791.20 | $5,416 | 2.4× |
| Hysterosalpingogram (74740) | $795.90 | $1,137 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $274.40 | $392 | 2.6× |
| Infant hip ultrasound, limited static exam (76886) | $279.30 | $399 | 2.7× |
| Infusion Ivp (74410) | $618.10 | $883 | 2.9× |
| Joint Survey Single View (77077) | $376.60 | $538 | 3.0× |
| K Flow/Funct Image Multiple (78709) | $1,692.60 | $2,418 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,692.60 | $2,418 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,692.60 | $2,418 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,304.10 | $1,863 | 2.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,304.10 | $1,863 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,304.10 | $1,863 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,692.60 | $2,418 | 2.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,692.60 | $2,418 | 2.6× |
| Lung Ventilation Imaging (78579) | $1,304.10 | $1,863 | 2.7× |
| Lymph System Imaging (78195) | $1,692.60 | $2,418 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $795.90 | $1,137 | 2.8× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$795.90–$1,591.80 | $1,137–$2,274 | varies |
| Mammary ductogram or galactogram single (77053) | $773.50 | $1,105 | 2.7× |
| Meckels Divert Exam (78290) | $1,304.10 | $1,863 | 2.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,171.10 | $1,673 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,273.30 | $1,819 | 3.0× |
| MRA head w/o contrast (70544) | $795.90 | $1,137 | 2.8× |
| MRA head with contrast (70545) | $1,273.30 | $1,819 | 3.0× |
| MRA neck w contrast (70548) | $1,273.30 | $1,819 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,273.30 | $1,819 | 3.0× |
| MRA neck w/o contrast (70547) | $795.90 | $1,137 | 2.8× |
| MRI abdomen w contrast (74182) | $1,273.30 | $1,819 | 3.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$795.90–$821.10 | $1,137–$1,173 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,369.50 | $3,385 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,273.30 | $1,819 | 3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,369.50 | $3,385 | 2.5× |
| MRI bone marrow blood supply (77084) | $795.90 | $1,137 | 2.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $810.60 | $1,158 | 2.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $810.60 | $1,158 | 2.8× |
| MRI cervical spine w contrast (72142) | $1,273.30 | $1,819 | 3.0× |
| MRI cervical spine w/o cont (72141) | $795.90 | $1,137 | 2.8× |
| MRI chest w/o contrast (71550) | $795.90 | $1,137 | 2.8× |
| MRI chest with contrast (71551) | $2,369.50 | $3,385 | 2.5× |
| MRI chest wo w contrast (71552) | $1,273.30 | $1,819 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,273.30 | $1,819 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,273.30 | $1,819 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$795.90–$1,591.80 | $1,137–$2,274 | varies |
| MRI lumbar spine w contrast (72149) | $1,273.30 | $1,819 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,273.30 | $1,819 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $795.90 | $1,137 | 2.8× |
| MRI orbit face neck w contrast (70542) | $1,273.30 | $1,819 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,273.30 | $1,819 | 3.0× |
| MRI pelvis w contrast (72196) | $1,273.30 | $1,819 | 3.0× |
| MRI pelvis w/o & w contrast (72197) | $1,273.30 | $1,819 | 3.0× |
| MRI pelvis w/o contrast (72195) | $795.90 | $1,137 | 2.8× |
| MRI thoracic spine w/o contrast (72146) | $795.90 | $1,137 | 2.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,273.30–$2,546.60 | $1,819–$3,638 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $795.90 | $1,137 | 2.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,273.30–$2,546.60 | $1,819–$3,638 | varies |
| MRI, abdomen, combo (74183) | $1,273.30 | $1,819 | 3.0× |
| MRI, dorsal spine combo (72157) | $1,273.30 | $1,819 | 3.0× |
| MRI, dorsal spine contrast (72147) | $1,273.30 | $1,819 | 3.0× |
| MRI, joint upper extrem (73221) | $795.90 | $1,137 | 2.8× |
| MRI, joint upper extrem combo (73223) | $1,273.30 | $1,819 | 3.0× |
| MRI, lumbar spine combo (72158) | $1,273.30 | $1,819 | 3.0× |
| Myelogram cervical (72240) | $2,385.60 | $3,408 | 2.5× |
| Myelogram Lumbar (72265) | $2,385.60 | $3,408 | 2.5× |
| Myelography thoracic (72255) | $2,385.60 | $3,408 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,385.60 | $3,408 | 2.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,447.80 | $6,354 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $2,300.20 | $3,286 | 1.5× |
| Neck soft tissue (70360) | $270.20 | $386 | 2.6× |
| Nonvascular Shunt X-Ray (75809) | $376.60 | $538 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,370.10 | $6,243 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $875 | $1,250 | 3.1× |
| Ob us nuchal meas 1 gest (76813) | $376.60 | $538 | 3.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $377.30 | $539 | 3.0× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $85.40 | $122 | 2.5× |
| Optic foramina (70190) | $279.30 | $399 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,304.10 | $1,863 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,304.10 | $1,863 | 2.7× |
| Pelvis 1 or 2 views (72170) | $376.60 | $538 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,304.10 | $1,863 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $376.60 | $538 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,670.90 | $2,387 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $376.60 | $538 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $368.90 | $527 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $270.20 | $386 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $270.20 | $386 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radex Spine 1 View Specify Level (72020) | $270.20 | $386 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $270.20 | $386 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $270.20 | $386 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,891.90 | $38,417 | 3.0× |
| Radiation treatment delivery level 3 (77412) | $835.80 | $1,194 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $376.60 | $538 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $354.90 | $507 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $618.10 | $883 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $618.10 | $883 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,129.10 | $1,613 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$368.90–$737.80 | $527–$1,054 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $368.90 | $527 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $555.10 | $793 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $555.10 | $793 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $618.10 | $883 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Renal Cyst Study (74470) | $1,591.10 | $2,273 | 2.4× |
| Ribs bilateral 3 views (71110) | $376.60 | $538 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,519.90 | $6,457 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,323.90 | $6,177 | 6.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,461.20 | $3,516 | 3.8× |
| Rp Therapy Intravenous Administration (79101) | $875 | $1,250 | 3.1× |
| Salivary Gland Imaging (78230) | $1,304.10 | $1,863 | 2.7× |
| Scapula (73010) range across 3 matching MRF lines |
$368.90–$737.80 | $527–$1,054 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $88.90 | $127 | 3.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| Shoulder Arthrography (73040) | $1,273.30 | $1,819 | 3.0× |
| Skull less than 4 views (70250) | $368.90 | $527 | 2.9× |
| Special dosimetry (77331) | $438.90 | $627 | 2.7× |
| Special Physics Consult (77370) | $438.90 | $627 | 2.7× |
| Special teletherapy port plan (77321) | $1,171.10 | $1,673 | 2.6× |
| Special treatment procedure (77470) | $1,876.70 | $2,681 | 2.8× |
| Stereotactic Body Radiation Delivery (77373) | $5,998.30 | $8,569 | 2.8× |
| Sternoclavicular joints (71130) | $270.20 | $386 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,112.30 | $1,589 | 2.5× |
| Testicular Imaging W/Flow (78761) | $1,304.10 | $1,863 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,171.10 | $1,673 | 2.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,171.10 | $1,673 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $438.90 | $627 | 2.7× |
| Thoracic spine 2 views (72070) | $376.60 | $538 | 3.0× |
| Thoracic spine 3 views (72072) | $376.60 | $538 | 3.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,304.10 | $1,863 | 2.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,304.10 | $1,863 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,304.10 | $1,863 | 2.7× |
| Thyroid Met Imaging Body (78018) | $1,679.30 | $2,399 | 2.6× |
| Thyroid Uptake Measurement (78012) | $1,281 | $1,830 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,304.10 | $1,863 | 2.7× |
| Tx Devices Design & Construction Complex (77334) | $1,171.10 | $1,673 | 2.6× |
| Tx devices design & construction intermediate (77333) | $438.90 | $627 | 2.7× |
| Tx devices design & construction simple (77332) | $438.90 | $627 | 2.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$279.30–$558.60 | $399–$798 | varies |
| Ultrasound Exam Aaa Screen (76706) | $376.60 | $538 | 3.0× |
| Ultrasound, abdomen limited (76705) | $376.60 | $538 | 3.0× |
| Umbilical-artery Doppler (OB) (76820) | $376.60 | $538 | 3.0× |
| Upper gi w/o kub (74240) | $618.10 | $883 | 2.9× |
| Ureteral Reflux Study (78740) | $1,304.10 | $1,863 | 2.7× |
| Urethrocystogram voiding (74455) | $795.90 | $1,137 | 2.8× |
| Urethrocystography retrograde (74450) | $795.90 | $1,137 | 2.8× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| Us exam, pelvic, limited (76857) | $376.60 | $538 | 3.0× |
| Us head (76506) | $376.60 | $538 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$376.60–$753.20 | $538–$1,076 | varies |
| Us ob detailed single fetus (76811) | $795.90 | $1,137 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $376.60 | $538 | 3.0× |
| Us ob transvaginal (76817) | $376.60 | $538 | 3.0× |
| Us pelvic non ob complete (76856) | $376.60 | $538 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $376.60 | $538 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $376.60 | $538 | 3.0× |
| Us retroperitoneal complete (76770) | $376.60 | $538 | 3.0× |
| Us scrotum and contents (76870) | $376.60 | $538 | 3.0× |
| Us spinal canal and contents (76800) | $376.60 | $538 | 3.0× |
| Us thyroid (76536) | $376.60 | $538 | 3.0× |
| Us transrectal (76872) | $376.60 | $538 | 3.0× |
| Vein X-Ray Chest (75827) | $3,716.30 | $5,309 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $9,903.60 | $14,148 | 2.6× |
| Venography extremity bilateral rs&i (75822) | $4,545.80 | $6,494 | 2.4× |
| Venography extremity unilateral rs&i (75820) | $3,494.40 | $4,992 | 1.9× |
| Vertebral fracture assessment via dxa (77086) | $270.20 | $386 | 2.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $270.20 | $386 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $1,273.30 | $1,819 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $9,903.60 | $14,148 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,614.20 | $2,306 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $270.20 | $386 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $376.60 | $538 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $376.60 | $538 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $270.20 | $386 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $270.20 | $386 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $376.60 | $538 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $376.60 | $538 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $410.90 | $587 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $376.60 | $538 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $270.20 | $386 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $376.60 | $538 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $376.60 | $538 | 3.0× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$270.20–$540.40 | $386–$772 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $270.20 | $386 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $270.20 | $386 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $368.90 | $527 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $270.20 | $386 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $376.60 | $538 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $376.60 | $538 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $270.20 | $386 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $279.30 | $399 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $376.60 | $538 | 3.0× |
| X-Ray Stress View (77071) | $270.20 | $386 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $376.60 | $538 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,273.30 | $1,819 | 3.0× |
| X-Rays Bone Length Studies (77073) | $368.90 | $527 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $376.60 | $538 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $376.60 | $538 | 3.0× |
| Xr facial bones less than 3 views (70140) | $270.20 | $386 | 2.6× |
| Xr orbits complete 4 views (70200) | $368.90 | $527 | 2.9× |
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.