Imaging prices at South Peninsula Hospital
Homer, AK · every code in this section with a posted price and a Medicare benchmark.
245 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$72.43–$427.83 | $96.57–$570.44 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$91.32–$602.29 | $121.76–$803.05 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$62.80–$323.08 | $83.73–$430.77 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$160–$1,143.44 | $213.33–$1,524.58 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$165.85–$1,212.04 | $221.13–$1,616.05 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$160–$1,143.44 | $213.33–$1,524.58 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$55.64–$243.05 | $74.18–$324.07 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$176.67–$419.15 | $235.56–$558.86 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$59.65–$434.57 | $79.53–$579.42 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$61.21–$625.60 | $81.61–$834.13 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$77.45–$518.72 | $103.26–$691.62 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$18.75–$515.66 | $25–$687.55 | varies |
| Cholecystography Oral Contrast (74290) | $91.72 | $122.29 | 0.5× |
| Cisternography Positive Contrast Rs&I (70015) | $349.55 | $466.06 | 0.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$60.88–$318.78 | $81.17–$425.04 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$353.70–$1,268.15 | $471.60–$1,690.87 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$91.72–$633.89 | $122.29–$845.18 | varies |
| Contrast X-Ray Of Elbow (73085) | $161.02 | $214.69 | 0.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$157.97–$1,143.44 | $210.62–$1,524.58 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$778.56–$6,143.37 | $1,038.08–$8,191.16 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$659.27–$4,320.99 | $879.02–$5,761.32 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$373.59–$2,976.09 | $498.12–$3,968.12 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$446.33–$3,315.28 | $595.10–$4,420.37 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$353.70–$2,373.31 | $471.60–$3,164.41 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,135.30–$5,986.19 | $1,513.73–$7,981.58 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$544.16–$3,809.39 | $725.54–$5,079.19 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$485.57–$5,246.96 | $647.42–$6,995.95 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$891.01–$3,000 | $1,188.01–$4,000 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$473–$4,326.38 | $630.67–$5,768.51 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$526.37–$4,843.35 | $701.83–$6,457.80 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$471.43–$4,337.21 | $628.57–$5,782.94 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$94.12–$585.50 | $125.49–$780.67 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,398.48–$2,853.49 | $3,197.97–$3,804.65 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$353.70–$2,415.44 | $471.60–$3,220.58 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$360.68–$2,131.97 | $480.90–$2,842.62 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$363.11–$2,916.94 | $484.15–$3,889.25 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$392.16–$2,916.94 | $522.88–$3,889.25 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$352.67–$2,758.95 | $470.22–$3,678.60 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$412.31–$3,328.25 | $549.74–$4,437.66 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$145.46–$396.45 | $193.94–$528.60 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$392.16–$1,949.55 | $522.88–$2,599.40 | varies |
| CT l-spine w&w/o contrast (72133) | $360.68 | $480.90 | 1.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$286.73–$2,188.58 | $382.31–$2,918.11 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$277.32–$2,391.67 | $369.76–$3,188.89 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$300.86–$2,853.49 | $401.14–$3,804.65 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$392.43–$2,457.56 | $523.24–$3,276.75 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$373.59–$2,937.20 | $498.12–$3,916.26 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$363.11–$2,421.68 | $484.15–$3,228.90 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$412.49–$2,403.55 | $549.98–$3,204.73 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$411.47–$2,360.24 | $548.62–$3,146.99 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$415.45–$2,247.99 | $553.93–$2,997.32 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$346.46–$2,250.18 | $461.94–$3,000.24 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$327.53–$2,344.13 | $436.71–$3,125.51 | varies |
| CT scan of leg combo (73702) | $346.46 | $461.94 | 1.8× |
| CT scans face/jaw combo (70488) | $360.68 | $480.90 | 1.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$412.31–$2,773.01 | $549.74–$3,697.34 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$409.16–$2,444.61 | $545.55–$3,259.48 | varies |
| CT thoracic spine w contrast (72129) | $480.56 | $640.74 | 2.5× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$393.47–$2,480.26 | $524.63–$3,307.01 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$353.70–$2,466.21 | $471.60–$3,288.28 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$264.07–$2,133.50 | $352.09–$2,844.66 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $346.46 | $461.94 | 1.8× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$438.95–$2,152.94 | $585.27–$2,870.58 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$849.02–$2,884.25 | $1,132.03–$3,845.67 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$515.11–$4,139.69 | $686.81–$5,519.58 | varies |
| CTA pelvis (72191) | $529.51 | $706.01 | 2.7× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$243.56–$3,105.36 | $324.75–$4,140.48 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$204.20–$276.19 | $272.27–$368.25 | varies |
| Dxa Bone Density Axial (77080) | $78.49 | $104.65 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $78.49 | $104.65 | 0.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$207.26–$672.61 | $276.34–$896.81 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$139.61–$808.03 | $186.15–$1,077.37 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$406.90–$475.75 | $542.53–$634.33 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$361.69–$865.28 | $482.25–$1,153.70 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$79.49–$699.75 | $105.98–$933 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$51.44–$342.44 | $68.58–$456.58 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$55.64–$532.56 | $74.18–$710.08 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$61.94–$436.42 | $82.58–$581.89 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$111.26–$961.42 | $148.35–$1,281.89 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$217.66–$307.88 | $290.21–$410.50 | varies |
| Infant hip ultrasound, limited static exam (76886) | $217.66 | $290.21 | 2.3× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$81.27–$717.29 | $108.36–$956.38 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$64.04–$661.93 | $85.38–$882.57 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$444.77–$3,653.39 | $593.03–$4,871.18 | varies |
| Mammary ductogram or galactogram multiple (77054) | $129.03 | $172.04 | 0.5× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$102.62–$1,073.12 | $136.82–$1,430.82 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$392.03–$3,990.09 | $522.71–$5,320.12 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$329.85–$2,833.11 | $439.80–$3,777.48 | varies |
| MRA head with contrast (70545) | $340.35 | $453.80 | 0.9× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$342.38–$3,384.42 | $456.51–$4,512.56 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$493.80–$3,845.67 | $658.40–$5,127.56 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$273.13–$3,859.73 | $364.17–$5,146.31 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$493.76–$3,405.83 | $658.35–$4,541.11 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$458.35–$3,538.33 | $611.13–$4,717.77 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$433.11–$3,501.10 | $577.48–$4,668.13 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$622.65–$3,762.51 | $830.20–$5,016.68 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$412.49–$3,223.46 | $549.98–$4,297.95 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$574.15–$1,797.70 | $765.53–$2,396.93 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$507.99–$3,408.90 | $677.32–$4,545.20 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$444.74–$3,471.07 | $592.99–$4,628.09 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$414.53–$2,540.62 | $552.70–$3,387.49 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$491.74–$3,055.27 | $655.65–$4,073.69 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$510.02–$3,876.67 | $680.02–$5,168.89 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$462.26–$2,506.99 | $616.35–$3,342.65 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$622.65–$3,834.89 | $830.20–$5,113.19 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$359.98–$3,303.41 | $479.97–$4,404.54 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$539.54–$3,899.69 | $719.39–$5,199.59 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$626.90–$4,164.36 | $835.86–$5,552.48 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$383.03–$2,596.67 | $510.71–$3,462.23 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$463.69–$2,964.56 | $618.25–$3,952.75 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$613.22–$4,064.99 | $817.63–$5,419.98 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$508.58–$2,555.87 | $678.10–$3,407.83 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$603.75–$3,920.21 | $805–$5,226.95 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$470.39–$3,668.78 | $627.19–$4,891.70 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$439–$3,048.46 | $585.33–$4,064.61 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $462.26 | $616.35 | 1.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$343.16–$3,076.54 | $457.54–$4,102.05 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$625.19–$3,780.87 | $833.59–$5,041.16 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$644.13–$4,716.39 | $858.84–$6,288.52 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$620.56–$4,193.54 | $827.41–$5,591.38 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$507.99–$2,558.03 | $677.32–$3,410.70 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$501.38–$3,390.35 | $668.51–$4,520.46 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$675.51–$3,618.83 | $900.68–$4,825.11 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$663.40–$4,364.20 | $884.53–$5,818.93 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$65.08–$428.86 | $86.77–$571.81 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$243.56–$344.42 | $324.75–$459.22 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$60.97–$713.37 | $81.29–$951.16 | varies |
| Optic foramina (70190) | $63.18 | $84.24 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$65.60–$413.74 | $87.47–$551.65 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$108.12–$875.01 | $144.16–$1,166.68 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $150.83 | $201.11 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$70.33–$596.30 | $93.77–$795.06 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$48.28–$425.63 | $64.37–$567.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$72.43–$643.80 | $96.57–$858.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $73.49 | $97.98 | 0.6× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$54.77–$427.83 | $73.02–$570.44 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$50.38–$669.66 | $67.17–$892.88 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$68.23–$686.15 | $90.97–$914.86 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$45.86–$169.17 | $61.14–$225.56 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $97.84 | $130.45 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$73.49–$628.72 | $97.98–$838.29 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $91.43 | $121.91 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$68.76–$540.12 | $91.68–$720.16 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$72.43–$645.78 | $96.57–$861.04 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$48.92–$388.28 | $65.22–$517.71 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$57.74–$380.17 | $76.98–$506.89 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$67.72–$563.89 | $90.29–$751.85 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$140.51–$365.33 | $187.34–$487.11 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$48.28–$432.10 | $64.37–$576.13 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$47.23–$171.75 | $62.97–$229 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$51.44–$548.91 | $68.58–$731.88 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$18.75–$312.94 | $25–$417.25 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$71.33–$421.91 | $95.11–$562.54 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$62.17–$573.76 | $82.89–$765.01 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$246.68–$1,209.89 | $328.90–$1,613.18 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$197.71–$1,368.65 | $263.61–$1,824.87 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $900 | $1,200 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$59.84–$693.52 | $79.78–$924.69 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$88.16–$495.83 | $117.55–$661.11 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$157.46–$1,009.94 | $209.94–$1,346.58 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$195.23–$710.81 | $260.31–$947.74 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$170.04–$1,159.11 | $226.72–$1,545.48 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$46.88–$175 | $62.51–$233.33 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$66.13–$626.54 | $88.17–$835.39 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$65.08–$384.57 | $86.77–$512.76 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$129.43–$790.82 | $172.57–$1,054.42 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$63.84–$527.17 | $85.12–$702.89 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$89.22–$792.90 | $118.96–$1,057.20 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$52.49–$529.32 | $69.98–$705.76 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$69.97–$121.09 | $93.29–$161.45 | varies |
| Sella turcica (70240) | $55.03 | $73.37 | 0.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$44.84–$280.25 | $59.79–$373.67 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$154.91–$1,143.44 | $206.54–$1,524.58 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$77.68–$576.85 | $103.57–$769.13 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$63.18–$273.12 | $84.24–$364.16 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$58.79–$552.02 | $78.38–$736.02 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$81.88–$662.20 | $109.17–$882.93 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$85.04–$518.52 | $113.38–$691.36 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$177.91–$436.42 | $237.21–$581.89 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$200.46–$479.17 | $267.28–$638.89 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$156.98–$573.62 | $209.30–$764.82 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$177.69–$667.58 | $236.92–$890.11 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$145.28–$311.12 | $193.71–$414.83 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $79.25 | $105.66 | 0.8× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$39.62–$88.40 | $52.83–$117.86 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$170.04–$1,047.94 | $226.72–$1,397.25 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$93.75–$752.10 | $125–$1,002.80 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$60.88–$970.06 | $81.17–$1,293.41 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$194.15–$564.97 | $258.87–$753.29 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$214.53–$602.79 | $286.04–$803.72 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$406.90–$569.30 | $542.53–$759.06 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$656.33–$658.34 | $875.10–$877.79 | varies |
| Us head (76506) range across 2 matching MRF lines |
$187.32–$691.37 | $249.76–$921.82 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$337.31–$726.62 | $449.75–$968.83 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$162.20–$548.91 | $216.26–$731.88 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$491.30–$1,069.71 | $655.06–$1,426.28 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$446.92–$677.32 | $595.89–$903.09 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$316.94–$508.46 | $422.59–$677.94 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$235.46–$939.81 | $313.94–$1,253.08 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$406.90–$672.99 | $542.53–$897.32 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$359.42–$539.05 | $479.23–$718.73 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$216.62–$851.24 | $288.82–$1,134.98 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$259.52–$601.70 | $346.03–$802.26 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$186.27–$947.38 | $248.36–$1,263.17 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$331.21–$344.46 | $441.61–$459.28 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$147.55–$786.41 | $196.73–$1,048.55 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$476.18–$1,283.06 | $634.90–$1,710.74 | varies |
| Venography caval inferior serialography rs&i (75825) | $316.94 | $422.59 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $296.57 | $395.42 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $196.68 | $262.24 | 0.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$56.18–$242.17 | $74.90–$322.89 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$117.56–$598.46 | $156.75–$797.94 | varies |
| X-Ray Bend Only L-S Spine (72120) | $63.18 | $84.24 | 0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$61.94–$493.68 | $82.58–$658.24 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$73.49–$221.45 | $97.98–$295.27 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$77.68–$399.69 | $103.57–$532.92 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$118.61–$522.84 | $158.15–$697.12 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$64.04–$424.53 | $85.38–$566.04 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$73.49–$548.91 | $97.98–$731.88 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$69.28–$777.78 | $92.37–$1,037.04 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$68.23–$751.61 | $90.97–$1,002.15 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$78.73–$920.25 | $104.97–$1,227 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$76.62–$686.15 | $102.16–$914.86 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$128.06–$844.76 | $170.74–$1,126.35 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$87.13–$639.50 | $116.17–$852.67 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$73.49–$489.17 | $97.98–$652.23 | varies |
| X-ray IV pyelogram (ivp) (74400) | $139.62 | $186.16 | 0.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$155.36–$337.04 | $207.14–$449.38 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$70.33–$224.01 | $93.77–$298.68 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$79.78–$573.62 | $106.37–$764.82 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50.96–$173.25 | $67.94–$231 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$114.41–$976.54 | $152.55–$1,302.05 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$72.43–$477.47 | $96.57–$636.63 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$50.38–$522.84 | $67.17–$697.12 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$120.18–$598.46 | $160.24–$797.94 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$98.85–$591.08 | $131.80–$788.11 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$241.53–$356.69 | $322.04–$475.58 | varies |
| X-ray thoracic spine 4 vw (72074) | $62.17 | $82.89 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$168.25–$841.25 | $224.33–$1,121.66 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$80.51–$584.97 | $107.35–$779.96 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$136.04–$1,031.64 | $181.38–$1,375.52 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$87.13–$814.50 | $116.17–$1,086 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$59.84–$425.63 | $79.78–$567.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$81.88–$776.69 | $109.17–$1,035.59 | varies |
| Xr Tomogram Single Plane (76100) | $176.30 | $235.06 | 1.5× |
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.