Imaging prices at South Shore Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
330 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) | $5,267.06 | $7,524.37 | 3.6× |
| Abdomen 1 View (74018) | $283.74 | $405.34 | 3.0× |
| Abdomen 2 views (74019) | $385.92 | $551.31 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $873.31 | $1,247.59 | 2.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,925.07 | $2,750.10 | 1.4× |
| Adrenal Cortex & Medulla Img (78075) | $1,023.82 | $1,462.60 | 0.7× |
| Angio internal mammary (75756) | $1,081.50 | $1,545 | 0.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,081.50–$2,390.84 | $1,545–$3,415.48 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,081.50 | $1,545 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$700–$5,876.33 | $1,000–$8,394.75 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$700–$3,994.01 | $1,000–$5,705.73 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,081.50–$1,196.14 | $1,545–$1,708.77 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,081.50 | $1,545 | 0.3× |
| Ankle 2 views (73600) | $277.90 | $397 | 3.0× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$721 | $1,030 | 0.1× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$700–$7,185.50 | $1,000–$10,265 | varies |
| Artery X-Rays Adrenal Gland (75731) | $721 | $1,030 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$721 | $1,030 | 0.1× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,081.50 | $1,545 | 0.2× |
| Basic radiation dosimetry calculation (77300) | $565.33 | $807.62 | 3.9× |
| Bone age studies (77072) | $173.94 | $248.49 | 1.6× |
| Bone Imaging 3 Phase (78315) | $2,162.39 | $3,089.13 | 5.0× |
| Bone Imaging Limited Area (78300) | $397.45 | $567.79 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $1,094.12 | $1,563.03 | 2.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,399.64–$1,849.79 | $1,999.49–$2,642.56 | varies |
| Bone marrow imaging; multiple areas (78103) | $873.31 | $1,247.59 | 2.0× |
| Brain Flow Imaging Only (78610) | $784.99 | $1,121.41 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,752.03 | $2,502.90 | 3.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,641.52 | $3,773.60 | 7.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,188.98 | $4,555.69 | 3.8× |
| Cardiac Shunt Detection (78428) | $1,849.37 | $2,641.95 | 4.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$721–$1,081.50 | $1,030–$1,545 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $794.91 | $1,135.58 | 1.4× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $794.91 | $1,135.58 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $957.13 | $1,367.33 | 1.6× |
| Chest 1 view (71045) | $200.20 | $286 | 2.1× |
| Chest 2 views (71046) | $320.15 | $457.36 | 3.4× |
| Chest 3 views (71047) | $69.94 | $99.91 | 0.7× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$250.91–$491.74 | $358.44–$702.49 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$320.66–$339.56 | $458.09–$485.09 | varies |
| Continuing medical physics consltj pr wk (77336) | $631.77 | $902.53 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$700–$4,059.02 | $1,000–$5,798.60 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$171.50–$671.34 | $245–$959.05 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $441.97 | $631.39 | 1.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $170.16 | $243.08 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,382.88 | $6,261.25 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $2,858.70 | $4,083.86 | 11.2× |
| CT abdomen w contrast (74160) | $2,105.60 | $3,008 | 11.2× |
| CT abdomen w wo contrast (74170) | $2,533.43 | $3,619.18 | 13.5× |
| CT abdomen w/o contrast (74150) | $1,653.11 | $2,361.58 | 14.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,399.45 | $4,856.35 | 9.1× |
| CT Angio Chest (71275) | $2,477.43 | $3,539.19 | 13.2× |
| CT Angio Head (70496) | $2,300.31 | $3,286.16 | 12.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,489.15 | $4,984.50 | 18.6× |
| CT Angio Neck (70498) | $2,383.53 | $3,405.04 | 12.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $842.13 | $1,203.04 | 4.5× |
| CT bone density (77078) | $341.57 | $487.96 | 3.7× |
| CT cervical spine w/ contrast (72126) | $3,915.80 | $5,594 | 10.5× |
| CT cervical spine w/o contrast (72125) | $1,600.24 | $2,286.06 | 14.3× |
| CT cervical spine w/wo cont (72127) | $1,255.98 | $1,794.26 | 6.7× |
| CT chest w contrast (71260) | $2,038.40 | $2,912 | 10.8× |
| CT chest w/wo contrast (71270) | $3,012.33 | $4,303.33 | 16.0× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$903.41–$1,665.66 | $1,290.59–$2,379.52 | varies |
| CT head/brain without and with contrast (70470) | $2,301.79 | $3,288.27 | 12.2× |
| CT iac w contrast (70481) | $868.08 | $1,240.12 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $1,364.13 | $1,948.76 | 7.3× |
| CT lower ext w/o (73700) | $1,580.35 | $2,257.64 | 14.1× |
| CT lower extremity w/contrast material (73701) | $2,004.10 | $2,863 | 10.7× |
| CT lumbar spine w contrast (72132) | $2,380.54 | $3,400.77 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $1,752.03 | $2,502.90 | 15.6× |
| CT maxillofacial w contrast (70487) | $1,676.85 | $2,395.50 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,464.81 | $2,092.59 | 13.1× |
| CT neck tissue combo (70492) | $2,584.40 | $3,692 | 13.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,010.84 | $1,444.06 | 5.4× |
| CT orbits w/o contrast (70480) | $1,689.29 | $2,413.27 | 15.1× |
| CT pelvis w&w/o contrast (72194) | $1,084.38 | $1,549.12 | 5.8× |
| CT pelvis w/o contrast (72192) | $1,524.99 | $2,178.56 | 13.6× |
| CT scan of leg combo (73702) | $955.33 | $1,364.75 | 5.1× |
| CT scans face/jaw combo (70488) | $1,010.84 | $1,444.06 | 5.4× |
| CT soft tissue neck w contrast (70491) | $2,010.46 | $2,872.09 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,641.98 | $2,345.69 | 14.7× |
| CT thoracic spine w contrast (72129) | $2,354.10 | $3,363 | 12.5× |
| CT thoracic spine w/o contrast (72128) | $1,782.01 | $2,545.73 | 15.9× |
| CT thoracic spine w/wo cont (72130) | $1,255.98 | $1,794.26 | 6.7× |
| CT thorax w/o contrast (71250) | $1,407.99 | $2,011.42 | 12.6× |
| CT unlisted procedure (76497) | $61.38 | $87.68 | 0.7× |
| CT upper ext wo (73200) | $1,569.62 | $2,242.31 | 14.0× |
| CT upper extremity w/o & w/contrast material (73202) | $955.33 | $1,364.75 | 5.1× |
| CT upper extremity with contrast (73201) | $4,578 | $6,540 | 12.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,152.75–$2,789.55 | $3,075.35–$3,985.07 | varies |
| Cta Abdomen (74175) | $2,849.39 | $4,070.56 | 15.2× |
| CTA pelvis (72191) | $1,873.88 | $2,676.97 | 10.0× |
| Dxa Bone Density Axial (77080) | $477.93 | $682.76 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $304.66 | $435.23 | 3.3× |
| Echo exam uterus (76831) | $886.83 | $1,266.90 | 3.5× |
| Esophageal Motility Study (78258) | $711.09 | $1,015.84 | 1.7× |
| Esophagram (74220) | $536.80 | $766.85 | 2.9× |
| Fetal Biophys Profile W/Nst (76818) | $351.13 | $501.61 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$625.23–$721 | $893.18–$1,030 | varies |
| Foot 2 views (73620) | $312.36 | $446.23 | 3.3× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$315.18–$315.88 | $450.26–$451.26 | varies |
| Gastric emptying imaging study (78264) | $1,521.23 | $2,173.18 | 3.6× |
| Gastric Mucosa Imaging (78261) | $711.09 | $1,015.84 | 1.7× |
| Gastroesophageal Reflux Exam (78262) | $711.09 | $1,015.84 | 1.7× |
| Gated Heart Planar Single (78472) | $1,642.55 | $2,346.50 | 3.8× |
| Gated Heart, Multiple (78473) | $1,419.47 | $2,027.81 | 3.3× |
| Hand 2 views (73120) | $329 | $470 | 2.9× |
| Heart first pass single,planar (78481) | $575 | $821.43 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$1,297.80–$1,442 | $1,854–$2,060 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,442 | $2,060 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,099.38 | $2,999.12 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,689.80 | $2,414 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $2,774.80 | $3,964 | 2.0× |
| Joint Survey Single View (77077) | $309.40 | $442 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $585.82 | $836.88 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $1,383.66 | $1,976.66 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,172.91–$2,238.71 | $3,104.16–$3,198.15 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $574.10 | $820.14 | 1.3× |
| Kidney Imaging Morphol (78700) | $1,094.12 | $1,563.03 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$367.22–$367.50 | $524.60–$525 | varies |
| Liver & Spleen Imaging Static Only (78215) | $949.90 | $1,357 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,511.40 | $2,159.14 | 3.5× |
| Liver imaging static only (78201) | $1,250.90 | $1,787 | 2.1× |
| Liver imaging w/vascular flow (78202) | $282.09 | $402.99 | 0.5× |
| Lung perfusion differential (78597) | $1,874.60 | $2,678 | 4.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,820.23 | $2,600.33 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $4,692.80 | $6,704 | 18.4× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$360.50–$379.97 | $515–$542.81 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$306.43–$360.50 | $437.75–$515 | varies |
| Meckels Divert Exam (78290) | $816.54 | $1,166.48 | 1.9× |
| Mlc imrt design & construction per imrt plan (77338) | $3,222.90 | $4,604.14 | 8.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,682.93 | $5,261.33 | 9.9× |
| MRA head w/o contrast (70544) | $2,372.13 | $3,388.75 | 9.3× |
| MRA head with contrast (70545) | $1,916.42 | $2,737.74 | 5.1× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,980.30–$2,125.71 | $2,829–$3,036.73 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,131.31 | $4,473.30 | 8.4× |
| MRA neck w/o contrast (70547) | $2,221.03 | $3,172.90 | 8.7× |
| MRI abdomen w contrast (74182) | $2,816.95 | $4,024.21 | 7.5× |
| MRI abdomen w/o contrast (74181) | $2,694.38 | $3,849.11 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,531.40 | $2,187.72 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,919.48 | $5,599.25 | 10.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,272.10 | $6,103 | 5.1× |
| MRI bone marrow blood supply (77084) | $1,654.70 | $2,363.85 | 6.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,718.89 | $3,884.13 | 10.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,757.80 | $2,511.14 | 6.9× |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$2,349.02–$2,816.95 | $3,355.74–$4,024.21 | varies |
| MRI cardiac w/o contrast (75557) | $2,349.02 | $3,355.74 | 9.2× |
| MRI cervical spine w contrast (72142) | $1,964.73 | $2,806.75 | 5.3× |
| MRI cervical spine w/o cont (72141) | $2,461.56 | $3,516.52 | 9.6× |
| MRI chest w/o contrast (71550) | $2,106.76 | $3,009.66 | 8.2× |
| MRI chest with contrast (71551) | $2,349.02 | $3,355.74 | 2.8× |
| MRI chest wo w contrast (71552) | $2,560.99 | $3,658.56 | 6.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,653.25 | $2,361.79 | 4.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,418.80 | $4,884 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,418.23 | $3,454.62 | 9.5× |
| MRI lumbar spine w contrast (72149) | $1,964.73 | $2,806.75 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,707.73 | $5,296.75 | 9.9× |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,842.88–$2,244.47 | $2,632.68–$3,206.39 | varies |
| MRI orbit face neck w contrast (70542) | $1,964.73 | $2,806.75 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,495.53–$3,690.38 | $4,993.62–$5,271.97 | varies |
| MRI pelvis w contrast (72196) | $2,652.56 | $3,789.37 | 7.1× |
| MRI pelvis w/o & w contrast (72197) | $3,871.99 | $5,531.42 | 10.4× |
| MRI pelvis w/o contrast (72195) | $2,685.73 | $3,836.75 | 10.5× |
| MRI spectroscopy (76390) | $1,498.24 | $2,140.34 | 16.1× |
| MRI thoracic spine w/o contrast (72146) | $2,509.08 | $3,584.40 | 9.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,480.93 | $2,115.62 | 4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,674.91 | $3,821.30 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,264.63 | $4,663.75 | 8.7× |
| MRI, abdomen, combo (74183) | $3,547.13 | $5,067.33 | 9.5× |
| MRI, dorsal spine combo (72157) | $3,624.47 | $5,177.81 | 9.7× |
| MRI, dorsal spine contrast (72147) | $2,103.88 | $3,005.54 | 5.6× |
| MRI, joint upper extrem (73221) | $2,389.80 | $3,414 | 9.3× |
| MRI, joint upper extrem combo (73223) | $1,529.24 | $2,184.63 | 4.1× |
| MRI, lumbar spine combo (72158) | $3,657.63 | $5,225.19 | 9.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,781.77 | $2,545.39 | 4.2× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,295.10 | $1,850.14 | 2.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,705.17 | $2,435.95 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$959.04–$3,917.63 | $1,370.06–$5,596.62 | varies |
| Neck soft tissue (70360) | $298.90 | $427 | 3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,787.54 | $8,267.92 | 3.9× |
| Nuclear Rx Oral Admin (79005) | $1,388.83 | $1,984.04 | 5.6× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $259.32 | $370.46 | 2.3× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $370.59 | $529.41 | 3.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $413.48 | $590.69 | 2.9× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $310.80 | $444 | 2.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $309.46 | $442.08 | 2.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $134.40 | $192 | 4.3× |
| Panoramic X-ray of jaws (70355) | $216.30 | $309 | 2.3× |
| Parathyroid Planar Imaging (78070) | $2,006.19 | $2,865.98 | 4.7× |
| Pelvis 1 or 2 views (72170) | $322.62 | $460.88 | 2.9× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $300.12 | $428.74 | 0.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,442 | $2,060 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,072.40 | $1,532 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $473.08 | $675.83 | 4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,567.48 | $2,239.25 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $323.01 | $461.44 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $300.72 | $429.60 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $371.13 | $530.18 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $398.30 | $569 | 3.6× |
| Radex fingr minimum 2 views (73140) | $274.13 | $391.61 | 2.9× |
| Radex foot complete minimum 3 views (73630) | $338.97 | $484.24 | 3.6× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$348.43–$348.60 | $497.75–$498 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $87.24 | $124.63 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $152.13 | $217.33 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $360.85 | $515.50 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$345.39–$345.80 | $493.42–$494 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$345.70–$345.80 | $493.86–$494 | varies |
| Radex Spine 1 View Specify Level (72020) | $285.89 | $408.42 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $138.43 | $197.76 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $138.43 | $197.76 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $275.05 | $392.93 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $87.24 | $124.63 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $342.46 | $489.23 | 3.7× |
| Radiation treatment delivery level 1 (77402) | $681.80 | $974 | 6.2× |
| Radiation treatment delivery level 3 (77412) | $874.48 | $1,249.26 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $152.13 | $217.33 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $429.72 | $613.88 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $722.05 | $1,031.50 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $455.76 | $651.08 | 4.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $675.50 | $965 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $553.70 | $791 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $490.73 | $701.04 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $887.13 | $1,267.33 | 4.7× |
| Radiologic examination femur 1 view (73551) | $299.60 | $428 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $361.22 | $516.03 | 3.9× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$300.30–$301 | $429–$430 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $896.70 | $1,281 | 8.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$323.21–$323.40 | $461.73–$462 | varies |
| Radiopharm Dacryocystography (78660) | $893.14 | $1,275.91 | 2.1× |
| Renal Cyst Study (74470) | $351.13 | $501.61 | 0.6× |
| Ribs bilateral 3 views (71110) | $401.80 | $574 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,417.50 | $2,025 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,417.67 | $2,025.24 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,399.64–$1,417.67 | $1,999.49–$2,025.24 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$312.73–$1,270.87 | $446.76–$1,815.53 | varies |
| Rp Therapy Intravenous Administration (79101) | $899.50 | $1,285 | 3.6× |
| Salivary Gland Function Study (78232) | $457.84 | $654.05 | 1.1× |
| Salivary Gland Imaging Serial Images (78231) | $1,181.54 | $1,687.91 | 2.8× |
| Scapula (73010) | $432.95 | $618.50 | 3.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $116.08 | $165.83 | 5.0× |
| Sella turcica (70240) | $95.17 | $135.96 | 1.0× |
| Shoulder 1 view (73020) | $213.85 | $305.50 | 2.3× |
| Shoulder Arthrography (73040) | $1,167.60 | $1,668 | 3.1× |
| Sialogram (70390) | $235.77 | $336.81 | 0.9× |
| Skull less than 4 views (70250) | $433.65 | $619.50 | 3.9× |
| Spleen Imaging (78185) | $1,236.52 | $1,766.45 | 2.9× |
| Stereotactic Body Radiation Delivery (77373) | $233.10 | $333 | 0.1× |
| Sternoclavicular joints (71130) | $110.31 | $157.59 | 1.2× |
| Superior sagittal sinus venogram (75870) | $1,081.50 | $1,545 | 0.3× |
| Testicular Imaging W/Flow (78761) | $922.16 | $1,317.37 | 2.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,048.40 | $2,926.28 | 5.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,015.18 | $1,450.26 | 7.0× |
| Thoracic spine 2 views (72070) | $352.50 | $503.57 | 3.1× |
| Thoracic spine 3 views (72072) | $442.51 | $632.16 | 3.9× |
| Thoracolumbar 2 views (72080) | $320.95 | $458.50 | 3.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $315.08 | $450.11 | 0.7× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$360.50–$384.29 | $515–$548.99 | varies |
| Thyroid Met Imaging Body (78018) | $1,425.42 | $2,036.31 | 2.4× |
| Thyroid Uptake Measurement (78012) | $1,910.30 | $2,729 | 4.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,080.10 | $1,543 | 2.5× |
| Tx Devices Design & Construction Complex (77334) | $1,169.13 | $1,670.18 | 2.9× |
| Tx devices design & construction simple (77332) | $680.68 | $972.40 | 4.7× |
| Ultrasound Breast Limited (76642) | $447.85 | $639.79 | 4.8× |
| Ultrasound, abdomen limited (76705) | $805.16 | $1,150.23 | 7.2× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$427.55–$640.97 | $610.79–$915.67 | varies |
| Unlisted magnetic resonance procedure (76498) | $2,391.20 | $3,416 | 25.6× |
| Urethrocystogram voiding (74455) | $273.26 | $390.37 | 1.1× |
| Urethrocystography retrograde (74450) | $802.20 | $1,146 | 3.1× |
| Us breast unilateral complete (76641) | $850.61 | $1,215.16 | 7.6× |
| Us chest (76604) | $557.73 | $796.75 | 5.0× |
| Us complete joint (76881) | $733.71 | $1,048.16 | 6.5× |
| Us exam, pelvic, limited (76857) | $650.02 | $928.60 | 5.8× |
| Us kidney transplant (76776) | $447.01 | $638.58 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $444.71 | $635.30 | 4.0× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$289.80–$319.40 | $414–$456.28 | varies |
| Us pelvic non ob complete (76856) | $821.80 | $1,174 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $471.10 | $673 | 4.2× |
| Us retroperitoneal complete (76770) | $800.63 | $1,143.76 | 7.1× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$657.41 | $939.15–$939.16 | 5.9× |
| Us scrotum and contents (76870) | $703.47 | $1,004.95 | 6.3× |
| Us thyroid (76536) | $749.90 | $1,071.28 | 6.7× |
| Us transrectal (76872) | $645.54 | $922.20 | 5.8× |
| Vascular Flow Imaging (78445) | $1,147.30 | $1,639 | 2.7× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$700–$1,404.90 | $1,000–$2,007 | varies |
| Vein X-Ray Skull Epidural (75872) | $1,153.60 | $1,648 | 1.7× |
| Venogram Sinus/Jugular (75860) | $1,081.50 | $1,545 | 0.3× |
| Venography Adrenal Unilateral (75840) | $1,081.50 | $1,545 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$721–$1,081.50 | $1,030–$1,545 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$700–$1,397.43 | $1,000–$1,996.33 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$505.40–$1,724.45 | $722–$2,463.50 | varies |
| Venography Orbital Rs&I (75880) | $1,153.60 | $1,648 | 1.7× |
| Venography Renal Bilateral (75833) | $1,442 | $2,060 | 0.4× |
| Venography Renal Unilateral (75831) | $1,081.50 | $1,545 | 0.3× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$360.50–$721 | $515–$1,030 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $864.30 | $1,234.71 | 2.0× |
| Vertebral fracture assessment via dxa (77086) | $112.01 | $160.02 | 1.2× |
| Wrist 2 views (73100) | $289.80 | $414 | 3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $110.31 | $157.59 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,050–$6,687.45 | $1,500–$9,553.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $571.20 | $816 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $266.74 | $381.05 | 2.9× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$107.10–$673.34 | $153–$961.91 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $123.29 | $176.13 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $462.70 | $661 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $273.98 | $391.40 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $356.52 | $509.31 | 3.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $43.40 | $62 | 0.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $640.60 | $915.14 | 5.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $662.41 | $946.30 | 5.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $541.99 | $774.27 | 4.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $372.29 | $531.84 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $567.90 | $811.28 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $473.24 | $676.06 | 4.2× |
| X-ray head for orthodontia (70350) | $117.33 | $167.61 | 1.3× |
| X-ray humerus (73060) | $312.19 | $445.99 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $502.54 | $717.91 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $383.57 | $547.96 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $86.52 | $123.60 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $357.50 | $510.71 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $419.94 | $599.92 | 3.7× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$75.71–$85.80 | $108.15–$122.57 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $424.81 | $606.87 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $373.03 | $532.90 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $373.91 | $534.16 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $138.43 | $197.76 | 1.2× |
| X-Ray Stress View (77071) | $188.36 | $269.09 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$235.90–$799.60 | $337–$1,142.28 | varies |
| X-Rays Bone Survey Complete (77075) | $762.10 | $1,088.71 | 6.8× |
| Xr c-spine 4 or 5 views (72050) | $550.93 | $787.04 | 4.9× |
| Xr orbits complete 4 views (70200) | $337.40 | $482 | 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.