Imaging prices at Southern Ohio Medical Center
Portsmouth, OH · every code in this section with a posted price and a Medicare benchmark.
359 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$3,129–$3,341.50 | $6,258–$6,683 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$138.50–$158.50 | $277–$317 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$402–$489.50 | $804–$979 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,233.50–$2,683.50 | $4,467–$5,367 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$2,310–$2,460.50 | $4,620–$4,921 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,215–$2,359 | $4,430–$4,718 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,287.50–$2,536 | $4,575–$5,072 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$2,310–$2,442.50 | $4,620–$4,885 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,400–$1,528 | $2,800–$3,056 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$170.50–$195.50 | $341–$391 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,161.50–$3,261.50 | $6,323–$6,523 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$2,171.50–$2,271.50 | $4,343–$4,543 | varies |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$3,950–$4,207 | $7,900–$8,414 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,011–$3,128.50 | $6,022–$6,257 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$324–$389 | $648–$778 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$335.50–$415.50 | $671–$831 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$335.50–$385.50 | $671–$771 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$212–$287 | $424–$574 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$152–$167 | $304–$334 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$796–$883.50 | $1,592–$1,767 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$682–$754 | $1,364–$1,508 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,064.50–$1,152 | $2,129–$2,304 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$467–$567 | $934–$1,134 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$434.96–$534.96 | $869.92–$1,069.92 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$3,207.50–$3,282.50 | $6,415–$6,565 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$2,129.50–$2,267 | $4,259–$4,534 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$532.50–$607.50 | $1,065–$1,215 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$475–$567.50 | $950–$1,135 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$138.50–$158.50 | $277–$317 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$178.50–$203.50 | $357–$407 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$170.50–$248 | $341–$496 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$130–$163.50 | $260–$327 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$100–$324.50 | $200–$649 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$267–$392 | $534–$784 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,436–$2,636 | $4,872–$5,272 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$282–$319.50 | $564–$639 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$324–$374 | $648–$748 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$335.50–$398 | $671–$796 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,785.50–$2,898 | $5,571–$5,796 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,389–$2,476.50 | $4,778–$4,953 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,393.50–$1,518.50 | $2,787–$3,037 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,193.50–$1,306 | $2,387–$2,612 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,332.50–$3,445 | $6,665–$6,890 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,665.50–$1,778 | $3,331–$3,556 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,665.50–$1,778 | $3,331–$3,556 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$150–$1,795.50 | $300–$3,591 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,665.50–$1,805.50 | $3,331–$3,611 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,665.50–$1,778 | $3,331–$3,556 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,333–$1,564.50 | $2,666–$3,129 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,193.50–$1,293.50 | $2,387–$2,587 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,393.50–$1,518.50 | $2,787–$3,037 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,393.50–$1,518.50 | $2,787–$3,037 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$889–$1,049 | $1,778–$2,098 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$808–$970.50 | $1,616–$1,941 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$1,193.50–$1,318.50 | $2,387–$2,637 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,249.50–$1,362 | $2,499–$2,724 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,393.50–$1,506 | $2,787–$3,012 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,447.50–$1,510 | $2,895–$3,020 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$50–$1,256 | $100–$2,512 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,018.50–$1,091 | $2,037–$2,182 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,293.50–$1,418.50 | $2,587–$2,837 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,393.50–$1,518.50 | $2,787–$3,037 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,193.50–$1,293.50 | $2,387–$2,587 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,193.50–$1,306 | $2,387–$2,612 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,293.50–$1,418.50 | $2,587–$2,837 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,193.50–$1,293.50 | $2,387–$2,587 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,393.50–$1,531 | $2,787–$3,062 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,393.50–$1,531 | $2,787–$3,062 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,193.50–$1,318.50 | $2,387–$2,637 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,393.50–$1,506 | $2,787–$3,012 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,193.50–$1,306 | $2,387–$2,612 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,346–$1,471 | $2,692–$2,942 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,393.50–$1,518.50 | $2,787–$3,037 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,293.50–$1,418.50 | $2,587–$2,837 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,193.50–$1,318.50 | $2,387–$2,637 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,293.50–$1,418.50 | $2,587–$2,837 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,193.50–$1,306 | $2,387–$2,612 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,308–$1,433 | $2,616–$2,866 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,160–$1,293.50 | $2,320–$2,587 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,193.50–$1,306 | $2,387–$2,612 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,346–$1,471 | $2,692–$2,942 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,293.50–$1,406 | $2,587–$2,812 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,665.50–$1,803 | $3,331–$3,606 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,665.50–$1,778 | $3,331–$3,556 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,609.50–$1,722 | $3,219–$3,444 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$1,986.50–$2,124 | $3,973–$4,248 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$277–$297 | $554–$594 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$372–$394.50 | $744–$789 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$418–$535.50 | $836–$1,071 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$625.50–$833 | $1,251–$1,666 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$478.50–$578.50 | $957–$1,157 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$234.50–$287 | $469–$574 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$245–$345 | $490–$690 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$245–$295 | $490–$590 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$346.50–$406.50 | $693–$813 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$734.50–$884.50 | $1,469–$1,769 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$177–$197 | $354–$394 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$935–$1,010 | $1,870–$2,020 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$808.50–$896 | $1,617–$1,792 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$3,085.50–$3,293 | $6,171–$6,586 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$2,004.50–$2,192 | $4,009–$4,384 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$3,207.50–$3,295 | $6,415–$6,590 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$2,485–$2,612.50 | $4,970–$5,225 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$2,300–$2,450 | $4,600–$4,900 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,957–$2,019.50 | $3,914–$4,039 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$992.50–$1,055 | $1,985–$2,110 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,651.50–$1,739 | $3,303–$3,478 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$299.50–$337 | $599–$674 | varies |
| Image fusion (77399) | $189 | $378 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$180.50–$298 | $361–$596 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$157–$276.50 | $314–$553 | varies |
| Interstitial radiation source applic complex (77778) | $3,281.32 | $6,562.65 | 5.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,093.19 | $4,186.38 | 3.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $936 | $1,872 | 1.8× |
| Intracavitary radiation source applic simple (77761) | $2,285 | $4,570 | 4.4× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$570.50–$615.50 | $1,141–$1,231 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$355–$442.50 | $710–$885 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$565.50–$653 | $1,131–$1,306 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$214–$276.50 | $428–$553 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$645.50–$820.50 | $1,291–$1,641 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$815.50–$878 | $1,631–$1,756 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$506–$581 | $1,012–$1,162 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$1,023.50–$1,046 | $2,047–$2,092 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$542.50–$617.50 | $1,085–$1,235 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,240.50–$1,315.50 | $2,481–$2,631 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$469–$544 | $938–$1,088 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$770–$857.50 | $1,540–$1,715 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,764–$1,889 | $3,528–$3,778 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 2 matching MRF lines |
$142–$329.50 | $284–$659 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$311.50–$349 | $623–$698 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$300.50–$338 | $601–$676 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$309.65–$384.65 | $619.30–$769.30 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$939–$1,139 | $1,878–$2,278 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$82–$114.50 | $164–$229 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.50 | $51 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$84.50–$129.50 | $169–$259 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$55–$87.50 | $110–$175 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$229–$274 | $458–$548 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,246.50–$2,371.50 | $4,493–$4,743 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,826–$1,901 | $3,652–$3,802 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,670–$1,745 | $3,340–$3,490 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,129.50–$2,229.50 | $4,259–$4,459 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,826–$2,046 | $3,652–$4,092 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,815.50–$1,960.50 | $3,631–$3,921 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,826–$1,951 | $3,652–$3,902 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,968.50–$2,068.50 | $3,937–$4,137 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,129.50–$2,242 | $4,259–$4,484 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,968.50–$2,111 | $3,937–$4,222 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,780.50–$1,920.50 | $3,561–$3,841 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,826–$1,951 | $3,652–$3,902 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,902–$2,052 | $3,804–$4,104 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,826–$1,951 | $3,652–$3,902 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,826–$1,951 | $3,652–$3,902 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,957.50–$2,107.50 | $3,915–$4,215 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,057.50–$2,170 | $4,115–$4,340 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,848.50–$1,973.50 | $3,697–$3,947 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,129.50–$2,267 | $4,259–$4,534 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,826–$1,913.50 | $3,652–$3,827 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,902–$2,052 | $3,804–$4,104 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,129.50–$2,279.50 | $4,259–$4,559 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,764–$1,889 | $3,528–$3,778 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,786–$1,936 | $3,572–$3,872 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,129.50–$2,242 | $4,259–$4,484 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,712.50–$1,862.50 | $3,425–$3,725 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,129.50–$2,254.50 | $4,259–$4,509 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,826–$1,913.50 | $3,652–$3,827 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,237–$1,337 | $2,474–$2,674 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,826–$1,951 | $3,652–$3,902 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,805.50–$1,905.50 | $3,611–$3,811 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,826–$1,913.50 | $3,652–$3,827 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,129.50–$2,254.50 | $4,259–$4,509 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,129.50–$2,254.50 | $4,259–$4,509 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,129.50–$2,292 | $4,259–$4,584 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,848.50–$1,998.50 | $3,697–$3,997 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,826–$1,926 | $3,652–$3,852 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,057.50–$2,182.50 | $4,115–$4,365 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,129.50–$2,304.50 | $4,259–$4,609 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,044–$1,106.50 | $2,088–$2,213 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,002.50–$1,077.50 | $2,005–$2,155 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,155.50–$1,215.50 | $2,311–$2,431 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,223.50–$1,311 | $2,447–$2,622 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$3,207.50–$3,332.50 | $6,415–$6,665 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,604.50–$2,692 | $5,209–$5,384 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,246 | $2,492 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 2 matching MRF lines |
$1,223–$1,363 | $2,446–$2,726 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 2 matching MRF lines |
$2,236–$2,381 | $4,472–$4,762 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 4 matching MRF lines |
$2,325–$2,480 | $4,650–$4,960 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$214.50–$234.50 | $429–$469 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$292.50–$717.50 | $585–$1,435 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $265.50 | $531 | 0.7× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$1,143–$1,178 | $2,286–$2,356 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$295–$345 | $590–$690 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,115.50–$3,483 | $6,231–$6,966 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$395.50–$545.50 | $791–$1,091 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $182.50 | $365 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,003.50–$1,103.50 | $2,007–$2,207 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$700.50–$775.50 | $1,401–$1,551 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$813.05–$883.05 | $1,626.10–$1,766.10 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$157–$177 | $314–$354 | varies |
| PET image w/CT, full body (78816) range across 5 matching MRF lines |
$117.50–$3,803.50 | $235–$7,607 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,691–$3,803.50 | $7,382–$7,607 | varies |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$3,207.50–$3,282.50 | $6,415–$6,565 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,073.50 | $4,147 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$407.50–$482.50 | $815–$965 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$286–$323.50 | $572–$647 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$352.50–$402.50 | $705–$805 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$234–$254 | $468–$508 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$214.50–$234.50 | $429–$469 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$234–$259 | $468–$518 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$195.50–$213 | $391–$426 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$214–$234 | $428–$468 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$214–$234 | $428–$468 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$170.50–$195.50 | $341–$391 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$214–$239 | $428–$478 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$194–$219 | $388–$438 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$189–$216.50 | $378–$433 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$138–$163 | $276–$326 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$214–$239 | $428–$478 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$170.50–$195.50 | $341–$391 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$214–$234 | $428–$468 | varies |
| Radiation treatment delivery level 2 (77407) | $168 | $336 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $402 | $804 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$253–$290.50 | $506–$581 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$204.50–$312 | $409–$624 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$369–$444 | $738–$888 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$392.50–$455 | $785–$910 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $98.50 | $197 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$272–$319.50 | $544–$639 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$392.50–$442.50 | $785–$885 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$349–$399 | $698–$798 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$447–$497 | $894–$994 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$177–$282 | $354–$564 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$177–$197 | $354–$394 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$298–$373 | $596–$746 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$177–$197 | $354–$394 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$2,338.50–$2,468.50 | $4,677–$4,937 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 2 matching MRF lines |
$1,966.50–$2,096.50 | $3,933–$4,193 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$807–$1,106 | $1,614–$2,212 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$644.50–$719.50 | $1,289–$1,439 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$860–$991 | $1,720–$1,982 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$841–$928.50 | $1,682–$1,857 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,446.50–$1,546.50 | $2,893–$3,093 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,147 | $2,294 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,246 | $2,492 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,221.50–$1,356.50 | $2,443–$2,713 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$675–$732.50 | $1,350–$1,465 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$359.50–$534.50 | $719–$1,069 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$138.50–$163.50 | $277–$327 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$43.50–$71 | $87–$142 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$138.50–$163.50 | $277–$327 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$335.50–$385.50 | $671–$771 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$441–$478.50 | $882–$957 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$250–$275 | $500–$550 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$112–$187 | $224–$374 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$284.50–$434.50 | $569–$869 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$643–$718 | $1,286–$1,436 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$983.50–$1,358.50 | $1,967–$2,717 | varies |
| Stereotactic Body Radiation Delivery (77373) | $10,589 | $21,178 | 6.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$212–$237 | $424–$474 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$514.50–$664.50 | $1,029–$1,329 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$218–$293 | $436–$586 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$855.50–$1,055.50 | $1,711–$2,111 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$652–$777 | $1,304–$1,554 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$602.50–$702.50 | $1,205–$1,405 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$240.50–$265.50 | $481–$531 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$200–$260 | $400–$520 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$299–$374 | $598–$748 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$516.50–$911.50 | $1,033–$1,823 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$624.50–$687 | $1,249–$1,374 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$623–$773 | $1,246–$1,546 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$364.50–$439.50 | $729–$879 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$219–$294 | $438–$588 | varies |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$368.50–$455 | $737–$910 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$253–$280.50 | $506–$561 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$392.50–$455 | $785–$910 | varies |
| Ultrasound, abdomen limited (76705) range across 22 matching MRF lines |
$521–$583.50 | $1,042–$1,167 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$261.50–$384 | $523–$768 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $432 | $864 | 5.2× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,029–$1,179 | $2,058–$2,358 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 2 matching MRF lines |
$339–$414 | $678–$828 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$352.50–$440 | $705–$880 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$214.50–$252 | $429–$504 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$471–$491 | $942–$982 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$392.50–$455 | $785–$910 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$392.50–$467.50 | $785–$935 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$347–$397 | $694–$794 | varies |
| Us exam, pelvic, limited (76857) range across 8 matching MRF lines |
$373–$448.50 | $746–$897 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 14 matching MRF lines |
$406.50–$444 | $813–$888 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$474–$624 | $948–$1,248 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$315.50–$398 | $631–$796 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$413.50–$463.50 | $827–$927 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$446.50–$509 | $893–$1,018 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$268–$330.50 | $536–$661 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$321.50–$381.50 | $643–$763 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$492–$567 | $984–$1,134 | varies |
| Us retroperitoneal limited (76775) range across 8 matching MRF lines |
$421–$483.50 | $842–$967 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$436–$498.50 | $872–$997 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$323.50–$453.50 | $647–$907 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$394–$456.50 | $788–$913 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$395–$484 | $790–$968 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$743–$844.50 | $1,486–$1,689 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,456 | $2,912 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $1,564 | $3,128 | 0.5× |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$2,233.50–$2,439 | $4,467–$4,878 | varies |
| Venography Adrenal Unilateral (75840) | $2,233.50 | $4,467 | 0.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,378.50–$2,530 | $4,757–$5,060 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$782–$932 | $1,564–$1,864 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$764.50–$829.50 | $1,529–$1,659 | varies |
| Venography Renal Bilateral (75833) | $2,233.50 | $4,467 | 0.7× |
| Venography Renal Unilateral (75831) | $2,233.50 | $4,467 | 0.7× |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$665–$730 | $1,330–$1,460 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$151.50–$176.50 | $303–$353 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$273–$310.50 | $546–$621 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,436–$2,586 | $4,872–$5,172 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$195.50–$220.50 | $391–$441 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$177–$202 | $354–$404 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$365–$385 | $730–$770 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$138–$245.50 | $276–$491 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$241.50–$351.50 | $483–$703 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$138–$243 | $276–$486 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$214–$319 | $428–$638 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$249.50–$357 | $499–$714 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$260.50–$360.50 | $521–$721 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$276.50–$381.50 | $553–$763 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$291–$401 | $582–$802 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$195.50–$220.50 | $391–$441 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$195.50–$215.50 | $391–$431 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$253–$290.50 | $506–$581 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$213–$238 | $426–$476 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$252–$277 | $504–$554 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$195.50–$215.50 | $391–$431 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$375.50–$413 | $751–$826 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$138–$163 | $276–$326 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$195.50–$220.50 | $391–$441 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$173.50–$191 | $347–$382 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$271.50–$309 | $543–$618 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$214.50–$239.50 | $429–$479 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$214–$234 | $428–$468 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$226.50–$251.50 | $453–$503 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$244.50–$282 | $489–$564 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$143.50–$218.50 | $287–$437 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$375.50–$413 | $751–$826 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$152–$177 | $304–$354 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$338–$375.50 | $676–$751 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$291–$321 | $582–$642 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$263–$300.50 | $526–$601 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.