Imaging prices at Southern Tennessee Regional Health System - Lawrenceburg
Lawrenceburg, TN · every code in this section with a posted price and a Medicare benchmark.
281 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 4 matching MRF lines |
$254.24–$358.93 | $1,016.95–$1,435.73 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$389.51–$469.01 | $1,564.31–$1,876.04 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$632.04–$691.69 | $2,538.31–$2,766.76 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$239.72–$240.69 | $962.75 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$235.30–$236.25 | $945 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$84.79–$289.49 | $339.15–$1,157.97 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$545.64–$597.14 | $2,191.33–$2,388.55 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$306.42–$307.65 | $1,230.60 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$409.48–$448.13 | $1,644.51–$1,792.52 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,324.10–$1,449.06 | $5,317.66–$5,796.25 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$745.75–$816.13 | $2,994.97–$3,264.52 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$348.57–$381.47 | $1,399.87–$1,525.86 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,232.35–$1,348.65 | $4,949.18–$5,394.61 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$313.34–$342.91 | $1,258.38–$1,371.63 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$218.50–$219.38 | $877.50 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$308.51–$309.75 | $1,239 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$181.56–$217.92 | $729.15–$871.67 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$202.55–$244.09 | $813.44–$976.36 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$172.91–$189.23 | $694.43–$756.93 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$284–$310.80 | $1,140.56–$1,243.21 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$148.24–$148.84 | $595.35 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$145.43–$295.90 | $581.70–$1,183.60 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$65.78–$71.99 | $264.17–$287.95 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$295.69–$296.88 | $1,187.50 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$213.28–$233.41 | $856.55–$933.64 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$324.46–$325.76 | $1,303.05 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,237.76–$3,543.33 | $13,003.05–$14,173.32 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,860.99–$3,131 | $11,489.91–$12,524 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,623.77–$1,777.01 | $6,521.15–$7,108.05 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,790.68–$1,959.68 | $7,191.48–$7,838.71 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$828.41–$1,655.24 | $3,313.65–$6,620.94 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$385.08–$421.42 | $1,546.49–$1,685.67 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,912.21–$2,092.68 | $7,679.55–$8,370.71 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,066.43–$2,261.45 | $8,298.90–$9,045.80 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$630.57–$690.09 | $2,532.42–$2,760.34 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,963.94–$2,149.29 | $7,887.30–$8,597.16 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,989.81–$2,177.60 | $7,991.19–$8,710.40 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,963.94–$2,149.29 | $7,887.30–$8,597.16 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,612.53–$1,764.72 | $6,476.04–$7,058.88 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,482.71–$1,622.65 | $5,954.66–$6,490.58 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,842.90–$2,016.83 | $7,401.21–$8,067.32 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,564.23–$1,711.85 | $6,282.03–$6,847.41 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,609.61–$1,761.52 | $6,464.29–$7,046.08 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,625.22–$1,778.61 | $6,527–$7,114.43 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,626.69–$1,780.21 | $6,532.89–$7,120.85 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$108.84–$119.11 | $437.09–$476.43 | varies |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$578.55–$1,400.46 | $11.69–$5,601.83 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,520.79–$1,664.32 | $6,107.60–$6,657.28 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,087.39–$1,190.02 | $4,367.03–$4,760.06 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,086.41–$1,188.95 | $4,363.10–$4,755.78 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,425.12–$1,559.62 | $5,723.38–$6,238.48 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,370.95–$1,500.34 | $5,505.82–$6,001.34 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,344.60–$1,471.50 | $5,399.99–$5,885.99 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,092.81–$1,264.79 | $4,371.22–$5,059.17 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,687.21–$1,846.44 | $6,775.93–$7,385.76 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$729.49–$1,971.97 | $2,917.95–$7,887.86 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$414.75–$1,162.24 | $1,659–$4,648.96 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,641.83–$1,796.78 | $6,593.68–$7,187.11 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$271.50–$1,664.32 | $1,086–$6,657.28 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,660.86–$1,817.61 | $6,670.13–$7,270.44 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,523.30–$1,934.03 | $6,093.21–$7,736.13 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,389–$1,520.10 | $5,578.33–$6,080.38 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,178.66–$1,289.90 | $4,733.58–$5,159.60 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$263.11–$287.94 | $1,056.65–$1,151.75 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,463.19–$1,601.28 | $5,876.27–$6,405.13 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,763.35–$1,929.77 | $7,081.71–$7,719.06 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,350.45–$1,477.91 | $5,423.50–$5,911.62 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,087.39–$1,190.02 | $4,367.03–$4,760.06 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,660.86–$1,817.61 | $6,670.13–$7,270.44 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,086.41–$1,275.47 | $4,363.10–$5,101.89 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,471.51–$2,704.77 | $9,925.75–$10,819.07 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,093.77–$2,291.37 | $8,408.70–$9,165.48 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,942.95–$2,126.32 | $7,803–$8,505.27 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$253.31–$277.21 | $1,017.29–$1,108.85 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$350.42–$383.50 | $1,407.32–$1,533.98 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$56.82–$62.19 | $228.21–$248.75 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$88.25–$466.82 | $353–$1,867.27 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$326.03–$663.38 | $1,304.10–$2,653.50 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$399.72–$437.45 | $1,605.31–$1,749.79 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$255.47–$256.50 | $1,026 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$84.79–$261.72 | $339.15–$1,046.88 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$84.79–$347.71 | $339.15–$1,390.85 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$782.84–$856.72 | $3,143.94–$3,426.89 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$220.93–$221.81 | $887.25 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$406.55–$408.19 | $1,632.75 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$84.79–$280.95 | $339.15–$1,123.79 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$180.92–$181.65 | $726.60 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,399.26–$1,531.32 | $5,619.50–$6,125.26 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,119.60–$1,225.26 | $4,496.37–$4,901.04 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,281.64–$1,402.59 | $5,147.13–$5,610.37 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$303.71–$561.89 | $1,214.85–$2,247.55 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$215.01–$215.88 | $863.50 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,433.42–$1,568.71 | $5,756.72–$6,274.82 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,177.20–$1,288.30 | $4,727.70–$5,153.19 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$320.15–$321.44 | $1,285.75 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$156.19–$317.81 | $624.75–$1,271.22 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$812.62–$889.32 | $3,263.54–$3,557.26 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$435.31–$437.06 | $1,748.25 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,433.42–$1,568.71 | $5,756.72–$6,274.82 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$760.88–$832.70 | $3,055.76–$3,330.78 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$453.89–$496.73 | $1,822.85–$1,986.91 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,011.29–$1,015.35 | $4,061.40 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$295.18–$296.36 | $1,185.45 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$118.44–$118.91 | $475.65 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$826.76–$904.79 | $3,320.34–$3,619.17 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$585.03–$587.38 | $2,349.50 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,204.52–$1,318.20 | $4,837.42–$5,272.79 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$479.76–$481.69 | $1,926.75 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,779.94–$1,947.93 | $7,148.36–$7,791.71 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,271.42–$2,485.79 | $9,122.15–$9,943.14 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,204.52–$1,318.20 | $4,837.42–$5,272.79 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$757.96–$761 | $3,044 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,656.95–$1,813.33 | $6,654.43–$7,253.33 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,078.63–$2,274.81 | $8,347.91–$9,099.22 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,472.49–$2,705.84 | $9,929.69–$10,823.36 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,878.53–$2,056.35 | $7,544.30–$8,225.40 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,430.49–$1,565.50 | $5,744.95–$6,262 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,426.13–$2,655.10 | $9,743.48–$10,620.39 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,361.71–$2,584.60 | $9,484.76–$10,338.39 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$643.42–$646 | $2,584 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,754.57–$1,920.16 | $7,046.46–$7,680.64 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,309.97–$2,527.98 | $9,276.98–$10,111.91 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,110.33–$1,862.47 | $4,459.15–$7,449.86 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,912.72–$3,187.61 | $11,697.66–$12,750.45 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,770.21–$3,031.65 | $11,125.33–$12,126.61 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,893.98–$2,137.54 | $7,575.93–$8,550.17 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$778.12–$781.25 | $3,125 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,019.09–$2,209.64 | $8,108.78–$8,838.57 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$973.12–$977.03 | $3,908.10 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,334.86–$2,555.22 | $9,376.94–$10,220.86 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,695.50–$1,855.52 | $6,809.25–$7,422.08 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,787.26–$1,955.94 | $7,177.76–$7,823.76 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,754.57–$1,920.16 | $7,046.46–$7,680.64 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,848.27–$2,022.71 | $7,422.77–$8,090.82 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,192.84–$2,399.79 | $8,806.58–$9,599.17 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,147.94–$2,350.66 | $8,626.26–$9,402.62 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,425.16–$2,654.04 | $9,739.58–$10,616.14 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,104.98–$2,303.65 | $8,453.75–$9,214.59 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,879.01–$2,056.35 | $7,546.24–$8,225.40 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,348.53–$2,570.18 | $9,431.86–$10,280.73 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,549.63–$3,884.64 | $14,255.56–$15,538.56 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$728.67–$797.44 | $2,926.39–$3,189.77 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$728.67–$797.44 | $2,926.39–$3,189.77 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$654.69–$716.48 | $2,629.28–$2,865.92 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$958.54–$1,049.01 | $3,849.56–$4,196.02 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,294.85–$2,511.43 | $9,216.25–$10,045.71 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$129.15–$263.86 | $516.60–$1,055.43 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$148.24–$148.84 | $595.35 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$686.21–$750.97 | $2,755.86–$3,003.89 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$169.31–$344.51 | $677.25–$1,378.02 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$706.71–$773.41 | $2,838.18–$3,093.62 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$146.81–$399.52 | $587.25–$1,598.07 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$474.39–$519.17 | $1,905.20–$2,076.67 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$324.56–$390.44 | $1,303.46–$1,561.76 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$139.91–$284.68 | $559.65–$1,138.72 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$142.80–$290.57 | $571.20–$1,162.26 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$85.25–$396.32 | $341–$1,585.27 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$147.53–$300.18 | $590.10–$1,200.72 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$190.31–$387.24 | $761.25–$1,548.94 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$170.89–$347.71 | $683.55–$1,390.85 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$218.65–$239.29 | $878.11–$957.14 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$109.20–$244.63 | $436.80–$978.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$71.44–$333.29 | $285.75–$1,333.17 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$230.48–$468.95 | $921.90–$1,875.80 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$280.64–$338.10 | $1,127.06–$1,352.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$188.01–$272.94 | $752.05–$1,091.75 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$108.94–$251.04 | $435.75–$1,004.15 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$302.84–$333.29 | $1,211.37–$1,333.17 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$338.71–$370.67 | $1,360.27–$1,482.69 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$81.81–$227.54 | $327.25–$910.15 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$218.65–$239.29 | $878.11–$957.14 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$192.94–$392.58 | $771.75–$1,570.32 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$234.27–$256.38 | $940.83–$1,025.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$113.81–$316.73 | $455.25–$1,266.91 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$428.57–$469.01 | $1,721.15–$1,876.05 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$750.14–$820.94 | $3,012.63–$3,283.77 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$644.72–$705.57 | $2,589.25–$2,822.28 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$172.54–$188.82 | $692.93–$755.29 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$185.59–$377.62 | $742.35–$1,510.48 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$163.93–$164.59 | $658.35 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$322.11–$352.52 | $1,293.63–$1,410.06 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$281.12–$549.60 | $1,129.01–$2,198.41 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$43.44–$47.54 | $174.44–$190.14 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$242.53–$243.50 | $974 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$147–$299.11 | $588–$1,196.43 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$164.06–$333.83 | $656.25–$1,335.30 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$147.53–$272.41 | $590.10–$1,089.62 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$319.19–$349.32 | $1,281.90–$1,397.27 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$84.79–$392.58 | $339.15–$1,570.32 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$278.19–$334.89 | $1,117.24–$1,339.56 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$446.86–$489.03 | $1,794.61–$1,956.12 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$645.78–$648.38 | $2,593.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$369.08–$541.60 | $1,476.30–$2,166.38 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,366.51–$1,495.48 | $5,487.99–$5,981.91 | varies |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$185.88–$186.63 | $746.50 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$281.48–$309.79 | $1,125.90–$1,239.17 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$55.87–$61.15 | $224.39–$244.59 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$101.18–$101.59 | $406.35 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$107.10–$198.69 | $428.40–$794.77 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$605.67–$662.84 | $2,432.42–$2,651.34 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$107.72–$108.15 | $432.60 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$277.71–$303.92 | $1,115.29–$1,215.67 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$264.59–$265.65 | $1,062.60 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$255.31–$280.95 | $1,021.22–$1,123.79 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$215.38–$216.25 | $865 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$211.84–$392.04 | $847.35–$1,568.17 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$311.37–$374.95 | $1,250.50–$1,499.81 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$142.28–$262.79 | $569.10–$1,051.16 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$612.02–$669.79 | $2,457.93–$2,679.14 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$423.14–$463.08 | $1,699.37–$1,852.31 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,307.99–$1,431.43 | $5,252.96–$5,725.73 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$266.48–$437.45 | $1,070.19–$1,749.79 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$89.84–$98.32 | $360.80–$393.27 | varies |
| Ultrasound, abdomen limited (76705) range across 12 matching MRF lines |
$229.43–$776.61 | $917.70–$3,106.43 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$256.13–$313.56 | $1,024.50–$1,254.25 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$235.44–$707.71 | $941.75–$2,830.83 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$343.99–$345.38 | $1,381.50 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$381.17–$417.14 | $1,530.80–$1,668.57 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$400.11–$437.87 | $1,606.86–$1,751.48 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$415.54–$615.83 | $1,662.17–$2,463.33 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$307.39–$625.45 | $1,229.55–$2,501.81 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$452.31–$454.13 | $1,816.50 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$324.19–$530.38 | $1,296.75–$2,121.51 | varies |
| Us head (76506) range across 2 matching MRF lines |
$486.12–$531.99 | $1,952.27–$2,127.97 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$551.99–$604.08 | $2,216.82–$2,416.33 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$481.22–$526.64 | $1,932.62–$2,106.56 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$310.60–$311.85 | $1,247.40 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$196.35–$399.52 | $785.40–$1,598.07 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$354.38–$721.06 | $1,417.50–$2,884.24 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$324.19–$721.06 | $1,296.75–$2,884.24 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$297.94–$606.23 | $1,191.75–$2,424.90 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$196.35–$399.52 | $785.40–$1,598.07 | varies |
| Us retroperitoneal complete (76770) range across 7 matching MRF lines |
$221.38–$604.08 | $885.50–$2,416.33 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$272.95–$274.05 | $1,096.20 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$624.71–$683.67 | $2,508.87–$2,734.67 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$248.85–$564.56 | $995.40–$2,258.24 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$191.12–$191.89 | $767.55 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$337.21–$338.56 | $1,354.25 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$225.16–$226.06 | $904.25 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$244.14–$245.13 | $980.50 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$114.70–$125.53 | $460.64–$502.10 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$84.79–$305.51 | $339.15–$1,222.04 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$272.41–$338.63 | $1,089.62–$1,354.52 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$294.39–$295.58 | $1,182.30 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$409.48–$492.99 | $1,644.51–$1,971.95 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$84.79–$347.71 | $339.15–$1,390.85 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$163.99–$411.80 | $658.60–$1,647.20 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$75.65–$82.79 | $303.83–$331.17 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$122.02–$133.53 | $490.03–$534.13 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$234.27–$256.38 | $940.83–$1,025.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$83.21–$403.79 | $332.85–$1,615.17 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$146.48–$298.04 | $585.90–$1,192.17 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$198.45–$403.79 | $793.80–$1,615.17 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$95.55–$184.81 | $382.20–$739.25 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$150.94–$307.13 | $603.75–$1,228.50 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$210–$427.29 | $840–$1,709.17 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$568.10–$621.72 | $2,281.54–$2,486.88 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$190.31–$387.24 | $761.25–$1,548.94 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$276.38–$846.05 | $1,105.50–$3,384.18 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$468.54–$563.50 | $1,881.67–$2,254 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$49.56–$54.24 | $199.03–$216.94 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$126.79–$347.71 | $507.15–$1,390.85 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$374.85–$576.32 | $1,499.40–$2,305.27 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$411–$412.65 | $1,650.60 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$530.92–$583.79 | $2,123.67–$2,335.16 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$268.01–$545.33 | $1,072.05–$2,181.32 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$401.18–$481.78 | $1,611.16–$1,927.12 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$120.55–$131.93 | $484.13–$527.70 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$109.82–$120.19 | $441.05–$480.74 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$359.69–$433.17 | $1,444.55–$1,732.67 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$364.09–$438.51 | $1,462.21–$1,754.03 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$389.47–$468.95 | $1,564.13–$1,875.80 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$149.03–$149.63 | $598.50 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$132.59–$133.13 | $532.50 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$227.20–$228.11 | $912.45 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$234.76–$256.91 | $942.80–$1,027.65 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$319.19–$349.32 | $1,281.90–$1,397.27 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$383.13–$461.48 | $1,538.66–$1,845.90 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$107.10–$198.69 | $428.40–$794.77 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$303.09–$364.81 | $1,217.22–$1,459.23 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$222.73–$223.63 | $894.50 | 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.