Imaging prices at Southern Tennessee Regional Health System - Pulaski
Pulaski, TN · every code in this section with a posted price and a Medicare benchmark.
251 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$250.97–$270.76 | $856.55–$933.64 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$344–$371.12 | $1,174.05–$1,279.71 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$882.13–$951.67 | $3,010.67–$3,281.63 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$150.42–$281.91 | $518.70–$972.12 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$140.70–$151.79 | $480.21–$523.43 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,413.92–$1,525.40 | $4,825.68–$5,259.99 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$936.11–$1,009.91 | $3,194.92–$3,482.46 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,413.92–$1,525.40 | $4,825.68–$5,259.99 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$273.36–$294.92 | $932.98–$1,016.95 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$349.18–$376.71 | $1,191.73–$1,298.99 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$167.70–$196.40 | $572.34–$677.24 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$289.45–$312.27 | $987.87–$1,076.78 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$323.91–$349.44 | $1,105.48–$1,204.97 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$151.95–$285.01 | $523.95–$982.78 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$304.13–$328.10 | $1,037.97–$1,131.39 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$237.76–$256.50 | $811.46–$884.49 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$325.06–$350.69 | $1,109.41–$1,209.26 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$519.74–$560.72 | $1,773.87–$1,933.52 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,393.53–$3,661.08 | $11,582.03–$12,624.41 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,939.41–$2,092.31 | $6,619.13–$7,214.85 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,777.46–$1,917.60 | $6,066.43–$6,612.41 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,939.41–$2,092.31 | $6,619.13–$7,214.85 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,028.30–$1,744.12 | $3,545.85–$6,014.19 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,723.18–$4,016.72 | $12,707.11–$13,850.75 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,886–$2,034.69 | $6,436.85–$7,016.17 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,897.48–$2,047.08 | $6,476.04–$7,058.88 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,886–$2,034.69 | $6,436.85–$7,016.17 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,897.48–$2,047.08 | $6,476.04–$7,058.88 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,886–$2,034.69 | $6,436.85–$7,016.17 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$254.85–$274.94 | $869.78–$948.06 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$646.32–$697.27 | $2,205.86–$2,404.39 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,662.02–$1,793.06 | $5,672.43–$6,182.95 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,127.20–$2,294.91 | $7,260.08–$7,913.49 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$680.99–$1,856.87 | $2,348.25–$6,403 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,244.36–$2,421.30 | $7,659.93–$8,349.32 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,934.82–$2,087.36 | $6,603.48–$7,197.79 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,244.36–$2,421.30 | $7,659.93–$8,349.32 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$2,398.27–$2,587.35 | $21.20–$8,921.89 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$831.59–$897.15 | $2,838.18–$3,093.62 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,118.16–$1,206.32 | $3,816.25–$4,159.71 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,148.03–$1,238.54 | $3,918.18–$4,270.82 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$665.03–$717.47 | $2,269.74–$2,474.02 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$598.42–$645.60 | $2,042.39–$2,226.21 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,832.59–$1,977.07 | $6,254.57–$6,817.48 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,214.37–$1,571.24 | $4,187.47–$5,418.08 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,089.30–$2,254.02 | $7,130.72–$7,772.48 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,707.83–$2,921.31 | $9,241.73–$10,073.49 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,816.50–$1,959.72 | $6,199.67–$6,757.64 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,939.41–$2,092.31 | $6,619.13–$7,214.85 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,616.66–$1,744.12 | $5,517.61–$6,014.19 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,458.15–$1,573.11 | $4,976.63–$5,424.53 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,383.48–$1,492.55 | $4,721.78–$5,146.74 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,780.90–$1,921.31 | $6,078.16–$6,625.19 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,420.82–$1,532.83 | $4,849.20–$5,285.63 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$920.23–$992.77 | $3,140.70–$3,423.36 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$598.42–$645.60 | $2,042.39–$2,226.21 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,242.02–$1,339.94 | $4,238.97–$4,620.48 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,656.86–$1,787.48 | $5,654.80–$6,163.73 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$771.29–$832.10 | $2,632.39–$2,869.31 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,470.21–$1,586.12 | $5,017.77–$5,469.37 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,206.03–$1,301.11 | $4,116.15–$4,486.60 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,368.41–$2,555.14 | $8,083.32–$8,810.82 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,886–$2,034.69 | $6,436.85–$7,016.17 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,886–$2,034.69 | $6,436.85–$7,016.17 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$17.18–$194.55 | $59.25–$670.85 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$96.92–$104.56 | $330.78–$360.55 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$895.34–$965.93 | $3,055.76–$3,330.78 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$371–$400.25 | $1,266.22–$1,380.18 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$309.60–$334.01 | $1,056.65–$1,151.75 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$235.68–$488.22 | $812.70–$1,683.52 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$325.06–$350.69 | $1,109.41–$1,209.26 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$126.37–$236.68 | $435.75–$816.15 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$136.11–$295.54 | $469.35–$1,019.12 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$723.04–$780.05 | $2,467.73–$2,689.83 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,216.94–$1,312.89 | $4,153.39–$4,527.20 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$133.37–$249.69 | $459.90–$861.01 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,642.50–$1,771.99 | $5,605.80–$6,110.32 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,560.37–$1,683.39 | $5,325.50–$5,804.80 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,970.42–$2,125.77 | $6,724.98–$7,330.23 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$260.35–$488.22 | $897.75–$1,683.52 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$423.25–$456.62 | $1,444.55–$1,574.56 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,455.85–$1,570.63 | $4,968.78–$5,415.97 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,057.86–$1,141.26 | $3,610.45–$3,935.39 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$66.69–$125.78 | $229.95–$433.71 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$582.92–$628.88 | $1,989.49–$2,168.54 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,547.74–$1,669.77 | $5,282.40–$5,757.82 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,543.72–$1,665.42 | $5,268.66–$5,742.84 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,106.68–$1,193.92 | $3,777.05–$4,116.98 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,807.32–$1,949.81 | $6,168.33–$6,723.48 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$493.32–$532.22 | $1,683.70–$1,835.23 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$246.37–$265.80 | $840.87–$916.55 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,025.12–$1,105.94 | $3,498.72–$3,813.60 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,741.35–$1,759.36 | $6,004.64 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,510.41–$1,629.49 | $5,154.97–$5,618.92 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$893.75–$903 | $3,081.90 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,590.23–$1,715.61 | $5,427.41–$5,915.88 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,950.81–$3,183.45 | $10,071.01–$10,977.40 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,510.41–$1,629.49 | $5,154.97–$5,618.92 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,507.96–$2,705.69 | $8,559.60–$9,329.96 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,006.03–$2,164.19 | $6,846.53–$7,462.72 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,367.26–$2,553.90 | $8,079.39–$8,806.54 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,065.03–$3,306.68 | $10,460.87–$11,402.35 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,828.43–$3,051.42 | $9,653.34–$10,522.14 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,024.41–$2,184.01 | $6,909.24–$7,531.07 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,687.28–$1,820.31 | $5,758.65–$6,276.93 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$763.67–$771.57 | $2,633.36 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$974.36–$984.44 | $3,359.87 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,828.43–$3,051.42 | $9,653.34–$10,522.14 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,423.54–$2,614.61 | $8,271.46–$9,015.89 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,367.26–$2,553.90 | $8,079.39–$8,806.54 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,334.53–$2,518.59 | $7,967.69–$8,684.78 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,999.71–$2,157.37 | $6,824.95–$7,439.20 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,430.29–$3,700.73 | $11,707.48–$12,761.15 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,465.92–$1,709.42 | $5,054.89–$5,894.55 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,584.50–$1,709.42 | $5,407.84–$5,894.55 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,512.38–$2,952.28 | $8,663.39–$10,180.27 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,567.84–$1,691.45 | $5,350.98–$5,832.57 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,773.29–$2,991.93 | $9,465.15–$10,317.01 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,545.43–$1,667.28 | $5,274.52–$5,749.23 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,089.30–$2,254.02 | $7,130.72–$7,772.48 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,840.49–$3,064.43 | $9,694.50–$10,567.01 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,664.75–$2,874.84 | $9,094.71–$9,913.23 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,367.26–$2,553.90 | $8,079.39–$8,806.54 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,347.01–$3,610.89 | $11,423.24–$12,451.33 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,430.29–$3,700.73 | $11,707.48–$12,761.15 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,271.93–$2,451.05 | $7,754.02–$8,451.88 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,325.91–$2,509.28 | $7,938.25–$8,652.69 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,325.05–$4,666.03 | $14,761.25–$16,089.76 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,104.66–$3,349.43 | $10,596.11–$11,549.76 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$831.59–$897.15 | $2,838.18–$3,093.62 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$853.98–$921.31 | $2,914.62–$3,176.94 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$982.84–$1,060.33 | $3,354.41–$3,656.31 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,940.84–$4,251.53 | $13,449.96–$14,660.46 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$157.43–$294.92 | $542.85–$1,016.95 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$191.43–$206.53 | $653.36–$712.16 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$219.39–$236.68 | $748.76–$816.15 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$782.20–$843.87 | $2,669.63–$2,909.90 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$166.87–$312.88 | $575.40–$1,078.90 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$676.53–$729.86 | $2,308.96–$2,516.77 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$246.34–$462.20 | $849.45–$1,593.81 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$545.01–$587.98 | $1,860.11–$2,027.52 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$163.52–$306.69 | $563.85–$1,057.55 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$137.03–$257.13 | $472.50–$886.65 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$230.20–$431.85 | $793.80–$1,489.13 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$199.14–$373.61 | $686.70–$1,288.31 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$120.89–$226.14 | $416.85–$779.81 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$160.78–$301.73 | $554.40–$1,040.45 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$176.31–$330.23 | $607.95–$1,138.72 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$346.31–$373.61 | $1,181.94–$1,288.31 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$346.31–$373.61 | $1,181.94–$1,288.31 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$238.42–$447.34 | $822.15–$1,542.54 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$178.74–$335.18 | $616.35–$1,155.81 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$261.31–$281.91 | $891.85–$972.12 | varies |
| Radex Spine 1 View Specify Level (72020) range across 7 matching MRF lines |
$131.24–$387.86 | $452.55–$1,337.46 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$298.64–$322.18 | $1,019.24–$1,110.97 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$456.57–$492.57 | $1,558.27–$1,698.51 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$135.50–$254.65 | $467.25–$878.10 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$139.77–$262.08 | $481.95–$903.72 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$177.52–$179.36 | $612.15 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$346.31–$373.61 | $1,181.94–$1,288.31 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$971.14–$1,047.70 | $3,314.47–$3,612.77 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$793.11–$855.64 | $2,706.87–$2,950.49 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$76.73–$143.74 | $264.60–$495.67 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$191.53–$359.36 | $660.45–$1,239.17 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$400.29–$431.85 | $1,366.17–$1,489.13 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$264.75–$285.62 | $903.57–$984.89 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$616.22–$664.80 | $2,103.13–$2,292.41 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$127.31–$128.63 | $439 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$356.07–$384.14 | $1,215.25–$1,324.62 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$57.55–$107.81 | $198.45–$371.76 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$155.30–$156.90 | $535.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$145.25–$336.43 | $500.85–$1,160.12 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$423.25–$456.62 | $1,444.55–$1,574.56 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,510.15–$3,786.89 | $11,980.03–$13,058.23 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$284.28–$306.69 | $970.23–$1,057.55 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$53.06–$57.25 | $181.10–$197.40 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$131.85–$247.20 | $454.65–$852.43 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$519.74–$560.72 | $1,773.87–$1,933.52 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$261.31–$281.91 | $891.85–$972.12 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$251.84–$271.69 | $859.51–$936.87 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$190.92–$358.12 | $658.35–$1,234.88 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$145.25–$263.04 | $500.85–$907.02 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$649.53–$700.74 | $2,216.82–$2,416.33 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$938.98–$1,013.01 | $3,204.72–$3,493.14 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$75.63–$307.93 | $701.69–$1,061.83 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$323.87–$349.41 | $1,105.37–$1,204.85 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$275.27–$632.58 | $949.20–$2,181.32 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$567.40–$612.14 | $1,936.53–$2,110.82 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$499.07–$538.42 | $1,703.31–$1,856.61 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$242.93–$262.08 | $829.10–$903.72 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$392.81–$460.96 | $1,354.52–$1,589.53 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$227.46–$426.27 | $784.35–$1,469.89 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$235.07–$440.52 | $810.60–$1,519.02 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$444.51–$479.56 | $1,517.10–$1,653.64 | varies |
| Us head (76506) range across 2 matching MRF lines |
$535.65–$577.89 | $1,828.17–$1,992.71 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$586.35–$632.58 | $2,001.21–$2,181.32 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$241.78–$260.84 | $825.18–$899.45 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$385.50–$422.71 | $1,329.30–$1,442.70 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$282.27–$529.74 | $973.35–$1,826.69 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$358.70–$672.86 | $1,236.90–$2,320.21 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$302.67–$568.15 | $1,043.70–$1,959.13 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$302.67–$568.15 | $1,043.70–$1,959.13 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$363.57–$681.54 | $1,253.70–$2,350.14 | varies |
| Us retroperitoneal complete (76770) range across 7 matching MRF lines |
$266.74–$536.55 | $919.80–$1,850.18 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$473.23–$510.54 | $1,615.11–$1,760.47 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$634.61–$684.64 | $2,165.89–$2,360.82 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$158.34–$327.13 | $546–$1,128.02 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$375.70–$379.59 | $1,295.53 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$108.55–$117.11 | $370.48–$403.82 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$121.19–$226.77 | $417.90–$781.98 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$240.05–$258.98 | $819.29–$893.03 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$284.28–$306.69 | $970.23–$1,057.55 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$146.16–$147.67 | $504 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$150.42–$281.91 | $518.70–$972.12 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$168.85–$182.16 | $576.27–$628.13 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$124.91–$126.20 | $430.73 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$258.43–$278.81 | $882.02–$961.40 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$161.39–$163.05 | $556.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$81.91–$166.67 | $282.45–$574.71 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$356.07–$384.14 | $1,215.25–$1,324.62 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$145.25–$146.75 | $500.85 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$244.08–$263.32 | $833.04–$908.01 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$133.69–$135.07 | $461 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$146.86–$148.38 | $506.42 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$330.69–$334.11 | $1,140.30 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$193.05–$362.46 | $665.70–$1,249.85 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$395.12–$426.27 | $1,348.52–$1,469.89 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$219.39–$236.68 | $748.76–$816.15 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$136.42–$295.54 | $470.40–$1,019.12 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$633.45–$683.39 | $2,161.95–$2,356.53 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$508.52–$513.78 | $1,753.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$126.06–$127.37 | $434.70 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$99.93–$107.81 | $341.06–$371.76 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$281.36–$527.88 | $970.20–$1,820.27 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$244.08–$263.32 | $833.04–$908.01 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$469.78–$506.82 | $1,603.34–$1,747.64 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$244.08–$263.32 | $833.04–$908.01 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$180.60–$194.83 | $616.37–$671.84 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$277.96–$299.87 | $948.66–$1,034.04 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$443.36–$478.32 | $1,513.18–$1,649.37 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$457.72–$493.80 | $1,562.17–$1,702.77 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$195.26–$210.66 | $666.42–$726.40 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$258.89–$289.96 | $892.73–$999.86 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$654.14–$705.71 | $2,232.55–$2,433.48 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$39.05–$245.97 | $133.27–$848.17 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$391.09–$421.92 | $1,334.78–$1,454.91 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$475.52–$513.01 | $1,622.93–$1,768.99 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$136.42–$256.50 | $470.40–$884.49 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$126.06–$127.37 | $434.70 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$346.31–$373.61 | $1,181.94–$1,288.31 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$150.73–$152.29 | $519.75 | 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.