Imaging prices at Southwell Medical
Adel, GA · every code in this section with a posted price and a Medicare benchmark.
356 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 |
$1,644.18–$2,033.50 | $3,288.35–$4,067 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$38.50–$180 | $77–$360 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$49.50–$351.50 | $99–$703 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$782.70–$950 | $1,565.39–$1,900 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 3 matching MRF lines |
$860.07–$1,714 | $1,720.14–$3,428 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$1,496.60–$3,843.50 | $2,993.19–$7,687 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$1,410.53–$1,712.50 | $2,821.05–$3,425 | varies |
| Angiography extremity bilateral rs&i (75716) range across 7 matching MRF lines |
$1,496.60–$1,917 | $2,993.19–$3,834 | varies |
| Angiography extremity unilateral rs&i (75710) range across 15 matching MRF lines |
$1,202.02–$1,917 | $2,404.03–$3,834 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,843.50 | $7,687 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$683–$3,847 | $1,366–$7,694 | varies |
| Ankle 2 views (73600) range across 21 matching MRF lines |
$30–$163.50 | $60–$327 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,496.60–$2,578.50 | $2,993.19–$5,157 | varies |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$625.50–$3,033.50 | $1,251–$6,067 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$1,496.60–$3,847 | $2,993.19–$7,694 | varies |
| Artery X-Rays Pelvis (75736) range across 4 matching MRF lines |
$1,496.60–$2,578.50 | $2,993.19–$5,157 | varies |
| Arthrogram ankle (73615) range across 10 matching MRF lines |
$518.01–$629 | $1,036.01–$1,258 | varies |
| Arthrogram hip (73525) range across 10 matching MRF lines |
$518.01–$629 | $1,036.01–$1,258 | varies |
| Arthrogram Wrist (73115) range across 10 matching MRF lines |
$512.53–$629 | $1,025.05–$1,258 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$329.28–$407.50 | $658.56–$815 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$43–$134 | $86–$268 | varies |
| Bone Imaging 3 Phase (78315) range across 6 matching MRF lines |
$370.98–$1,531 | $741.96–$3,062 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$358.63–$497.50 | $717.26–$995 | varies |
| Bone Imaging Multiple Areas (78305) range across 4 matching MRF lines |
$843.37–$1,024 | $1,686.73–$2,048 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$1,121.96–$1,362 | $2,243.91–$2,724 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,121.96–$1,362 | $2,243.91–$2,724 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$261.31–$317 | $522.62–$634 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$699.01–$865 | $1,398.01–$1,730 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$444.99–$550.50 | $889.97–$1,101 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$356.24–$446 | $712.47–$892 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$686.93–$834 | $1,373.85–$1,668 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 5 matching MRF lines |
$686.93–$834 | $1,373.85–$1,668 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$4,155.06–$5,042.50 | $8,310.11–$10,085 | varies |
| Chest 1 view (71045) range across 10 matching MRF lines |
$28.50–$361.50 | $57–$723 | varies |
| Chest 2 views (71046) range across 25 matching MRF lines |
$38.50–$189.50 | $77–$379 | varies |
| Chest 3 views (71047) | $197.50 | $395 | 2.6× |
| Chest 4 or more views (71048) range across 6 matching MRF lines |
$73–$197.50 | $146–$395 | varies |
| Clavicle complete (73000) range across 17 matching MRF lines |
$66–$366 | $132–$732 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,025 | $2,050 | 11.2× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$575.16–$711.50 | $1,150.31–$1,423 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 6 matching MRF lines |
$1,496.60–$1,917 | $2,993.19–$3,834 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$260.61–$464.50 | $521.22–$929 | varies |
| Contrast X-Ray Of Elbow (73085) range across 10 matching MRF lines |
$518.01–$629 | $1,036.01–$1,258 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 10 matching MRF lines |
$518.01–$629 | $1,036.01–$1,258 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$2,736.15–$3,320.50 | $5,472.29–$6,641 | varies |
| CT abdomen and pelvis without contrast (74176) range across 11 matching MRF lines |
$256.50–$2,070 | $513–$4,140 | varies |
| CT abdomen w contrast (74160) range across 6 matching MRF lines |
$1,326.56–$1,644 | $2,653.11–$3,288 | varies |
| CT abdomen w wo contrast (74170) range across 10 matching MRF lines |
$1,354.61–$1,644 | $2,709.22–$3,288 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$855.69–$1,039 | $1,711.37–$2,078 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 6 matching MRF lines |
$673.50–$937 | $1,347–$1,874 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$748.52–$1,596.50 | $1,497.03–$3,193 | varies |
| CT Angio Head (70496) range across 6 matching MRF lines |
$783.27–$950.50 | $1,566.54–$1,901 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$748.52–$1,817 | $1,497.03–$3,634 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$783.27–$950.50 | $1,566.54–$1,901 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 7 matching MRF lines |
$748.52–$1,817 | $1,497.03–$3,634 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$1,315.06–$1,596.50 | $2,630.11–$3,193 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$1,094.66–$1,329 | $2,189.32–$2,658 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,564.90–$1,899 | $3,129.80–$3,798 | varies |
| CT chest w contrast (71260) range across 8 matching MRF lines |
$1,183.75–$1,437.50 | $2,367.50–$2,875 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$1,496.79–$1,817 | $2,993.57–$3,634 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,097.82–$1,333 | $2,195.63–$2,666 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$1,355.88–$1,646 | $2,711.75–$3,292 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$50–$313.16 | $100–$626.31 | varies |
| CT iac w contrast (70481) range across 7 matching MRF lines |
$1,097.82–$1,333 | $2,195.63–$2,666 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,354.61–$1,644 | $2,709.22–$3,288 | varies |
| CT lower ext w/o (73700) range across 42 matching MRF lines |
$293–$1,212 | $586–$2,424 | varies |
| CT lower extremity w/contrast material (73701) range across 43 matching MRF lines |
$367.50–$1,816 | $735–$3,632 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$1,315.06–$1,596.50 | $2,630.11–$3,193 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$1,094.66–$1,329 | $2,189.32–$2,658 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,097.82–$1,333 | $2,195.63–$2,666 | varies |
| CT maxillofacial wo contrast (70486) range across 9 matching MRF lines |
$176.50–$963.50 | $353–$1,927 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,240.50–$1,506 | $2,480.99–$3,012 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$1,316.07–$1,646 | $2,632.13–$3,292 | varies |
| CT orbits w/o contrast (70480) range across 7 matching MRF lines |
$793.64–$963.50 | $1,587.27–$1,927 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$1,354.61–$1,644 | $2,709.22–$3,288 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$844.19–$1,025 | $1,688.37–$2,050 | varies |
| CT scan of leg combo (73702) range across 36 matching MRF lines |
$444–$1,815.50 | $888–$3,631 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$333.50–$1,506 | $667–$3,012 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$870.47–$1,056.50 | $1,740.94–$2,113 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$793.64–$963.50 | $1,587.27–$1,927 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$1,314.68–$1,595.50 | $2,629.35–$3,191 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$1,094.66–$1,329 | $2,189.32–$2,658 | varies |
| CT thoracic spine w/wo cont (72130) | $673.50 | $1,347 | 4.4× |
| CT thorax w/o contrast (71250) range across 12 matching MRF lines |
$267–$1,025 | $534–$2,050 | varies |
| CT upper ext wo (73200) range across 27 matching MRF lines |
$526.48–$1,212 | $1,052.95–$2,424 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 27 matching MRF lines |
$747.89–$1,815.50 | $1,495.77–$3,631 | varies |
| CT upper extremity with contrast (73201) range across 36 matching MRF lines |
$673.50–$1,815.50 | $1,347–$3,631 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,123.09–$1,363 | $2,246.18–$2,726 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$748.52–$909 | $1,497.03–$1,818 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$748.52–$909 | $1,497.03–$1,818 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$1,004.05–$1,497 | $2,008.10–$2,994 | varies |
| Discography Cerv/Thor Spine (72285) | $2,285 | $4,570 | 1.3× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$4,087.08–$4,960 | $8,174.15–$9,920 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$70.50–$128 | $141–$256 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 6 matching MRF lines |
$100.50–$154 | $201–$308 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 6 matching MRF lines |
$127.50–$154 | $255–$308 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$151.50–$248 | $303–$496 | varies |
| Echo exam of fetal heart (76825) range across 6 matching MRF lines |
$371.50–$767.50 | $743–$1,535 | varies |
| Echo Guide For Artery Repair (76936) | $379 | $758 | 2.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 4 matching MRF lines |
$221.50–$284.50 | $443–$569 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$228.09–$282.50 | $456.17–$565 | varies |
| Esophagram (74220) range across 5 matching MRF lines |
$155.50–$318 | $311–$636 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 8 matching MRF lines |
$107–$170.50 | $214–$341 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 22 matching MRF lines |
$61–$658 | $122–$1,316 | varies |
| Fluoroscopy up to 1 hr (76000) range across 22 matching MRF lines |
$75–$451 | $150–$902 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$388.48–$3,847 | $776.96–$7,694 | varies |
| Foot 2 views (73620) range across 24 matching MRF lines |
$30–$181 | $60–$362 | varies |
| Forearm 2 views (73090) range across 31 matching MRF lines |
$56–$381 | $112–$762 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,387.64–$1,684.50 | $2,775.27–$3,369 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,403.79–$1,703.50 | $2,807.57–$3,407 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$1,983.16–$2,406.50 | $3,966.32–$4,813 | varies |
| Hand 2 views (73120) range across 31 matching MRF lines |
$13.50–$181 | $27–$362 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$905.71–$1,120.50 | $1,811.42–$2,241 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$905.71–$1,120.50 | $1,811.42–$2,241 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$905.71–$1,120.50 | $1,811.42–$2,241 | varies |
| Heart Image (Pet) Multiple (78492) | $1,888 | $3,776 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$911.32–$1,106 | $1,822.64–$2,212 | varies |
| Hepatobiliary System Imaging (78226) range across 6 matching MRF lines |
$911.32–$1,106 | $1,822.64–$2,212 | varies |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$123–$2,327.50 | $246–$4,655 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$346.13–$420.50 | $692.25–$841 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $107 | $214 | 1.4× |
| Infusion Ivp (74410) range across 4 matching MRF lines |
$182.96–$642 | $365.92–$1,284 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$1,278.11–$1,581 | $2,556.22–$3,162 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$1,368.96–$1,693 | $2,737.91–$3,386 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$958.65–$1,185.50 | $1,917.30–$2,371 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$685.39–$848 | $1,370.77–$1,696 | varies |
| K Flow/Funct Image W/Drug (78708) range across 6 matching MRF lines |
$1,387.64–$1,684.50 | $2,775.27–$3,369 | varies |
| K Flow/Funct Image W/O Drug (78707) | $652.50 | $1,305 | 1.4× |
| Knee 3 Views (73562) range across 18 matching MRF lines |
$71–$449 | $142–$898 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$970.73–$1,179 | $1,941.45–$2,358 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,038.83–$1,261 | $2,077.66–$2,522 | varies |
| Lung perfusion differential (78597) range across 5 matching MRF lines |
$1,481.02–$1,797.50 | $2,962.03–$3,595 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$1,481.02–$1,797.50 | $2,962.03–$3,595 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$782.70–$1,899.50 | $1,565.39–$3,799 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 2 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$782.70–$950 | $1,565.39–$1,900 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$230.42–$446 | $460.84–$892 | varies |
| Mr safety determination physician/other qhp (76016) | $107 | $214 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30 | $60 | 1.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $111.50 | $223 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $72 | $144 | 1.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $293.50 | $587 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,049.80–$2,487.50 | $4,099.60–$4,975 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,456.72–$1,768 | $2,913.44–$3,536 | varies |
| MRA head with contrast (70545) | $1,675.48 | $3,350.95 | 5.5× |
| MRA neck w contrast (70548) | $1,978.50 | $3,957 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,049.80–$2,487.50 | $4,099.60–$4,975 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,456.72–$1,768 | $2,913.44–$3,536 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 14 matching MRF lines |
$1,630.11–$1,978.50 | $3,260.22–$3,957 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$1,630.11–$1,978.50 | $3,260.22–$3,957 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$858–$1,716 | $1,716–$3,432 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$296–$858 | $592–$1,716 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$592.83–$719.50 | $1,185.65–$1,439 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,661.96–$2,017.50 | $3,323.91–$4,035 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 8 matching MRF lines |
$1,630.11–$1,978.50 | $3,260.22–$3,957 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 20 matching MRF lines |
$692–$2,432.50 | $1,384–$4,865 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 16 matching MRF lines |
$498–$1,713 | $996–$3,426 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$592.83–$719.50 | $1,185.65–$1,439 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 7 matching MRF lines |
$441–$1,713 | $882–$3,426 | varies |
| MRI orbit face neck w contrast (70542) range across 8 matching MRF lines |
$523–$1,978.50 | $1,046–$3,957 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 7 matching MRF lines |
$657.50–$2,432.50 | $1,315–$4,865 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$1,630.11–$1,978.50 | $3,260.22–$3,957 | varies |
| MRI pelvis w/o & w contrast (72197) range across 7 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| MRI pelvis w/o contrast (72195) range across 6 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,411.36–$1,713 | $2,822.71–$3,426 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$653–$1,978.50 | $1,306–$3,957 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 13 matching MRF lines |
$593–$1,713 | $1,186–$3,426 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 13 matching MRF lines |
$809.50–$2,432.50 | $1,619–$4,865 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$592.83–$719.50 | $1,185.65–$1,439 | varies |
| MRI, joint upper extrem (73221) range across 15 matching MRF lines |
$683–$1,713 | $1,366–$3,426 | varies |
| MRI, joint upper extrem combo (73223) range across 16 matching MRF lines |
$1,095–$2,432.50 | $2,190–$4,865 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,004.56–$2,432.50 | $4,009.12–$4,865 | varies |
| Musculoskeletal Nuclear Exam (78399) | $318 | $636 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 6 matching MRF lines |
$130–$2,327.50 | $260–$4,655 | varies |
| Neck soft tissue (70360) range across 7 matching MRF lines |
$84.38–$110 | $168.76–$220 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$582.45–$720 | $1,164.90–$1,440 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $552 | $1,104 | 1.6× |
| Nm unlisted gi procedure (78299) | $497.50 | $995 | 1.4× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$257.24–$313 | $514.48–$626 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,000.85–$2,474 | $4,001.70–$4,948 | varies |
| Nuclear medicine study of endocrine organs (78099) | $497.50 | $995 | 1.4× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$52.50–$484.50 | $105–$969 | varies |
| Ob us nuchal meas 1 gest (76813) range across 8 matching MRF lines |
$167–$614.50 | $334–$1,229 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$95–$137 | $190–$274 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$90.50–$165 | $181–$330 | varies |
| Panoramic X-ray of jaws (70355) | $154.18 | $308.35 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $652.50 | $1,305 | 1.4× |
| Parathyroid Planar Imaging (78070) | $497.50 | $995 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 4 matching MRF lines |
$278.87–$497.50 | $557.73–$995 | varies |
| Pelvis 1 or 2 views (72170) range across 10 matching MRF lines |
$27.50–$251 | $55–$502 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$3,709.64–$4,502 | $7,419.27–$9,004 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$3,709.64–$4,502 | $7,419.27–$9,004 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$1,496.60–$1,816.50 | $2,993.19–$3,633 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,019 | $2,038 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$347.40–$422 | $694.79–$844 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
$214.41–$875.50 | $428.81–$1,751 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 17 matching MRF lines |
$30.68–$374.50 | $61.35–$749 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 19 matching MRF lines |
$40.50–$315 | $81–$630 | varies |
| Radex elbow complete minimum 3 views (73080) range across 18 matching MRF lines |
$25–$492 | $50–$984 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 7 matching MRF lines |
$61–$382.50 | $122–$765 | varies |
| Radex fingr minimum 2 views (73140) range across 18 matching MRF lines |
$35.50–$112.50 | $71–$225 | varies |
| Radex foot complete minimum 3 views (73630) range across 18 matching MRF lines |
$61.50–$374.50 | $123–$749 | varies |
| Radex Hand Minimum 3 Views (73130) range across 24 matching MRF lines |
$62.50–$381 | $125–$762 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$68.51–$166.50 | $137.02–$333 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 6 matching MRF lines |
$49–$197.50 | $98–$395 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 20 matching MRF lines |
$43–$224 | $86–$448 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 23 matching MRF lines |
$25.78–$378.50 | $51.56–$757 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$90.01–$110 | $180.01–$220 | varies |
| Radex Spine 1 View Specify Level (72020) range across 16 matching MRF lines |
$33.50–$180 | $67–$360 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$49–$207 | $98–$414 | varies |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$32–$110 | $64–$220 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 9 matching MRF lines |
$50–$166.50 | $100–$333 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 20 matching MRF lines |
$62.50–$381 | $125–$762 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$133.34–$165.50 | $266.67–$331 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$180.56–$504.50 | $361.11–$1,009 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$244.45–$722.50 | $488.89–$1,445 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$67.50–$282.50 | $135–$565 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$493.15–$599 | $986.30–$1,198 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$338.27–$411 | $676.53–$822 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 16 matching MRF lines |
$73.50–$492 | $147–$984 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$51.50–$333 | $103–$666 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$384.04–$466.50 | $768.08–$933 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$222–$318 | $444–$636 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$44.60–$296 | $89.20–$592 | varies |
| Radiologic examination femur 1 view (73551) range across 22 matching MRF lines |
$35–$110 | $70–$220 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 19 matching MRF lines |
$40.50–$398.50 | $81–$797 | varies |
| Radiologic examination knee 1/2 views (73560) range across 18 matching MRF lines |
$65–$397 | $130–$794 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 27 matching MRF lines |
$26.68–$374.50 | $53.35–$749 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$236.37–$324.50 | $472.73–$649 | varies |
| Ribs bilateral 3 views (71110) range across 15 matching MRF lines |
$38.50–$449 | $77–$898 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 6 matching MRF lines |
$455.10–$781.50 | $910.19–$1,563 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 10 matching MRF lines |
$1,714–$2,283 | $3,428–$4,566 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 10 matching MRF lines |
$1,714–$2,283 | $3,428–$4,566 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 14 matching MRF lines |
$874.25–$1,719.50 | $1,748.50–$3,439 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,766.50 | $3,533 | 1.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,712.50–$1,719.50 | $3,425–$3,439 | varies |
| Rp Therapy Intravenous Administration (79101) range across 8 matching MRF lines |
$215.54–$453.50 | $431.07–$907 | varies |
| Salivary Gland Imaging (78230) | $305.55 | $611.09 | 0.9× |
| Scapula (73010) range across 14 matching MRF lines |
$27.50–$312.50 | $55–$625 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 7 matching MRF lines |
$19.13–$23.50 | $38.25–$47 | varies |
| Shoulder 1 view (73020) range across 16 matching MRF lines |
$27.50–$125 | $55–$250 | varies |
| Shoulder Arthrography (73040) range across 10 matching MRF lines |
$518.01–$629 | $1,036.01–$1,258 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$426.87–$518.50 | $853.74–$1,037 | varies |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$56.50–$203 | $113–$406 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$263–$326 | $526–$652 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$534.29–$661 | $1,068.58–$1,322 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$370.29–$457.50 | $740.57–$915 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,506.99–$1,863.50 | $3,013.98–$3,727 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,032.47–$2,513.50 | $4,064.93–$5,027 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$59.50–$118.50 | $119–$237 | varies |
| Superior sagittal sinus venogram (75870) range across 3 matching MRF lines |
$1,456.72–$3,847 | $2,913.44–$7,694 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,069.48–$1,322.50 | $2,138.95–$2,645 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$788.91–$976 | $1,577.82–$1,952 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$732.85–$889.50 | $1,465.69–$1,779 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,314.75–$1,626 | $2,629.50–$3,252 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$986.59–$1,220.50 | $1,973.18–$2,441 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$657.31–$813.50 | $1,314.61–$1,627 | varies |
| Thoracic spine 2 views (72070) range across 7 matching MRF lines |
$45.50–$132.50 | $91–$265 | varies |
| Thoracic spine 3 views (72072) range across 8 matching MRF lines |
$47.50–$301.50 | $95–$603 | varies |
| Thoracolumbar 2 views (72080) range across 5 matching MRF lines |
$53–$256 | $106–$512 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$303.02–$497.50 | $606.04–$995 | varies |
| Thyroid Met Imaging Body (78018) range across 6 matching MRF lines |
$652.50–$2,274 | $1,305–$4,548 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$303.02–$497.50 | $606.04–$995 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$497.50–$876.50 | $995–$1,753 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$740.29–$915.50 | $1,480.57–$1,831 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$479.25–$593 | $958.49–$1,186 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$452.01–$559.50 | $904.02–$1,119 | varies |
| Ultrasound Breast Limited (76642) range across 21 matching MRF lines |
$37.50–$273.50 | $75–$547 | varies |
| Ultrasound elastography first target lesion (76982) | $406.50 | $813 | 4.4× |
| Ultrasound Elastography Parenchyma (76981) | $406.50 | $813 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$151.50–$527.50 | $303–$1,055 | varies |
| Ultrasound, abdomen limited (76705) range across 32 matching MRF lines |
$137.50–$527.50 | $275–$1,055 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 6 matching MRF lines |
$65–$154 | $130–$308 | varies |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$47.67–$110 | $95.33–$220 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $318 | $636 | 0.9× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $318 | $636 | 0.9× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $497.50 | $995 | 1.4× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$46.63–$100.88 | $93.25–$201.75 | varies |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$354.50–$820.50 | $709–$1,641 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$260.61–$316.50 | $521.22–$633 | varies |
| Urethrocystography retrograde (74450) range across 8 matching MRF lines |
$225.93–$464.50 | $451.85–$929 | varies |
| Us breast unilateral complete (76641) range across 23 matching MRF lines |
$45–$471.50 | $90–$943 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$146.50–$157.50 | $293–$315 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$67.50–$491 | $135–$982 | varies |
| Us head (76506) range across 4 matching MRF lines |
$165–$527.50 | $330–$1,055 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$136.76–$420.50 | $273.52–$841 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 20 matching MRF lines |
$17.50–$595 | $35–$1,190 | varies |
| Us ob detailed single fetus (76811) range across 11 matching MRF lines |
$207–$355.50 | $414–$711 | varies |
| Us ob limited 1 or more fetuses (76815) range across 16 matching MRF lines |
$43.50–$512 | $87–$1,024 | varies |
| Us ob transvaginal (76817) range across 18 matching MRF lines |
$87.06–$633 | $174.11–$1,266 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$138.50–$491 | $277–$982 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 13 matching MRF lines |
$133–$633 | $266–$1,266 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 17 matching MRF lines |
$121.50–$385.50 | $243–$771 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$181–$513 | $362–$1,026 | varies |
| Us retroperitoneal limited (76775) range across 30 matching MRF lines |
$74.50–$536 | $149–$1,072 | varies |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$245.03–$297.50 | $490.05–$595 | varies |
| Us spinal canal and contents (76800) range across 5 matching MRF lines |
$230.57–$280 | $461.13–$560 | varies |
| Us thyroid (76536) range across 10 matching MRF lines |
$70–$297.50 | $140–$595 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$40.50–$820 | $81–$1,640 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$683.85–$997 | $1,367.69–$1,994 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$683–$3,847 | $1,366–$7,694 | varies |
| Venogram Sinus/Jugular (75860) range across 6 matching MRF lines |
$449.06–$1,547 | $898.12–$3,094 | varies |
| Venography Adrenal Unilateral (75840) range across 4 matching MRF lines |
$1,496.60–$1,816.50 | $2,993.19–$3,633 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,202.02–$1,547 | $2,404.03–$3,094 | varies |
| Venography extremity bilateral rs&i (75822) range across 7 matching MRF lines |
$496.24–$1,933 | $992.48–$3,866 | varies |
| Venography extremity unilateral rs&i (75820) range across 14 matching MRF lines |
$496.24–$1,003 | $992.48–$2,006 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$1,202.02–$3,660 | $2,404.03–$7,320 | varies |
| Venography Renal Unilateral (75831) range across 6 matching MRF lines |
$1,202.02–$3,660 | $2,404.03–$7,320 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$1,202.02–$2,578.50 | $2,404.03–$5,157 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$196.86–$318 | $393.72–$636 | varies |
| Wrist 2 views (73100) range across 22 matching MRF lines |
$30–$181 | $60–$362 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$59–$175 | $118–$350 | varies |
| X-ray antegrade pyelogram tube (74425) range across 12 matching MRF lines |
$176.64–$464.50 | $353.28–$929 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$1,496.60–$2,340 | $2,993.19–$4,680 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$92.50–$271.50 | $185–$543 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 24 matching MRF lines |
$37–$343 | $74–$686 | varies |
| X-Ray Exam Breast Specimen (76098) range across 12 matching MRF lines |
$145.24–$666 | $290.48–$1,332 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 10 matching MRF lines |
$39–$267.21 | $78–$534.42 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$101.50–$633.50 | $203–$1,267 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 22 matching MRF lines |
$20.50–$489.50 | $41–$979 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 20 matching MRF lines |
$47.50–$296.50 | $95–$593 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 8 matching MRF lines |
$50–$87 | $100–$174 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 10 matching MRF lines |
$41.50–$430.50 | $83–$861 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$47.50–$274.50 | $95–$549 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 8 matching MRF lines |
$65–$381 | $130–$762 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 8 matching MRF lines |
$86–$291.50 | $172–$583 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 8 matching MRF lines |
$54.50–$402.50 | $109–$805 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 16 matching MRF lines |
$38–$256 | $76–$512 | varies |
| X-ray humerus (73060) range across 21 matching MRF lines |
$52–$351.50 | $104–$703 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$592.71–$719.50 | $1,185.41–$1,439 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$51–$103 | $102–$206 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 7 matching MRF lines |
$36–$396 | $72–$792 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$80–$271.50 | $160–$543 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$49–$211 | $98–$422 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 12 matching MRF lines |
$43–$511.50 | $86–$1,023 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$57–$173.50 | $114–$347 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $132.50 | $265 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 8 matching MRF lines |
$27.50–$236.50 | $55–$473 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 7 matching MRF lines |
$63.50–$215.50 | $127–$431 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$70–$346.50 | $140–$693 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$66.50–$109.50 | $133–$219 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$29.50–$33 | $59–$66 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$432.21–$524.50 | $864.41–$1,049 | varies |
| X-Rays Bone Length Studies (77073) range across 10 matching MRF lines |
$47.32–$315.50 | $94.63–$631 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$520.53–$632 | $1,041.06–$1,264 | varies |
| Xr c-spine 4 or 5 views (72050) range across 6 matching MRF lines |
$62–$402.50 | $124–$805 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$75–$231.50 | $150–$463 | 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.