Imaging prices at Southwest General Health Center
Middleburg Heights, OH · every code in this section with a posted price and a Medicare benchmark.
312 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) | $6,761.25 | $9,015 | 5.2× |
| Abdomen 1 View (74018) | $252 | $336 | 3.1× |
| Abdomen 2 views (74019) | $320.25 | $427 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,407 | $1,876 | 3.7× |
| Angio pulmonary bilat (75743) | $6,578.25 | $8,771 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $6,578.25 | $8,771 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $6,578.25 | $8,771 | 2.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $75 | $100 | 0.0× |
| Ankle 2 views (73600) | $261.75 | $349 | 3.2× |
| Aortography thoracic serialography rs&i (75605) | $10,958.25 | $14,611 | 2.1× |
| Artery X-Rays Abdomen (75726) | $10,958.25 | $14,611 | 2.1× |
| Artery X-Rays Pelvis (75736) | $10,958.25 | $14,611 | 2.1× |
| Artery X-Rays Spine (75705) | $10,958.25 | $14,611 | 2.1× |
| Arthrogram ankle (73615) | $916.50 | $1,222 | 2.8× |
| Arthrogram hip (73525) | $974.25 | $1,299 | 3.0× |
| Arthrogram Wrist (73115) | $846.75 | $1,129 | 2.6× |
| Basic radiation dosimetry calculation (77300) | $1,026 | $1,368 | 8.1× |
| Bone age studies (77072) | $250.50 | $334 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,779.75 | $2,373 | 4.7× |
| Bone Imaging Limited Area (78300) | $866.25 | $1,155 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,563 | $2,084 | 4.1× |
| Bone marrow imaging; multiple areas (78103) | $866.25 | $1,155 | 2.3× |
| Brain Flow Imaging Only (78610) | $1,230.75 | $1,641 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $1,132.50 | $1,510 | 13.8× |
| Cerebrospinal Fluid Scan (78630) | $1,125 | $1,500 | 2.2× |
| Chest 1 view (71045) | $223.50 | $298 | 2.7× |
| Chest 2 views (71046) | $273 | $364 | 3.3× |
| Clavicle complete (73000) | $262.50 | $350 | 3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$235.50–$277.50 | $314–$370 | varies |
| Continuing medical physics consltj pr wk (77336) | $771.75 | $1,029 | 6.1× |
| Contrast Exam Abdominl Aorta (75625) | $6,578.25 | $8,771 | 2.2× |
| Contrast X-Ray Bladder (74430) | $846.75 | $1,129 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $750.75 | $1,001 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $916.50 | $1,222 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,886.75 | $3,849 | 8.7× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,727.25–$1,917 | $2,303–$2,556 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$1,480.50–$1,914.75 | $1,974–$2,553 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,151.75–$2,781.75 | $2,869–$3,709 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,221.75–$1,578.75 | $1,629–$2,105 | varies |
| CT Angio Abdomen and Pelvis (74174) | $5,033.25 | $6,711 | 15.2× |
| CT Angio Chest (71275) | $2,196 | $2,928 | 13.2× |
| CT Angio Head (70496) | $2,136.75 | $2,849 | 12.9× |
| CT angio hrt w/3d image (75574) | $931.50 | $1,242 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,932.50–$3,087 | $3,910–$4,116 | varies |
| CT Angio Neck (70498) | $1,919.25 | $2,559 | 11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,478.25 | $1,971 | 8.9× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,866.75–$1,925.25 | $2,489–$2,567 | varies |
| CT cervical spine w/o contrast (72125) | $1,783.50 | $2,378 | 18.0× |
| CT cervical spine w/wo cont (72127) | $2,197.50 | $2,930 | 13.2× |
| CT chest w contrast (71260) | $1,964.25 | $2,619 | 11.8× |
| CT chest w/wo contrast (71270) | $1,942.50 | $2,590 | 11.7× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,416–$1,573.50 | $1,888–$2,098 | varies |
| CT head/brain without and with contrast (70470) | $1,571.25 | $2,095 | 9.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,964.25 | $2,619 | 6.0× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,416–$1,573.50 | $1,888–$2,098 | varies |
| CT l-spine w&w/o contrast (72133) | $2,284.50 | $3,046 | 13.8× |
| CT lower ext w/o (73700) | $1,465.50 | $1,954 | 14.8× |
| CT lower extremity w/contrast material (73701) | $1,573.50 | $2,098 | 9.5× |
| CT lumbar spine w contrast (72132) | $1,995 | $2,660 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,895.25 | $2,527 | 19.2× |
| CT maxillofacial w contrast (70487) | $1,416 | $1,888 | 8.5× |
| CT maxillofacial wo contrast (70486) | $1,287.75 | $1,717 | 13.0× |
| CT neck tissue combo (70492) | $1,431 | $1,908 | 8.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,730.25 | $2,307 | 10.4× |
| CT orbits w/o contrast (70480) | $1,287.75 | $1,717 | 13.0× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,726.50–$1,744.50 | $2,302–$2,326 | varies |
| CT pelvis w/o contrast (72192) | $1,446 | $1,928 | 14.6× |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,557–$1,730.25 | $2,076–$2,307 | varies |
| CT soft tissue neck w contrast (70491) | $1,586.25 | $2,115 | 9.6× |
| CT soft tissue neck w/o contrast (70490) | $1,340.25 | $1,787 | 13.6× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,879.50–$1,938 | $2,506–$2,584 | varies |
| CT thoracic spine w/o contrast (72128) | $1,660.50 | $2,214 | 16.8× |
| CT thoracic spine w/wo cont (72130) | $2,162.25 | $2,883 | 13.0× |
| CT thorax w/o contrast (71250) | $1,683 | $2,244 | 17.0× |
| CT upper ext wo (73200) | $1,394.25 | $1,859 | 14.1× |
| CT upper extremity with contrast (73201) | $1,500.75 | $2,001 | 4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$3,006.75–$3,099.75 | $4,009–$4,133 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,883.75–$3,035.25 | $3,845–$4,047 | varies |
| CTA pelvis (72191) | $1,728.75 | $2,305 | 10.4× |
| Dilation ureters/urethra rs&i (74485) | $4,114.50 | $5,486 | 2.1× |
| Diskography lumbar (72295) | $4,035 | $5,380 | 2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $250.50 | $334 | 2.5× |
| Dxa Bone Density Axial (77080) | $276.75 | $369 | 2.8× |
| Dxa bone density study (77085) | $421.50 | $562 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $186 | $248 | 2.3× |
| Echo exam uterus (76831) | $528.75 | $705 | 2.3× |
| Echo Guide For Artery Repair (76936) | $337.50 | $450 | 1.7× |
| Esophagram (74220) | $605.25 | $807 | 3.6× |
| Fetal Biophys Profile W/Nst (76818) | $127.50 | $170 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$579–$615.75 | $772–$821 | varies |
| Fluoroscopy up to 1 hr (76000) | $528.75 | $705 | 2.3× |
| Follow-Up Angiography (75898) | $6,578.25 | $8,771 | 2.2× |
| Foot 2 views (73620) | $276.75 | $369 | 3.4× |
| Forearm 2 views (73090) | $284.25 | $379 | 3.5× |
| Gastric emptying imaging study (78264) | $1,134 | $1,512 | 3.0× |
| Gated Heart Planar Single (78472) | $804.75 | $1,073 | 2.1× |
| Hand 2 views (73120) | $66 | $88 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,578.25 | $8,771 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,455 | $1,940 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,413.75 | $1,885 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $3,003 | $4,004 | 2.5× |
| Hysterosalpingogram (74740) | $912 | $1,216 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $397.50 | $530 | 4.8× |
| Infant hip ultrasound, limited static exam (76886) | $346.50 | $462 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $1,500 | $2,000 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,275.75 | $1,701 | 2.5× |
| Kidney Imaging Morphol (78700) | $1,047.75 | $1,397 | 2.8× |
| Knee 3 Views (73562) | $353.25 | $471 | 4.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,125 | $1,500 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,859.25 | $2,479 | 3.6× |
| Lung Ventilation Imaging (78579) | $999.75 | $1,333 | 2.6× |
| Lymph System Imaging (78195) | $1,125 | $1,500 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,968.75 | $2,625 | 8.7× |
| Mammary ductogram or galactogram multiple (77054) | $912 | $1,216 | 4.0× |
| Mammary ductogram or galactogram single (77053) | $589.50 | $786 | 2.6× |
| Meckels Divert Exam (78290) | $1,701 | $2,268 | 4.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,979 | $3,972 | 8.4× |
| Mr safety determination physician/other qhp (76016) | $229.50 | $306 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63.75 | $85 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $239.25 | $319 | 2.7× |
| Mr safety implt pos&/immoblj (76019) | $155.25 | $207 | 2.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $630 | $840 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,522.25 | $3,363 | 7.6× |
| MRA head w/o contrast (70544) | $2,076.75 | $2,769 | 9.2× |
| MRA head with contrast (70545) | $2,727.75 | $3,637 | 8.3× |
| MRA neck w contrast (70548) | $3,084.75 | $4,113 | 9.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,549.25 | $3,399 | 7.7× |
| MRA neck w/o contrast (70547) | $2,106 | $2,808 | 9.3× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,407.25–$3,513 | $4,543–$4,684 | varies |
| MRI abdomen w/o contrast (74181) | $2,124.75 | $2,833 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,750.25–$2,835.75 | $3,667–$3,781 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,025.50 | $4,034 | 9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,909.50 | $2,546 | 2.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,810.75 | $5,081 | 16.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,178 | $2,904 | 9.6× |
| MRI cervical spine w contrast (72142) | $2,841.75 | $3,789 | 8.6× |
| MRI cervical spine w/o cont (72141) | $2,583 | $3,444 | 11.4× |
| MRI chest w/o contrast (71550) | $1,968.75 | $2,625 | 8.7× |
| MRI chest with contrast (71551) | $2,091.75 | $2,789 | 2.8× |
| MRI chest wo w contrast (71552) | $2,381.25 | $3,175 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,122.50 | $2,830 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,565.75 | $3,421 | 7.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,998 | $2,664 | 8.9× |
| MRI lumbar spine w contrast (72149) | $2,370.75 | $3,161 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,221.25 | $4,295 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,968.75 | $2,625 | 8.7× |
| MRI orbit face neck w contrast (70542) | $2,091.75 | $2,789 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,381.25 | $3,175 | 7.2× |
| MRI pelvis w contrast (72196) | $1,848 | $2,464 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $2,592.75 | $3,457 | 7.9× |
| MRI pelvis w/o contrast (72195) | $1,724.25 | $2,299 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $2,391.75 | $3,189 | 10.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,091.75 | $2,789 | 6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,968.75 | $2,625 | 8.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,381.25 | $3,175 | 7.2× |
| MRI, abdomen, combo (74183) | $2,718.75 | $3,625 | 8.2× |
| MRI, dorsal spine combo (72157) | $2,982.75 | $3,977 | 9.0× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,165–$3,262.50 | $4,220–$4,350 | varies |
| MRI, joint upper extrem (73221) | $2,457 | $3,276 | 10.9× |
| MRI, joint upper extrem combo (73223) | $2,972.25 | $3,963 | 9.0× |
| MRI, lumbar spine combo (72158) | $3,271.50 | $4,362 | 9.9× |
| Myelogram cervical (72240) | $1,644.75 | $2,193 | 2.2× |
| Myelogram Lumbar (72265) | $1,644.75 | $2,193 | 2.2× |
| Myelography thoracic (72255) | $1,644.75 | $2,193 | 2.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,644.75 | $2,193 | 2.2× |
| Myocardial Spect Multiple Studies (78452) | $3,345.75 | $4,461 | 2.7× |
| Neck soft tissue (70360) | $261.75 | $349 | 3.2× |
| Nonvascular Shunt X-Ray (75809) | $250.50 | $334 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,116.75 | $9,489 | 5.4× |
| Nuclear Rx Oral Admin (79005) | $1,197 | $1,596 | 5.4× |
| Ob us nuchal meas 1 gest (76813) | $648.75 | $865 | 6.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,190 | $2,920 | 5.8× |
| Pelvis 1 or 2 views (72170) | $276 | $368 | 2.8× |
| Pet Image W/Ct Lmtd (78814) | $4,994.25 | $6,659 | 3.7× |
| PET image w/CT, full body (78816) | $5,562.75 | $7,417 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,894.25 | $7,859 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $866.25 | $1,155 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $510.75 | $681 | 5.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,110.75 | $1,481 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $360.75 | $481 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$252.75–$261.75 | $337–$349 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$345–$517.50 | $460–$690 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $448.50 | $598 | 4.5× |
| Radex fingr minimum 2 views (73140) | $259.50 | $346 | 3.2× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$299.25–$347.25 | $399–$463 | varies |
| Radex Hand Minimum 3 Views (73130) | $300.75 | $401 | 3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $312.75 | $417 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $315 | $420 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $288 | $384 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $329.25 | $439 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $297.75 | $397 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $438.75 | $585 | 5.3× |
| Radex Toe Minimum 2 Views (73660) | $234.75 | $313 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $372 | $496 | 4.5× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$364.50–$4,019.25 | $486–$5,359 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$555.75–$4,210.50 | $741–$5,614 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$691.50–$4,346.25 | $922–$5,795 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $460.50 | $614 | 4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $384.75 | $513 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $906 | $1,208 | 5.5× |
| Radiologic exam colon single contrast study (74270) | $694.50 | $926 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $652.50 | $870 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) | $96.75 | $129 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $510.75 | $681 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $810 | $1,080 | 4.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $652.50 | $870 | 3.9× |
| Radiologic examination femur 1 view (73551) | $186 | $248 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $186 | $248 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $319.50 | $426 | 3.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $680.25 | $907 | 6.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $309 | $412 | 3.8× |
| Ribs bilateral 3 views (71110) | $550.50 | $734 | 5.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,480.50 | $1,974 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,003 | $4,004 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,003 | $4,004 | 5.8× |
| Scapula (73010) | $277.50 | $370 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$56.25–$86.25 | $75–$115 | varies |
| Shoulder 1 view (73020) | $63 | $84 | 0.8× |
| Shoulder Arthrography (73040) | $846.75 | $1,129 | 2.6× |
| Skull less than 4 views (70250) | $250.50 | $334 | 2.5× |
| Special dosimetry (77331) | $882.75 | $1,177 | 6.9× |
| Special Physics Consult (77370) | $831 | $1,108 | 6.5× |
| Special teletherapy port plan (77321) | $1,464 | $1,952 | 4.1× |
| Special treatment procedure (77470) | $4,574.25 | $6,099 | 8.8× |
| Sternoclavicular joints (71130) | $390 | $520 | 4.7× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $555.75 | $741 | 5.8× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $555.75 | $741 | 5.8× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $2,115.75 | $2,821 | 59.9× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $276.75 | $369 | 3.4× |
| Tbs technical calculation only (77091) | $186 | $248 | 2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,352 | $3,136 | 6.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,115.75 | $2,821 | 6.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $528.75 | $705 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,868.25 | $2,491 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) | $1,031.25 | $1,375 | 8.1× |
| Thoracic spine 2 views (72070) | $45 | $60 | 0.5× |
| Thoracic spine 3 views (72072) | $451.50 | $602 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $866.25 | $1,155 | 2.3× |
| Thyroid Met Imaging Body (78018) | $1,282.50 | $1,710 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,092.50 | $2,790 | 5.5× |
| Tx Devices Design & Construction Complex (77334) | $1,385.25 | $1,847 | 3.9× |
| Tx devices design & construction intermediate (77333) | $1,116.75 | $1,489 | 8.8× |
| Tx devices design & construction simple (77332) | $849 | $1,132 | 6.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$249–$435.75 | $332–$581 | varies |
| Ultrasound elastography first target lesion (76982) | $225.75 | $301 | 2.3× |
| Ultrasound Elastography Parenchyma (76981) | $234.75 | $313 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $250.50 | $334 | 2.5× |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$271.50–$721.50 | $362–$962 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$400.50–$662.25 | $534–$883 | varies |
| Unlisted fluoroscopic procedure (76496) | $276 | $368 | 3.4× |
| Unlisted magnetic resonance procedure (76498) | $186 | $248 | 2.3× |
| Upper gi w/o kub (74240) | $593.25 | $791 | 3.6× |
| Urethrocystography retrograde (74450) | $818.25 | $1,091 | 3.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$273.75–$479.25 | $365–$639 | varies |
| Us chest (76604) | $528.75 | $705 | 5.3× |
| Us complete joint (76881) | $525 | $700 | 5.3× |
| Us exam, pelvic, limited (76857) | $786 | $1,048 | 7.9× |
| Us head (76506) | $365.25 | $487 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $373.50 | $498 | 3.8× |
| Us ob detailed single fetus (76811) | $528.75 | $705 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $525 | $700 | 5.3× |
| Us ob transvaginal (76817) | $591 | $788 | 6.0× |
| Us pelvic non ob complete (76856) | $719.25 | $959 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $849 | $1,132 | 8.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$528.75–$849 | $705–$1,132 | varies |
| Us retroperitoneal complete (76770) | $873 | $1,164 | 8.8× |
| Us retroperitoneal limited (76775) | $700.50 | $934 | 7.1× |
| Us scrotum and contents (76870) | $633 | $844 | 6.4× |
| Us spinal canal and contents (76800) | $250.50 | $334 | 2.5× |
| Us thyroid (76536) | $604.50 | $806 | 6.1× |
| Vein X-Ray Chest (75827) | $3,231.75 | $4,309 | 2.2× |
| Venogram Sinus/Jugular (75860) | $6,578.25 | $8,771 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $6,222 | $8,296 | 2.1× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,601.25–$1,702.50 | $2,135–$2,270 | varies |
| Venography extremity unilateral rs&i (75820) | $3,231.75 | $4,309 | 2.2× |
| Venography Renal Bilateral (75833) | $6,578.25 | $8,771 | 2.2× |
| Venography Renal Unilateral (75831) | $6,578.25 | $8,771 | 2.2× |
| Venous thrombosis imaging (78457) | $225 | $300 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $186 | $248 | 2.3× |
| Wrist 2 views (73100) | $300 | $400 | 3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $330 | $440 | 4.0× |
| X-ray antegrade pyelogram tube (74425) | $846.75 | $1,129 | 2.6× |
| X-Ray Aorta Leg Arteries (75630) | $6,578.25 | $8,771 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$261–$273 | $348–$364 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,110.75 | $1,481 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $486 | $648 | 5.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $534.75 | $713 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $186 | $248 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $186 | $248 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $250.50 | $334 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $571.50 | $762 | 5.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $627.75 | $837 | 6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $691.50 | $922 | 7.0× |
| X-Ray Exam L-S Spine Bending (72114) | $631.50 | $842 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $413.25 | $551 | 5.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $630 | $840 | 6.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $250.50 | $334 | 2.5× |
| X-ray eye for foreign body (70030) | $276.75 | $369 | 3.4× |
| X-ray humerus (73060) | $288.75 | $385 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $851.25 | $1,135 | 5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $243 | $324 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $435 | $580 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $432.75 | $577 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $339 | $452 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $379.50 | $506 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $480 | $640 | 5.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $449.25 | $599 | 4.5× |
| X-Ray Tmj Unilat (70328) | $371.25 | $495 | 4.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$772.50–$906 | $1,030–$1,208 | varies |
| X-Rays Bone Length Studies (77073) | $396 | $528 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $585 | $780 | 5.9× |
| Xr orbits complete 4 views (70200) | $456.75 | $609 | 4.6× |
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.