Imaging prices at Southwest Medical Center
Liberal, KS · every code in this section with a posted price and a Medicare benchmark.
279 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$17.60–$749.20 | $22–$936.50 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$22–$510.40 | $27.50–$638 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$89.60–$1,749.60 | $112–$2,187 | varies |
| Angiography extremity bilateral rs&i (75716) | $3,480 | $4,350 | 1.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$15.20–$300.40 | $19–$375.50 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$44.80–$1,327.60 | $56–$1,659.50 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$42.80–$1,168.40 | $53.50–$1,460.50 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$17.60–$259.60 | $22–$324.50 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$92–$2,227.20 | $115–$2,784 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$57.20–$1,528.40 | $71.50–$1,910.50 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$76.40–$1,674.40 | $95.50–$2,093 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$78–$2,179.20 | $97.50–$2,724 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$65.60–$1,084.40 | $82–$1,355.50 | varies |
| Brain Flow Imaging Only (78610) | $840.40 | $1,050.50 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$58.80–$1,908 | $73.50–$2,385 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$49.60–$1,748 | $62–$2,185 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$88–$1,472.40 | $110–$1,840.50 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$62–$2,884 | $77.50–$3,605 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$17.60–$377.60 | $22–$472 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$21.20–$600 | $26.50–$750 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$26–$595.60 | $32.50–$744.50 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$29.60–$701.20 | $37–$876.50 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$408–$629.20 | $510–$786.50 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$16–$612.80 | $20–$766 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$99.60–$2,216.40 | $124.50–$2,770.50 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,074.80 | $2,593.50 | 0.7× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$24–$1,071.20 | $30–$1,339 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$40–$1,151.20 | $50–$1,439 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$49.60–$1,327.60 | $62–$1,659.50 | varies |
| Corpora cavernosography (74445) | $999.60 | $1,249.50 | 10.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$184–$5,216 | $230–$6,520 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$160–$4,210 | $200–$5,262.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$117.20–$2,543.60 | $146.50–$3,179.50 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$128–$2,870 | $160–$3,587.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$108.80–$2,317.60 | $136–$2,897 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$200.80–$5,974.40 | $251–$7,468 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$167.20–$3,519.20 | $209–$4,399 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$160.80–$2,460.40 | $201–$3,075.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$173.20–$5,466 | $216.50–$6,832.50 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$160.80–$2,861.60 | $201–$3,577 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$164.80–$5,273.60 | $206–$6,592 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$112.40–$2,220 | $140.50–$2,775 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$92–$2,014.40 | $115–$2,518 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$116.40–$2,518 | $145.50–$3,147.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$107.20–$2,442.40 | $134–$3,053 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$114.80–$2,770 | $143.50–$3,462.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$104–$2,220 | $130–$2,775 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$330.40–$2,518 | $413–$3,147.50 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$104–$2,220 | $130–$2,775 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$19.60–$2,605.20 | $24.50–$3,256.50 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$92–$1,810.40 | $115–$2,263 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$106.40–$1,878.40 | $133–$2,348 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$112.40–$2,442.40 | $140.50–$3,053 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$92–$2,216.40 | $115–$2,770.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$104–$1,649.60 | $130–$2,062 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$78.80–$1,468.80 | $98.50–$1,836 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$148–$2,312.80 | $185–$2,891 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$116.40–$2,518 | $145.50–$3,147.50 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$117.60–$2,014.40 | $147–$2,518 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$112.40–$2,870 | $140.50–$3,587.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$99.60–$2,317.60 | $124.50–$2,897 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$111.20–$2,262 | $139–$2,827.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$116.40–$1,835.20 | $145.50–$2,294 | varies |
| CT soft tissue neck w contrast (70491) | $2,036.40 | $2,545.50 | 12.6× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$118–$1,850.80 | $147.50–$2,313.50 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$112.40–$2,664.80 | $140.50–$3,331 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$92–$2,352.40 | $115–$2,940.50 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$117.20–$2,977.60 | $146.50–$3,722 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$99.60–$2,216.40 | $124.50–$2,770.50 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$92–$1,810.40 | $115–$2,263 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$111.20–$2,362.40 | $139–$2,953 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$106.40–$1,878.40 | $133–$2,348 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$217.60–$6,336.80 | $272–$7,921 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$166.40–$3,449.20 | $208–$4,311.50 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$164.80–$3,370.40 | $206–$4,213 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$18.40–$506 | $23–$632.50 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$178.40–$533.20 | $223–$666.50 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$44.40–$438.40 | $55.50–$548 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$71.20–$898 | $89–$1,122.50 | varies |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$48–$818.40 | $60–$1,023 | varies |
| Follow-Up Angiography (75898) | $644.80 | $806 | 0.2× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$15.20–$730.80 | $19–$913.50 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$15.20–$729.60 | $19–$912 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$72–$1,908.80 | $90–$2,386 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$88.80–$2,227.20 | $111–$2,784 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$16–$774.80 | $20–$968.50 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$82–$1,860.80 | $102.50–$2,326 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$67.20–$1,860.80 | $84–$2,326 | varies |
| Ht Musc Image Planar Mult (78454) | $1,676.40 | $2,095.50 | 1.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$124–$3,033.60 | $155–$3,792 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$28.40–$621.20 | $35.50–$776.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$68.80–$692.80 | $86–$866 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$58–$400 | $72.50–$500 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$125.60–$862 | $157–$1,077.50 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$108.80–$2,544.40 | $136–$3,180.50 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$86.40–$2,070 | $108–$2,587.50 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$17.60–$700 | $22–$875 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$44.40–$1,758.40 | $55.50–$2,198 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$39.60–$1,196 | $49.50–$1,495 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $2,702 | $3,377.50 | 5.4× |
| Lung Ventilat&Perfus Imaging (78582) | $3,018.80 | $3,773.50 | 6.0× |
| Lung Ventilation Imaging (78579) | $1,984.40 | $2,480.50 | 5.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$107.20–$2,676 | $134–$3,345 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$134.80–$2,221.60 | $168.50–$2,777 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$62–$1,973.20 | $77.50–$2,466.50 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$135.60–$4,227.20 | $169.50–$5,284 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$109.60–$2,882.80 | $137–$3,603.50 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$109.60–$3,554.80 | $137–$4,443.50 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$137.20–$1,577.60 | $171.50–$1,972 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$164.80–$2,048 | $206–$2,560 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$110.40–$1,475.20 | $138–$1,844 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$158.40–$3,096.40 | $198–$3,870.50 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$134–$3,032 | $167.50–$3,790 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$150–$3,798.80 | $187.50–$4,748.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$198.40–$4,317.20 | $248–$5,396.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$150–$3,452.80 | $187.50–$4,316 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$147.20–$2,928.40 | $184–$3,660.50 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$146.40–$3,598.40 | $183–$4,498 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$132.40–$2,928.40 | $165.50–$3,660.50 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$164.80–$3,439.60 | $206–$4,299.50 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$136.40–$2,882.80 | $170.50–$3,603.50 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$134–$2,928.40 | $167.50–$3,660.50 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$158.40–$3,228 | $198–$4,035 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$207.60–$3,660.40 | $259.50–$4,575.50 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$149.20–$2,832 | $186.50–$3,540 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$198.40–$3,215.20 | $248–$4,019 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$124–$2,574.80 | $155–$3,218.50 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$164–$3,616.40 | $205–$4,520.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$210.80–$3,602.80 | $263.50–$4,503.50 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$123.20–$2,506.40 | $154–$3,133 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$149.20–$3,255.60 | $186.50–$4,069.50 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$191.60–$4,004 | $239.50–$5,005 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$158.40–$3,336 | $198–$4,170 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$202.40–$3,788.80 | $253–$4,736 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$138–$2,816.80 | $172.50–$3,521 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$136.40–$3,032 | $170.50–$3,790 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$149.20–$2,574.80 | $186.50–$3,218.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$124.80–$2,662 | $156–$3,327.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$198.40–$2,926 | $248–$3,657.50 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$202.40–$3,520 | $253–$4,400 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$210.80–$3,788.80 | $263.50–$4,736 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$164–$3,616.40 | $205–$4,520.50 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$124.80–$3,139.60 | $156–$3,924.50 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$198.40–$3,924 | $248–$4,905 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$210.80–$3,788.80 | $263.50–$4,736 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$68.40–$3,018 | $85.50–$3,772.50 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$64–$3,018 | $80–$3,772.50 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$67.20–$3,018 | $84–$3,772.50 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$108.40–$3,023.20 | $135.50–$3,779 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$146.40–$3,647.60 | $183–$4,559.50 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$17.60–$303.60 | $22–$379.50 | varies |
| Nuclear Rx Oral Admin (79005) | $1,844 | $2,305 | 8.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$72.80–$2,035.60 | $91–$2,544.50 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$108–$1,278 | $135–$1,597.50 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$16.80–$392 | $21–$490 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$67.20–$2,189.20 | $84–$2,736.50 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$30.40–$772 | $38–$965 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$38.40–$564.80 | $48–$706 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$16.80–$726.40 | $21–$908 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$15.20–$674.40 | $19–$843 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$16.80–$350 | $21–$437.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$24.40–$504.40 | $30.50–$630.50 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$13.60–$249.60 | $17–$312 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$16–$366.80 | $20–$458.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$16.80–$392 | $21–$490 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$15.20–$259.60 | $19–$324.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$32–$536 | $40–$670 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$16.80–$348.80 | $21–$436 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$21.20–$382.80 | $26.50–$478.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$17.60–$392 | $22–$490 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$16.80–$362.80 | $21–$453.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$15.20–$365.60 | $19–$457 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$18.40–$396.40 | $23–$495.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$22.80–$486.80 | $28.50–$608.50 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$12.80–$249.60 | $16–$312 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$15.20–$259.60 | $19–$324.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$16.80–$417.60 | $21–$522 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$17.60–$483.60 | $22–$604.50 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$25.20–$641.60 | $31.50–$802 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$92.40–$1,288.80 | $115.50–$1,611 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$76.40–$1,288.80 | $95.50–$1,611 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$22–$795.60 | $27.50–$994.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$23.60–$494.40 | $29.50–$618 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$59.60–$880.40 | $74.50–$1,100.50 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$39.60–$1,106 | $49.50–$1,382.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$66.80–$1,852 | $83.50–$2,315 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$16–$267.20 | $20–$334 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$17.60–$417.60 | $22–$522 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$16–$630 | $20–$787.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$15.20–$726.40 | $19–$908 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$30.40–$486.80 | $38–$608.50 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$59.60–$1,674.40 | $74.50–$2,093 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$90.40–$2,544.40 | $113–$3,180.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$97.20–$3,033.60 | $121.50–$3,792 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$42–$957.60 | $52.50–$1,197 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$17.60–$531.20 | $22–$664 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$44.40–$168.80 | $55.50–$211 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$17.60–$504.40 | $22–$630.50 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$42.80–$1,327.60 | $53.50–$1,659.50 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$649.20–$860 | $811.50–$1,075 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$17.60–$380.80 | $22–$476 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$21.20–$378 | $26.50–$472.50 | varies |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$66.40–$2,062.80 | $83–$2,578.50 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$43.60–$467.60 | $54.50–$584.50 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$33.60–$1,008.80 | $42–$1,261 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$75.60–$2,462.40 | $94.50–$3,078 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$577.60 | $22–$722 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$45.20–$1,275.20 | $56.50–$1,594 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$63.60–$310.80 | $79.50–$388.50 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$50.40–$1,027.60 | $63–$1,284.50 | varies |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$54.40–$997.20 | $68–$1,246.50 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$46–$779.60 | $57.50–$974.50 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$52–$396.40 | $65–$495.50 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$60.40–$1,184.80 | $75.50–$1,481 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$25.20–$1,028.80 | $31.50–$1,286 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$30.40–$1,140 | $38–$1,425 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$68–$1,038 | $85–$1,297.50 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$52.80–$518.40 | $66–$648 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$103.20–$788 | $129–$985 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$46–$672.40 | $57.50–$840.50 | varies |
| Us head (76506) range across 2 matching MRF lines |
$58.80–$626.40 | $73.50–$783 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$61.20–$396.40 | $76.50–$495.50 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$174.80–$920.80 | $218.50–$1,151 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$60.40–$347.20 | $75.50–$434 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$69.60–$893.60 | $87–$1,117 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$63.60–$1,050.80 | $79.50–$1,313.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$92–$1,490 | $115–$1,862.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$78.80–$240 | $98.50–$300 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$68–$1,096.80 | $85–$1,371 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$53.60–$414 | $67–$517.50 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$58.80–$916.80 | $73.50–$1,146 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$98.40–$180.80 | $123–$226 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$129.60–$754 | $162–$942.50 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$62.80–$787.60 | $78.50–$984.50 | varies |
| Vascular Flow Imaging (78445) range across 3 matching MRF lines |
$46–$1,121.60 | $57.50–$1,402 | varies |
| Venography caval inferior serialography rs&i (75825) | $2,747.20 | $3,434 | 0.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$106.80–$1,370.40 | $133.50–$1,713 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$68–$1,619.60 | $85–$2,024.50 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$82.40–$2,247.20 | $103–$2,809 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$16–$828 | $20–$1,035 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$17.60–$400.80 | $22–$501 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$28.80–$582.40 | $36–$728 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,305.60 | $2,882 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$21.20–$494.40 | $26.50–$618 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$16–$612.80 | $20–$766 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$29.60–$639.60 | $37–$799.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$24.40–$554.80 | $30.50–$693.50 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$29.60–$832.80 | $37–$1,041 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$17.60–$286.40 | $22–$358 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$21.20–$392 | $26.50–$490 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$26–$517.20 | $32.50–$646.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $774.80 | $968.50 | 8.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $938 | $1,172.50 | 9.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,144.80 | $1,431 | 11.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$28.80–$1,026.80 | $36–$1,283.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$21.20–$382.80 | $26.50–$478.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$28.80–$675.20 | $36–$844 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$25.20–$480.40 | $31.50–$600.50 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$17.60–$317.20 | $22–$396.50 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$15.20–$674.40 | $19–$843 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$44.40–$1,167.20 | $55.50–$1,459 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$17.60–$329.60 | $22–$412 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$16.80–$328.40 | $21–$410.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$21.20–$472.40 | $26.50–$590.50 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$17.60–$378.80 | $22–$473.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$30.40–$558 | $38–$697.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$21.20–$467.60 | $26.50–$584.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$16.80–$379.20 | $21–$474 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$21.20–$529.20 | $26.50–$661.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$26.80–$624 | $33.50–$780 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$35.20–$494.40 | $44–$618 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$23.60–$550.40 | $29.50–$688 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$40–$1,167.20 | $50–$1,459 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$25.20–$424 | $31.50–$530 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$51.20–$1,084.40 | $64–$1,355.50 | varies |
| Xr c-spine 4 or 5 views (72050) | $559.20 | $699 | 5.8× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$19.60–$374 | $24.50–$467.50 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$17.60–$374 | $22–$467.50 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$26.80–$500.80 | $33.50–$626 | 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.