Imaging prices at Sovah Health – Danville
Danville, VA · every code in this section with a posted price and a Medicare benchmark.
340 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 |
$8,309.60–$9,057.60 | $20,774–$22,644 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$119.60–$179.20 | $299–$448 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$135.60–$148 | $339–$370 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$2,717.60–$2,962.40 | $6,794–$7,406 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,694.80–$1,847.60 | $4,237–$4,619 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,117.20–$2,308 | $5,293–$5,770 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$2,652.40–$2,891.20 | $6,631–$7,228 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,625.20–$2,861.60 | $6,563–$7,154 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$2,075.60–$2,374.40 | $5,189–$5,936 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$767.20–$2,148.40 | $1,918–$5,371 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,974.40–$2,152.40 | $4,936–$5,381 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$375.20–$556.40 | $938–$1,391 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,800–$5,232 | $12,000–$13,080 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$3,202–$10,273.20 | $8,005–$25,683 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$1,974.40–$2,152.40 | $4,936–$5,381 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,974.40–$2,152.40 | $4,936–$5,381 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$209.20–$323.60 | $523–$809 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$240–$653.60 | $600–$1,634 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$247.60–$674 | $619–$1,685 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$626.80–$683.60 | $1,567–$1,709 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$120–$178.80 | $300–$447 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,030.80–$2,213.60 | $5,077–$5,534 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,559.60–$1,700 | $3,899–$4,250 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$2,716.80–$2,961.60 | $6,792–$7,404 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,716.80–$2,961.60 | $6,792–$7,404 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$213.60–$318.80 | $534–$797 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$1,477.60–$1,610.80 | $3,694–$4,027 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$843.60–$919.60 | $2,109–$2,299 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$743.20–$810.40 | $1,858–$2,026 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$275.20–$300 | $688–$750 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$8,901.20–$9,702.40 | $22,253–$24,256 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$666.80–$727.20 | $1,667–$1,818 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$496.40–$737.60 | $1,241–$1,844 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$591.20–$644.80 | $1,478–$1,612 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,434.40–$1,563.60 | $3,586–$3,909 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$125.60–$188 | $314–$470 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$234–$346.40 | $585–$866 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$116.80–$171.20 | $292–$428 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$234–$346.40 | $585–$866 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$282.80–$308.40 | $707–$771 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$174.40–$481.20 | $436–$1,203 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$229.60–$250.40 | $574–$626 | varies |
| Continuing medical physics consltj pr wk (77336) | $886.40 | $2,216 | 6.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,526.80–$2,754.40 | $6,317–$6,886 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$332.80–$362.80 | $832–$907 | varies |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$209.20–$634.40 | $523–$1,586 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$240–$728.40 | $600–$1,821 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,416–$3,723.60 | $8,540–$9,309 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,495.60–$2,720.40 | $6,239–$6,801 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$1,828.40–$2,316.80 | $4,571–$5,792 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,928–$3,712 | $7,320–$9,280 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,178.40–$1,493.60 | $2,946–$3,734 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,070.40–$3,346.80 | $7,676–$8,367 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,211.60–$1,810 | $3,029–$4,525 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$2,826–$4,215.60 | $7,065–$10,539 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,166–$1,271.20 | $2,915–$3,178 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$829.20–$1,736.40 | $2,073–$4,341 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$2,527.20–$3,203.20 | $6,318–$8,008 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,312.40–$1,664 | $3,281–$4,160 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$2,199.20–$2,789.60 | $5,498–$6,974 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,097.60–$1,638 | $2,744–$4,095 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$2,486.40–$3,706 | $6,216–$9,265 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,383.60–$2,062 | $3,459–$5,155 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,940–$2,458 | $4,850–$6,145 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$1,253.20–$1,587.20 | $3,133–$3,968 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$1,472.40–$1,868.80 | $3,681–$4,672 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$582–$634.40 | $1,455–$1,586 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$440.80–$480.80 | $1,102–$1,202 | varies |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$714.80–$1,120.80 | $1,787–$2,802 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$2,505.20–$3,733.60 | $6,263–$9,334 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$780.80–$989.60 | $1,952–$2,474 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$879.60–$1,116 | $2,199–$2,790 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,876.80–$3,688.40 | $7,192–$9,221 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$2,229.60–$2,826 | $5,574–$7,065 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$750.80–$952.40 | $1,877–$2,381 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$899.60–$1,196.40 | $2,249–$2,991 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$2,680.40–$3,398 | $6,701–$8,495 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 6 matching MRF lines |
$1,119.60–$1,750 | $2,799–$4,375 | varies |
| CT orbits w/o contrast (70480) range across 6 matching MRF lines |
$639.20–$1,000.40 | $1,598–$2,501 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$2,586.40–$3,858 | $6,466–$9,645 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,295.20–$1,641.60 | $3,238–$4,104 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,056.80–$1,574.40 | $2,642–$3,936 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$972.40–$1,449.60 | $2,431–$3,624 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$2,227.60–$2,823.60 | $5,569–$7,059 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,968.40–$2,494 | $4,921–$6,235 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,483.60–$1,878.40 | $3,709–$4,696 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$1,250.40–$1,584 | $3,126–$3,960 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$1,778.40–$2,652 | $4,446–$6,630 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,215.60–$1,812.40 | $3,039–$4,531 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$966–$1,223.20 | $2,415–$3,058 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,398.80–$2,085.20 | $3,497–$5,213 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,092–$1,383.60 | $2,730–$3,459 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,100.40–$2,662.80 | $5,251–$6,657 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,100.40–$2,662.80 | $5,251–$6,657 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$3,102–$4,628.40 | $7,755–$11,571 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$1,806.80–$2,090 | $4,517–$5,225 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$1,022.80–$1,782.40 | $2,557–$4,456 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$730–$796 | $1,825–$1,990 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$769.20–$1,145.60 | $1,923–$2,864 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$239.60–$356 | $599–$890 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$280.40–$482.80 | $701–$1,207 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$298.40–$466.80 | $746–$1,167 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$762.40–$831.20 | $1,906–$2,078 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$181.20–$270.40 | $453–$676 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$195.20–$289.60 | $488–$724 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,953.60–$2,129.60 | $4,884–$5,324 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$1,798–$1,960 | $4,495–$4,900 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,476–$2,699.20 | $6,190–$6,748 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$185.20–$274.80 | $463–$687 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,533.20–$2,761.20 | $6,333–$6,903 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,759.20–$1,917.60 | $4,398–$4,794 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$701.20–$764.40 | $1,753–$1,911 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$274.80–$409.60 | $687–$1,024 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$384.80–$419.60 | $962–$1,049 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$184.80–$201.60 | $462–$504 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$4,547.20–$4,956.80 | $11,368–$12,392 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$1,709.60–$1,863.60 | $4,274–$4,659 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$1,539.60–$1,678.40 | $3,849–$4,196 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,170–$1,275.60 | $2,925–$3,189 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,096.40–$1,195.20 | $2,741–$2,988 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$817.20–$890.80 | $2,043–$2,227 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$886.80–$966.80 | $2,217–$2,417 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$224–$334.80 | $560–$837 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$2,062.80–$2,248.80 | $5,157–$5,622 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,956–$2,132.40 | $4,890–$5,331 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,526.80–$1,664.40 | $3,817–$4,161 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,115.20–$1,215.60 | $2,788–$3,039 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,208.80–$2,407.60 | $5,522–$6,019 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,941.20–$2,116 | $4,853–$5,290 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$352–$384 | $880–$960 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$2,478.80–$2,702 | $6,197–$6,755 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $222 | $555 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,247.60–$1,360 | $3,119–$3,400 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,930.80–$2,104.80 | $4,827–$5,262 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,114–$2,304.40 | $5,285–$5,761 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,446–$2,666.40 | $6,115–$6,666 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,684.80–$4,016.80 | $9,212–$10,042 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,446–$2,666.40 | $6,115–$6,666 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,894.80–$2,065.60 | $4,737–$5,164 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,072.40–$2,259.20 | $5,181–$5,648 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,594.80–$3,868 | $6,487–$9,670 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,865.20–$4,272 | $7,163–$10,680 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,617.20–$3,900.80 | $6,543–$9,752 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$1,912.40–$2,084.80 | $4,781–$5,212 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$1,912.40–$2,084.80 | $4,781–$5,212 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$2,961.20–$4,413.20 | $7,403–$11,033 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$2,624.40–$3,911.20 | $6,561–$9,778 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$2,338.40–$3,486.80 | $5,846–$8,717 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$3,400.40–$5,068.80 | $8,501–$12,672 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,883.20–$3,868 | $4,708–$9,670 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,647.60–$3,091.20 | $4,119–$7,728 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,116–$3,574.80 | $2,790–$8,937 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$2,929.20–$4,367.20 | $7,323–$10,918 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$5,314–$7,926 | $13,285–$19,815 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,671.20–$2,491.60 | $4,178–$6,229 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,727.60–$1,883.20 | $4,319–$4,708 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$2,354.40–$4,881.60 | $5,886–$12,204 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$1,622.80–$2,419.20 | $4,057–$6,048 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,393.20–$5,062 | $8,483–$12,655 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$1,788.80–$2,666.40 | $4,472–$6,666 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$2,487.20–$3,710 | $6,218–$9,275 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,727.60–$1,883.20 | $4,319–$4,708 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,419.60–$3,606.40 | $6,049–$9,016 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,527.20–$3,768.40 | $6,318–$9,421 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,826.80–$4,171.60 | $9,567–$10,429 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$4,857.60–$7,244.40 | $12,144–$18,111 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$3,004.80–$4,479.60 | $7,512–$11,199 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,419.60–$4,035.20 | $6,049–$10,088 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,890.40–$4,310 | $7,226–$10,775 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$4,672.40–$6,966 | $11,681–$17,415 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$925.20–$2,233.20 | $2,313–$5,583 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$820.40–$1,983.20 | $2,051–$4,958 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$714–$1,723.60 | $1,785–$4,309 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$2,406.40–$3,588.40 | $6,016–$8,971 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$8,901.20–$9,702.40 | $22,253–$24,256 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,346–$1,467.20 | $3,365–$3,668 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$127.20–$188.40 | $318–$471 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$1,427.60–$1,556.40 | $3,569–$3,891 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$13,514.40–$14,730.80 | $33,786–$36,827 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,400.80–$2,617.20 | $6,002–$6,543 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$572–$623.60 | $1,430–$1,559 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$245.60–$365.60 | $614–$914 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$8,434.40–$9,193.60 | $21,086–$22,984 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$8,434.40–$9,193.60 | $21,086–$22,984 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$8,032.80–$9,193.60 | $20,082–$22,984 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$8,032.80–$9,193.60 | $20,082–$22,984 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$8,434.40–$9,193.60 | $21,086–$22,984 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$8,434.40–$9,193.60 | $21,086–$22,984 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,020–$1,112 | $2,550–$2,780 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$325.20–$483.20 | $813–$1,208 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$194.40–$302.40 | $486–$756 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$208.80–$550.40 | $522–$1,376 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$71.20–$194.80 | $178–$487 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$212.80–$351.20 | $532–$878 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$488–$727.20 | $1,220–$1,818 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$305.20–$454 | $763–$1,135 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$210–$344.80 | $525–$862 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$166–$272.40 | $415–$681 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$132.40–$194.80 | $331–$487 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$284.40–$420.40 | $711–$1,051 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$262–$285.60 | $655–$714 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$194.40–$288.80 | $486–$722 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$164.40–$319.20 | $411–$798 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$182–$270.80 | $455–$677 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$168–$249.60 | $420–$624 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$144.80–$214.40 | $362–$536 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$205.20–$303.60 | $513–$759 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$135.60–$200.80 | $339–$502 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$100–$147.20 | $250–$368 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$208.80–$311.20 | $522–$778 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$335.20–$365.60 | $838–$914 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,500.80 | $41,252 | 2.3× |
| Radiation treatment delivery level 1 (77402) | $295.60 | $739 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $358.40 | $896 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $699.20 | $1,748 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$257.60–$380.80 | $644–$952 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$151.20–$165.20 | $378–$413 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$483.20–$718.80 | $1,208–$1,797 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$282.40–$419.60 | $706–$1,049 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 3 matching MRF lines |
$310.40–$420 | $776–$1,050 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$182.40–$271.20 | $456–$678 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$159.60–$237.20 | $399–$593 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$490.80–$732.40 | $1,227–$1,831 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$345.20–$376.40 | $863–$941 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$564.40–$952.40 | $1,411–$2,381 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$234–$255.20 | $585–$638 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$300.80–$328 | $752–$820 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$144.80–$237.20 | $362–$593 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$248.80–$370.40 | $622–$926 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$202–$220.40 | $505–$551 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$203.20–$302.40 | $508–$756 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$234.80–$351.20 | $587–$878 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$2,238.80–$2,440.40 | $5,597–$6,101 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,042.80–$2,226.80 | $5,107–$5,567 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,789.20–$1,950.40 | $4,473–$4,876 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$666.80–$2,404 | $1,667–$6,010 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,366–$1,489.20 | $3,415–$3,723 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,108–$1,208 | $2,770–$3,020 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$639.60–$697.20 | $1,599–$1,743 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$358–$531.20 | $895–$1,328 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$193.60–$285.60 | $484–$714 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$262.40–$391.20 | $656–$978 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$266–$790.80 | $665–$1,977 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$197.20–$215.20 | $493–$538 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$191.60–$284.80 | $479–$712 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$265.60–$289.60 | $664–$724 | varies |
| Special Physics Consult (77370) | $1,041.60 | $2,604 | 7.8× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,832.40–$1,997.60 | $4,581–$4,994 | varies |
| Stereotactic Body Radiation Delivery (77373) | $7,214 | $18,035 | 4.1× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$164.40–$244 | $411–$610 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,457.20–$1,588.40 | $3,643–$3,971 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$1,018.40–$1,110.40 | $2,546–$2,776 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$340–$370.80 | $850–$927 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,070.40–$1,166.80 | $2,676–$2,917 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,934.40–$2,108.80 | $4,836–$5,272 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$1,660–$1,809.60 | $4,150–$4,524 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,034–$1,127.20 | $2,585–$2,818 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$194.80–$289.20 | $487–$723 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$213.60–$318.80 | $534–$797 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$144.80–$214.40 | $362–$536 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$899.20–$980.40 | $2,248–$2,451 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,089.60–$1,188 | $2,724–$2,970 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$346.40–$377.60 | $866–$944 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,026.80–$1,119.60 | $2,567–$2,799 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,250.40–$1,363.20 | $3,126–$3,408 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$363.20–$396 | $908–$990 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$832.80–$908 | $2,082–$2,270 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$154.80–$555.20 | $387–$1,388 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$503.20–$548.80 | $1,258–$1,372 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$806.80–$879.60 | $2,017–$2,199 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$257.60–$318 | $644–$795 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$179.20–$540.80 | $448–$1,352 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$214.80–$234.40 | $537–$586 | varies |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$472–$968 | $1,180–$2,420 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$816.40–$890 | $2,041–$2,225 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$378.80–$565.20 | $947–$1,413 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$288.80–$429.20 | $722–$1,073 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$186.80–$204 | $467–$510 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$329.20–$514.80 | $823–$1,287 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$152.40–$840.40 | $381–$2,101 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$158–$275.20 | $395–$688 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$384.80–$676 | $962–$1,690 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$480.80–$524.40 | $1,202–$1,311 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$208.80–$725.20 | $522–$1,813 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$342.40–$508.40 | $856–$1,271 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$227.60–$690.40 | $569–$1,726 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$440.40–$861.60 | $1,101–$2,154 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$258.80–$599.60 | $647–$1,499 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$388.40–$758.80 | $971–$1,897 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$312–$550.40 | $780–$1,376 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$594–$975.60 | $1,485–$2,439 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$200.80–$219.20 | $502–$548 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$375.20–$735.20 | $938–$1,838 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$376–$410 | $940–$1,025 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,780–$1,940.40 | $4,450–$4,851 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,780–$1,940.40 | $4,450–$4,851 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$690–$752.40 | $1,725–$1,881 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$484.40–$760.40 | $1,211–$1,901 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,974.40–$2,152.40 | $4,936–$5,381 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,974.40–$2,152.40 | $4,936–$5,381 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$2,188–$2,385.20 | $5,470–$5,963 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$158–$234.40 | $395–$586 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$284–$419.60 | $710–$1,049 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$172.80–$468 | $432–$1,170 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,092.80–$2,281.20 | $5,232–$5,703 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$159.20–$235.20 | $398–$588 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$182.40–$271.20 | $456–$678 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$298–$325.20 | $745–$813 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$187.60–$268.80 | $469–$672 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$159.60–$237.20 | $399–$593 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$277.20–$302.40 | $693–$756 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$302.80–$330.40 | $757–$826 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$402.80–$597.20 | $1,007–$1,493 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$256.40–$379.20 | $641–$948 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$318.80–$473.60 | $797–$1,184 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$324–$482 | $810–$1,205 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$243.20–$360.80 | $608–$902 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$193.60–$318 | $484–$795 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$456.80–$680 | $1,142–$1,700 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$492.80–$537.20 | $1,232–$1,343 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$179.20–$268.40 | $448–$671 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$144.80–$214.40 | $362–$536 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$268–$396 | $670–$990 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$225.20–$335.20 | $563–$838 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$352.40–$524.40 | $881–$1,311 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$234.80–$351.20 | $587–$878 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$134.40–$200 | $336–$500 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$339.60–$505.20 | $849–$1,263 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$300–$449.20 | $750–$1,123 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$319.60–$476.40 | $799–$1,191 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$232.40–$344.80 | $581–$862 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$388–$576.40 | $970–$1,441 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$199.60–$298.40 | $499–$746 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$428–$636.80 | $1,070–$1,592 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$256.40–$379.20 | $641–$948 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$293.60–$436.80 | $734–$1,092 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$185.60–$275.20 | $464–$688 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$261.20–$390.80 | $653–$977 | 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.