Imaging prices at St. Bernard Parish Hospital
Chalmette, LA · 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 |
|---|---|---|---|
| Abdomen 1 View (74018) | $79.68 | $249 | 1.0× |
| Abdomen 2 views (74019) | $152 | $475 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $501.76 | $1,568 | 1.3× |
| Angio internal mammary (75756) | $484.48 | $1,514 | 0.2× |
| Angio pulmonary bilat (75743) | $3,414.40 | $10,670 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $3,414.40 | $10,670 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $3,414.40 | $10,670 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,414.40 | $10,670 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$42.56–$85.12 | $133–$266 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,414.40 | $10,670 | 0.7× |
| Artery X-Rays Abdomen (75726) | $3,414.40 | $10,670 | 0.7× |
| Arthrogram ankle (73615) | $154.56 | $483 | 0.5× |
| Arthrogram hip (73525) | $149.44 | $467 | 0.5× |
| Arthrogram Wrist (73115) | $165.76 | $518 | 0.5× |
| Bone age studies (77072) | $38.72 | $121 | 0.4× |
| Bone Imaging 3 Phase (78315) | $535.04 | $1,672 | 1.4× |
| Bone Imaging Limited Area (78300) | $273.60 | $855 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $309.44 | $967 | 0.8× |
| Bone Imaging Whole Body (78306) | $403.20 | $1,260 | 1.1× |
| Brain Flow Imaging Only (78610) | $269.44 | $842 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $333.76 | $1,043 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $456 | $1,425 | 0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $478.08 | $1,494 | 0.9× |
| Cerebrospinal Fluid Scan (78630) | $519.36 | $1,623 | 1.0× |
| Chest 1 view (71045) | $79.68 | $249 | 1.0× |
| Chest 2 views (71046) | $79.68 | $249 | 1.0× |
| Chest 3 views (71047) | $79.68 | $249 | 1.0× |
| Chest 4 or more views (71048) | $152 | $475 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$42.88–$85.76 | $134–$268 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $105.28 | $329 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,414.40 | $10,670 | 1.2× |
| Contrast X-Ray Bladder (74430) | $90.56 | $283 | 0.3× |
| Contrast X-Ray Of Elbow (73085) | $145.28 | $454 | 0.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$195.52–$391.04 | $611–$1,222 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $144.32 | $451 | 0.9× |
| Corpora cavernosography (74445) | $155.84 | $487 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $635.20 | $1,985 | 1.9× |
| CT abdomen and pelvis without contrast (74176) | $318.72 | $996 | 1.4× |
| CT abdomen w contrast (74160) | $495.04 | $1,547 | 3.0× |
| CT abdomen w wo contrast (74170) | $597.12 | $1,866 | 3.6× |
| CT abdomen w/o contrast (74150) | $366.40 | $1,145 | 3.7× |
| CT Angio Abdomen and Pelvis (74174) | $822.40 | $2,570 | 2.5× |
| CT Angio Chest (71275) | $400.32 | $1,251 | 2.4× |
| CT Angio Head (70496) | $400.32 | $1,251 | 2.4× |
| CT angio hrt w/3d image (75574) | $549.12 | $1,716 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$640–$1,280 | $2,000–$4,000 | varies |
| CT Angio Neck (70498) | $400.32 | $1,251 | 2.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $632.64 | $1,977 | 3.8× |
| CT cervical spine w/ contrast (72126) | $459.84 | $1,437 | 1.4× |
| CT cervical spine w/o contrast (72125) | $361.92 | $1,131 | 3.7× |
| CT cervical spine w/wo cont (72127) | $558.08 | $1,744 | 3.4× |
| CT chest w contrast (71260) | $341.44 | $1,067 | 2.1× |
| CT chest w/wo contrast (71270) | $384.64 | $1,202 | 2.3× |
| CT head/brain with contrast (70460) | $341.44 | $1,067 | 2.1× |
| CT head/brain without and with contrast (70470) | $384.64 | $1,202 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $109.12 | $341 | 1.3× |
| CT iac w contrast (70481) | $341.44 | $1,067 | 2.1× |
| CT l-spine w&w/o contrast (72133) | $558.08 | $1,744 | 3.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$361.92–$723.84 | $1,131–$2,262 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$448–$896 | $1,400–$2,800 | varies |
| CT lumbar spine w contrast (72132) | $459.84 | $1,437 | 1.4× |
| CT lumbar spine w/o contrast (72131) | $361.92 | $1,131 | 3.7× |
| CT maxillofacial w contrast (70487) | $341.44 | $1,067 | 2.1× |
| CT maxillofacial wo contrast (70486) | $173.44 | $542 | 1.8× |
| CT neck tissue combo (70492) | $384.64 | $1,202 | 2.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $384.64 | $1,202 | 2.3× |
| CT orbits w/o contrast (70480) | $173.44 | $542 | 1.8× |
| CT pelvis w&w/o contrast (72194) | $559.36 | $1,748 | 3.4× |
| CT pelvis w/o contrast (72192) | $361.28 | $1,129 | 3.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$571.20–$1,142.40 | $1,785–$3,570 | varies |
| CT scans face/jaw combo (70488) | $384.64 | $1,202 | 2.3× |
| CT soft tissue neck w contrast (70491) | $341.44 | $1,067 | 2.1× |
| CT soft tissue neck w/o contrast (70490) | $173.44 | $542 | 1.8× |
| CT thoracic spine w contrast (72129) | $461.12 | $1,441 | 2.8× |
| CT thoracic spine w/o contrast (72128) | $361.92 | $1,131 | 3.7× |
| CT thoracic spine w/wo cont (72130) | $558.40 | $1,745 | 3.4× |
| CT thorax w/o contrast (71250) | $173.44 | $542 | 1.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$443.20–$886.40 | $1,385–$2,770 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$568.32–$1,136.64 | $1,776–$3,552 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$443.84–$887.68 | $1,387–$2,774 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $676.80 | $2,115 | 4.1× |
| Cta Abdomen (74175) | $640.96 | $2,003 | 3.9× |
| CTA pelvis (72191) | $633.92 | $1,981 | 3.9× |
| Discography Cerv/Thor Spine (72285) | $1,028.48 | $3,214 | 0.6× |
| Diskography lumbar (72295) | $1,028.48 | $3,214 | 0.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $143.36 | $448 | 1.5× |
| Dxa Bone Density Axial (77080) | $143.68 | $449 | 1.5× |
| Dxa bone density study (77085) | $136.96 | $428 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $79.36 | $248 | 1.0× |
| Esophagram (74220) | $134.08 | $419 | 0.8× |
| Fluoroscopy up to 1 hr (76000) | $115.52 | $361 | 0.5× |
| Follow-Up Angiography (75898) | $255.36 | $798 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$40.96–$81.92 | $128–$256 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$42.24–$84.48 | $132–$264 | varies |
| Gastric emptying imaging study (78264) | $410.24 | $1,282 | 1.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $425.92 | $1,331 | 1.1× |
| Gastroesophageal Reflux Exam (78262) | $346.56 | $1,083 | 0.9× |
| Gated Heart Planar Single (78472) | $352.32 | $1,101 | 0.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $564.80 | $1,765 | 1.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$41.28–$82.56 | $129–$258 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,414.40 | $10,670 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,414.40 | $10,670 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $498.88 | $1,559 | 1.0× |
| Hepatobiliary System Imaging (78226) | $498.88 | $1,559 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $683.84 | $2,137 | 0.6× |
| Hysterosalpingogram (74740) | $117.76 | $368 | 0.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $117.76 | $368 | 1.4× |
| Infant hip ultrasound, limited static exam (76886) | $79.36 | $248 | 1.0× |
| Infusion Ivp (74410) | $171.52 | $536 | 1.0× |
| Joint Survey Single View (77077) | $146.56 | $458 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $251.20 | $785 | 0.5× |
| K Flow/Funct Image W/O Drug (78707) | $387.52 | $1,211 | 0.8× |
| Kidney Imaging Morphol (78700) | $252.80 | $790 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $307.20 | $960 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$55.04–$110.08 | $172–$344 | varies |
| Liver & Spleen Imaging Static Only (78215) | $298.24 | $932 | 0.8× |
| Lung perfusion differential (78597) | $279.36 | $873 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $455.36 | $1,423 | 0.9× |
| Lymph System Imaging (78195) | $539.84 | $1,687 | 1.1× |
| Magnetic Resonance Elastography (76391) | $295.36 | $923 | 1.3× |
| Meckels Divert Exam (78290) | $477.76 | $1,493 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,115.84 | $3,487 | 3.4× |
| MRA head w/o contrast (70544) | $404.16 | $1,263 | 1.8× |
| MRA head with contrast (70545) | $734.08 | $2,294 | 2.2× |
| MRA neck w contrast (70548) | $1,095.04 | $3,422 | 3.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $675.84 | $2,112 | 2.1× |
| MRA neck w/o contrast (70547) | $404.16 | $1,263 | 1.8× |
| MRI abdomen w contrast (74182) | $471.36 | $1,473 | 1.4× |
| MRI abdomen w/o contrast (74181) | $613.76 | $1,918 | 2.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$563.84–$1,127.68 | $1,762–$3,524 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$946.24–$1,892.48 | $2,957–$5,914 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$584.96–$1,169.92 | $1,828–$3,656 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $247.68 | $774 | 1.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $203.20 | $635 | 0.9× |
| MRI cervical spine w contrast (72142) | $1,095.04 | $3,422 | 3.3× |
| MRI cervical spine w/o cont (72141) | $404.16 | $1,263 | 1.8× |
| MRI chest w/o contrast (71550) | $404.16 | $1,263 | 1.8× |
| MRI chest wo w contrast (71552) | $471.36 | $1,473 | 1.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,095.04–$2,190.08 | $3,422–$6,844 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $675.84 | $2,112 | 2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$404.16–$808.32 | $1,263–$2,526 | varies |
| MRI lumbar spine w contrast (72149) | $563.52 | $1,761 | 1.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $977.92 | $3,056 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $404.16 | $1,263 | 1.8× |
| MRI orbit face neck w contrast (70542) | $584.96 | $1,828 | 1.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $675.84 | $2,112 | 2.1× |
| MRI pelvis w contrast (72196) | $418.88 | $1,309 | 1.3× |
| MRI pelvis w/o & w contrast (72197) | $954.24 | $2,982 | 2.9× |
| MRI pelvis w/o contrast (72195) | $404.16 | $1,263 | 1.8× |
| MRI thoracic spine w/o contrast (72146) | $624.64 | $1,952 | 2.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$515.84–$1,031.68 | $1,612–$3,224 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$404.16–$808.32 | $1,263–$2,526 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $675.84 | $2,112 | 2.1× |
| MRI, abdomen, combo (74183) | $675.84 | $2,112 | 2.1× |
| MRI, dorsal spine combo (72157) | $977.92 | $3,056 | 3.0× |
| MRI, dorsal spine contrast (72147) | $1,095.04 | $3,422 | 3.3× |
| MRI, joint upper extrem (73221) | $608.32 | $1,901 | 2.7× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$946.24–$1,892.48 | $2,957–$5,914 | varies |
| MRI, lumbar spine combo (72158) | $675.84 | $2,112 | 2.1× |
| Myelogram cervical (72240) | $214.72 | $671 | 0.3× |
| Myelogram Lumbar (72265) | $838.72 | $2,621 | 1.1× |
| Myelography thoracic (72255) | $838.72 | $2,621 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $318.40 | $995 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $711.36 | $2,223 | 0.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,847.04 | $5,772 | 1.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,847.04 | $5,772 | 1.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,880.64 | $9,002 | 1.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,520.64 | $11,002 | 1.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $3,520.64 | $11,002 | 2.5× |
| Neck soft tissue (70360) | $78.72 | $246 | 1.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $452.48 | $1,414 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $145.28 | $454 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $249.28 | $779 | 1.1× |
| Parathyroid Planar Imaging (78070) | $280.32 | $876 | 0.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $482.88 | $1,509 | 1.3× |
| Pelvis 1 or 2 views (72170) | $42.24 | $132 | 0.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,414.40 | $10,670 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $318.72 | $996 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $71.68 | $224 | 0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $441.60 | $1,380 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$48.64–$97.28 | $152–$304 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$42.24–$84.48 | $132–$264 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$51.20–$102.40 | $160–$320 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $124.80 | $390 | 1.3× |
| Radex fingr minimum 2 views (73140) | $47.04 | $147 | 0.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$47.36–$94.72 | $148–$296 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$47.68–$95.36 | $149–$298 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$46.40–$92.80 | $145–$290 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $83.52 | $261 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $78.72 | $246 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $78.72 | $246 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$48.64–$97.28 | $152–$304 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $78.72 | $246 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $35.84 | $112 | 0.4× |
| Radex Sternum Minimum 2 Views (71120) | $78.72 | $246 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $78.72 | $246 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $43.84 | $137 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$45.44–$90.88 | $142–$284 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$54.72–$109.44 | $171–$342 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $245.76 | $768 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $124.80 | $390 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $152 | $475 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $282.24 | $882 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $179.84 | $562 | 1.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $233.28 | $729 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$63.04–$126.08 | $197–$394 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $64.32 | $201 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $164.16 | $513 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $136.32 | $426 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $178.88 | $559 | 1.1× |
| Radiologic examination femur 1 view (73551) | $77.76 | $243 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$77.76–$155.52 | $243–$486 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$46.08–$92.16 | $144–$288 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $104 | $325 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$41.28–$82.56 | $129–$258 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $68.80 | $215 | 0.1× |
| Ribs bilateral 3 views (71110) | $124.80 | $390 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $482.56 | $1,508 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $549.12 | $1,716 | 1.1× |
| Scapula (73010) range across 2 matching MRF lines |
$45.76–$91.52 | $143–$286 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $16 | $50 | 0.7× |
| Sella turcica (70240) | $44.48 | $139 | 0.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$38.40–$76.80 | $120–$240 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$160.32–$320.64 | $501–$1,002 | varies |
| Skull less than 4 views (70250) | $78.72 | $246 | 0.8× |
| Sternoclavicular joints (71130) | $78.72 | $246 | 1.0× |
| Superior sagittal sinus venogram (75870) | $441.28 | $1,379 | 0.1× |
| Tbs technical calculation only (77091) | $52.48 | $164 | 0.6× |
| Testicular Imaging W/Flow (78761) | $331.84 | $1,037 | 0.9× |
| Thoracic spine 2 views (72070) | $78.72 | $246 | 0.8× |
| Thoracic spine 3 views (72072) | $124.80 | $390 | 1.3× |
| Thoracolumbar 2 views (72080) | $79.36 | $248 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $245.76 | $768 | 0.7× |
| Thyroid Met Imaging Body (78018) | $508.80 | $1,590 | 1.0× |
| Thyroid Uptake Measurement (78012) | $497.60 | $1,555 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $288.64 | $902 | 0.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$121.28–$242.56 | $379–$758 | varies |
| Ultrasound elastography first target lesion (76982) | $144.32 | $451 | 1.5× |
| Ultrasound Elastography Parenchyma (76981) | $144.32 | $451 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $144.32 | $451 | 1.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $258.24 | $807 | 0.8× |
| Ultrasound, abdomen limited (76705) | $126.40 | $395 | 1.3× |
| Upper gi w/o kub (74240) | $144.32 | $451 | 0.9× |
| Urethrocystogram voiding (74455) | $148.48 | $464 | 0.7× |
| Urethrocystography retrograde (74450) | $111.36 | $348 | 0.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$136.64–$273.28 | $427–$854 | varies |
| Us chest (76604) | $136.64 | $427 | 1.4× |
| Us complete joint (76881) | $176 | $550 | 1.8× |
| Us exam, pelvic, limited (76857) | $138.88 | $434 | 1.4× |
| Us head (76506) | $146.56 | $458 | 1.5× |
| Us kidney transplant (76776) | $337.28 | $1,054 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $44.48 | $139 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $196.48 | $614 | 2.0× |
| Us ob transvaginal (76817) | $127.68 | $399 | 1.3× |
| Us pelvic non ob complete (76856) | $147.52 | $461 | 1.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $143.68 | $449 | 1.5× |
| Us retroperitoneal complete (76770) | $160.64 | $502 | 1.6× |
| Us retroperitoneal limited (76775) | $140.16 | $438 | 1.4× |
| Us scrotum and contents (76870) | $149.44 | $467 | 1.5× |
| Us thyroid (76536) | $180.16 | $563 | 1.8× |
| Us transrectal (76872) | $353.28 | $1,104 | 3.6× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$430.72–$1,800 | $1,346–$5,625 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $466.56 | $1,458 | 0.2× |
| Venogram Sinus/Jugular (75860) | $3,414.40 | $10,670 | 1.2× |
| Venography Adrenal Unilateral (75840) | $3,547.20 | $11,085 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,414.40 | $10,670 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $251.20 | $785 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $213.76 | $668 | 0.1× |
| Venography Renal Bilateral (75833) | $3,414.40 | $10,670 | 1.2× |
| Venography Renal Unilateral (75831) | $3,414.40 | $10,670 | 1.2× |
| Vertebral fracture assessment via dxa (77086) | $41.28 | $129 | 0.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$45.76–$91.52 | $143–$286 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $57.28 | $179 | 0.7× |
| X-ray antegrade pyelogram tube (74425) | $441.60 | $1,380 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,414.40 | $10,670 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $124.80 | $390 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$42.56–$85.12 | $133–$266 | varies |
| X-Ray Exam Breast Specimen (76098) | $441.60 | $1,380 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $77.76 | $243 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $128.96 | $403 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $245.76 | $768 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $77.76 | $243 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $77.76 | $243 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $128.96 | $403 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $128.96 | $403 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $128.96 | $403 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $245.76 | $768 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $124.80 | $390 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $78.72 | $246 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $124.80 | $390 | 1.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $124.80 | $390 | 1.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$78.72–$157.44 | $246–$492 | varies |
| X-ray humerus (73060) | $43.84 | $137 | 0.5× |
| X-ray IV pyelogram (ivp) (74400) | $166.40 | $520 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $78.72 | $246 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $50.88 | $159 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $78.72 | $246 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $240.96 | $753 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $124.80 | $390 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $52.16 | $163 | 0.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $46.72 | $146 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $43.84 | $137 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $78.72 | $246 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $124.80 | $390 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $128.64 | $402 | 1.3× |
| X-Ray Tmj Unilat (70328) | $79.68 | $249 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $584 | $1,825 | 1.8× |
| X-Rays Bone Length Studies (77073) | $61.44 | $192 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $152 | $475 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $124.80 | $390 | 1.3× |
| Xr facial bones less than 3 views (70140) | $78.72 | $246 | 1.0× |
| Xr orbits complete 4 views (70200) | $66.24 | $207 | 0.7× |
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.