Imaging prices at St. Charles Parish Hospital
Luling, LA · every code in this section with a posted price and a Medicare benchmark.
317 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) | $49.68 | $184 | 0.6× |
| Abdomen 2 views (74019) | $96.39 | $357 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $275.13 | $1,019 | 0.7× |
| Angio internal mammary (75756) | $227.88 | $844 | 0.1× |
| Angio pulmonary bilat (75743) | $535.41 | $1,983 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $535.41 | $1,983 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $622.35 | $2,305 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $535.41 | $1,983 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $535.41 | $1,983 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$56.16–$112.32 | $208–$416 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$622.08 | $2,304 | 0.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $558.09 | $2,067 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$535.41 | $1,983 | 0.1× |
| Artery X-Rays Adrenal Gland (75731) | $535.41 | $1,983 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$535.41 | $1,983 | 0.1× |
| Arthrogram ankle (73615) | $131.49 | $487 | 0.4× |
| Arthrogram hip (73525) | $201.96 | $748 | 0.6× |
| Arthrogram Wrist (73115) | $111.51 | $413 | 0.3× |
| Bone age studies (77072) | $33.48 | $124 | 0.3× |
| Bone Imaging 3 Phase (78315) | $349.11 | $1,293 | 0.9× |
| Bone Imaging Limited Area (78300) | $160.11 | $593 | 0.4× |
| Bone Imaging Whole Body (78306) | $288.36 | $1,068 | 0.8× |
| Brain imaging < 4 static views (78600) | $199.26 | $738 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $269.19 | $997 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $66.96 | $248 | 0.8× |
| Chest 1 view (71045) | $49.68 | $184 | 0.6× |
| Chest 2 views (71046) | $49.68 | $184 | 0.6× |
| Chest 3 views (71047) | $49.68 | $184 | 0.6× |
| Chest 4 or more views (71048) | $96.39 | $357 | 1.0× |
| Cisternography Positive Contrast Rs&I (70015) | $239.76 | $888 | 0.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$60.21–$120.42 | $223–$446 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $66.69 | $247 | 0.7× |
| Contrast Exam Abdominl Aorta (75625) | $622.35 | $2,305 | 0.2× |
| Contrast X-Ray Bladder (74430) | $113.40 | $420 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$149.58–$299.16 | $554–$1,108 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $107.73 | $399 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $614.25 | $2,275 | 1.9× |
| CT abdomen and pelvis without contrast (74176) | $422.28 | $1,564 | 1.9× |
| CT abdomen w contrast (74160) | $445.77 | $1,651 | 2.7× |
| CT abdomen w wo contrast (74170) | $614.25 | $2,275 | 3.7× |
| CT abdomen w/o contrast (74150) | $427.41 | $1,583 | 4.4× |
| CT Angio Abdomen and Pelvis (74174) | $916.65 | $3,395 | 2.8× |
| CT Angio Chest (71275) | $668.25 | $2,475 | 4.1× |
| CT Angio Head (70496) | $642.06 | $2,378 | 3.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$450.36–$900.72 | $1,668–$3,336 | varies |
| CT Angio Neck (70498) | $597.78 | $2,214 | 3.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $450.36 | $1,668 | 2.7× |
| CT bone density (77078) | $144.45 | $535 | 1.8× |
| CT cervical spine w/ contrast (72126) | $517.05 | $1,915 | 1.6× |
| CT cervical spine w/o contrast (72125) | $480.87 | $1,781 | 4.9× |
| CT cervical spine w/wo cont (72127) | $562.95 | $2,085 | 3.4× |
| CT chest w contrast (71260) | $472.23 | $1,749 | 2.9× |
| CT chest w/wo contrast (71270) | $547.02 | $2,026 | 3.3× |
| CT head/brain with contrast (70460) | $450.90 | $1,670 | 2.7× |
| CT head/brain without and with contrast (70470) | $508.95 | $1,885 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $48.60 | $180 | 0.6× |
| CT iac w contrast (70481) | $464.94 | $1,722 | 2.8× |
| CT l-spine w&w/o contrast (72133) | $640.71 | $2,373 | 3.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$425.79–$851.58 | $1,577–$3,154 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$421.47–$842.94 | $1,561–$3,122 | varies |
| CT lumbar spine w contrast (72132) | $592.38 | $2,194 | 1.8× |
| CT lumbar spine w/o contrast (72131) | $443.07 | $1,641 | 4.5× |
| CT maxillofacial w contrast (70487) | $541.62 | $2,006 | 3.3× |
| CT maxillofacial wo contrast (70486) | $563.22 | $2,086 | 5.7× |
| CT neck tissue combo (70492) | $510.84 | $1,892 | 3.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $435.24 | $1,612 | 2.6× |
| CT orbits w/o contrast (70480) | $409.86 | $1,518 | 4.2× |
| CT pelvis w&w/o contrast (72194) | $500.31 | $1,853 | 3.0× |
| CT pelvis w/o contrast (72192) | $440.37 | $1,631 | 4.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$541.62–$1,083.24 | $2,006–$4,012 | varies |
| CT scans face/jaw combo (70488) | $522.45 | $1,935 | 3.2× |
| CT soft tissue neck w contrast (70491) | $472.77 | $1,751 | 2.9× |
| CT soft tissue neck w/o contrast (70490) | $397.71 | $1,473 | 4.1× |
| CT thoracic spine w contrast (72129) | $541.62 | $2,006 | 3.3× |
| CT thoracic spine w/o contrast (72128) | $530.82 | $1,966 | 5.4× |
| CT thoracic spine w/wo cont (72130) | $611.55 | $2,265 | 3.7× |
| CT thorax w/o contrast (71250) | $443.07 | $1,641 | 4.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$433.35–$866.70 | $1,605–$3,210 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$519.48–$1,038.96 | $1,924–$3,848 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$519.48–$1,038.96 | $1,924–$3,848 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $645.57 | $2,391 | 3.9× |
| Cta Abdomen (74175) | $492.75 | $1,825 | 3.0× |
| CTA pelvis (72191) | $492.75 | $1,825 | 3.0× |
| Discography Cerv/Thor Spine (72285) | $438.21 | $1,623 | 0.2× |
| Diskography lumbar (72295) | $394.47 | $1,461 | 0.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $90.72 | $336 | 0.9× |
| Dxa Bone Density Axial (77080) | $45.36 | $168 | 0.5× |
| Dxa bone density study (77085) | $92.61 | $343 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $25.92 | $96 | 0.3× |
| Echograp Trans R Pros Study (76873) | $227.34 | $842 | 2.3× |
| Esophagram (74220) | $97.74 | $362 | 0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $88.29 | $327 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $67.77 | $251 | 0.3× |
| Follow-Up Angiography (75898) | $46.17 | $171 | 0.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$82.89–$165.78 | $307–$614 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$55.62–$111.24 | $206–$412 | varies |
| Gastric emptying imaging study (78264) | $236.25 | $875 | 0.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $269.46 | $998 | 0.7× |
| Gated Heart Planar Single (78472) | $663.93 | $2,459 | 1.8× |
| Gated Heart, Multiple (78473) | $269.46 | $998 | 0.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$50.76–$101.52 | $188–$376 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $535.41 | $1,983 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) | $213.57 | $791 | 0.4× |
| Hepatobiliary System Imaging (78226) | $260.82 | $966 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $377.19 | $1,397 | 0.3× |
| Hysterosalpingogram (74740) | $58.86 | $218 | 0.3× |
| Infusion Ivp (74410) | $155.52 | $576 | 0.9× |
| Joint Survey Single View (77077) | $69.93 | $259 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $201.96 | $748 | 0.4× |
| K Flow/Funct Image W/Drug (78708) | $315.36 | $1,168 | 0.6× |
| K Flow/Funct Image W/O Drug (78707) | $355.59 | $1,317 | 0.7× |
| Kidney Imaging Morphol (78700) | $222.48 | $824 | 0.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $256.23 | $949 | 0.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$68.85–$137.70 | $255–$510 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $340.20 | $1,260 | 0.9× |
| Liver imaging static only (78201) | $204.66 | $758 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $489.51 | $1,813 | 1.0× |
| Lymph System Imaging (78195) | $399.06 | $1,478 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $601.83 | $2,229 | 2.7× |
| Magnetic Resonance Elastography (76391) | $186.84 | $692 | 0.8× |
| Mammary ductogram or galactogram multiple (77054) | $222.75 | $825 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $222.75 | $825 | 1.0× |
| Meckels Divert Exam (78290) | $289.17 | $1,071 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,065.96 | $3,948 | 3.3× |
| MRA head w/o contrast (70544) | $564.30 | $2,090 | 2.5× |
| MRA head with contrast (70545) | $564.03 | $2,089 | 1.7× |
| MRA neck w contrast (70548) | $645.03 | $2,389 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,065.42 | $3,946 | 3.3× |
| MRA neck w/o contrast (70547) | $616.95 | $2,285 | 2.8× |
| MRI abdomen w contrast (74182) | $490.59 | $1,817 | 1.5× |
| MRI abdomen w/o contrast (74181) | $618.84 | $2,292 | 2.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$541.62–$1,083.24 | $2,006–$4,012 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,116.45–$2,232.90 | $4,135–$8,270 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$709.83–$1,419.66 | $2,629–$5,258 | varies |
| MRI cervical spine w contrast (72142) | $707.40 | $2,620 | 2.2× |
| MRI cervical spine w/o cont (72141) | $602.91 | $2,233 | 2.7× |
| MRI chest w/o contrast (71550) | $625.32 | $2,316 | 2.8× |
| MRI chest with contrast (71551) | $600.21 | $2,223 | 0.8× |
| MRI chest wo w contrast (71552) | $858.06 | $3,178 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$605.61–$1,211.22 | $2,243–$4,486 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,200.15 | $4,445 | 3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$584.55–$1,169.10 | $2,165–$4,330 | varies |
| MRI lumbar spine w contrast (72149) | $750.06 | $2,778 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,247.94 | $4,622 | 3.8× |
| MRI orbit face &/neck w/o contrast (70540) | $650.16 | $2,408 | 2.9× |
| MRI orbit face neck w contrast (70542) | $622.62 | $2,306 | 1.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $824.85 | $3,055 | 2.5× |
| MRI pelvis w contrast (72196) | $685.53 | $2,539 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $782.19 | $2,897 | 2.4× |
| MRI pelvis w/o contrast (72195) | $685.53 | $2,539 | 3.1× |
| MRI thoracic spine w/o contrast (72146) | $657.72 | $2,436 | 2.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$638.55–$1,277.10 | $2,365–$4,730 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$597.24–$1,194.48 | $2,212–$4,424 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,200.42 | $4,446 | 3.7× |
| MRI, abdomen, combo (74183) | $779.76 | $2,888 | 2.4× |
| MRI, dorsal spine combo (72157) | $1,247.94 | $4,622 | 3.8× |
| MRI, dorsal spine contrast (72147) | $652.05 | $2,415 | 2.0× |
| MRI, joint upper extrem (73221) | $564.03 | $2,089 | 2.5× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$779.22–$1,558.44 | $2,886–$5,772 | varies |
| MRI, lumbar spine combo (72158) | $1,234.98 | $4,574 | 3.8× |
| Myelogram cervical (72240) | $252.72 | $936 | 0.3× |
| Myelogram Lumbar (72265) | $287.55 | $1,065 | 0.4× |
| Myelography thoracic (72255) | $234.90 | $870 | 0.3× |
| Myelograpy 2/more regions rs&i (72270) | $333.99 | $1,237 | 0.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $314.28 | $1,164 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $756.81 | $2,803 | 0.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,168.83 | $4,329 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,168.83 | $4,329 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,823.04 | $6,752 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,228.04 | $8,252 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,228.04 | $8,252 | 1.6× |
| Neck soft tissue (70360) | $55.89 | $207 | 0.7× |
| Parathyroid Planar Imaging (78070) | $185.22 | $686 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $269.73 | $999 | 0.7× |
| Pelvis 1 or 2 views (72170) | $55.62 | $206 | 0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $535.41 | $1,983 | 0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $253.80 | $940 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $95.04 | $352 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $231.39 | $857 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$62.37–$124.74 | $231–$462 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$47.25–$94.50 | $175–$350 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$57.24–$114.48 | $212–$424 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $86.40 | $320 | 0.9× |
| Radex fingr minimum 2 views (73140) | $42.12 | $156 | 0.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$90.18–$180.36 | $334–$668 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$58.32–$116.64 | $216–$432 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$69.39–$138.78 | $257–$514 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $100.71 | $373 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $56.16 | $208 | 0.7× |
| Radex Ribs Unilateral 2 Views (71100) | $56.16 | $208 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$61.56–$123.12 | $228–$456 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $55.89 | $207 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $40.23 | $149 | 0.5× |
| Radex Sternum Minimum 2 Views (71120) | $73.71 | $273 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $95.04 | $352 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $39.42 | $146 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$52.65–$105.30 | $195–$390 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$62.37–$124.74 | $231–$462 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $183.06 | $678 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $85.86 | $318 | 0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $96.39 | $357 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $197.64 | $732 | 1.2× |
| Radiologic exam colon single contrast study (74270) | $127.44 | $472 | 0.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $147.69 | $547 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$71.82–$143.64 | $266–$532 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $62.10 | $230 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $112.05 | $415 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $86.94 | $322 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $147.69 | $547 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$49.14–$98.28 | $182–$364 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$61.02–$122.04 | $226–$452 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $96.39 | $357 | 1.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $73.71 | $273 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$61.56–$123.12 | $228–$456 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $34.02 | $126 | 0.1× |
| Ribs bilateral 3 views (71110) | $81.27 | $301 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $741.96 | $2,748 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $407.97 | $1,511 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,095.93 | $4,059 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $263.52 | $976 | 0.5× |
| Scapula (73010) range across 2 matching MRF lines |
$65.07–$130.14 | $241–$482 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $13.50 | $50 | 0.6× |
| Sella turcica (70240) | $58.32 | $216 | 0.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$57.24–$114.48 | $212–$424 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$166.32–$332.64 | $616–$1,232 | varies |
| Skull less than 4 views (70250) | $72.36 | $268 | 0.7× |
| Speech evaluation, complex (70371) | $123.12 | $456 | 0.5× |
| Spleen Imaging (78185) | $289.17 | $1,071 | 0.8× |
| Sternoclavicular joints (71130) | $59.40 | $220 | 0.7× |
| Tbs technical calculation only (77091) | $40.77 | $151 | 0.5× |
| Testicular Imaging W/Flow (78761) | $196.02 | $726 | 0.5× |
| Thoracic spine 2 views (72070) | $65.07 | $241 | 0.7× |
| Thoracic spine 3 views (72072) | $88.02 | $326 | 0.9× |
| Thoracolumbar 2 views (72080) | $89.10 | $330 | 1.1× |
| Thyroid Uptake Measurement (78012) | $105.30 | $390 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $144.18 | $534 | 0.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$71.01–$142.02 | $263–$526 | varies |
| Ultrasound elastography first target lesion (76982) | $91.26 | $338 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $91.26 | $338 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $91.26 | $338 | 0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $163.62 | $606 | 0.5× |
| Ultrasound, abdomen limited (76705) | $109.89 | $407 | 1.1× |
| Unlisted Dx Radiographic Procedure (76499) | $19.98 | $74 | 0.2× |
| Unlisted us procedure (76999) | $74.52 | $276 | 0.9× |
| Upper gi w/o kub (74240) | $81.54 | $302 | 0.5× |
| Urethrocystogram voiding (74455) | $169.02 | $626 | 0.8× |
| Urethrocystography retrograde (74450) | $169.02 | $626 | 0.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$79.92–$159.84 | $296–$592 | varies |
| Us chest (76604) | $92.07 | $341 | 0.9× |
| Us complete joint (76881) | $99.63 | $369 | 1.0× |
| Us exam, pelvic, limited (76857) | $86.13 | $319 | 0.9× |
| Us kidney transplant (76776) | $249.21 | $923 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $47.52 | $176 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $103.95 | $385 | 1.1× |
| Us ob transvaginal (76817) | $113.40 | $420 | 1.2× |
| Us pelvic non ob complete (76856) | $109.89 | $407 | 1.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $112.05 | $415 | 1.1× |
| Us retroperitoneal complete (76770) | $132.57 | $491 | 1.4× |
| Us retroperitoneal limited (76775) | $86.13 | $319 | 0.9× |
| Us scrotum and contents (76870) | $107.46 | $398 | 1.1× |
| Us spinal canal and contents (76800) | $90.72 | $336 | 0.9× |
| Us thyroid (76536) | $97.47 | $361 | 1.0× |
| Us transrectal (76872) | $113.40 | $420 | 1.2× |
| Vein X-Ray Chest (75827) | $536.49 | $1,987 | 0.4× |
| Venogram Sinus/Jugular (75860) | $622.35 | $2,305 | 0.2× |
| Venography Adrenal Unilateral (75840) | $2,244.78 | $8,314 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $535.41 | $1,983 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $240.57 | $891 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $95.85 | $355 | 0.1× |
| Venography Renal Bilateral (75833) | $535.41 | $1,983 | 0.2× |
| Venography Renal Unilateral (75831) | $535.41 | $1,983 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$535.41 | $1,983 | 0.1× |
| Venous thrombosis imaging (78457) | $247.59 | $917 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $316.71 | $1,173 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $25.92 | $96 | 0.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$51.57–$103.14 | $191–$382 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $76.95 | $285 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $133.92 | $496 | 0.4× |
| X-Ray Aorta Leg Arteries (75630) | $686.88 | $2,544 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) | $65.88 | $244 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$59.40–$118.80 | $220–$440 | varies |
| X-Ray Exam Breast Specimen (76098) | $29.16 | $108 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $49.14 | $182 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $81.54 | $302 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $92.61 | $343 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $49.14 | $182 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $49.14 | $182 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $91.26 | $338 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $81.54 | $302 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $81.54 | $302 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) | $106.65 | $395 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $69.66 | $258 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $105.03 | $389 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $31.59 | $117 | 0.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$50.22–$100.44 | $186–$372 | varies |
| X-ray humerus (73060) | $53.46 | $198 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $170.10 | $630 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $31.86 | $118 | 0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $40.77 | $151 | 0.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $76.68 | $284 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $88.02 | $326 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $131.76 | $488 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $67.50 | $250 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $54.81 | $203 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $58.32 | $216 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $75.87 | $281 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $107.46 | $398 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $42.12 | $156 | 0.4× |
| X-Ray Tmj Unilat (70328) | $58.59 | $217 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $259.20 | $960 | 0.8× |
| X-Rays Bone Length Studies (77073) | $62.37 | $231 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $91.26 | $338 | 0.9× |
| Xr c-spine 4 or 5 views (72050) | $92.34 | $342 | 0.9× |
| Xr facial bones less than 3 views (70140) | $56.43 | $209 | 0.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $53.19 | $197 | 0.5× |
| Xr orbits complete 4 views (70200) | $89.37 | $331 | 0.9× |
| Xr Tomogram Single Plane (76100) | $96.39 | $357 | 1.0× |
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.