Imaging prices at St. Joseph Memorial Hospital
Murphysboro, IL · every code in this section with a posted price and a Medicare benchmark.
395 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) | $10,373.60 | $12,967 | 7.0× |
| Abdomen 1 View (74018) | $478.40 | $598 | 5.1× |
| Abdomen 2 views (74019) | $684 | $855 | 6.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,217.60 | $1,522 | 2.8× |
| Angio internal mammary (75756) | $2,755.20 | $3,444 | 0.8× |
| Angio pulmonary bilat (75743) | $3,456 | $4,320 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,250.40 | $4,063 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,209.60–$6,405.60 | $5,262–$8,007 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,004–$5,048.80 | $5,005–$6,311 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,347.20 | $4,184 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,648 | $3,310 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$484–$968 | $605–$1,210 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,568.80 | $5,711 | 0.8× |
| Artery X-Rays Abdomen (75726) | $5,532 | $6,915 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $2,887.20 | $3,609 | 0.9× |
| Artery X-Rays Pelvis (75736) | $4,568.80 | $5,711 | 0.8× |
| Artery X-Rays Spine (75705) | $5,315.20 | $6,644 | 0.9× |
| Arthrogram ankle (73615) | $836.80 | $1,046 | 2.2× |
| Arthrogram hip (73525) | $1,246.40 | $1,558 | 3.3× |
| Arthrogram Wrist (73115) | $1,101.60 | $1,377 | 2.9× |
| Basic radiation dosimetry calculation (77300) | $1,332 | $1,665 | 9.2× |
| Bone age studies (77072) | $605.60 | $757 | 5.4× |
| Bone Imaging 3 Phase (78315) | $4,209.60 | $5,262 | 9.8× |
| Bone Imaging Limited Area (78300) | $2,192 | $2,740 | 5.1× |
| Bone Imaging Multiple Areas (78305) | $1,740.80 | $2,176 | 4.1× |
| Bone Imaging Whole Body (78306) | $3,432.80 | $4,291 | 8.0× |
| Bone survey infant (77076) | $256.80 | $321 | 2.3× |
| Brain Image W/Flow < 4 Views (78601) | $863.20 | $1,079 | 2.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $873.60 | $1,092 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,232 | $6,540 | 3.4× |
| Cat Scan Follow-Up Study (76380) | $436.80 | $546 | 4.7× |
| Cerebrospinal Fluid Scan (78630) | $2,136.80 | $2,671 | 3.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$260–$292.80 | $325–$366 | varies |
| Chest 2 views (71046) | $584.80 | $731 | 6.3× |
| Chest 3 views (71047) | $612.80 | $766 | 6.6× |
| Chest 4 or more views (71048) | $628 | $785 | 5.6× |
| Cholecystography Oral Contrast (74290) | $324 | $405 | 1.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $288.80 | $361 | 2.6× |
| Cisternography Positive Contrast Rs&I (70015) | $740 | $925 | 0.9× |
| Clavicle complete (73000) | $456.80 | $571 | 4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $832.80 | $1,041 | 7.4× |
| Continuing medical physics consltj pr wk (77336) | $1,175.20 | $1,469 | 8.2× |
| Contrast Exam Abdominl Aorta (75625) | $5,465.60 | $6,832 | 1.6× |
| Contrast X-Ray Bladder (74430) | $1,260 | $1,575 | 3.4× |
| Contrast X-Ray Of Elbow (73085) | $577.60 | $722 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,594.40 | $1,993 | 4.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $306.40 | $383 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $6,384 | $7,980 | 17.1× |
| CT abdomen and pelvis without contrast (74176) | $3,932.80 | $4,916 | 15.4× |
| CT abdomen w contrast (74160) | $3,159.20 | $3,949 | 16.8× |
| CT abdomen w wo contrast (74170) | $3,676 | $4,595 | 19.6× |
| CT abdomen w/o contrast (74150) | $3,029.60 | $3,787 | 27.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,836 | $6,045 | 12.9× |
| CT Angio Chest (71275) | $4,560.80 | $5,701 | 24.3× |
| CT Angio Head (70496) | $3,530.40 | $4,413 | 18.8× |
| CT angio hrt w/3d image (75574) | $3,557.60 | $4,447 | 9.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,765.60 | $5,957 | 25.4× |
| CT Angio Neck (70498) | $4,094.40 | $5,118 | 21.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,590.40 | $5,738 | 24.4× |
| CT cervical spine w/ contrast (72126) | $3,547.20 | $4,434 | 9.5× |
| CT cervical spine w/o contrast (72125) | $3,288.80 | $4,111 | 29.4× |
| CT cervical spine w/wo cont (72127) | $3,750.40 | $4,688 | 20.0× |
| CT chest w contrast (71260) | $3,418.40 | $4,273 | 18.2× |
| CT chest w/wo contrast (71270) | $3,676 | $4,595 | 19.6× |
| CT head/brain with contrast (70460) | $3,114.40 | $3,893 | 16.6× |
| CT head/brain without and with contrast (70470) | $3,804.80 | $4,756 | 20.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,751.20 | $3,439 | 7.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $254.40 | $318 | 2.7× |
| CT hrt w/3d image congen (75573) | $2,751.20 | $3,439 | 7.4× |
| CT iac w contrast (70481) | $2,985.60 | $3,732 | 15.9× |
| CT l-spine w&w/o contrast (72133) | $3,750.40 | $4,688 | 20.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,901.60–$5,803.20 | $3,627–$7,254 | varies |
| CT lower extremity w/contrast material (73701) | $3,423.20 | $4,279 | 18.2× |
| CT lumbar spine w contrast (72132) | $3,547.20 | $4,434 | 9.5× |
| CT lumbar spine w/o contrast (72131) | $3,288.80 | $4,111 | 29.4× |
| CT maxillofacial w contrast (70487) | $3,039.20 | $3,799 | 16.2× |
| CT maxillofacial wo contrast (70486) | $2,644.80 | $3,306 | 23.6× |
| CT neck tissue combo (70492) | $3,418.40 | $4,273 | 18.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,029.60 | $3,787 | 16.1× |
| CT orbits w/o contrast (70480) | $2,386.40 | $2,983 | 21.3× |
| CT pelvis w&w/o contrast (72194) | $3,496.80 | $4,371 | 18.6× |
| CT pelvis w/o contrast (72192) | $2,901.60 | $3,627 | 25.9× |
| CT scan of leg combo (73702) | $3,547.20 | $4,434 | 18.9× |
| CT scans face/jaw combo (70488) | $3,114.40 | $3,893 | 16.6× |
| CT soft tissue neck w contrast (70491) | $3,160 | $3,950 | 16.8× |
| CT soft tissue neck w/o contrast (70490) | $2,901.60 | $3,627 | 25.9× |
| CT thoracic spine w contrast (72129) | $3,114.40 | $3,893 | 16.6× |
| CT thoracic spine w/o contrast (72128) | $2,901.60 | $3,627 | 25.9× |
| CT thoracic spine w/wo cont (72130) | $3,750.40 | $4,688 | 20.0× |
| CT thorax w/o contrast (71250) | $2,772 | $3,465 | 24.7× |
| CT unlisted procedure (76497) | $436.80 | $546 | 4.7× |
| CT upper ext wo (73200) | $2,386.40 | $2,983 | 21.3× |
| CT upper extremity w/o & w/contrast material (73202) | $3,241.60 | $4,052 | 17.2× |
| CT upper extremity with contrast (73201) | $2,901.60 | $3,627 | 7.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,701.60 | $4,627 | 19.7× |
| Cta Abdomen (74175) | $3,575.20 | $4,469 | 19.0× |
| CTA pelvis (72191) | $4,519.20 | $5,649 | 24.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $377.60 | $472 | 1.5× |
| Dilation ureters/urethra rs&i (74485) | $1,857.60 | $2,322 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $3,252.80 | $4,066 | 1.6× |
| Diskography lumbar (72295) | $3,351.20 | $4,189 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $282.40 | $353 | 2.5× |
| Dxa Bone Density Axial (77080) | $704 | $880 | 6.3× |
| Dxa bone density study (77085) | $743.20 | $929 | 6.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $412.80 | $516 | 4.4× |
| Echo exam of fetal heart (76825) | $470.40 | $588 | 0.8× |
| Echo exam uterus (76831) | $1,460 | $1,825 | 5.7× |
| Echo Guide For Artery Repair (76936) | $684 | $855 | 3.0× |
| Esophagram (74220) | $1,408.80 | $1,761 | 7.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,720 | $2,150 | 15.4× |
| Fluoroscopy up to 1 hr (76000) | $696.80 | $871 | 2.7× |
| Follow-Up Angiography (75898) | $2,648 | $3,310 | 0.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$471.20–$942.40 | $589–$1,178 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$511.20–$1,022.40 | $639–$1,278 | varies |
| Gastric emptying imaging study (78264) | $2,405.60 | $3,007 | 5.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,076 | $1,345 | 2.5× |
| Gastroesophageal Reflux Exam (78262) | $1,326.40 | $1,658 | 3.1× |
| Gated Heart Planar Single (78472) | $3,267.20 | $4,084 | 7.6× |
| Gated Heart, Multiple (78473) | $638.40 | $798 | 1.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,193.60 | $5,242 | 7.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$548–$1,096 | $685–$1,370 | varies |
| Heart Image (Pet) Multiple (78492) | $7,972.80 | $9,966 | 5.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,636.80 | $4,546 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,040 | $3,800 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $3,986.40 | $4,983 | 6.9× |
| Hepatobiliary System Imaging (78226) | $3,376.80 | $4,221 | 7.9× |
| Ht Muscle Image Spect Sing (78451) | $2,717.60 | $3,397 | 2.0× |
| Hysterosalpingogram (74740) | $1,841.60 | $2,302 | 7.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,906.40 | $2,383 | 20.4× |
| Infant hip ultrasound, limited static exam (76886) | $417.60 | $522 | 4.5× |
| Infusion Ivp (74410) | $961.60 | $1,202 | 5.1× |
| Joint Survey Single View (77077) | $328 | $410 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $5,085.60 | $6,357 | 8.7× |
| K Flow/Funct Image W/Drug (78708) | $4,437.60 | $5,547 | 7.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,543.20 | $3,179 | 4.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$563.20–$1,126.40 | $704–$1,408 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,360.80 | $1,701 | 3.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,464.80 | $1,831 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,897.60 | $2,372 | 3.3× |
| Lung perfusion differential (78597) | $1,551.20 | $1,939 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,682.40 | $2,103 | 2.9× |
| Lung Ventilation Imaging (78579) | $839.20 | $1,049 | 2.0× |
| Lymph System Imaging (78195) | $2,668 | $3,335 | 4.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,592 | $3,240 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $4,779.20 | $5,974 | 18.7× |
| Mammary ductogram or galactogram multiple (77054) | $492.80 | $616 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $513.60 | $642 | 2.0× |
| Meckels Divert Exam (78290) | $2,164.80 | $2,706 | 5.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,308.80 | $4,136 | 8.2× |
| Mr safety determination physician/other qhp (76016) | $176 | $220 | 1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $48.80 | $61 | 1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.20 | $229 | 1.8× |
| Mr safety implt pos&/immoblj (76019) | $119.20 | $149 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $5,004.80 | $6,256 | 13.4× |
| MRA head w/o contrast (70544) | $3,343.20 | $4,179 | 13.1× |
| MRA head with contrast (70545) | $4,545.60 | $5,682 | 12.2× |
| MRA neck w contrast (70548) | $3,874.40 | $4,843 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,488.80 | $5,611 | 12.0× |
| MRA neck w/o contrast (70547) | $2,950.40 | $3,688 | 11.5× |
| MRI abdomen w contrast (74182) | $4,411.20 | $5,514 | 11.8× |
| MRI abdomen w/o contrast (74181) | $3,547.20 | $4,434 | 13.9× |
| MRI any jt lower extrem w/contrast material (73722) | $5,014.40 | $6,268 | 6.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,988.80–$9,977.60 | $6,236–$12,472 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,999.20 | $6,249 | 6.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,103.20 | $2,629 | 8.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,515.20 | $1,894 | 5.9× |
| MRI cervical spine w contrast (72142) | $5,470.40 | $6,838 | 14.6× |
| MRI cervical spine w/o cont (72141) | $3,773.60 | $4,717 | 14.8× |
| MRI chest w/o contrast (71550) | $3,852.80 | $4,816 | 15.1× |
| MRI chest with contrast (71551) | $5,368 | $6,710 | 6.4× |
| MRI chest wo w contrast (71552) | $4,596.80 | $5,746 | 12.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,505.60 | $5,632 | 12.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,056.80 | $6,321 | 13.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,543.20 | $4,429 | 13.9× |
| MRI lumbar spine w contrast (72149) | $5,328.80 | $6,661 | 14.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,268.80 | $6,586 | 14.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,810.40 | $2,263 | 7.1× |
| MRI orbit face neck w contrast (70542) | $4,123.20 | $5,154 | 11.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,697.60 | $5,872 | 12.6× |
| MRI pelvis w contrast (72196) | $4,660 | $5,825 | 12.5× |
| MRI pelvis w/o & w contrast (72197) | $5,315.20 | $6,644 | 14.2× |
| MRI pelvis w/o contrast (72195) | $3,616 | $4,520 | 14.1× |
| MRI thoracic spine w/o contrast (72146) | $3,671.20 | $4,589 | 14.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,054.40 | $6,318 | 13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,206.40 | $4,008 | 12.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,395.20 | $6,744 | 14.4× |
| MRI, abdomen, combo (74183) | $5,584.80 | $6,981 | 14.9× |
| MRI, dorsal spine combo (72157) | $5,525.60 | $6,907 | 14.8× |
| MRI, dorsal spine contrast (72147) | $4,432.80 | $5,541 | 11.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,799.20–$7,598.40 | $4,749–$9,498 | varies |
| MRI, joint upper extrem combo (73223) | $4,135.20 | $5,169 | 11.1× |
| MRI, lumbar spine combo (72158) | $5,852.80 | $7,316 | 15.7× |
| Myelogram cervical (72240) | $1,464 | $1,830 | 1.7× |
| Myelogram Lumbar (72265) | $912.80 | $1,141 | 1.1× |
| Myelography thoracic (72255) | $799.20 | $999 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,837.60 | $2,297 | 2.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,933.60 | $6,167 | 3.6× |
| Myocardial Spect Multiple Studies (78452) | $8,035.20 | $10,044 | 5.8× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $8,451.20 | $10,564 | 5.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $8,789.60 | $10,987 | 5.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $9,922.40 | $12,403 | 4.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $10,633.60 | $13,292 | 4.5× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $10,633.60 | $13,292 | 6.5× |
| Neck soft tissue (70360) | $481.60 | $602 | 5.2× |
| Nonvascular Shunt X-Ray (75809) | $144 | $180 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $11,118.40 | $13,898 | 7.5× |
| Nuclear Rx Oral Admin (79005) | $3,208 | $4,010 | 12.8× |
| Optic foramina (70190) | $228.80 | $286 | 2.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,188 | $3,985 | 5.5× |
| Parathyroid Planar Imaging (78070) | $1,435.20 | $1,794 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,976.80 | $3,721 | 6.9× |
| Pelvis 1 or 2 views (72170) | $460 | $575 | 4.1× |
| Pet Image Skull-Thigh (78812) | $4,933.60 | $6,167 | 3.2× |
| Pet Image W/Ct Lmtd (78814) | $7,156.80 | $8,946 | 4.7× |
| PET image w/CT, full body (78816) | $10,436.80 | $13,046 | 6.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,039.20 | $10,049 | 5.2× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,933.60 | $6,167 | 3.6× |
| Pet Myocardial Sngl Study (78491) | $4,655.20 | $5,819 | 3.0× |
| PET whole body (78813) | $4,933.60 | $6,167 | 3.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,040 | $3,800 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,599.20 | $1,999 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $860.80 | $1,076 | 7.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $687.20 | $859 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$548–$1,096 | $685–$1,370 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$809.60–$1,619.20 | $1,012–$2,024 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$537.60–$1,075.20 | $672–$1,344 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $596.80 | $746 | 5.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$672.80–$1,345.60 | $841–$1,682 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$569.60–$1,139.20 | $712–$1,424 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$615.20–$1,230.40 | $769–$1,538 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $303.20 | $379 | 3.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $354.40 | $443 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $548 | $685 | 5.9× |
| Radex Ribs Unilateral 2 Views (71100) | $796 | $995 | 8.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$641.60–$1,283.20 | $802–$1,604 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $339.20 | $424 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $449.60 | $562 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $244.80 | $306 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $985.60 | $1,232 | 10.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$408.80–$817.60 | $511–$1,022 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $797.60 | $997 | 7.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$549.60–$1,099.20 | $687–$1,374 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,561.60 | $11,952 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $1,782.40 | $2,228 | 16.3× |
| Radiation treatment delivery level 2 (77407) | $4,432 | $5,540 | 10.7× |
| Radiation treatment delivery level 3 (77412) | $4,432 | $5,540 | 7.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $551.20 | $689 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $832.80 | $1,041 | 7.4× |
| Radiologic exam colon double contrast study (74280) | $1,432 | $1,790 | 7.6× |
| Radiologic exam colon single contrast study (74270) | $1,020.80 | $1,276 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$660–$1,320 | $825–$1,650 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $705.60 | $882 | 6.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $898.40 | $1,123 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $812 | $1,015 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,204.80 | $1,506 | 6.4× |
| Radiologic examination femur 1 view (73551) | $744 | $930 | 8.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$480–$960 | $600–$1,200 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$503.20–$1,006.40 | $629–$1,258 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $288 | $360 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$560–$1,120 | $700–$1,400 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $479.20 | $599 | 0.8× |
| Renal Cyst Study (74470) | $871.20 | $1,089 | 1.5× |
| Ribs bilateral 3 views (71110) | $701.60 | $877 | 6.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,740.80 | $2,176 | 4.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,488 | $1,860 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,471.20 | $10,589 | 14.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,190.40 | $2,738 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,234.40 | $4,043 | 5.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,912 | $2,390 | 1.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,036.80 | $2,546 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,740.80 | $2,176 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $429.60 | $537 | 1.7× |
| Scapula (73010) | $587.20 | $734 | 5.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $79.20 | $99 | 3.4× |
| Sella turcica (70240) | $151.20 | $189 | 1.6× |
| Shoulder 1 view (73020) | $407.20 | $509 | 4.4× |
| Shoulder Arthrography (73040) | $1,527.20 | $1,909 | 4.1× |
| Sialogram (70390) | $377.60 | $472 | 1.5× |
| Skull less than 4 views (70250) | $647.20 | $809 | 5.8× |
| Special dosimetry (77331) | $635.20 | $794 | 4.4× |
| Special Physics Consult (77370) | $456 | $570 | 3.2× |
| Special teletherapy port plan (77321) | $1,488.80 | $1,861 | 3.7× |
| Special treatment procedure (77470) | $1,183.20 | $1,479 | 2.0× |
| Stereotactic Body Radiation Delivery (77373) | $6,146.40 | $7,683 | 3.2× |
| Sternoclavicular joints (71130) | $551.20 | $689 | 5.9× |
| Superior sagittal sinus venogram (75870) | $2,648 | $3,310 | 0.8× |
| Tbs technical calculation only (77091) | $176 | $220 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,563.20 | $3,204 | 6.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,538.40 | $1,923 | 3.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $423.20 | $529 | 1.7× |
| Testicular Imaging W/Flow (78761) | $895.20 | $1,119 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,668.80 | $3,336 | 6.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $780 | $975 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,383.20 | $1,729 | 9.6× |
| Thoracic spine 2 views (72070) | $664.80 | $831 | 5.9× |
| Thoracic spine 3 views (72072) | $1,088.80 | $1,361 | 9.7× |
| Thoracolumbar 2 views (72080) | $408 | $510 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,548.80 | $1,936 | 3.6× |
| Thyroid Met Imaging Body (78018) | $2,376 | $2,970 | 4.1× |
| Thyroid Uptake Measurement (78012) | $1,365.60 | $1,707 | 3.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,018.40 | $3,773 | 7.0× |
| Tx Devices Design & Construction Complex (77334) | $1,720 | $2,150 | 4.3× |
| Tx devices design & construction intermediate (77333) | $526.40 | $658 | 3.7× |
| Tx devices design & construction simple (77332) | $385.60 | $482 | 2.7× |
| Ultrasound Breast Limited (76642) | $675.20 | $844 | 7.2× |
| Ultrasound Exam Aaa Screen (76706) | $435.20 | $544 | 3.9× |
| Ultrasound, abdomen limited (76705) | $1,366.40 | $1,708 | 12.2× |
| Umbilical-artery Doppler (OB) (76820) | $313.60 | $392 | 2.8× |
| Unlisted Dx Radiographic Procedure (76499) | $160 | $200 | 1.7× |
| Unlisted fluoroscopic procedure (76496) | $263.20 | $329 | 2.8× |
| Unlisted magnetic resonance procedure (76498) | $2,033.60 | $2,542 | 21.8× |
| Upper gi w/o kub (74240) | $1,451.20 | $1,814 | 7.7× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $108 | $135 | 9.8× |
| Urea breath test c-14 isotopic analysis (78268) | $428.80 | $536 | 4.5× |
| Ureteral Reflux Study (78740) | $1,054.40 | $1,318 | 2.5× |
| Urethrocystogram voiding (74455) | $2,087.20 | $2,609 | 8.2× |
| Urethrocystography retrograde (74450) | $414.40 | $518 | 1.6× |
| Us breast unilateral complete (76641) | $1,196.80 | $1,496 | 10.7× |
| Us chest (76604) | $650.40 | $813 | 5.8× |
| Us complete joint (76881) | $1,236.80 | $1,546 | 11.0× |
| Us exam, pelvic, limited (76857) | $1,164 | $1,455 | 10.4× |
| Us head (76506) | $430.40 | $538 | 3.8× |
| Us kidney transplant (76776) | $505.60 | $632 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $725.60 | $907 | 6.5× |
| Us ob detailed single fetus (76811) | $1,191.20 | $1,489 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $888.80 | $1,111 | 7.9× |
| Us ob transvaginal (76817) | $589.60 | $737 | 5.3× |
| Us pelvic non ob complete (76856) | $1,243.20 | $1,554 | 11.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,213.60 | $1,517 | 10.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $507.20 | $634 | 4.5× |
| Us retroperitoneal complete (76770) | $1,313.60 | $1,642 | 11.7× |
| Us retroperitoneal limited (76775) | $421.60 | $527 | 3.8× |
| Us scrotum and contents (76870) | $1,243.20 | $1,554 | 11.1× |
| Us spinal canal and contents (76800) | $1,008 | $1,260 | 9.0× |
| Us thyroid (76536) | $1,784.80 | $2,231 | 15.9× |
| Us transrectal (76872) | $740.80 | $926 | 6.6× |
| Vascular Flow Imaging (78445) | $507.20 | $634 | 1.2× |
| Vasogram (74440) | $305.60 | $382 | 1.2× |
| Vein X-Ray Chest (75827) | $2,776 | $3,470 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,648 | $3,310 | 0.8× |
| Vein X-Ray Skull Epidural (75872) | $1,358.40 | $1,698 | 2.0× |
| Vein X-Ray Spleen/Liver (75810) | $3,040 | $3,800 | 0.9× |
| Venogram Sinus/Jugular (75860) | $2,755.20 | $3,444 | 0.8× |
| Venography Adrenal Unilateral (75840) | $3,040 | $3,800 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $4,108.80 | $5,136 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,621.60 | $2,027 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,808.80 | $2,261 | 1.1× |
| Venography Orbital Rs&I (75880) | $975.20 | $1,219 | 1.5× |
| Venography Renal Bilateral (75833) | $3,494.40 | $4,368 | 1.0× |
| Venography Renal Unilateral (75831) | $3,494.40 | $4,368 | 1.0× |
| Venous sampling by catheter (75893) | $4,568.80 | $5,711 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $680.80 | $851 | 1.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$484–$968 | $605–$1,210 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,046.40 | $1,308 | 11.2× |
| X-ray antegrade pyelogram tube (74425) | $442.40 | $553 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $5,002.40 | $6,253 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $461.60 | $577 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$471.20–$942.40 | $589–$1,178 | varies |
| X-Ray Exam Breast Specimen (76098) | $970.40 | $1,213 | 1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $436 | $545 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $577.60 | $722 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $380 | $475 | 4.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$499.20–$998.40 | $624–$1,248 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $522.40 | $653 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $592 | $740 | 5.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $591.20 | $739 | 5.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $755.20 | $944 | 6.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,645.60 | $2,057 | 14.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $894.40 | $1,118 | 9.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,373.60 | $1,717 | 12.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $796 | $995 | 7.1× |
| X-ray eye for foreign body (70030) | $372 | $465 | 4.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$471.20–$942.40 | $589–$1,178 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,972.80 | $2,466 | 10.5× |
| X-ray IV pyelogram+tomography (74415) | $1,386.40 | $1,733 | 7.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $428.80 | $536 | 4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $363.20 | $454 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $820 | $1,025 | 7.3× |
| X-ray nose-rectum child f.b. (76010) | $164.80 | $206 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,006.40 | $1,258 | 9.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $657.60 | $822 | 5.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $712 | $890 | 6.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $587.20 | $734 | 6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $823.20 | $1,029 | 8.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $798.40 | $998 | 7.1× |
| X-ray thoracic spine 4 vw (72074) | $1,060 | $1,325 | 9.5× |
| X-Ray Tmj Unilat (70328) | $403.20 | $504 | 4.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,768.80 | $2,211 | 4.7× |
| X-Rays Bone Length Studies (77073) | $605.60 | $757 | 5.4× |
| X-Rays Bone Survey Complete (77075) | $922.40 | $1,153 | 8.2× |
| Xr c-spine 4 or 5 views (72050) | $1,306.40 | $1,633 | 11.7× |
| Xr facial bones less than 3 views (70140) | $523.20 | $654 | 5.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $139.20 | $174 | 1.2× |
| Xr myelogram posterior fossa (70010) | $707.20 | $884 | 1.9× |
| Xr orbits complete 4 views (70200) | $543.20 | $679 | 4.8× |
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.