Imaging prices at St. Joseph's Hospital
Savannah, GA · every code in this section with a posted price and a Medicare benchmark.
363 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) | $3,748.80 | $12,496 | 3.1× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$143.40–$235.50 | $478–$785 | varies |
| Abdomen 2 views (74019) | $213.30 | $711 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,443.30 | $4,811 | 4.1× |
| Adrenal Cortex & Medulla Img (78075) | $7,602 | $25,340 | 6.7× |
| Angio pulmonary bilat (75743) | $1,738.20 | $5,794 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $1,678.20 | $5,594 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,480.80 | $4,936 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,718.30 | $9,061 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $383.70 | $1,279 | 0.1× |
| Ankle 2 views (73600) | $202.80 | $676 | 2.7× |
| Aortography thoracic serialography rs&i (75605) | $907.20 | $3,024 | 0.2× |
| Artery X-Rays Abdomen (75726) | $2,020.20 | $6,734 | 0.4× |
| Artery X-Rays Pelvis (75736) | $1,456.80 | $4,856 | 0.3× |
| Artery X-Rays Spine (75705) | $1,630.20 | $5,434 | 0.3× |
| Arthrogram ankle (73615) | $217.20 | $724 | 0.7× |
| Arthrogram hip (73525) | $296.10 | $987 | 1.0× |
| Arthrogram Wrist (73115) | $99.60 | $332 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $361.20 | $1,204 | 3.1× |
| Bone age studies (77072) | $133.20 | $444 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,113.30 | $3,711 | 3.2× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$539.70–$1,013.10 | $1,799–$3,377 | varies |
| Bone Imaging Multiple Areas (78305) | $2,106 | $7,020 | 6.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$571.80–$704.40 | $1,906–$2,348 | varies |
| Brachytx isodose complex (77318) | $1,365.60 | $4,552 | 4.2× |
| Brachytx isodose intermed (77317) | $1,092 | $3,640 | 3.3× |
| Brachytx Isodose Plan Simple (77316) | $865.50 | $2,885 | 2.6× |
| Brain Image W/Flow < 4 Views (78601) | $910.50 | $3,035 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,595.90 | $18,653 | 4.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $955.50 | $3,185 | 3.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,153.20 | $3,844 | 1.7× |
| Cardiac Shunt Detection (78428) | $865.50 | $2,885 | 2.5× |
| Cardiovasc nucl exam unlisted (78499) | $1,429.50 | $4,765 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $920.70 | $3,069 | 12.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $975 | $3,250 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $4,321.80 | $14,406 | 9.1× |
| Chest 1 view (71045) | $168.90 | $563 | 2.2× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$156–$178.80 | $520–$596 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $55.20 | $184 | 0.6× |
| Clavicle complete (73000) | $176.40 | $588 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $91.20 | $304 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $432.30 | $1,441 | 3.7× |
| Contrast Exam Abdominl Aorta (75625) | $1,587.60 | $5,292 | 0.6× |
| Contrast X-Ray Bladder (74430) | $394.80 | $1,316 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $105 | $350 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $312.30 | $1,041 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,653 | $5,510 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,282.50 | $4,275 | 6.1× |
| CT abdomen w contrast (74160) | $862.20 | $2,874 | 5.6× |
| CT abdomen w wo contrast (74170) | $957.90 | $3,193 | 6.2× |
| CT abdomen w/o contrast (74150) | $852 | $2,840 | 9.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,596 | $5,320 | 5.2× |
| CT Angio Chest (71275) | $1,223.10 | $4,077 | 8.0× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$975.90–$1,126.50 | $3,253–$3,755 | varies |
| CT angio hrt w/3d image (75574) range across 5 matching MRF lines |
$912–$1,347.60 | $3,040–$4,492 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$912–$1,184.40 | $3,040–$3,948 | varies |
| CT Angio Neck (70498) | $975.90 | $3,253 | 6.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $912 | $3,040 | 5.9× |
| CT cervical spine w/ contrast (72126) | $598.50 | $1,995 | 2.0× |
| CT cervical spine w/o contrast (72125) | $465.30 | $1,551 | 5.1× |
| CT cervical spine w/wo cont (72127) | $272.40 | $908 | 1.8× |
| CT chest w contrast (71260) | $735.60 | $2,452 | 4.8× |
| CT chest w/wo contrast (71270) | $889.20 | $2,964 | 5.8× |
| CT head/brain with contrast (70460) | $612.90 | $2,043 | 4.0× |
| CT head/brain without and with contrast (70470) | $726.60 | $2,422 | 4.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $882 | $2,940 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$30–$296.70 | $100–$989 | varies |
| CT iac w contrast (70481) | $803.10 | $2,677 | 5.2× |
| CT l-spine w&w/o contrast (72133) | $1,083 | $3,610 | 7.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$384.60–$544.20 | $1,282–$1,814 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$662.40–$728.40 | $2,208–$2,428 | varies |
| CT lumbar spine w contrast (72132) | $583.20 | $1,944 | 1.9× |
| CT lumbar spine w/o contrast (72131) | $451.50 | $1,505 | 4.9× |
| CT maxillofacial w contrast (70487) | $767.40 | $2,558 | 5.0× |
| CT maxillofacial wo contrast (70486) | $565.20 | $1,884 | 6.2× |
| CT neck tissue combo (70492) | $936.90 | $3,123 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $926.40 | $3,088 | 6.0× |
| CT orbits w/o contrast (70480) | $540.60 | $1,802 | 5.9× |
| CT pelvis w&w/o contrast (72194) | $930.90 | $3,103 | 6.1× |
| CT pelvis w/o contrast (72192) | $441.60 | $1,472 | 4.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$855–$1,387.20 | $2,850–$4,624 | varies |
| CT scans face/jaw combo (70488) | $792 | $2,640 | 5.2× |
| CT soft tissue neck w contrast (70491) | $824.10 | $2,747 | 5.4× |
| CT soft tissue neck w/o contrast (70490) | $587.40 | $1,958 | 6.4× |
| CT thoracic spine w contrast (72129) | $583.50 | $1,945 | 3.8× |
| CT thoracic spine w/o contrast (72128) | $463.80 | $1,546 | 5.1× |
| CT thoracic spine w/wo cont (72130) | $254.70 | $849 | 1.7× |
| CT thorax w/o contrast (71250) | $445.20 | $1,484 | 4.9× |
| CT unlisted procedure (76497) | $445.20 | $1,484 | 5.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$391.80–$533.10 | $1,306–$1,777 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$997.50–$2,002.50 | $3,325–$6,675 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$562.50–$891.60 | $1,875–$2,972 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,469.10 | $4,897 | 9.6× |
| Cta Abdomen (74175) | $912 | $3,040 | 5.9× |
| CTA pelvis (72191) | $1,356.30 | $4,521 | 8.8× |
| Dilation ureters/urethra rs&i (74485) | $879.90 | $2,933 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $1,215.60 | $4,052 | 0.7× |
| Diskography lumbar (72295) | $1,823.40 | $6,078 | 1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $80.70 | $269 | 0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $170.10 | $567 | 1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $84.90 | $283 | 0.9× |
| Dxa Bone Density Axial (77080) | $68.40 | $228 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $66.30 | $221 | 0.9× |
| Echo exam of fetal heart (76825) | $472.50 | $1,575 | 1.0× |
| Echo exam uterus (76831) | $318 | $1,060 | 1.5× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$142.20–$324 | $474–$1,080 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $179.70 | $599 | 0.9× |
| Echograp Trans R Pros Study (76873) | $117.30 | $391 | 1.3× |
| Esophagram (74220) | $166.80 | $556 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $80.70 | $269 | 0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $275.70 | $919 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $638.10 | $2,127 | 3.1× |
| Follow-Up Angiography (75898) | $1,086.30 | $3,621 | 0.4× |
| Foot 2 views (73620) | $207 | $690 | 2.7× |
| Forearm 2 views (73090) | $186.30 | $621 | 2.4× |
| Gastric emptying imaging study (78264) | $1,137.90 | $3,793 | 3.2× |
| Gated Heart Planar Single (78472) | $878.70 | $2,929 | 2.5× |
| Hand 2 views (73120) | $178.20 | $594 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,811.40 | $6,038 | 3.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,374 | $4,580 | 2.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $973.50 | $3,245 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $891 | $2,970 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,087.20 | $3,624 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,244.10 | $4,147 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,244.10 | $4,147 | 3.6× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,842.50 | $193–$9,475 | 2.5× |
| Hysterosalpingogram (74740) | $245.10 | $817 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $326.40 | $1,088 | 4.3× |
| Interstitial radiation source applic complex (77778) range across 5 matching MRF lines |
$356.10–$1,629.30 | $1,187–$5,431 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 5 matching MRF lines |
$250.20–$1,850.70 | $834–$6,169 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,479.90 | $4,933 | 3.1× |
| Intracavitary radiation source applic simple (77761) | $1,426.80 | $4,756 | 2.9× |
| Joint Survey Single View (77077) | $230.10 | $767 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $924.30 | $3,081 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $963.60 | $3,212 | 2.0× |
| Kidney Imaging Morphol (78700) | $1,435.80 | $4,786 | 4.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$174–$355.20 | $580–$1,184 | varies |
| Liver & Spleen Imaging Static Only (78215) | $549.90 | $1,833 | 1.6× |
| Liver imaging static only (78201) | $374.70 | $1,249 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $652.50 | $2,175 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $806.40 | $2,688 | 1.7× |
| Lung Ventilation Imaging (78579) | $488.40 | $1,628 | 1.4× |
| Lymph System Imaging (78195) | $896.40 | $2,988 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,325.10 | $4,417 | 6.3× |
| Mammary ductogram or galactogram multiple (77054) | $238.50 | $795 | 1.1× |
| Mammary ductogram or galactogram single (77053) | $266.40 | $888 | 1.3× |
| Meckels Divert Exam (78290) | $1,521.60 | $5,072 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $978.30 | $3,261 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,199.40 | $3,998 | 3.9× |
| MRA head w/o contrast (70544) | $576.30 | $1,921 | 2.8× |
| MRA head with contrast (70545) | $769.80 | $2,566 | 2.5× |
| MRA neck w contrast (70548) | $1,150.80 | $3,836 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,196.40 | $3,988 | 3.9× |
| MRA neck w/o contrast (70547) | $560.70 | $1,869 | 2.7× |
| MRI abdomen w contrast (74182) | $1,137 | $3,790 | 3.7× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,011.60–$1,529.10 | $3,372–$5,097 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,488.60–$1,852.50 | $4,962–$6,175 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,613.70–$1,995 | $5,379–$6,650 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,179.90 | $3,933 | 1.7× |
| MRI brain functional w/o physician admnistration (70554) | $654 | $2,180 | 3.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,855.50 | $6,185 | 8.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $927.90 | $3,093 | 4.4× |
| MRI cardiac w/o cont stress (75559) | $964.20 | $3,214 | 2.0× |
| MRI cardiac w/o contrast (75557) | $683.10 | $2,277 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,170.60 | $3,902 | 3.8× |
| MRI cervical spine w/o cont (72141) | $654 | $2,180 | 3.1× |
| MRI chest w/o contrast (71550) | $1,008.60 | $3,362 | 4.8× |
| MRI chest with contrast (71551) | $449.40 | $1,498 | 0.7× |
| MRI chest wo w contrast (71552) | $1,773.60 | $5,912 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$464.40–$928.50 | $1,548–$3,095 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,527–$1,679.70 | $5,090–$5,599 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$824.10–$906.60 | $2,747–$3,022 | varies |
| MRI lumbar spine w contrast (72149) | $1,090.20 | $3,634 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,561.80 | $5,206 | 5.1× |
| MRI orbit face &/neck w/o contrast (70540) | $902.70 | $3,009 | 4.3× |
| MRI orbit face neck w contrast (70542) | $1,053.60 | $3,512 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,835.10 | $6,117 | 6.0× |
| MRI pelvis w contrast (72196) | $1,435.50 | $4,785 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $1,752.30 | $5,841 | 5.7× |
| MRI pelvis w/o contrast (72195) | $861.60 | $2,872 | 4.1× |
| MRI spectroscopy (76390) | $1,528.80 | $5,096 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $718.50 | $2,395 | 3.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$464.40–$928.50 | $1,548–$3,095 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$647.70–$819.30 | $2,159–$2,731 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,161–$1,653 | $3,870–$5,510 | varies |
| MRI, abdomen, combo (74183) | $1,740.30 | $5,801 | 5.7× |
| MRI, dorsal spine combo (72157) | $1,561.80 | $5,206 | 5.1× |
| MRI, dorsal spine contrast (72147) | $1,448.70 | $4,829 | 4.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$803.10–$912 | $2,677–$3,040 | varies |
| MRI, joint upper extrem combo (73223) | $1,470 | $4,900 | 4.8× |
| MRI, lumbar spine combo (72158) | $1,320.30 | $4,401 | 4.3× |
| Myelogram cervical (72240) | $1,576.20 | $5,254 | 2.3× |
| Myelogram Lumbar (72265) | $1,567.50 | $5,225 | 2.3× |
| Myelography thoracic (72255) | $1,588.80 | $5,296 | 2.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,706.10 | $5,687 | 2.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,115.40 | $3,718 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$71.10–$2,846.40 | $237–$9,488 | varies |
| Neck soft tissue (70360) | $134.70 | $449 | 1.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $621.60 | $2,072 | 1.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,127.10 | $3,757 | 3.2× |
| Nm csf leak detection (78650) | $625.20 | $2,084 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $249.90 | $833 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,905.40 | $13,018 | 3.2× |
| Nuclear Rx Intra-Arterial (79445) | $4,499.70 | $14,999 | 22.0× |
| Nuclear Rx Oral Admin (79005) | $1,040.40 | $3,468 | 5.1× |
| Ob us nuchal meas 1 gest (76813) | $80.70 | $269 | 0.9× |
| Panoramic X-ray of jaws (70355) | $182.10 | $607 | 2.4× |
| Parathyroid Planar Imaging (78070) | $1,107.60 | $3,692 | 3.2× |
| Pelvis 1 or 2 views (72170) | $204.60 | $682 | 2.2× |
| Peritoneogram Rs&I (74190) | $574.50 | $1,915 | 1.2× |
| Pet Image Skull-Thigh (78812) | $1,321.50 | $4,405 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $2,722.20 | $9,074 | 2.2× |
| PET image w/CT, full body (78816) | $3,024.90 | $10,083 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,866.20 | $9,554 | 2.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,746 | $5,820 | 1.5× |
| PET whole body (78813) | $1,321.50 | $4,405 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,899.20 | $9,664 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $383.10 | $1,277 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $253.50 | $845 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $246.60 | $822 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $196.50 | $655 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $210.30 | $701 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $213.90 | $713 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $195 | $650 | 2.1× |
| Radex fingr minimum 2 views (73140) | $164.40 | $548 | 2.2× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$218.10–$264 | $727–$880 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$182.70–$221.10 | $609–$737 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$202.20–$300 | $674–$1,000 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $133.20 | $444 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $211.50 | $705 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$177.90–$347.70 | $593–$1,159 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $194.10 | $647 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $120.30 | $401 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $216.60 | $722 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $262.20 | $874 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $171.90 | $573 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $159 | $530 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $175.80 | $586 | 2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,437.10 | $41,457 | 1.9× |
| Radiation treatment delivery level 1 (77402) | $391.80 | $1,306 | 4.4× |
| Radiation treatment delivery level 3 (77412) | $547.80 | $1,826 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $191.10 | $637 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $345.30 | $1,151 | 2.2× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$227.40–$363.30 | $758–$1,211 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $195 | $650 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $214.80 | $716 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,037.70 | $3,459 | 6.8× |
| Radiologic exam swallow function contrast study (74230) | $226.20 | $754 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$194.10–$195 | $647–$650 | varies |
| Radiologic examination femur 1 view (73551) | $183.90 | $613 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$193.50–$224.70 | $645–$749 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$182.40–$273.30 | $608–$911 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$201–$300 | $670–$1,000 | varies |
| Renal Cyst Study (74470) | $2,538.60 | $8,462 | 5.3× |
| Ribs bilateral 3 views (71110) | $208.50 | $695 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$431.40–$611.10 | $1,438–$2,037 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,626.30 | $5,421 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,385.10 | $4,617 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$586.80–$1,766.40 | $1,956–$5,888 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,781.40 | $5,938 | 8.7× |
| Rp Therapy Intravenous Administration (79101) | $324.30 | $1,081 | 1.6× |
| Scapula (73010) | $187.80 | $626 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $42.90 | $143 | 1.8× |
| Shoulder 1 view (73020) | $116.70 | $389 | 1.5× |
| Shoulder Arthrography (73040) | $297.30 | $991 | 1.0× |
| Sialogram (70390) | $408.30 | $1,361 | 2.0× |
| Skull less than 4 views (70250) | $198.60 | $662 | 2.2× |
| Special dosimetry (77331) | $273.90 | $913 | 2.3× |
| Special Physics Consult (77370) | $348.60 | $1,162 | 3.0× |
| Special teletherapy port plan (77321) | $755.40 | $2,518 | 2.3× |
| Special treatment procedure (77470) | $1,599 | $5,330 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $7,890.30 | $26,301 | 5.0× |
| Sternoclavicular joints (71130) | $44.40 | $148 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,217.10 | $4,057 | 3.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $901.50 | $3,005 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,166.70 | $3,889 | 3.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $854.10 | $2,847 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $606.90 | $2,023 | 5.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $198.30 | $661 | 1.3× |
| Thoracic spine 2 views (72070) | $270 | $900 | 2.9× |
| Thoracic spine 3 views (72072) | $224.70 | $749 | 2.5× |
| Thoracolumbar 2 views (72080) | $241.80 | $806 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $432.90 | $1,443 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,293 | $4,310 | 2.7× |
| Thyroid Uptake Measurement (78012) | $2,116.50 | $7,055 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $574.20 | $1,914 | 1.6× |
| Tx Devices Design & Construction Complex (77334) | $768.90 | $2,563 | 2.3× |
| Tx devices design & construction intermediate (77333) | $530.10 | $1,767 | 4.5× |
| Tx devices design & construction simple (77332) | $332.10 | $1,107 | 2.8× |
| Ultrasound Breast Limited (76642) | $259.80 | $866 | 3.4× |
| Ultrasound Elastography Parenchyma (76981) | $77.40 | $258 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) | $215.70 | $719 | 2.4× |
| Ultrasound, abdomen limited (76705) | $222.60 | $742 | 2.4× |
| Umbilical-artery Doppler (OB) (76820) | $91.50 | $305 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $82.20 | $274 | 1.1× |
| Unlisted magnetic resonance procedure (76498) | $1,507.20 | $5,024 | 19.8× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$195–$1,036.20 | $650–$3,454 | varies |
| Ureteral Reflux Study (78740) | $715.80 | $2,386 | 2.0× |
| Urethrocystogram voiding (74455) | $246.60 | $822 | 1.2× |
| Urethrocystography retrograde (74450) | $246.60 | $822 | 1.2× |
| Us breast unilateral complete (76641) | $281.10 | $937 | 3.1× |
| Us chest (76604) range across 4 matching MRF lines |
$27.60–$236.40 | $92–$788 | varies |
| Us complete joint (76881) | $283.20 | $944 | 3.1× |
| Us exam, pelvic, limited (76857) | $319.50 | $1,065 | 3.5× |
| Us head (76506) | $249 | $830 | 2.7× |
| Us kidney transplant (76776) | $214.80 | $716 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$204.30–$204.60 | $681–$682 | varies |
| Us ob detailed single fetus (76811) | $179.70 | $599 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $179.40 | $598 | 2.0× |
| Us ob transvaginal (76817) | $235.50 | $785 | 2.6× |
| Us pelvic non ob complete (76856) | $215.10 | $717 | 2.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $263.40 | $878 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $214.80 | $716 | 2.3× |
| Us retroperitoneal complete (76770) | $292.20 | $974 | 3.2× |
| Us retroperitoneal limited (76775) | $216.60 | $722 | 2.4× |
| Us scrotum and contents (76870) | $362.10 | $1,207 | 4.0× |
| Us spinal canal and contents (76800) | $327 | $1,090 | 3.6× |
| Us thyroid (76536) | $231.60 | $772 | 2.5× |
| Us transrectal (76872) | $159.60 | $532 | 1.7× |
| Vein X-Ray Chest (75827) | $1,143.60 | $3,812 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $422.70 | $1,409 | 0.2× |
| Venogram Sinus/Jugular (75860) | $202.20 | $674 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $1,111.80 | $3,706 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $1,308.30 | $4,361 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $780 | $2,600 | 0.6× |
| Venography Renal Bilateral (75833) | $2,178.30 | $7,261 | 0.8× |
| Venography Renal Unilateral (75831) | $2,041.50 | $6,805 | 0.7× |
| Venous sampling by catheter (75893) | $869.40 | $2,898 | 0.2× |
| Wrist 2 views (73100) | $202.50 | $675 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $130.50 | $435 | 1.7× |
| X-ray antegrade pyelogram tube (74425) | $1,506.90 | $5,023 | 4.9× |
| X-Ray Aorta Leg Arteries (75630) | $1,563.30 | $5,211 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $206.70 | $689 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $151.50 | $505 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $238.80 | $796 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $210 | $700 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$215.70–$261.30 | $719–$871 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $234.60 | $782 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $314.70 | $1,049 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $352.80 | $1,176 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $382.50 | $1,275 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $222.30 | $741 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $225.90 | $753 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $228.30 | $761 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$211.50–$255.90 | $705–$853 | varies |
| X-ray humerus (73060) | $200.10 | $667 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $425.40 | $1,418 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $230.40 | $768 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $215.70 | $719 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $285 | $950 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $139.20 | $464 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $212.40 | $708 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $174.30 | $581 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $214.80 | $716 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $234.60 | $782 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $208.50 | $695 | 2.3× |
| X-Ray Tmj Unilat (70328) | $243.60 | $812 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $263.70 | $879 | 0.9× |
| X-Rays Bone Length Studies (77073) | $172.20 | $574 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $362.40 | $1,208 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $177.90 | $593 | 1.9× |
| Xr facial bones less than 3 views (70140) | $103.20 | $344 | 1.4× |
| Xr orbits complete 4 views (70200) | $203.40 | $678 | 2.2× |
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.