Imaging prices at St. Lukes Hospital
Cedar Rapids, IA · every code in this section with a posted price and a Medicare benchmark.
397 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) | $6,238.73 | $7,798.41 | 4.7× |
| Abdomen 1 View (74018) | $207.13 | $258.91 | 2.5× |
| Abdomen 2 views (74019) | $266.75 | $333.43 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,069.87 | $1,337.33 | 2.8× |
| Adrenal Cortex & Medulla Img (78075) | $2,130.07 | $2,662.58 | 1.7× |
| Angio internal mammary (75756) | $1,264.64 | $1,580.79 | 0.4× |
| Angio pulmonary bilat (75743) | $1,629.12 | $2,036.40 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,573.86 | $3,217.32 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,414.78 | $3,018.47 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,022.05 | $1,277.56 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,736.47 | $2,170.58 | 0.6× |
| Ankle 2 views (73600) | $245.25 | $306.56 | 2.9× |
| Aortography thoracic serialography rs&i (75605) | $2,773.30 | $3,466.62 | 0.5× |
| Artery X-Rays Abdomen (75726) | $2,773.30 | $3,466.62 | 0.5× |
| Artery X-Rays Pelvis (75736) | $3,547.87 | $4,434.83 | 0.7× |
| Artery X-Rays Spine (75705) | $5,151.33 | $6,439.16 | 1.0× |
| Arthrogram ankle (73615) | $734.43 | $918.03 | 2.2× |
| Arthrogram hip (73525) | $734.43 | $918.03 | 2.2× |
| Arthrogram Wrist (73115) | $275.15 | $343.93 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $450.43 | $563.03 | 3.5× |
| Bone age studies (77072) | $261.05 | $326.31 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,247.36 | $1,559.20 | 3.2× |
| Bone Imaging Limited Area (78300) | $667.57 | $834.46 | 1.7× |
| Bone Imaging Multiple Areas (78305) | $962.78 | $1,203.47 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,142.21 | $1,427.76 | 3.0× |
| Bone marrow imaging; multiple areas (78103) | $848.95 | $1,061.18 | 2.2× |
| Bone survey infant (77076) | $381.97 | $477.46 | 3.8× |
| Brachytx isodose complex (77318) | $1,157.65 | $1,447.06 | 3.2× |
| Brain Image W/Flow < 4 Views (78601) | $736.08 | $920.09 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,234.83 | $1,543.53 | 2.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,576.16 | $4,470.20 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,818.16 | $2,272.70 | 5.4× |
| Cardiovasc nucl exam unlisted (78499) | $1,384.34 | $1,730.42 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $889.22 | $1,111.52 | 10.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $811.32 | $1,014.15 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,368.92 | $1,711.15 | 2.6× |
| Chest 1 view (71045) | $250.83 | $313.53 | 3.0× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$88–$303.24 | $110–$379.05 | varies |
| Chest 3 views (71047) | $337.64 | $422.05 | 4.0× |
| Chest 4 or more views (71048) | $361.77 | $452.21 | 3.6× |
| Cholecystography Oral Contrast (74290) | $301.08 | $376.35 | 1.8× |
| Cisternography Positive Contrast Rs&I (70015) | $1,302.36 | $1,627.94 | 1.7× |
| Clavicle complete (73000) | $297.22 | $371.52 | 3.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,202.56 | $1,503.20 | 11.9× |
| Continuing medical physics consltj pr wk (77336) | $250.83 | $313.53 | 1.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,471.88 | $3,089.85 | 0.8× |
| Contrast X-Ray Bladder (74430) | $487.01 | $608.76 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $734.43 | $918.03 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $734.43 | $918.03 | 2.2× |
| Corpora cavernosography (74445) | $487.01 | $608.76 | 4.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,033.02 | $5,041.27 | 12.0× |
| CT abdomen and pelvis without contrast (74176) | $3,058.32 | $3,822.90 | 13.3× |
| CT abdomen w contrast (74160) | $1,977.97 | $2,472.46 | 11.7× |
| CT abdomen w wo contrast (74170) | $2,339.29 | $2,924.11 | 13.8× |
| CT abdomen w/o contrast (74150) | $1,573.53 | $1,966.91 | 15.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,951.82 | $4,939.77 | 11.7× |
| CT Angio Chest (71275) | $2,457.32 | $3,071.65 | 14.5× |
| CT Angio Head (70496) | $2,152.36 | $2,690.44 | 12.7× |
| CT angio hrt w/3d image (75574) | $2,463.48 | $3,079.34 | 7.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,211.52 | $2,764.39 | 13.0× |
| CT Angio Neck (70498) | $2,152.36 | $2,690.44 | 12.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,873.25 | $2,341.56 | 11.0× |
| CT bone density (77078) | $387.62 | $484.52 | 4.6× |
| CT cervical spine w/ contrast (72126) | $1,904.06 | $2,380.07 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,763.42 | $2,204.27 | 17.4× |
| CT cervical spine w/wo cont (72127) | $1,987.19 | $2,483.98 | 11.7× |
| CT chest w contrast (71260) | $1,844.52 | $2,305.64 | 10.9× |
| CT chest w/wo contrast (71270) | $2,050.84 | $2,563.55 | 12.1× |
| CT colonography screening (74263) | $726.07 | $907.58 | 3.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $679.61 | $849.51 | 4.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $679.61 | $849.51 | 6.7× |
| CT head/brain with contrast (70460) | $1,562.24 | $1,952.80 | 9.2× |
| CT head/brain without and with contrast (70470) | $1,816.96 | $2,271.20 | 10.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,155.52 | $2,694.40 | 6.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $79.20 | $99 | 0.9× |
| CT hrt w/3d image congen (75573) | $2,170.67 | $2,713.33 | 6.4× |
| CT iac w contrast (70481) | $1,521.58 | $1,901.97 | 9.0× |
| CT l-spine w&w/o contrast (72133) | $2,121.68 | $2,652.09 | 12.5× |
| CT lower ext w/o (73700) | $1,486.30 | $1,857.87 | 14.7× |
| CT lower extremity w/contrast material (73701) | $1,844.52 | $2,305.64 | 10.9× |
| CT lumbar spine w contrast (72132) | $1,932.25 | $2,415.31 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,833.23 | $2,291.53 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,601.82 | $2,002.27 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,324.60 | $1,655.74 | 13.1× |
| CT neck tissue combo (70492) | $1,723.14 | $2,153.92 | 10.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,765.64 | $2,207.05 | 10.4× |
| CT orbits w/o contrast (70480) | $1,269.59 | $1,586.98 | 12.6× |
| CT pelvis w&w/o contrast (72194) | $2,097.14 | $2,621.42 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,488.35 | $1,860.43 | 14.7× |
| CT scan of leg combo (73702) | $1,844.52 | $2,305.64 | 10.9× |
| CT scans face/jaw combo (70488) | $1,741.72 | $2,177.15 | 10.3× |
| CT soft tissue neck w contrast (70491) | $1,532.09 | $1,915.11 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,293.31 | $1,616.63 | 12.8× |
| CT thoracic spine w contrast (72129) | $1,947.16 | $2,433.95 | 11.5× |
| CT thoracic spine w/o contrast (72128) | $1,627.93 | $2,034.91 | 16.1× |
| CT thoracic spine w/wo cont (72130) | $2,207.40 | $2,759.25 | 13.0× |
| CT thorax w/o contrast (71250) | $1,443.18 | $1,803.97 | 14.3× |
| CT unlisted procedure (76497) | $298.79 | $373.48 | 3.6× |
| CT upper ext wo (73200) | $1,468.84 | $1,836.05 | 14.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,649.88 | $2,062.35 | 9.7× |
| CT upper extremity with contrast (73201) | $1,737.77 | $2,172.21 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,455.25 | $3,069.06 | 14.5× |
| Cta Abdomen (74175) | $2,365.66 | $2,957.07 | 13.9× |
| CTA pelvis (72191) | $2,320.78 | $2,900.97 | 13.7× |
| Dilation ureters/urethra rs&i (74485) | $1,396.37 | $1,745.46 | 0.7× |
| Discography Cerv/Thor Spine (72285) | $3,834.20 | $4,792.75 | 2.0× |
| Diskography lumbar (72295) | $1,976.97 | $2,471.21 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $280.98 | $351.22 | 2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $252.67 | $315.83 | 2.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $329.50 | $411.87 | 3.3× |
| Dxa Bone Density Axial (77080) | $470.12 | $587.65 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111.88 | $139.85 | 1.3× |
| Echo exam of fetal heart (76825) | $1,461.41 | $1,826.76 | 2.8× |
| Echo exam uterus (76831) | $536.40 | $670.49 | 2.3× |
| Echo Guide For Artery Repair (76936) | $1,366.79 | $1,708.48 | 6.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $515.13 | $643.91 | 2.2× |
| Echograp Trans R Pros Study (76873) | $936.61 | $1,170.76 | 9.3× |
| Esophagram (74220) | $382.95 | $478.68 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $427.18 | $533.97 | 4.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,634.68 | $3,293.34 | 11.4× |
| Fluoroscopy up to 1 hr (76000) | $481.48 | $601.85 | 2.1× |
| Follow-Up Angiography (75898) | $956.32 | $1,195.39 | 0.3× |
| Foot 2 views (73620) | $249.76 | $312.20 | 3.0× |
| Forearm 2 views (73090) | $288.18 | $360.22 | 3.4× |
| Gastric emptying imaging study (78264) | $1,085.29 | $1,356.61 | 2.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,277.27 | $1,596.58 | 3.3× |
| Gastroesophageal Reflux Exam (78262) | $1,058.29 | $1,322.86 | 2.7× |
| Gated Heart Planar Single (78472) | $1,203.95 | $1,504.93 | 3.1× |
| Gated Heart, Multiple (78473) | $2,065.44 | $2,581.79 | 5.3× |
| Hand 2 views (73120) | $288.18 | $360.22 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,726.94 | $3,408.67 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,419.72 | $8,024.64 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,416.19 | $1,770.23 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,416.19 | $1,770.23 | 3.7× |
| Ht Musc Image Planar Mult (78454) | $2,443.60 | $3,054.49 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,626.88 | $3,283.60 | 2.1× |
| Hyperthermia external generated superficial (77600) | $515.95 | $644.93 | 1.4× |
| Hysterosalpingogram (74740) | $380.92 | $476.15 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $266.44 | $333.05 | 3.2× |
| Infant hip ultrasound, limited static exam (76886) | $266.44 | $333.05 | 3.2× |
| Interstitial radiation source applic complex (77778) | $1,929.42 | $2,411.77 | 2.9× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $4,403.24 | $5,504.04 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $1,140.28 | $1,425.34 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,257 | $1,571.24 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,121.96 | $1,402.44 | 2.1× |
| Kidney Imaging Morphol (78700) | $582.68 | $728.35 | 1.5× |
| Knee 3 Views (73562) | $348.07 | $435.08 | 4.1× |
| Liver & Spleen Imaging Static Only (78215) | $909.72 | $1,137.15 | 2.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,170.18 | $1,462.72 | 3.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,616.85 | $2,021.06 | 3.1× |
| Lung perfusion differential (78597) | $940.58 | $1,175.72 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,616.85 | $2,021.06 | 3.1× |
| Lung Ventilation Imaging (78579) | $913.57 | $1,141.96 | 2.4× |
| Lymph System Imaging (78195) | $1,128.70 | $1,410.87 | 2.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,254.11 | $7,817.63 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $2,405.31 | $3,006.63 | 10.4× |
| Mammary ductogram or galactogram multiple (77054) | $894.28 | $1,117.85 | 3.9× |
| Mammary ductogram or galactogram single (77053) | $464.02 | $580.02 | 2.0× |
| Meckels Divert Exam (78290) | $796.84 | $996.05 | 2.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,652.76 | $4,565.95 | 10.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49.96 | $62.44 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,189.17 | $3,986.46 | 9.5× |
| MRA head w/o contrast (70544) | $2,207.48 | $2,759.35 | 9.6× |
| MRA head with contrast (70545) | $2,465.52 | $3,081.89 | 7.3× |
| MRA neck w contrast (70548) | $2,573.15 | $3,216.43 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,281.81 | $4,102.26 | 9.7× |
| MRA neck w/o contrast (70547) | $2,193.51 | $2,741.88 | 9.5× |
| MRI abdomen w contrast (74182) | $3,472.84 | $4,341.04 | 10.3× |
| MRI abdomen w/o contrast (74181) | $3,254.05 | $4,067.56 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,436.17 | $4,295.21 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,581.56 | $5,726.95 | 13.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,737.40 | $4,671.75 | 4.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,518.72 | $3,148.40 | 10.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,089.45 | $2,611.81 | 9.1× |
| MRI cardiac w/o contrast (75557) | $1,190.02 | $1,487.52 | 5.2× |
| MRI cervical spine w contrast (72142) | $3,135.96 | $3,919.94 | 9.3× |
| MRI cervical spine w/o cont (72141) | $3,259.77 | $4,074.71 | 14.1× |
| MRI chest w/o contrast (71550) | $2,379.33 | $2,974.16 | 10.3× |
| MRI chest with contrast (71551) | $2,967.48 | $3,709.34 | 3.9× |
| MRI chest wo w contrast (71552) | $3,950.92 | $4,938.65 | 11.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,102.86 | $3,878.57 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,013.03 | $5,016.28 | 11.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,469.89 | $3,087.36 | 10.7× |
| MRI lumbar spine w contrast (72149) | $4,026.96 | $5,033.69 | 11.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,581.56 | $5,726.95 | 13.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,189.77 | $2,737.21 | 9.5× |
| MRI orbit face neck w contrast (70542) | $2,895.23 | $3,619.03 | 8.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,695.21 | $4,619.01 | 11.0× |
| MRI pelvis w contrast (72196) | $3,665.25 | $4,581.56 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $4,684.65 | $5,855.81 | 13.9× |
| MRI pelvis w/o contrast (72195) | $3,321.63 | $4,152.03 | 14.4× |
| MRI spectroscopy (76390) | $2,181.07 | $2,726.33 | 25.9× |
| MRI thoracic spine w/o contrast (72146) | $3,165.86 | $3,957.32 | 13.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,149.83 | $3,937.28 | 13.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,467.01 | $5,583.76 | 13.2× |
| MRI, abdomen, combo (74183) | $4,451 | $5,563.75 | 13.2× |
| MRI, dorsal spine combo (72157) | $4,467.01 | $5,583.76 | 13.2× |
| MRI, dorsal spine contrast (72147) | $4,026.96 | $5,033.69 | 11.9× |
| MRI, joint upper extrem (73221) | $3,267.80 | $4,084.74 | 14.2× |
| MRI, joint upper extrem combo (73223) | $4,785.45 | $5,981.81 | 14.2× |
| MRI, lumbar spine combo (72158) | $4,243.06 | $5,303.82 | 12.6× |
| Musculoskeletal Nuclear Exam (78399) | $1,384.34 | $1,730.42 | 3.6× |
| Myelogram cervical (72240) | $1,468.86 | $1,836.07 | 1.9× |
| Myelogram Lumbar (72265) | $1,239.22 | $1,549.02 | 1.6× |
| Myelography thoracic (72255) | $1,325.75 | $1,657.18 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,021.34 | $2,526.67 | 2.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,783.57 | $4,729.46 | 3.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,754.80 | $2,193.50 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $3,659.12 | $4,573.89 | 2.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,150.18 | $3,937.72 | 2.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,150.18 | $3,937.72 | 2.3× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,860.57 | $6,075.71 | 2.3× |
| Neck soft tissue (70360) | $200.06 | $250.07 | 2.4× |
| Nervous system nuclear exam (78699) | $1,410.40 | $1,763 | 3.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $950.24 | $1,187.80 | 2.5× |
| Nm csf leak detection (78650) | $1,061.17 | $1,326.46 | 0.8× |
| Nm myocard infarct spect (78469) | $812.28 | $1,015.34 | 1.5× |
| Nm unlisted gi procedure (78299) | $1,539.67 | $1,924.58 | 4.0× |
| Nonvascular Shunt X-Ray (75809) | $471.05 | $588.81 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,736.72 | $7,170.89 | 4.3× |
| Nuclear medicine study of endocrine organs (78099) | $1,066 | $1,332.49 | 2.8× |
| Nuclear Rx Oral Admin (79005) | $1,647.26 | $2,059.07 | 7.3× |
| Optic foramina (70190) | $299.47 | $374.33 | 3.6× |
| Panoramic X-ray of jaws (70355) | $314.16 | $392.70 | 3.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,012.71 | $2,515.88 | 3.8× |
| Parathyroid Planar Imaging (78070) | $952.17 | $1,190.21 | 2.5× |
| Pelvis 1 or 2 views (72170) | $270.10 | $337.62 | 2.7× |
| Pet Image W/Ct Lmtd (78814) | $6,574.53 | $8,218.16 | 4.8× |
| PET image w/CT, full body (78816) | $6,886.81 | $8,608.51 | 5.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,886.81 | $8,608.51 | 5.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,492.85 | $3,116.06 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,015.84 | $1,269.79 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $315.25 | $394.06 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $376.88 | $471.09 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $311.92 | $389.89 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $258.80 | $323.50 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $300.62 | $375.77 | 3.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $426.06 | $532.57 | 4.2× |
| Radex fingr minimum 2 views (73140) | $238.46 | $298.07 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $308.50 | $385.62 | 3.7× |
| Radex Hand Minimum 3 Views (73130) | $313.04 | $391.29 | 3.7× |
| Radex lower extremity infant minimum 2 views (73592) | $221.50 | $276.87 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $453.18 | $566.47 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $288.18 | $360.22 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $365.02 | $456.27 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) | $407.97 | $509.96 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $320.93 | $401.16 | 3.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $500.14 | $625.17 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $249.76 | $312.20 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $301.73 | $377.16 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $421.53 | $526.91 | 5.0× |
| Radex Toe Minimum 2 Views (73660) | $227.16 | $283.94 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $220.38 | $275.47 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $310.76 | $388.45 | 3.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,605.31 | $25,756.63 | 2.9× |
| Radiation treatment delivery level 1 (77402) | $468.30 | $585.37 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $655.62 | $819.52 | 1.8× |
| Radiation treatment delivery level 3 (77412) | $842.96 | $1,053.69 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $400.06 | $500.07 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $266.75 | $333.43 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $705.27 | $881.58 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $560.78 | $700.97 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $397.39 | $496.73 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $443.01 | $553.76 | 4.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $340.17 | $425.21 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $611.29 | $764.11 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $402.13 | $502.66 | 2.4× |
| Radiologic exam teeth complete full mouth (70320) | $179.69 | $224.61 | 0.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $434.11 | $542.63 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $472.88 | $591.09 | 2.8× |
| Radiologic examination femur 1 view (73551) | $356.56 | $445.69 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) | $356.56 | $445.69 | 4.2× |
| Radiologic examination knee 1/2 views (73560) | $313.04 | $391.29 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $311.92 | $389.89 | 3.7× |
| Ribs bilateral 3 views (71110) | $446.40 | $557.99 | 4.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $577.87 | $722.33 | 1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $577.87 | $722.33 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,419.48 | $3,024.35 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,394.97 | $1,743.71 | 2.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,620.71 | $2,025.88 | 3.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,777.08 | $3,471.35 | 2.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,149.90 | $3,937.37 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,777.08 | $3,471.35 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $1,682.99 | $2,103.73 | 7.5× |
| Scapula (73010) | $328.86 | $411.07 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31.84 | $39.79 | 1.4× |
| Sella turcica (70240) | $165.01 | $206.26 | 2.0× |
| Shoulder 1 view (73020) | $298.36 | $372.95 | 3.5× |
| Shoulder Arthrography (73040) | $734.43 | $918.03 | 2.2× |
| Sialogram (70390) | $352.64 | $440.79 | 1.5× |
| Skull less than 4 views (70250) | $314.16 | $392.70 | 3.1× |
| Special dosimetry (77331) | $428.97 | $536.21 | 3.3× |
| Special Physics Consult (77370) | $280.69 | $350.86 | 2.2× |
| Special teletherapy port plan (77321) | $964.71 | $1,205.88 | 2.7× |
| Special treatment procedure (77470) | $1,167.30 | $1,459.12 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $14,517.39 | $18,146.73 | 8.4× |
| Sternoclavicular joints (71130) | $270.10 | $337.62 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,652.47 | $3,315.58 | 7.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,401.17 | $1,751.46 | 3.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,447.06 | $1,808.82 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,030.28 | $1,287.84 | 2.8× |
| Ther rad simulaj-aided field setting simple (77280) | $723.54 | $904.42 | 5.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $491.46 | $614.32 | 2.9× |
| Thoracic spine 2 views (72070) | $418.96 | $523.70 | 4.1× |
| Thoracic spine 3 views (72072) | $418.96 | $523.70 | 4.1× |
| Thoracolumbar 2 views (72080) | $372.94 | $466.17 | 4.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $844.12 | $1,055.14 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $764.04 | $955.05 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,247.36 | $1,559.20 | 2.4× |
| Thyroid Uptake Measurement (78012) | $468.86 | $586.07 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $938.66 | $1,173.32 | 2.4× |
| Tx Devices Design & Construction Complex (77334) | $675.30 | $844.12 | 1.9× |
| Tx devices design & construction intermediate (77333) | $608.80 | $760.99 | 4.7× |
| Tx devices design & construction simple (77332) | $578.83 | $723.53 | 4.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$379.02–$758.04 | $473.77–$947.54 | varies |
| Ultrasound Exam Aaa Screen (76706) | $311.56 | $389.44 | 3.1× |
| Ultrasound, abdomen limited (76705) | $475.60 | $594.50 | 4.7× |
| Umbilical-artery Doppler (OB) (76820) | $329.50 | $411.87 | 3.3× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,384.34 | $1,730.42 | 3.6× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $1,384.34 | $1,730.42 | 3.6× |
| Unlisted magnetic resonance procedure (76498) | $1,158.67 | $1,448.33 | 13.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,066 | $1,332.49 | 2.8× |
| Unlisted us procedure (76999) | $175.59 | $219.48 | 2.1× |
| Upper gi w/o kub (74240) | $500.14 | $625.17 | 2.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $822.90 | $1,028.62 | 74.4× |
| Urea breath test c-14 isotopic analysis (78268) | $365.62 | $457.02 | 3.9× |
| Ureteral Reflux Study (78740) | $443.77 | $554.71 | 1.1× |
| Urethrocystogram voiding (74455) | $586.03 | $732.53 | 2.5× |
| Urethrocystography retrograde (74450) | $497.12 | $621.39 | 2.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$142.10–$790.12 | $177.62–$987.64 | varies |
| Us chest (76604) | $561 | $701.25 | 5.5× |
| Us complete joint (76881) | $459.28 | $574.10 | 4.5× |
| Us exam, pelvic, limited (76857) | $282.65 | $353.31 | 2.8× |
| Us head (76506) | $252.67 | $315.83 | 2.5× |
| Us kidney transplant (76776) | $769.79 | $962.23 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $454.74 | $568.42 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $348.92 | $436.15 | 3.5× |
| Us ob transvaginal (76817) | $547.09 | $683.86 | 5.4× |
| Us pelvic non ob complete (76856) | $559.93 | $699.91 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $517.12 | $646.39 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $499.99 | $624.98 | 4.9× |
| Us retroperitoneal complete (76770) | $618.82 | $773.52 | 6.1× |
| Us retroperitoneal limited (76775) | $363.81 | $454.76 | 3.6× |
| Us scrotum and contents (76870) | $546.02 | $682.52 | 5.4× |
| Us spinal canal and contents (76800) | $468.94 | $586.17 | 4.6× |
| Us thyroid (76536) | $458.24 | $572.79 | 4.5× |
| Us transrectal (76872) | $529.96 | $662.44 | 5.2× |
| Vein X-Ray Chest (75827) | $2,542.77 | $3,178.46 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,404.10 | $3,005.12 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,117.88 | $2,647.34 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,405.21 | $3,006.51 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,180.41 | $1,475.51 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $964.08 | $1,205.10 | 0.6× |
| Venography Renal Bilateral (75833) | $2,990.58 | $3,738.22 | 1.0× |
| Venography Renal Unilateral (75831) | $2,990.58 | $3,738.22 | 1.0× |
| Venous sampling by catheter (75893) | $2,833.43 | $3,541.78 | 0.5× |
| Wrist 2 views (73100) | $285.92 | $357.39 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $304 | $380 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $403.76 | $504.70 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,877.20 | $3,596.49 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $406.84 | $508.54 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $273.49 | $341.86 | 3.3× |
| X-Ray Exam Breast Specimen (76098) | $157.40 | $196.74 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $178.28 | $222.84 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $240.95 | $301.18 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $290.35 | $362.93 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $340.34 | $425.42 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $307.93 | $384.91 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $368.44 | $460.54 | 3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $384.64 | $480.80 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $657.72 | $822.15 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $352.59 | $440.73 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $644.15 | $805.18 | 6.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $504.03 | $630.03 | 5.0× |
| X-ray eye for foreign body (70030) | $326.36 | $407.95 | 3.9× |
| X-ray humerus (73060) | $294.96 | $368.70 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $758.82 | $948.52 | 4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $354.84 | $443.55 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $300.62 | $375.77 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $421.53 | $526.91 | 4.2× |
| X-ray nose-rectum child f.b. (76010) | $121.24 | $151.54 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $601.23 | $751.53 | 5.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $333.40 | $416.74 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $275.76 | $344.70 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $337.90 | $422.37 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $458.83 | $573.53 | 4.5× |
| X-Ray Stress View (77071) | $264.44 | $330.55 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $418.96 | $523.70 | 4.1× |
| X-Ray Tmj Unilat (70328) | $223.76 | $279.70 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $611.29 | $764.11 | 1.8× |
| X-Rays Bone Length Studies (77073) | $337.90 | $422.37 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $855.48 | $1,069.35 | 8.5× |
| Xr c-spine 4 or 5 views (72050) | $520.97 | $651.21 | 5.2× |
| Xr facial bones less than 3 views (70140) | $339.02 | $423.77 | 4.0× |
| Xr myelogram posterior fossa (70010) | $1,302.36 | $1,627.94 | 3.9× |
| Xr orbits complete 4 views (70200) | $316.43 | $395.53 | 3.1× |
| Xr Tomogram Single Plane (76100) | $387 | $483.74 | 3.8× |
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.