Imaging prices at St. Mary's Medical Center
Huntington, WV · every code in this section with a posted price and a Medicare benchmark.
379 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) | $5,380.13 | $5,380.13 | 4.1× |
| Abdomen 1 View (74018) | $358.96 | $358.96 | 4.3× |
| Abdomen 2 views (74019) | $358.96 | $358.96 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,851.80 | $1,851.80 | 4.8× |
| Adrenal Cortex & Medulla Img (78075) | $2,289.94 | $2,289.94 | 1.8× |
| Angio internal mammary (75756) | $7,874.88 | $7,874.88 | 2.6× |
| Angio pulmonary bilat (75743) | $4,815.31 | $4,815.31 | 1.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,815.31–$4,899.77 | $4,815.31–$4,899.77 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$4,815.31–$4,899.77 | $4,815.31–$4,899.77 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,815.31 | $4,815.31 | 1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,874.88 | $7,874.88 | 2.6× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Aortography thoracic serialography rs&i (75605) | $11,855.09 | $11,855.09 | 2.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,697.06 | $4,697.06 | 1.6× |
| Artery X-Rays Abdomen (75726) | $8,299.30 | $8,299.30 | 1.6× |
| Artery X-Rays Adrenal Gland (75731) | $3,590.63 | $3,590.63 | 1.2× |
| Artery X-Rays Pelvis (75736) | $11,855.09 | $11,855.09 | 2.2× |
| Artery X-Rays Spine (75705) | $8,299.30 | $8,299.30 | 1.6× |
| Arthrogram ankle (73615) | $942.79 | $942.79 | 2.8× |
| Arthrogram hip (73525) | $942.79 | $942.79 | 2.8× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$840.38–$942.79 | $840.38–$942.79 | varies |
| Basic radiation dosimetry calculation (77300) | $579.61 | $579.61 | 4.5× |
| Bone age studies (77072) | $615.50 | $615.50 | 6.1× |
| Bone Imaging 3 Phase (78315) | $756.24 | $756.24 | 2.0× |
| Bone Imaging Limited Area (78300) | $1,340.82 | $1,340.82 | 3.5× |
| Bone Imaging Multiple Areas (78305) | $1,851.80 | $1,851.80 | 4.8× |
| Bone Imaging Whole Body (78306) | $1,851.80 | $1,851.80 | 4.8× |
| Bone marrow imaging; whole body (78104) | $829.83 | $829.83 | 2.2× |
| Brachytx isodose complex (77318) | $796.05 | $796.05 | 2.2× |
| Brachytx isodose intermed (77317) | $796.05 | $796.05 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $796.05 | $796.05 | 2.2× |
| Brain Flow Imaging Only (78610) | $1,851.80 | $1,851.80 | 3.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,087.43 | $1,087.43 | 2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,846.83 | $10,846.83 | 7.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,882.14 | $2,882.14 | 7.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,160.94 | $3,160.94 | 6.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,551.56 | $3,551.56 | 10.6× |
| Cerebrospinal Fluid Scan (78630) | $1,851.80 | $1,851.80 | 3.6× |
| Chest 1 view (71045) | $358.96 | $358.96 | 4.3× |
| Chest 2 views (71046) | $358.96 | $358.96 | 4.3× |
| Chest 3 views (71047) | $356.85 | $356.85 | 4.3× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$171.04–$356.85 | $171.04–$356.85 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $161.53 | $161.53 | 1.6× |
| Continuing medical physics consltj pr wk (77336) | $515.21 | $515.21 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,697.06 | $4,697.06 | 1.6× |
| Contrast X-Ray Bladder (74430) | $944.90 | $944.90 | 2.8× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$797.09–$942.79 | $797.09–$942.79 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $942.79 | $942.79 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,863.87 | $4,863.87 | 14.5× |
| CT abdomen and pelvis without contrast (74176) | $6,620.64 | $6,620.64 | 28.9× |
| CT abdomen w contrast (74160) | $2,421.91 | $2,421.91 | 14.4× |
| CT abdomen w wo contrast (74170) | $2,421.91 | $2,421.91 | 14.4× |
| CT abdomen w/o contrast (74150) | $3,309.79 | $3,309.79 | 33.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,593.79 | $3,593.79 | 10.7× |
| CT Angio Chest (71275) | $2,421.91 | $2,421.91 | 14.4× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,593.79–$4,772.02 | $3,593.79–$4,772.02 | varies |
| CT angio hrt w/3d image (75574) | $2,421.91 | $2,421.91 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,421.91 | $2,421.91 | 14.4× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,421.91–$3,600.13 | $2,421.91–$3,600.13 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,421.91 | $2,421.91 | 14.4× |
| CT cervical spine w/ contrast (72126) | $2,421.91 | $2,421.91 | 7.2× |
| CT cervical spine w/o contrast (72125) | $3,309.79 | $3,309.79 | 33.0× |
| CT cervical spine w/wo cont (72127) | $2,421.91 | $2,421.91 | 14.4× |
| CT chest w contrast (71260) | $2,421.91 | $2,421.91 | 14.4× |
| CT chest w/wo contrast (71270) | $2,421.91 | $2,421.91 | 14.4× |
| CT head/brain with contrast (70460) | $2,421.91 | $2,421.91 | 14.4× |
| CT head/brain without and with contrast (70470) | $2,421.91 | $2,421.91 | 14.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,347.80 | $3,347.80 | 10.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,447.25 | $2,447.25 | 29.3× |
| CT hrt w/3d image congen (75573) | $3,347.80 | $3,347.80 | 10.0× |
| CT iac w contrast (70481) | $2,421.91 | $2,421.91 | 14.4× |
| CT l-spine w&w/o contrast (72133) | $3,450.21 | $3,450.21 | 20.5× |
| CT lower ext w/o (73700) | $3,309.79 | $3,309.79 | 33.0× |
| CT lower extremity w/contrast material (73701) | $2,421.91 | $2,421.91 | 14.4× |
| CT lumbar spine w contrast (72132) | $2,421.91 | $2,421.91 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $3,309.79 | $3,309.79 | 33.0× |
| CT maxillofacial w contrast (70487) | $2,421.91 | $2,421.91 | 14.4× |
| CT maxillofacial wo contrast (70486) | $1,617.42 | $1,617.42 | 16.1× |
| CT neck tissue combo (70492) | $2,421.91 | $2,421.91 | 14.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,421.91 | $2,421.91 | 14.4× |
| CT orbits w/o contrast (70480) | $3,309.79 | $3,309.79 | 33.0× |
| CT pelvis w&w/o contrast (72194) | $2,519.04 | $2,519.04 | 15.0× |
| CT pelvis w/o contrast (72192) | $3,309.79 | $3,309.79 | 33.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,368.06–$2,987.80 | $2,368.06–$2,987.80 | varies |
| CT scans face/jaw combo (70488) | $2,421.91 | $2,421.91 | 14.4× |
| CT soft tissue neck w contrast (70491) | $2,421.91 | $2,421.91 | 14.4× |
| CT soft tissue neck w/o contrast (70490) | $3,309.79 | $3,309.79 | 33.0× |
| CT thoracic spine w contrast (72129) | $2,421.91 | $2,421.91 | 14.4× |
| CT thoracic spine w/o contrast (72128) | $3,309.79 | $3,309.79 | 33.0× |
| CT thoracic spine w/wo cont (72130) | $2,421.91 | $2,421.91 | 14.4× |
| CT thorax w/o contrast (71250) | $3,309.79 | $3,309.79 | 33.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$3,309.79–$3,929.53 | $3,309.79–$3,929.53 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,309.79 | $3,309.79 | 19.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,421.91–$2,608.82 | $2,421.91–$2,608.82 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,421.91 | $2,421.91 | 14.4× |
| Cta Abdomen (74175) | $2,421.91 | $2,421.91 | 14.4× |
| CTA pelvis (72191) | $2,421.91 | $2,421.91 | 14.4× |
| Discography Cerv/Thor Spine (72285) | $5,194.32 | $5,194.32 | 2.8× |
| Diskography lumbar (72295) | $5,194.32 | $5,194.32 | 2.8× |
| Dxa Bone Density Axial (77080) | $482.48 | $482.48 | 4.8× |
| Echo Guide For Artery Repair (76936) | $938.57 | $938.57 | 4.5× |
| Echograp Trans R Pros Study (76873) | $477.20 | $477.20 | 4.8× |
| Esophagram (74220) | $847.77 | $847.77 | 5.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,163.45 | $1,163.45 | 11.6× |
| Fluoroscopy up to 1 hr (76000) | $645.06 | $645.06 | 2.8× |
| Follow-Up Angiography (75898) | $6,487.62 | $6,487.62 | 2.1× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$322.01–$404.35 | $322.01–$404.35 | varies |
| Gastric emptying imaging study (78264) | $1,851.80 | $1,851.80 | 4.8× |
| Gastroesophageal Reflux Exam (78262) | $1,894.03 | $1,894.03 | 4.9× |
| Gated Heart Planar Single (78472) | $3,330.91 | $3,330.91 | 8.7× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,776.24 | $4,776.24 | 7.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,776.24 | $4,776.24 | 7.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,674.69 | $5,674.69 | 8.5× |
| Heart first pass single,planar (78481) | $3,085.97 | $3,085.97 | 5.9× |
| Heart Image (Pet) Multiple (78492) | $11,064.33 | $11,064.33 | 8.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,815.31 | $4,815.31 | 1.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,815.31 | $4,815.31 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,173.80 | $2,173.80 | 4.2× |
| Hepatobiliary System Imaging (78226) | $1,851.80 | $1,851.80 | 4.8× |
| Ht Muscle Image Spect Sing (78451) | $3,210.56 | $3,210.56 | 2.6× |
| Hysterosalpingogram (74740) | $1,805.35 | $1,805.35 | 7.9× |
| Image fusion (77399) | $264.99 | $264.99 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,163.45 | $1,163.45 | 13.9× |
| Infant hip ultrasound, limited static exam (76886) | $1,163.45 | $1,163.45 | 13.9× |
| Interstitial radiation source applic complex (77778) | $18,501.07 | $18,501.07 | 27.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $16,635.55 | $16,635.55 | 24.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $16,635.55 | $16,635.55 | 31.4× |
| Intracavitary radiation source applic simple (77761) | $16,635.55 | $16,635.55 | 31.4× |
| K Flow/Funct Image Multiple (78709) | $3,745.82 | $3,745.82 | 7.2× |
| K Flow/Funct Image W/Drug (78708) | $1,851.80 | $1,851.80 | 3.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,851.80 | $1,851.80 | 3.6× |
| Kidney Imaging Morphol (78700) | $1,280.63 | $1,280.63 | 3.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,851.80 | $1,851.80 | 4.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,340.82 | $1,340.82 | 3.5× |
| Liver imaging static only (78201) | $1,904.58 | $1,904.58 | 3.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,087.43 | $1,087.43 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,096.74 | $2,096.74 | 4.0× |
| Lymph System Imaging (78195) | $3,001.51 | $3,001.51 | 5.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,808.11 | $3,808.11 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $4,071 | $4,071 | 17.8× |
| Mammary ductogram or galactogram multiple (77054) | $747.48 | $747.48 | 3.3× |
| Mammary ductogram or galactogram single (77053) | $747.48 | $747.48 | 3.3× |
| Meckels Divert Exam (78290) | $820.33 | $820.33 | 2.1× |
| Mlc imrt design & construction per imrt plan (77338) | $819.27 | $819.27 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $60.40 | $60.40 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $226.36 | $226.36 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,623.36 | $3,623.36 | 10.8× |
| MRA head w/o contrast (70544) | $3,421.71 | $3,421.71 | 14.9× |
| MRA head with contrast (70545) | $4,035.11 | $4,035.11 | 12.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,421.71 | $3,421.71 | 10.2× |
| MRA neck w/o contrast (70547) | $3,623.36 | $3,623.36 | 15.8× |
| MRI abdomen w contrast (74182) | $3,421.71 | $3,421.71 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,421.71 | $3,421.71 | 14.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$4,155.46–$4,399.33 | $4,155.46–$4,399.33 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$5,823.55–$11,647.10 | $5,823.55–$11,647.10 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 14 matching MRF lines |
$3,421.71–$4,399.33 | $3,421.71–$4,399.33 | varies |
| MRI bone marrow blood supply (77084) | $4,399.33 | $4,399.33 | 19.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,155.46 | $4,155.46 | 18.2× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$4,155.46–$4,399.33 | $4,155.46–$4,399.33 | varies |
| MRI cardiac w/o contrast (75557) | $3,623.36 | $3,623.36 | 15.8× |
| MRI cervical spine w contrast (72142) | $3,421.71 | $3,421.71 | 10.2× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$3,323.52–$3,421.71 | $3,323.52–$3,421.71 | varies |
| MRI chest w/o contrast (71550) | $4,155.46 | $4,155.46 | 18.2× |
| MRI chest with contrast (71551) | $3,421.71 | $3,421.71 | 4.6× |
| MRI chest wo w contrast (71552) | $3,323.52 | $3,323.52 | 9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$4,155.46–$4,399.33 | $4,155.46–$4,399.33 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$5,823.55–$11,647.10 | $5,823.55–$11,647.10 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$4,399.33–$8,798.67 | $4,399.33–$8,798.67 | varies |
| MRI lumbar spine w contrast (72149) | $3,323.52 | $3,323.52 | 9.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,823.55 | $5,823.55 | 17.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,399.33 | $4,399.33 | 19.2× |
| MRI orbit face neck w contrast (70542) | $4,399.33 | $4,399.33 | 13.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,323.52 | $3,323.52 | 9.9× |
| MRI pelvis w contrast (72196) | $3,623.36 | $3,623.36 | 10.8× |
| MRI pelvis w/o & w contrast (72197) | $5,126.75 | $5,126.75 | 15.3× |
| MRI pelvis w/o contrast (72195) | $3,323.52 | $3,323.52 | 14.5× |
| MRI spectroscopy (76390) | $4,155.46 | $4,155.46 | 49.8× |
| MRI thoracic spine w/o contrast (72146) | $3,623.36 | $3,623.36 | 15.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 10 matching MRF lines |
$3,133.48–$4,399.33 | $3,133.48–$4,399.33 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$3,623.36–$5,823.55 | $3,623.36–$5,823.55 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 10 matching MRF lines |
$3,421.71–$6,164.56 | $3,421.71–$6,164.56 | varies |
| MRI, abdomen, combo (74183) | $3,323.52 | $3,323.52 | 9.9× |
| MRI, dorsal spine combo (72157) | $3,323.52 | $3,323.52 | 9.9× |
| MRI, dorsal spine contrast (72147) | $3,623.36 | $3,623.36 | 10.8× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$3,421.71–$4,399.33 | $3,421.71–$4,399.33 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$3,948.53–$6,164.56 | $3,948.53–$6,164.56 | varies |
| MRI, lumbar spine combo (72158) | $3,623.36 | $3,623.36 | 10.8× |
| Myelogram cervical (72240) | $1,906.70 | $1,906.70 | 2.5× |
| Myelogram Lumbar (72265) | $1,667.04 | $1,667.04 | 2.2× |
| Myelography thoracic (72255) | $1,569.91 | $1,569.91 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,569.91 | $1,569.91 | 2.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $11,064.33 | $11,064.33 | 8.9× |
| Myocardial Spect Multiple Studies (78452) | $3,210.56 | $3,210.56 | 2.6× |
| N-invas est c ffr sw aly CTA (75580) | $7,229.82 | $7,229.82 | 8.8× |
| Neck soft tissue (70360) | $358.96 | $358.96 | 4.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $847.77 | $847.77 | 2.3× |
| Nm csf leak detection (78650) | $2,856.88 | $2,856.88 | 2.3× |
| Nm myocard infarct spect (78469) | $3,160.94 | $3,160.94 | 6.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,305.77 | $2,305.77 | 1.7× |
| Nuclear Rx Intra-Arterial (79445) | $733.75 | $733.75 | 3.3× |
| Nuclear Rx Oral Admin (79005) | $2,181.20 | $2,181.20 | 9.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $225.94 | $225.94 | 2.3× |
| Panoramic X-ray of jaws (70355) | $384.30 | $384.30 | 4.6× |
| Parathyroid Planar Imaging (78070) | $1,851.80 | $1,851.80 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $829.83 | $829.83 | 2.2× |
| Pelvis 1 or 2 views (72170) | $358.96 | $358.96 | 3.6× |
| Pet Image W/Ct Lmtd (78814) | $11,064.33 | $11,064.33 | 8.1× |
| PET image w/CT, full body (78816) | $11,064.33 | $11,064.33 | 8.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $11,064.33 | $11,064.33 | 8.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $9,590.49 | $9,590.49 | 7.7× |
| Pet Myocardial Sngl Study (78491) | $11,064.33 | $11,064.33 | 8.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,583.63 | $1,583.63 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $646.12 | $646.12 | 6.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $566.94 | $566.94 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$356.85–$404.35 | $356.85–$404.35 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $356.85 | $356.85 | 3.6× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$356.85–$404.35 | $356.85–$404.35 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$356.85–$404.35 | $356.85–$404.35 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $615.50 | $615.50 | 7.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $356.85 | $356.85 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $341.01 | $341.01 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $358.96 | $358.96 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $358.96 | $358.96 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $356.85 | $356.85 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $358.96 | $358.96 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $358.96 | $358.96 | 4.3× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $694.69 | $694.69 | 6.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $22,005.12 | $22,005.12 | 3.1× |
| Radiation treatment delivery level 1 (77402) | $764.37 | $764.37 | 7.8× |
| Radiation treatment delivery level 2 (77407) | $764.37 | $764.37 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $847.77 | $847.77 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $358.96 | $358.96 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $358.96 | $358.96 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $1,131.77 | $1,131.77 | 6.7× |
| Radiologic exam colon single contrast study (74270) | $826.65 | $826.65 | 4.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $451.86 | $451.86 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $358.96 | $358.96 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $847.77 | $847.77 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $847.77 | $847.77 | 5.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $847.77 | $847.77 | 5.0× |
| Radiologic examination femur 1 view (73551) | $358.96 | $358.96 | 4.3× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $221.71 | $221.71 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $703.14 | $703.14 | 1.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $703.14 | $703.14 | 1.9× |
| Renal Cyst Study (74470) | $1,267.97 | $1,267.97 | 2.4× |
| Ribs bilateral 3 views (71110) | $356.85 | $356.85 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,786.34 | $1,786.34 | 4.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,851.80 | $1,851.80 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$1,851.80–$3,342.53 | $1,851.80–$3,342.53 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,851.80 | $1,851.80 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$1,851.80–$2,805.15 | $1,851.80–$2,805.15 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,181.20 | $2,181.20 | 9.7× |
| Scapula (73010) range across 3 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $74.96 | $74.96 | 3.2× |
| Shoulder 1 view (73020) | $358.96 | $358.96 | 4.3× |
| Shoulder Arthrography (73040) | $942.79 | $942.79 | 2.8× |
| Skull less than 4 views (70250) | $358.96 | $358.96 | 3.6× |
| Special dosimetry (77331) | $577.50 | $577.50 | 4.5× |
| Special Physics Consult (77370) | $515.21 | $515.21 | 4.0× |
| Special teletherapy port plan (77321) | $503.60 | $503.60 | 1.4× |
| Special treatment procedure (77470) | $3,158.82 | $3,158.82 | 6.0× |
| Stereotactic Body Radiation Delivery (77373) | $12,384.01 | $12,384.01 | 7.2× |
| Sternoclavicular joints (71130) | $358.96 | $358.96 | 4.3× |
| Superior sagittal sinus venogram (75870) | $4,815.31 | $4,815.31 | 1.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $282.94 | $282.94 | 2.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,563.58 | $1,563.58 | 4.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $577.50 | $577.50 | 1.6× |
| Testicular Imaging W/Flow (78761) | $1,340.82 | $1,340.82 | 3.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,563.58 | $1,563.58 | 4.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,556.19 | $1,556.19 | 4.3× |
| Ther rad simulaj-aided field setting simple (77280) | $579.61 | $579.61 | 4.5× |
| Thoracic spine 2 views (72070) | $358.96 | $358.96 | 3.6× |
| Thoracic spine 3 views (72072) | $172.09 | $172.09 | 1.7× |
| Thoracolumbar 2 views (72080) | $358.96 | $358.96 | 4.3× |
| Thyroid Met Imaging Body (78018) | $1,851.80 | $1,851.80 | 3.6× |
| Thyroid Uptake Measurement (78012) | $837.22 | $837.22 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,507.42 | $2,507.42 | 6.5× |
| Tx Devices Design & Construction Complex (77334) | $1,089.54 | $1,089.54 | 3.0× |
| Tx devices design & construction intermediate (77333) | $1,086.38 | $1,086.38 | 8.4× |
| Tx devices design & construction simple (77332) | $1,089.54 | $1,089.54 | 8.5× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$781.26–$1,505.51 | $781.26–$1,505.51 | varies |
| Ultrasound elastography first target lesion (76982) | $361.06 | $361.06 | 3.6× |
| Ultrasound Elastography Parenchyma (76981) | $361.06 | $361.06 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $964.82 | $964.82 | 9.6× |
| Ultrasound, abdomen limited (76705) | $1,940.49 | $1,940.49 | 19.3× |
| Umbilical-artery Doppler (OB) (76820) | $1,764.17 | $1,764.17 | 17.6× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $829.83 | $829.83 | 2.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,747.27 | $1,747.27 | 17.9× |
| Unlisted us procedure (76999) | $246.60 | $246.60 | 3.0× |
| Upper gi w/o kub (74240) | $847.77 | $847.77 | 5.0× |
| Ureteral Reflux Study (78740) | $1,340.82 | $1,340.82 | 3.5× |
| Urethrocystogram voiding (74455) | $956.52 | $956.52 | 4.2× |
| Urethrocystography retrograde (74450) | $972.35 | $972.35 | 4.2× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$781.26–$1,505.51 | $781.26–$1,505.51 | varies |
| Us chest (76604) | $1,163.45 | $1,163.45 | 11.6× |
| Us complete joint (76881) | $1,163.45 | $1,163.45 | 11.6× |
| Us exam, pelvic, limited (76857) | $764.37 | $764.37 | 7.6× |
| Us head (76506) | $1,163.45 | $1,163.45 | 11.6× |
| Us kidney transplant (76776) | $1,163.45 | $1,163.45 | 11.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,163.45 | $1,163.45 | 11.6× |
| Us ob limited 1 or more fetuses (76815) | $775.98 | $775.98 | 7.7× |
| Us ob transvaginal (76817) | $1,105.37 | $1,105.37 | 11.0× |
| Us pelvic non ob complete (76856) | $1,163.45 | $1,163.45 | 11.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $463.47 | $463.47 | 4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $764.37 | $764.37 | 7.6× |
| Us retroperitoneal complete (76770) | $1,163.45 | $1,163.45 | 11.6× |
| Us retroperitoneal limited (76775) | $1,163.45 | $1,163.45 | 11.6× |
| Us scrotum and contents (76870) | $1,163.45 | $1,163.45 | 11.6× |
| Us spinal canal and contents (76800) | $1,163.45 | $1,163.45 | 11.6× |
| Us thyroid (76536) | $764.37 | $764.37 | 7.6× |
| Us transrectal (76872) | $710.53 | $710.53 | 7.1× |
| Vein X-Ray Chest (75827) | $1,680.76 | $1,680.76 | 1.1× |
| Venogram Sinus/Jugular (75860) | $4,815.31 | $4,815.31 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $4,369.77 | $4,369.77 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $2,473.63 | $2,473.63 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $2,904.38 | $2,904.38 | 1.9× |
| Venography Renal Bilateral (75833) | $4,815.31 | $4,815.31 | 1.6× |
| Venography Renal Unilateral (75831) | $4,815.31 | $4,815.31 | 1.6× |
| Venous sampling by catheter (75893) | $11,855.09 | $11,855.09 | 2.2× |
| Venous thrombosis imaging (78457) | $2,211.81 | $2,211.81 | 4.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,340.82 | $1,340.82 | 3.5× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$322.01–$404.35 | $322.01–$404.35 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $358.96 | $358.96 | 4.3× |
| X-ray antegrade pyelogram tube (74425) | $1,018.81 | $1,018.81 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,697.06 | $4,697.06 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $172.09 | $172.09 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $317.79 | $317.79 | 3.8× |
| X-Ray Exam Breast Specimen (76098) | $888.95 | $888.95 | 1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $404.35 | $404.35 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $404.35 | $404.35 | 4.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $619.73 | $619.73 | 6.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $358.96 | $358.96 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $358.96 | $358.96 | 4.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $619.73 | $619.73 | 6.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $404.35 | $404.35 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $404.35 | $404.35 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $619.73 | $619.73 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) | $616.56 | $616.56 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $356.85 | $356.85 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $616.56 | $616.56 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $358.96 | $358.96 | 3.6× |
| X-ray eye for foreign body (70030) | $317.79 | $317.79 | 3.8× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$358.96–$404.35 | $358.96–$404.35 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,040.98 | $1,040.98 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $172.09 | $172.09 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $172.09 | $172.09 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $358.96 | $358.96 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $182.64 | $182.64 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $616.56 | $616.56 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $358.96 | $358.96 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $358.96 | $358.96 | 3.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $358.96 | $358.96 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $358.96 | $358.96 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $616.56 | $616.56 | 6.1× |
| X-Ray Stress View (77071) | $198.48 | $198.48 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $172.09 | $172.09 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $972.35 | $972.35 | 2.9× |
| X-Rays Bone Length Studies (77073) | $356.85 | $356.85 | 3.6× |
| X-Rays Bone Survey Complete (77075) | $762.26 | $762.26 | 7.6× |
| Xr c-spine 4 or 5 views (72050) | $615.50 | $615.50 | 6.1× |
| Xr facial bones less than 3 views (70140) | $358.96 | $358.96 | 4.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $358.96 | $358.96 | 3.6× |
| Xr orbits complete 4 views (70200) | $358.96 | $358.96 | 3.6× |
| Xr Tomogram Single Plane (76100) | $646.12 | $646.12 | 6.4× |
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.