Imaging prices at St. Mary's Regional Medical Center
Enid, OK · every code in this section with a posted price and a Medicare benchmark.
348 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) | $6,310 | $15,775 | 4.7× |
| Abdomen 1 View (74018) | $328 | $820 | 3.9× |
| Abdomen 2 views (74019) | $482.80 | $1,207 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $966.80 | $2,417 | 2.5× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,112.80–$2,066.40 | $2,782–$5,166 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,489.20–$2,758.40 | $3,723–$6,896 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,910 | $7,275 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$1,053.20–$4,101.60 | $2,633–$10,254 | varies |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$990–$4,101.60 | $2,475–$10,254 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,516.80 | $3,792 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,273.20 | $5,683 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$336.40–$416 | $841–$1,040 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,188.40–$2,430 | $2,971–$6,075 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $2,140.80 | $5,352 | 0.7× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$1,366.80–$4,101.60 | $3,417–$10,254 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,941.60 | $4,854 | 0.6× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,365.60–$2,359.20 | $3,414–$5,898 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$1,378–$1,530.40 | $3,445–$3,826 | varies |
| Arthrogram hip (73525) | $967.60 | $2,419 | 2.9× |
| Arthrogram Wrist (73115) | $804.80 | $2,012 | 2.4× |
| Basic radiation dosimetry calculation (77300) | $622 | $1,555 | 4.8× |
| Bone age studies (77072) | $292.40 | $731 | 2.9× |
| Bone Imaging 3 Phase (78315) | $1,783.20 | $4,458 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,187.20 | $2,968 | 3.1× |
| Bone Imaging Whole Body (78306) | $2,144.80 | $5,362 | 5.6× |
| Bone survey infant (77076) | $556.80 | $1,392 | 5.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,508 | $6,270 | 4.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,938.80 | $4,847 | 3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,527.20 | $6,318 | 1.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $787.60 | $1,969 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,176.40 | $2,941 | 2.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$288–$361.60 | $720–$904 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$221.20–$410 | $553–$1,025 | varies |
| Chest 3 views (71047) | $473.60 | $1,184 | 5.7× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$464–$473.60 | $1,160–$1,184 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$339.20–$424 | $848–$1,060 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $649.60 | $1,624 | 6.5× |
| Continuing medical physics consltj pr wk (77336) | $826.80 | $2,067 | 6.4× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,228.80–$7,936 | $3,072–$19,840 | varies |
| Contrast X-Ray Bladder (74430) | $881.20 | $2,203 | 2.6× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$967.60–$987.20 | $2,419–$2,468 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $988.40 | $2,471 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $6,157.20 | $15,393 | 18.4× |
| CT abdomen and pelvis without contrast (74176) | $4,176.80 | $10,442 | 18.2× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,469.60–$3,784 | $3,674–$9,460 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,375.60–$4,796.80 | $5,939–$11,992 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,469.60–$2,833.20 | $3,674–$7,083 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,825.60 | $7,064 | 8.4× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,266.40–$1,843.20 | $3,166–$4,608 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$922.80–$1,391.20 | $2,307–$3,478 | varies |
| CT angio hrt w/3d image (75574) | $2,556.40 | $6,391 | 7.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$980.80–$1,376.80 | $2,452–$3,442 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$922.80–$1,326.80 | $2,307–$3,317 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,124.80–$3,061.60 | $2,812–$7,654 | varies |
| CT cervical spine w/ contrast (72126) | $3,429.60 | $8,574 | 10.2× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,600.80–$2,295.60 | $4,002–$5,739 | varies |
| CT cervical spine w/wo cont (72127) | $4,458 | $11,145 | 26.4× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$905.20–$3,985.20 | $2,263–$9,963 | varies |
| CT chest w/wo contrast (71270) | $5,036.80 | $12,592 | 29.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $939.60 | $2,349 | 5.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $939.60 | $2,349 | 9.3× |
| CT head/brain with contrast (70460) | $2,638.40 | $6,596 | 15.6× |
| CT head/brain without and with contrast (70470) | $3,690.40 | $9,226 | 21.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,504.80 | $6,262 | 7.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,090.80 | $2,727 | 13.0× |
| CT hrt w/3d image congen (75573) | $3,061.20 | $7,653 | 9.1× |
| CT iac w contrast (70481) | $3,097.20 | $7,743 | 18.4× |
| CT l-spine w&w/o contrast (72133) | $5,194.80 | $12,987 | 30.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,129.60–$2,569.60 | $5,324–$6,424 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,929.60–$3,489.60 | $7,324–$8,724 | varies |
| CT lumbar spine w contrast (72132) | $4,467.20 | $11,168 | 13.3× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,800–$4,013.60 | $4,500–$10,034 | varies |
| CT maxillofacial w contrast (70487) | $3,168.40 | $7,921 | 18.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,103.60–$2,177.60 | $2,759–$5,444 | varies |
| CT neck tissue combo (70492) | $4,098 | $10,245 | 24.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,363.20 | $8,408 | 19.9× |
| CT orbits w/o contrast (70480) | $2,091.60 | $5,229 | 20.8× |
| CT pelvis w&w/o contrast (72194) | $1,950.80 | $4,877 | 11.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,677.60–$1,911.20 | $4,194–$4,778 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,555.20–$5,190 | $6,388–$12,975 | varies |
| CT scans face/jaw combo (70488) | $3,354.40 | $8,386 | 19.9× |
| CT soft tissue neck w contrast (70491) | $2,453.20 | $6,133 | 14.5× |
| CT soft tissue neck w/o contrast (70490) | $1,500.80 | $3,752 | 14.9× |
| CT thoracic spine w contrast (72129) | $3,429.60 | $8,574 | 20.3× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,127.20–$2,148.40 | $2,818–$5,371 | varies |
| CT thoracic spine w/wo cont (72130) | $4,549.60 | $11,374 | 27.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$645.60–$3,401.20 | $1,614–$8,503 | varies |
| CT unlisted procedure (76497) | $278.80 | $697 | 3.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,129.60–$2,746.80 | $5,324–$6,867 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$5,296.80–$5,580.40 | $13,242–$13,951 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,783.20–$3,562 | $6,958–$8,905 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,277.20–$2,217.20 | $3,193–$5,543 | varies |
| Cta Abdomen (74175) | $1,676 | $4,190 | 9.9× |
| CTA pelvis (72191) | $1,635.60 | $4,089 | 9.7× |
| Discography Cerv/Thor Spine (72285) | $799.60 | $1,999 | 0.4× |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$138–$4,106.40 | $345–$10,266 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$718–$732.40 | $1,795–$1,831 | varies |
| Dxa bone density study (77085) | $200 | $500 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $78.80 | $197 | 0.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$657.60–$788 | $1,644–$1,970 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$398.80–$406.80 | $997–$1,017 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$253.60–$486 | $634–$1,215 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$542–$780 | $1,355–$1,950 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,047.20–$1,392.40 | $2,618–$3,481 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$256.80–$492 | $642–$1,230 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$157.20–$470.80 | $393–$1,177 | varies |
| Gastric emptying imaging study (78264) | $1,122.80 | $2,807 | 2.9× |
| Gated Heart Planar Single (78472) | $2,235.60 | $5,589 | 5.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$325.60–$486 | $814–$1,215 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$1,266.80–$2,051.60 | $3,167–$5,129 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$1,201.20–$1,985.60 | $3,003–$4,964 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,165.20 | $5,413 | 4.1× |
| Hepatobiliary System Imaging (78226) | $1,346 | $3,365 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $2,061.20 | $5,153 | 1.7× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$558–$917.20 | $1,395–$2,293 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $466.40 | $1,166 | 5.6× |
| Infusion Ivp (74410) | $714.80 | $1,787 | 4.2× |
| K Flow/Funct Image Multiple (78709) | $2,648.80 | $6,622 | 5.1× |
| K Flow/Funct Image W/Drug (78708) | $2,106.40 | $5,266 | 4.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,931.60 | $4,829 | 3.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $762.40 | $1,906 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$432.80–$633.20 | $1,082–$1,583 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,641.20 | $4,103 | 4.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,970.40 | $4,926 | 5.1× |
| Lung perfusion differential (78597) | $724.80 | $1,812 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,853.20 | $7,133 | 5.5× |
| Lymph System Imaging (78195) | $1,976 | $4,940 | 3.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $838 | $2,095 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,047.20 | $2,618 | 1.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $838 | $2,095 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,047.20 | $2,618 | 0.3× |
| Magnetic Image Jaw Joint (70336) range across 6 matching MRF lines |
$1,704.80–$2,131.20 | $4,262–$5,328 | varies |
| Mammary ductogram or galactogram multiple (77054) | $625.60 | $1,564 | 2.7× |
| Meckels Divert Exam (78290) | $968.80 | $2,422 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,638.40 | $9,096 | 10.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,456.80–$2,705.60 | $6,142–$6,764 | varies |
| MRA head with contrast (70545) | $3,482.80 | $8,707 | 10.4× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,622.80–$3,011.60 | $6,557–$7,529 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,508 | $8,770 | 10.5× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,507.60–$2,848 | $6,269–$7,120 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,542.80–$4,025.20 | $3,857–$10,063 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,542.80–$3,740 | $3,857–$9,350 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,947.60–$2,968 | $4,869–$7,420 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,877.60–$3,568.40 | $7,194–$8,921 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,987.60–$3,029.20 | $4,969–$7,573 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,103.60 | $7,759 | 13.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,352.80 | $3,382 | 5.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,096–$3,954.40 | $5,240–$9,886 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,822.80–$3,340.40 | $4,557–$8,351 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,528.40–$2,794.80 | $3,821–$6,987 | varies |
| MRI chest with contrast (71551) | $2,906.40 | $7,266 | 3.9× |
| MRI chest wo w contrast (71552) | $2,972.40 | $7,431 | 8.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,841.20–$4,808 | $9,603–$12,020 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,705.60–$5,167.60 | $11,764–$12,919 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$1,380.80–$3,326.80 | $3,452–$8,317 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,305.60–$3,943.60 | $5,764–$9,859 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,930 | $12,325 | 14.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,352.80–$2,847.20 | $3,382–$7,118 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,352.80–$3,756.40 | $3,382–$9,391 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,649.60–$4,178 | $4,124–$10,445 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,118–$3,756.40 | $5,295–$9,391 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,516.80–$4,148 | $3,792–$10,370 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,465.60–$2,825.60 | $3,664–$7,064 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,918.80–$3,385.20 | $4,797–$8,463 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,500–$3,890.40 | $6,250–$9,726 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,618.80–$3,970.40 | $9,047–$9,926 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,022.80–$4,658 | $10,057–$11,645 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$2,142.40–$4,208.80 | $5,356–$10,522 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,396.40–$4,996.40 | $8,491–$12,491 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,305.60–$4,007.20 | $5,764–$10,018 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$1,296.40–$4,165.20 | $3,241–$10,413 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,118–$3,756.40 | $5,295–$9,391 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,396.40–$4,916.40 | $8,491–$12,291 | varies |
| Myelogram cervical (72240) | $1,937.20 | $4,843 | 2.6× |
| Myelogram Lumbar (72265) | $1,855.20 | $4,638 | 2.5× |
| Myelography thoracic (72255) | $1,855.20 | $4,638 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,318.40 | $5,796 | 3.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,931.60 | $4,829 | 5.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,866–$4,851.20 | $4,665–$12,128 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$273.60–$325.20 | $684–$813 | varies |
| Nm csf leak detection (78650) | $2,592.80 | $6,482 | 2.1× |
| Nm myocard infarct spect (78469) | $2,578 | $6,445 | 4.9× |
| Nonvascular Shunt X-Ray (75809) | $388 | $970 | 3.9× |
| Nuclear Rx Oral Admin (79005) | $1,457.60 | $3,644 | 6.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,081.60 | $2,704 | 2.1× |
| Parathyroid Planar Imaging (78070) | $1,192 | $2,980 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,081.60 | $2,704 | 2.8× |
| Pelvis 1 or 2 views (72170) | $417.60 | $1,044 | 4.2× |
| Perineogram (74775) | $779.60 | $1,949 | 3.4× |
| Pet Image Skull-Thigh (78812) range across 3 matching MRF lines |
$2,527.20–$2,579.20 | $6,318–$6,448 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,527.20 | $6,318 | 1.8× |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,527.20–$3,774 | $6,318–$9,435 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$2,527.20–$3,544 | $6,318–$8,860 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,527.20 | $6,318 | 2.0× |
| PET whole body (78813) | $2,527.20 | $6,318 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,338.80 | $5,847 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,977.60 | $4,944 | 5.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$586.80–$608.40 | $1,467–$1,521 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 6 matching MRF lines |
$460.80–$475.60 | $1,152–$1,189 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$400.40–$678.80 | $1,001–$1,697 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$329.60–$359.20 | $824–$898 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$419.60–$768.40 | $1,049–$1,921 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $627.20 | $1,568 | 6.2× |
| Radex fingr minimum 2 views (73140) range across 13 matching MRF lines |
$284–$318.80 | $710–$797 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$413.20–$714 | $1,033–$1,785 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$366–$611.20 | $915–$1,528 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$337.20–$421.60 | $843–$1,054 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $570.40 | $1,426 | 5.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $406.80 | $1,017 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) | $396.40 | $991 | 4.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$463.60–$580 | $1,159–$1,450 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $387.20 | $968 | 4.6× |
| Radex Spine 1 View Specify Level (72020) | $368 | $920 | 4.4× |
| Radex Sternum Minimum 2 Views (71120) | $440.80 | $1,102 | 5.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $571.20 | $1,428 | 6.8× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$252–$256.80 | $630–$642 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$270–$377.20 | $675–$943 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$378.40–$654.80 | $946–$1,637 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $751.60 | $1,879 | 7.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $555.60 | $1,389 | 5.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$487.60–$778.40 | $1,219–$1,946 | varies |
| Radiologic exam colon double contrast study (74280) | $1,082.40 | $2,706 | 6.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$721.20–$949.60 | $1,803–$2,374 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$465.20–$734.80 | $1,163–$1,837 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $684.80 | $1,712 | 6.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$490.40–$741.60 | $1,226–$1,854 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$425.20–$835.60 | $1,063–$2,089 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$521.20–$1,360.40 | $1,303–$3,401 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$431.20–$766.40 | $1,078–$1,916 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$371.60–$464.40 | $929–$1,161 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $724.40 | $1,811 | 7.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$425.20–$489.20 | $1,063–$1,223 | varies |
| Renal Cyst Study (74470) | $1,047.20 | $2,618 | 2.0× |
| Ribs bilateral 3 views (71110) | $516.40 | $1,291 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $838 | $2,095 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,633.60 | $6,584 | 5.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,742.80 | $4,357 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$2,430.80–$3,328.40 | $6,077–$8,321 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$430–$717.60 | $1,075–$1,794 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$130–$161.60 | $325–$404 | varies |
| Sella turcica (70240) | $290.80 | $727 | 3.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$421.60–$527.20 | $1,054–$1,318 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$875.60–$1,008.40 | $2,189–$2,521 | varies |
| Sialogram (70390) | $456 | $1,140 | 2.0× |
| Skull less than 4 views (70250) | $355.60 | $889 | 3.5× |
| Special dosimetry (77331) | $568.80 | $1,422 | 4.4× |
| Special Physics Consult (77370) | $864.80 | $2,162 | 6.7× |
| Special treatment procedure (77470) | $1,124.40 | $2,811 | 2.1× |
| Sternoclavicular joints (71130) | $440.80 | $1,102 | 5.3× |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$1,378–$1,725.20 | $3,445–$4,313 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $732 | $1,830 | 2.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $789.20 | $1,973 | 2.2× |
| Testicular Imaging W/Flow (78761) | $1,219.60 | $3,049 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,008.40 | $5,021 | 5.6× |
| Ther rad simulaj-aided field setting simple (77280) | $926.80 | $2,317 | 7.2× |
| Thoracic spine 2 views (72070) | $502.40 | $1,256 | 5.0× |
| Thoracic spine 3 views (72072) | $500.40 | $1,251 | 5.0× |
| Thoracolumbar 2 views (72080) | $466.40 | $1,166 | 5.6× |
| Thyroid Imaging With Vascular Flow (78013) | $506.40 | $1,266 | 1.3× |
| Thyroid Met Imaging Body (78018) | $703.20 | $1,758 | 1.3× |
| Thyroid Uptake Measurement (78012) | $542.40 | $1,356 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,134.80 | $2,837 | 3.0× |
| Tx Devices Design & Construction Complex (77334) | $1,302.80 | $3,257 | 3.6× |
| Tx devices design & construction simple (77332) | $455.20 | $1,138 | 3.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$401.60–$894.40 | $1,004–$2,236 | varies |
| Ultrasound Exam Aaa Screen (76706) | $205.20 | $513 | 2.0× |
| Ultrasound, abdomen limited (76705) | $734 | $1,835 | 7.3× |
| Unlisted Dx Radiographic Procedure (76499) | $129.20 | $323 | 1.5× |
| Unlisted magnetic resonance procedure (76498) | $966.80 | $2,417 | 11.6× |
| Unlisted us procedure (76999) | $447.60 | $1,119 | 5.3× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$960.80–$988 | $2,402–$2,470 | varies |
| Ureteral Reflux Study (78740) | $873.60 | $2,184 | 2.3× |
| Urethrocystogram voiding (74455) | $818 | $2,045 | 3.6× |
| Urethrocystography retrograde (74450) | $732 | $1,830 | 3.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$544–$1,118.80 | $1,360–$2,797 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$654.40–$770 | $1,636–$1,925 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$490.40–$829.20 | $1,226–$2,073 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$558.80–$911.60 | $1,397–$2,279 | varies |
| Us head (76506) | $804.80 | $2,012 | 8.0× |
| Us kidney transplant (76776) | $1,012.40 | $2,531 | 10.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$283.20–$500.40 | $708–$1,251 | varies |
| Us ob detailed single fetus (76811) | $542 | $1,355 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$661.20–$675.20 | $1,653–$1,688 | varies |
| Us ob transvaginal (76817) | $584 | $1,460 | 5.8× |
| Us pelvic non ob complete (76856) | $930.40 | $2,326 | 9.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $793.60 | $1,984 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $451.20 | $1,128 | 4.5× |
| Us retroperitoneal complete (76770) | $827.60 | $2,069 | 8.2× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$424–$530 | $1,060–$1,325 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$227.60–$730.80 | $569–$1,827 | varies |
| Us spinal canal and contents (76800) | $709.20 | $1,773 | 7.1× |
| Us thyroid (76536) range across 3 matching MRF lines |
$637.60–$819.60 | $1,594–$2,049 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$271.60–$362.40 | $679–$906 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,740.80–$2,395.20 | $4,352–$5,988 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,724.40 | $4,311 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $2,401.20 | $6,003 | 0.8× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,378–$1,725.20 | $3,445–$4,313 | varies |
| Venography Adrenal Unilateral (75840) | $2,328.40 | $5,821 | 0.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,389.20–$2,503.60 | $3,473–$6,259 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,138.40–$1,740.80 | $2,846–$4,352 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$1,025.20–$1,740.80 | $2,563–$4,352 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,646.40–$2,384.80 | $4,116–$5,962 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$1,564.80–$2,494.80 | $3,912–$6,237 | varies |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,486.40 | $6,216 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $770.80 | $1,927 | 2.0× |
| Vertebral fracture assessment via dxa (77086) | $200 | $500 | 2.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$141.20–$442 | $353–$1,105 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $348.80 | $872 | 4.2× |
| X-ray antegrade pyelogram tube (74425) | $972.40 | $2,431 | 2.9× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$1,357.60–$6,280 | $3,394–$15,700 | varies |
| X-Ray Bend Only L-S Spine (72120) | $415.60 | $1,039 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$326–$407.60 | $815–$1,019 | varies |
| X-Ray Exam Breast Specimen (76098) range across 5 matching MRF lines |
$258.40–$606.80 | $646–$1,517 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $504 | $1,260 | 5.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $575.60 | $1,439 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $316.80 | $792 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $447.60 | $1,119 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$454.40–$968 | $1,136–$2,420 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$470.80–$505.60 | $1,177–$1,264 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $604.80 | $1,512 | 6.0× |
| X-Ray Exam L-S Spine Bending (72114) | $655.60 | $1,639 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $438.80 | $1,097 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $623.20 | $1,558 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$519.20–$571.20 | $1,298–$1,428 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$184–$228.40 | $460–$571 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$348–$506.40 | $870–$1,266 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,114.80 | $2,787 | 6.6× |
| X-ray IV pyelogram+tomography (74415) | $777.60 | $1,944 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $414.40 | $1,036 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $374.80 | $937 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $543.60 | $1,359 | 5.4× |
| X-ray nose-rectum child f.b. (76010) | $256.80 | $642 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $756 | $1,890 | 7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $256.80 | $642 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $256.80 | $642 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $319.20 | $798 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $570 | $1,425 | 6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $544 | $1,360 | 5.4× |
| X-ray thoracic spine 4 vw (72074) | $496 | $1,240 | 4.9× |
| X-Ray Tmj Unilat (70328) | $150 | $375 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$802–$1,524.40 | $2,005–$3,811 | varies |
| X-Rays Bone Length Studies (77073) | $191.60 | $479 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $1,143.20 | $2,858 | 11.4× |
| Xr c-spine 4 or 5 views (72050) | $644.80 | $1,612 | 6.4× |
| Xr facial bones less than 3 views (70140) | $316.40 | $791 | 3.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $290.80 | $727 | 2.9× |
| Xr orbits complete 4 views (70200) | $272 | $680 | 2.7× |
| Xr Tomogram Single Plane (76100) | $558 | $1,395 | 5.5× |
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.