Imaging prices at St. Peters Health
Helena, MT · every code in this section with a posted price and a Medicare benchmark.
263 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) range across 4 matching MRF lines |
$5,698.13–$5,796.29 | $6,703.68–$6,819.16 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$160.63–$160.79 | $188.98–$189.16 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$154.65–$159.15 | $181.94–$187.24 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,396.85 | $1,643.35 | 3.4× |
| Angio pulmonary bilat (75743) | $4,291.67 | $5,049.02 | 1.3× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,172.06–$2,172.06 | $2,555.37 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,936.08 | $4,630.68 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$135.29–$135.29 | $159.17 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,471.22–$5,471.22 | $6,436.73 | varies |
| Artery X-Rays Pelvis (75736) | $3,431.28 | $4,036.80 | 0.6× |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$335.25–$346.04 | $394.41–$407.11 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$139.24–$139.24 | $163.81 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$1,554.74–$1,609.29 | $1,829.10–$1,893.28 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$525.90–$525.90 | $618.71 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$1,097.08–$1,105.27 | $1,290.69–$1,300.32 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$156.79–$156.79 | $184.46 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,267.13 | $5,020.15 | 2.9× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$101.13–$101.78 | $118.98–$119.74 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$148.93–$150.88 | $175.21–$177.50 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$174.79–$174.79 | $205.63 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$141.29–$147.74 | $166.22–$173.81 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$352.50–$352.55 | $414.70–$414.77 | varies |
| Continuing medical physics consltj pr wk (77336) range across 4 matching MRF lines |
$429.28–$433.61 | $505.04–$510.13 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,841.49 | $3,342.93 | 0.9× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$373.18–$383.01 | $439.04–$450.60 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$2,230.98–$2,258.50 | $2,624.68–$2,657.06 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$1,837.51–$1,841.90 | $2,161.78–$2,166.94 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$1,226.96–$1,226.96 | $1,443.48 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,298.87–$1,321.43 | $1,528.08–$1,554.62 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,033.12–$1,087.49 | $1,215.43–$1,279.40 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$2,833.65–$2,864.81 | $3,333.71–$3,370.37 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,626.01–$1,631.62 | $1,912.95–$1,919.55 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$1,409.62–$1,412.72 | $1,658.38–$1,662.02 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$779.25–$779.25 | $916.77 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,071.99–$1,074.32 | $1,261.17–$1,263.91 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,411.17–$1,413.88 | $1,660.20–$1,663.39 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,234.96–$1,234.97 | $1,452.90 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$1,039.49–$1,094.20 | $1,222.93–$1,287.29 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$977.51–$999.03 | $1,150.01–$1,175.33 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,067.30–$1,075.67 | $1,255.65–$1,265.49 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,297.93–$1,297.93 | $1,526.98 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$944.79–$994.52 | $1,111.52–$1,170.02 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$1,198.87–$1,228.95 | $1,410.44–$1,445.82 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$246.59–$259.57 | $290.11–$305.38 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,199.67–$1,199.67 | $1,411.38 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,058.67–$1,058.67 | $1,245.49 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,149.42–$1,150.43 | $1,352.26–$1,353.45 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,128.69–$1,142.81 | $1,327.87–$1,344.48 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,070.92–$1,070.92 | $1,259.90 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$980.93–$1,000.96 | $1,154.03–$1,177.60 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,326.29–$1,327.13 | $1,560.34–$1,561.33 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$973.03–$998.89 | $1,144.74–$1,175.17 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,393.65–$1,393.65 | $1,639.59 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$967.77–$1,008.15 | $1,138.55–$1,186.06 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$962.17–$965.68 | $1,131.97–$1,136.09 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,132.50–$1,165.44 | $1,332.35–$1,371.10 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$872.18–$872.19 | $1,026.10 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,214.87–$1,397.10 | $1,429.26–$1,643.65 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$933.98–$936.97 | $1,098.80–$1,102.32 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,256.05–$1,256.05 | $1,477.71 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$848.69–$854.21 | $998.46–$1,004.95 | varies |
| CT unlisted procedure (76497) | $2,750.17 | $3,235.49 | 30.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,032.68–$1,033.88 | $1,214.92–$1,216.33 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,053.54–$1,053.54 | $1,239.46 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,500.95–$1,523.92 | $1,765.82–$1,792.85 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,595.74–$1,595.74 | $1,877.34 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,979.44 | $2,328.75 | 5.6× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,408.65–$1,408.65 | $1,657.24 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,845.17–$2,845.17 | $3,347.26 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$227.61–$232.93 | $267.78–$274.03 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$97.84–$99.90 | $115.11–$117.53 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$524.35–$524.35 | $616.88 | varies |
| Echo Guide For Artery Repair (76936) | $532.28 | $626.21 | 2.4× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$166.70–$166.70 | $196.12 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$185.80–$189.33 | $218.59–$222.74 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$275.78–$275.78 | $324.45 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$259.41–$293.78 | $305.19–$345.62 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$396.13–$396.77 | $466.04–$466.79 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$104.94–$133.48 | $123.46–$157.03 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$146.65–$212.64 | $172.53–$250.16 | varies |
| Gastric emptying imaging study (78264) range across 4 matching MRF lines |
$590.05–$594.38 | $694.18–$699.27 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,665.59–$1,741.46 | $1,959.52–$2,048.78 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$113–$155.07 | $132.94–$182.44 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$1,624.44–$1,690.34 | $1,911.10–$1,988.63 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$1,070.97–$1,106.02 | $1,259.96–$1,301.20 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$2,453.37–$2,821.38 | $2,886.32–$3,319.27 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$391.06–$391.06 | $460.07 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$183.44–$184.49 | $215.81–$217.05 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$1,573.37–$1,573.37 | $1,851.02 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$878.16–$924.38 | $1,033.13–$1,087.51 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$971.19–$971.19 | $1,142.58 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$210.11–$211.02 | $247.19–$248.26 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$636.90–$654.36 | $749.29–$769.84 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$878.16–$878.16 | $1,033.13 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$1,189.60–$1,204.08 | $1,399.53–$1,416.56 | varies |
| Meckels Divert Exam (78290) | $690.67 | $812.55 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) range across 4 matching MRF lines |
$714.50–$3,164.77 | $840.59–$3,723.26 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$2,044.70–$2,094.63 | $2,405.53–$2,464.27 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,822.03–$1,822.03 | $2,143.57 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,894.75–$1,894.75 | $2,229.12 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,206.47–$1,206.47 | $1,419.38 | varies |
| MRI abdomen w contrast (74182) | $1,894.90 | $2,229.29 | 5.3× |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$2,004.94–$2,024.78 | $2,358.75–$2,382.09 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,962.70–$1,962.70 | $2,309.06 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$1,780.20–$2,105.32 | $2,094.35–$2,476.85 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,232.29–$2,477.84 | $2,626.22–$2,915.10 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,535.20–$1,535.20 | $1,806.12 | varies |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$1,840.25–$1,885.19 | $2,165–$2,217.87 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,711.68–$1,711.68 | $2,013.74 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,083.08–$2,288.34 | $2,450.68–$2,692.16 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$2,388.19–$2,683.13 | $2,809.63–$3,156.62 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,154.57–$2,195.81 | $2,534.79–$2,583.30 | varies |
| MRI lumbar spine w contrast (72149) | $1,817.98 | $2,138.80 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) range across 5 matching MRF lines |
$2,303.30–$2,389.67 | $2,709.76–$2,811.38 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,769.62–$1,769.62 | $2,081.91 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,935.48–$2,242.90 | $2,277.04–$2,638.71 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,928.88–$1,928.88 | $2,269.27 | varies |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$2,577.74–$2,896.09 | $3,032.63–$3,407.16 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$2,512.88–$2,564.93 | $2,956.33–$3,017.57 | varies |
| MRI thoracic spine w/o contrast (72146) range across 6 matching MRF lines |
$1,752.39–$1,783.34 | $2,061.63–$2,098.05 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,637.36–$1,719.34 | $1,926.30–$2,022.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$1,751.33–$2,071.18 | $2,060.39–$2,436.68 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$2,083.81–$2,464.32 | $2,451.54–$2,899.20 | varies |
| MRI, dorsal spine combo (72157) range across 5 matching MRF lines |
$2,142.80–$2,303.30 | $2,520.94–$2,709.76 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,574.12–$1,574.12 | $1,851.91 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$2,026.80–$2,062.48 | $2,384.47–$2,426.45 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$1,870.61–$2,212.25 | $2,200.72–$2,602.65 | varies |
| MRI, lumbar spine combo (72158) range across 5 matching MRF lines |
$2,189.80–$2,254.19 | $2,576.23–$2,651.99 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$2,537.74–$2,583.24 | $2,985.58–$3,039.10 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$158.69–$158.69 | $186.69 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$3,007.60–$3,164.77 | $3,538.35–$3,723.26 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$459.25–$459.25 | $540.29 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$554.70–$554.70 | $652.59 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 4 matching MRF lines |
$1,769.58–$1,862.72 | $2,081.86–$2,191.43 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$173.44–$174.11 | $204.05–$204.84 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$5,311.58–$5,396.18 | $6,248.92–$6,348.45 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$4,868.83–$4,952.41 | $5,728.03–$5,826.37 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$180.39–$184.90 | $212.22–$217.53 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$180.47–$187.06 | $212.32–$220.07 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$132.49–$133.98 | $155.87–$157.62 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$213.83–$219.52 | $251.57–$258.26 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$488.29–$488.29 | $574.46 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$91.34–$93.52 | $107.46–$110.02 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$174.23–$175.68 | $204.98–$206.68 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$179.75–$182.76 | $211.47–$215.01 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$171.78–$171.78 | $202.09 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $197.05 | $231.82 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$249.38–$249.38 | $293.39 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$164.82–$164.82 | $193.91 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$156.97–$158.41 | $184.67–$186.36 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$369.55–$369.55 | $434.77 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$95.68–$100.72 | $112.57–$118.49 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$165.30–$165.30 | $194.47 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$230.12–$230.12 | $270.73 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$119.31–$137.20 | $140.36–$161.41 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$184.64–$186.21 | $217.22–$219.07 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$9,377.51–$9,377.51 | $11,032.37 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$418.96–$418.96 | $492.89 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$695.19–$695.19 | $817.87 | varies |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$890.57–$938.74 | $1,047.73–$1,104.40 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$313.45–$313.45 | $368.77 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$482.42–$507.81 | $567.55–$597.42 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$288.07–$331.29 | $338.91–$389.75 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 3 matching MRF lines |
$383.32–$384.10 | $450.96–$451.88 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$152.67–$178.08 | $179.61–$209.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$116.24–$116.24 | $136.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$321.56–$321.56 | $378.31 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$157.06–$159.58 | $184.78–$187.74 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$180.88–$210.30 | $212.80–$247.41 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$154.28–$154.28 | $181.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$111.25–$112.06 | $130.88–$131.83 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$169.69–$176.46 | $199.64–$207.60 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$116.66–$116.88 | $137.25–$137.51 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$313.41–$313.41 | $368.72 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$960.87–$960.87 | $1,130.44 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $977.84 | $1,150.40 | 1.8× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$491.02–$508.25 | $577.67–$597.94 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$202.90–$202.90 | $238.71 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$37.08–$238.65 | $43.62–$280.77 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$123.05–$123.05 | $144.77 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$170.58–$170.58 | $200.68 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$220.64–$220.64 | $259.58 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$344.52–$344.52 | $405.32 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$947.79–$947.79 | $1,115.05 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$1,356.68–$1,845.27 | $1,596.09–$2,170.91 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 3 matching MRF lines |
$2,146.03–$2,258.98 | $2,524.74–$2,657.62 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$218.20–$218.20 | $256.71 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 3 matching MRF lines |
$350.11–$350.11 | $411.89 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$369.14–$369.14 | $434.28 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$825.46–$890.57 | $971.13–$1,047.73 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$505.31–$512.07 | $594.48–$602.43 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$364.06–$364.06 | $428.31 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$187.28–$189.74 | $220.33–$223.22 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$295.72–$299.52 | $347.91–$352.38 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$548.89–$548.89 | $645.75 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$496.26–$496.26 | $583.83 | varies |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$286.47–$911.75 | $337.02–$1,072.65 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$331.38–$348.82 | $389.86–$410.38 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$225–$445.92 | $264.71–$524.61 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$231.87–$231.87 | $272.79 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$281.98–$292.22 | $331.74–$343.79 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$342.94–$345.49 | $403.46–$406.46 | varies |
| Unlisted magnetic resonance procedure (76498) range across 5 matching MRF lines |
$5,806–$6,472.72 | $6,830.59–$7,614.96 | varies |
| Unlisted us procedure (76999) | $115.19 | $135.52 | 1.3× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$462.26–$494.16 | $543.83–$581.36 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$346.82–$346.82 | $408.02 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$356.94–$607.49 | $419.93–$714.69 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$265.39–$382.42 | $312.22–$449.91 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$538.40–$565.59 | $633.41–$665.40 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$287.35–$299.46 | $338.06–$352.31 | varies |
| Us head (76506) range across 3 matching MRF lines |
$434.96–$482.81 | $511.72–$568.01 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$536.21–$536.21 | $630.83 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$106.52–$150.75 | $125.32–$177.35 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$614.15–$614.15 | $722.53 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$228.09–$233.90 | $268.34–$275.18 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$398.44–$478.18 | $468.75–$562.57 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$524.37–$551.66 | $616.91–$649.01 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$398.44–$418.60 | $468.75–$492.47 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$461.24–$461.24 | $542.64 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$359.64–$364.06 | $423.11–$428.30 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$305.21–$308.89 | $359.07–$363.40 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$435.78–$435.78 | $512.68 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$459.32–$459.32 | $540.38 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$297.11–$301.12 | $349.55–$354.26 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$272.80–$272.80 | $320.94 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,131.72–$2,131.72 | $2,507.91 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,860.50–$2,860.50 | $3,365.29 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,307.27–$2,307.27 | $2,714.44 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$688.58–$688.58 | $810.09 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$104.97–$123.63 | $123.49–$145.45 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$182.89–$182.89 | $215.17 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,760.56–$1,760.56 | $2,071.25 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$170.60–$173.71 | $200.71–$204.36 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$128.07–$140.38 | $150.67–$165.15 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,049.72–$1,049.72 | $1,234.96 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$251.57–$254.68 | $295.97–$299.62 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$206.83–$207.66 | $243.33–$244.30 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$174.79–$174.79 | $205.63 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$180.26–$181.53 | $212.07–$213.57 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$266.49–$266.49 | $313.52 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$266.24–$280.24 | $313.22–$329.70 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$299.11–$299.11 | $351.89 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$293.79–$293.79 | $345.64 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$195.16–$200.39 | $229.60–$235.75 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$333.39–$333.39 | $392.22 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$209.17–$212.58 | $246.08–$250.09 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$283.96–$286.38 | $334.07–$336.92 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$171.18–$183.75 | $201.39–$216.18 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $194.99 | $229.40 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$129.84–$129.84 | $152.75 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$198.97–$202.11 | $234.08–$237.78 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$108.82–$108.82 | $128.02 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$315.16–$316.22 | $370.78–$372.02 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$229.81–$235.89 | $270.37–$277.52 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$213.91–$229.05 | $251.66–$269.47 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$231–$234.17 | $271.76–$275.49 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$223.62–$235.39 | $263.08–$276.93 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$385.07–$385.07 | $453.02 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$178.70–$181.25 | $210.24–$213.24 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$312.54–$328.99 | $367.70–$387.05 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$300.91–$310.45 | $354.01–$365.23 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$199.05–$199.05 | $234.18 | varies |
| Xr orbits complete 4 views (70200) range across 5 matching MRF lines |
$451.38–$510.61 | $531.04–$600.72 | varies |
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.