Imaging prices at Ste. Genevieve County Memorial Hospital
Ste. Genevieve, MO · every code in this section with a posted price and a Medicare benchmark.
282 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$9.50–$155.50 | $19–$311 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$12.50–$204 | $25–$408 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$52.50–$747.25 | $105–$1,494.50 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$9–$113.50 | $18–$227 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$31–$389 | $62–$778 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$10–$133.75 | $20–$267.50 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$54–$834.50 | $108–$1,669 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$33–$720.50 | $66–$1,441 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$45.50–$747.25 | $91–$1,494.50 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$37.50–$462.50 | $75–$925 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $33.50 | $67 | 0.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $28.50 | $57 | 0.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$52–$368.50 | $104–$737 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$9.50–$212.50 | $19–$425 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$11.50–$220.25 | $23–$440.50 | varies |
| Chest 3 views (71047) | $15 | $30 | 0.2× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$17–$357.50 | $34–$715 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$17–$378.75 | $34–$757.50 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$9–$167 | $18–$334 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$67.50–$1,160.25 | $135–$2,320.50 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$366.75 | $34–$733.50 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$30.50–$389 | $61–$778 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$92–$2,991 | $184–$5,982 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$94–$2,529.75 | $188–$5,059.50 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$68.50–$1,454.75 | $137–$2,909.50 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$75.50–$1,519.75 | $151–$3,039.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$64.50–$1,258.75 | $129–$2,517.50 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$117.50–$2,529.75 | $235–$5,059.50 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$98–$1,588 | $196–$3,176 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$94.50–$1,317.50 | $189–$2,635 | varies |
| CT angio hrt w/3d image (75574) | $127.50 | $255 | 0.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$101.50–$1,140 | $203–$2,280 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$94.50–$1,317.50 | $189–$2,635 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$96.50–$1,080.50 | $193–$2,161 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$66–$1,528.75 | $132–$3,057.50 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$57.50–$1,460 | $115–$2,920 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$68–$1,266.50 | $136–$2,533 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$67–$1,279.50 | $134–$2,559 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$74.50–$1,333.75 | $149–$2,667.50 | varies |
| CT colonography screening (74263) | $59 | $118 | 0.2× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$61.50–$1,266.50 | $123–$2,533 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$68.50–$1,371 | $137–$2,742 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $93.50 | $187 | 0.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$10.25–$37.50 | $20.50–$75 | varies |
| CT hrt w/3d image congen (75573) | $136 | $272 | 0.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$74.50–$1,582.75 | $149–$3,165.50 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$68.50–$1,483 | $137–$2,966 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$54–$1,195 | $108–$2,390 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$63–$1,512.75 | $126–$3,025.50 | varies |
| CT lumbar spine w contrast (72132) | $1,453.25 | $2,906.50 | 4.2× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$54–$1,199 | $108–$2,398 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$60.50–$1,266.50 | $121–$2,533 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$46–$1,195 | $92–$2,390 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$87–$1,575 | $174–$3,150 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$78–$1,582.75 | $156–$3,165.50 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$69–$1,265.75 | $138–$2,531.50 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$65.50–$1,582.75 | $131–$3,165.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$58.50–$1,195 | $117–$2,390 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$65.50–$1,266.50 | $131–$2,533 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$68.50–$1,582.75 | $137–$3,165.50 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$74.50–$1,266.50 | $149–$2,533 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$69–$1,195 | $138–$2,390 | varies |
| CT thoracic spine w contrast (72129) | $1,303.25 | $2,606.50 | 7.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$54–$1,224.75 | $108–$2,449.50 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$58.50–$1,582.75 | $117–$3,165.50 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$63–$1,194.75 | $126–$2,389.50 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$54–$1,195 | $108–$2,390 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$66–$1,266.50 | $132–$2,533 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$63–$1,408.75 | $126–$2,817.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$128–$1,876.25 | $256–$3,752.50 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$97.50–$1,448.50 | $195–$2,897 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,635 | $5,270 | 7.5× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$97–$1,133.75 | $194–$2,267.50 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$43–$366.75 | $86–$733.50 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$39–$301 | $78–$602 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$10.50–$319 | $21–$638 | varies |
| Dxa bone density study (77085) | $306.50 | $613 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$10.50–$196 | $21–$392 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$39–$332.75 | $78–$665.50 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$36–$314.50 | $72–$629 | varies |
| Fetal Biophys Profile W/Nst (76818) | $77 | $154 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$42.50–$511.25 | $85–$1,022.50 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$45–$181 | $90–$362 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$8–$113.50 | $16–$227 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$9–$160.25 | $18–$320.50 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$41.50–$677.50 | $83–$1,355 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$52–$1,230.50 | $104–$2,461 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$9–$113.50 | $18–$227 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$48–$1,006.75 | $96–$2,013.50 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$39.50–$877 | $79–$1,754 | varies |
| Ht Musc Image Planar Mult (78454) | $71.50 | $143 | 0.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$63.96–$721.50 | $127.92–$1,443 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$20.50–$273 | $41–$546 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$40–$259 | $80–$518 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$73.50–$1,089.25 | $147–$2,178.50 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$63.50–$909.25 | $127–$1,818.50 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$50–$899 | $100–$1,798 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$23.50–$597.75 | $47–$1,195.50 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$10–$371 | $20–$742 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$26–$707 | $52–$1,414 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$29.50–$761.75 | $59–$1,523.50 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$508.50 | $45–$1,017 | 0.9× |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$566 | $51–$1,132 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $44.50 | $89 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$57–$1,027 | $114–$2,054 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$63.50–$1,023.75 | $127–$2,047.50 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$79–$1,708.50 | $158–$3,417 | varies |
| Mammary ductogram or galactogram multiple (77054) | $24.50 | $49 | 0.1× |
| Mammary ductogram or galactogram single (77053) | $19 | $38 | 0.1× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$36–$800 | $72–$1,600 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$79.50–$1,994 | $159–$3,988 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$64.50–$1,479 | $129–$2,958 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$64.50–$1,367.25 | $129–$2,734.50 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$81–$1,708.50 | $162–$3,417 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$97–$1,994 | $194–$3,988 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$64.50–$1,566.50 | $129–$3,133 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$93.50–$1,708.50 | $187–$3,417 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$78.50–$1,420.25 | $157–$2,840.50 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$88–$1,708.50 | $176–$3,417 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$115.50–$1,708.50 | $231–$3,417 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$88–$1,708.50 | $176–$3,417 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,265.75 | $2,531.50 | 5.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,117.50 | $2,235 | 4.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$96.50–$1,708.50 | $193–$3,417 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$80–$1,632 | $160–$3,264 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$78.50–$1,555.50 | $157–$3,111 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$93–$1,367.25 | $186–$2,734.50 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$121.50–$1,678 | $243–$3,356 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$87.50–$1,581.75 | $175–$3,163.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$115.50–$1,708.50 | $231–$3,417 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$72.50–$1,535.50 | $145–$3,071 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$96.50–$1,708.50 | $193–$3,417 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$123–$1,926.25 | $246–$3,852.50 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$72.50–$1,633.25 | $145–$3,266.50 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$87.50–$1,708.50 | $175–$3,417 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$115.50–$1,994 | $231–$3,988 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$93.50–$1,708.50 | $187–$3,417 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$118.50–$1,994 | $237–$3,988 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$78.50–$1,486.50 | $157–$2,973 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$80–$1,522.50 | $160–$3,045 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$87.50–$1,708.50 | $175–$3,417 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$73–$1,708.50 | $146–$3,417 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$115.50–$1,708.50 | $231–$3,417 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$118.50–$1,994 | $237–$3,988 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$123–$1,981.25 | $246–$3,962.50 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$96–$1,367.25 | $192–$2,734.50 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$73.50–$1,708.50 | $147–$3,417 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$116–$1,518.25 | $232–$3,036.50 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$123–$2,146.50 | $246–$4,293 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$49–$509 | $98–$1,018 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$44–$660.75 | $88–$1,321.50 | varies |
| Myelography thoracic (72255) | $477.50 | $955 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$37.50–$724 | $75–$1,448 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$78–$1,870.25 | $156–$3,740.50 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$9–$182.50 | $18–$365 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$48.50–$760.50 | $97–$1,521 | varies |
| Nonvascular Shunt X-Ray (75809) | $244 | $488 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,370 | $2,740 | 2.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$42–$709 | $84–$1,418 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$9–$151.25 | $18–$302.50 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$130–$3,516.25 | $260–$7,032.50 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$128.50–$3,516.25 | $257–$7,032.50 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $138 | $276 | 0.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$39.50–$696 | $79–$1,392 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$17–$264.25 | $34–$528.50 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$28–$345.50 | $56–$691 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$9–$167 | $18–$334 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$8.50–$161.75 | $17–$323.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$9–$167 | $18–$334 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$14–$244 | $28–$488 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$7.50–$137.50 | $15–$275 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$9–$167 | $18–$334 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$9–$167 | $18–$334 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$18.50–$215.75 | $37–$431.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$9–$181.50 | $18–$363 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $10.50 | $21 | 0.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$10–$180.50 | $20–$361 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$9–$142.50 | $18–$285 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$54.50–$904.25 | $109–$1,808.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$8–$174.25 | $16–$348.50 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$10.50–$172 | $21–$344 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$13–$247.50 | $26–$495 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$7–$167 | $14–$334 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$9–$185.25 | $18–$370.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$13.50–$240.25 | $27–$480.50 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$14.50–$244 | $29–$488 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$53.50–$574 | $107–$1,148 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$37–$423.75 | $74–$847.50 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$36–$332.25 | $72–$664.50 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$12–$488.75 | $24–$977.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$11.50–$205.75 | $23–$411.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$25–$610.25 | $50–$1,220.50 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$26.50–$305.25 | $53–$610.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$37–$437.50 | $74–$875 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$8–$79.75 | $16–$159.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$9.50–$165.50 | $19–$331 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$9–$157.75 | $18–$315.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$24.50–$167 | $49–$334 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $33 | $66 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$8.50–$164 | $17–$328 | varies |
| Ribs bilateral 3 views (71110) | $13.50 | $27 | 0.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $9,124.50 | $18,249 | 22.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$42.50–$7,666.25 | $85–$15,332.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,175.75 | $16,351.50 | 15.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$44.50–$8,075.25 | $89–$16,150.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$56–$871 | $112–$1,742 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$9.50–$167 | $19–$334 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$32–$40.25 | $64–$80.50 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$10.50–$119.50 | $21–$239 | varies |
| Shoulder Arthrography (73040) | $29 | $58 | 0.1× |
| Sialogram (70390) range across 2 matching MRF lines |
$20.50–$602.75 | $41–$1,205.50 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.50–$168.25 | $27–$336.50 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$11.50–$196.75 | $23–$393.50 | varies |
| Testicular Imaging W/Flow (78761) | $38 | $76 | 0.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$12–$172.75 | $24–$345.50 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$11.77–$225.25 | $23.54–$450.50 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$12–$265.50 | $24–$531 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$509.25 | $39–$1,018.50 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$26.50–$816.75 | $53–$1,633.50 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$79–$672.50 | $158–$1,345 | varies |
| Ultrasound Elastography Parenchyma (76981) | $260 | $520 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$29.50–$348 | $59–$696 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$31.50–$432.25 | $63–$864.50 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$27.50–$301 | $55–$602 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$37–$416 | $74–$832 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$17.50–$488.50 | $35–$977 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$17.50–$366.75 | $35–$733.50 | varies |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$39–$861.50 | $78–$1,723 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$58–$423 | $116–$846 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$34–$426 | $68–$852 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$26.50–$294.25 | $53–$588.50 | varies |
| Us head (76506) | $34.50 | $69 | 0.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$26.50–$366.75 | $53–$733.50 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$105–$407.50 | $210–$815 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$30.50–$245.50 | $61–$491 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$41–$466 | $82–$932 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$37–$514.50 | $74–$1,029 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$53.50–$405 | $107–$810 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$47–$521.25 | $94–$1,042.50 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$39.50–$516.50 | $79–$1,033 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$31–$459.50 | $62–$919 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$34.50–$398.25 | $69–$796.50 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$63.50–$301 | $127–$602 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$104.50–$406.75 | $209–$813.50 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$36–$431 | $72–$862 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$37.50–$733 | $75–$1,466 | varies |
| Vertebral fracture assessment via dxa (77086) | $250 | $500 | 2.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$9–$113.50 | $18–$227 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$11–$355 | $22–$710 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$12–$303 | $24–$606 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$8.50–$113.50 | $17–$227 | varies |
| X-Ray Exam Breast Specimen (76098) | $254.25 | $508.50 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$17–$205.25 | $34–$410.50 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$19.50–$376.25 | $39–$752.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$10–$208.75 | $20–$417.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$12–$179 | $24–$358 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $13.50 | $27 | 0.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $12 | $24 | 0.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $14 | $28 | 0.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$17–$289.75 | $34–$579.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$17.50–$374.50 | $35–$749 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$12–$251.50 | $24–$503 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$19.50–$338 | $39–$676 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$14.50–$231 | $29–$462 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$9–$167.75 | $18–$335.50 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$26.50–$496.75 | $53–$993.50 | varies |
| X-ray IV pyelogram+tomography (74415) | $26.50 | $53 | 0.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$9–$85.25 | $18–$170.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$12–$268.25 | $24–$536.50 | varies |
| X-ray nose-rectum child f.b. (76010) | $161.75 | $323.50 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$17.50–$486 | $35–$972 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$10–$192.50 | $20–$385 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $9 | $18 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$9–$185 | $18–$370 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$13.50–$222.25 | $27–$444.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$18.50–$256 | $37–$512 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$84.50–$486 | $169–$972 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$15–$254.25 | $30–$508.50 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$29–$462.50 | $58–$925 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$17–$368.50 | $34–$737 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$15–$167 | $30–$334 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$33.50–$290.50 | $67–$581 | 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.