Imaging prices at Stevens Community Medical Center Inc
Morris, MN · every code in this section with a posted price and a Medicare benchmark.
240 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 4 matching MRF lines |
$17.25–$249.75 | $23–$333 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$21–$273.75 | $28–$365 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$35.25–$218.25 | $47–$291 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$108.75–$790.50 | $145–$1,054 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$165–$230.25 | $220–$307 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$39–$213.75 | $52–$285 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$148.50–$2,250.75 | $198–$3,001 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$128.25–$1,354.50 | $171–$1,806 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$17.25–$306 | $23–$408 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$34.50–$250.50 | $46–$334 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$24–$313.50 | $32–$418 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$27.75–$366 | $37–$488 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$35.25–$237 | $47–$316 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$61.50–$517.50 | $82–$690 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$63.75–$840.75 | $85–$1,121 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$36–$1,036.50 | $48–$1,382 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $74.25 | $99 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$186.75–$3,075.75 | $249–$4,101 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$160.50–$2,794.50 | $214–$3,726 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$254.25–$1,691.25 | $339–$2,255 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$279–$947.25 | $372–$1,263 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$235.50–$1,403.25 | $314–$1,871 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$194.25–$929.25 | $259–$1,239 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$208.50–$3,047.25 | $278–$4,063 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$201–$4,128.75 | $268–$5,505 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$217.50–$3,078 | $290–$4,104 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$215.25–$3,415.50 | $287–$4,554 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$564.75–$2,782.50 | $753–$3,710 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$292.50–$1,785 | $390–$2,380 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$231–$1,500 | $308–$2,000 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$254.25–$2,136.75 | $339–$2,849 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$244.50–$1,462.50 | $326–$1,950 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$251.25–$2,131.50 | $335–$2,842 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$226.50–$1,440 | $302–$1,920 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$254.25–$1,554 | $339–$2,072 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$60.75–$74.25 | $81–$99 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$145.50–$1,955.25 | $194–$2,607 | varies |
| CT l-spine w&w/o contrast (72133) | $111 | $148 | 0.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$217.50–$1,440 | $290–$1,920 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$227.25–$1,728 | $303–$2,304 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$340.50–$1,780.50 | $454–$2,374 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$231–$1,494 | $308–$1,992 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$259.50–$1,789.50 | $346–$2,386 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$228.75–$1,411.50 | $305–$1,882 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$290.25–$2,064.75 | $387–$2,753 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$117–$2,262.75 | $156–$3,017 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$221.25–$1,824 | $295–$2,432 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$354.75–$1,941 | $473–$2,588 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$217.50–$1,457.25 | $290–$1,943 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$237–$2,079 | $316–$2,772 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$282–$2,143.50 | $376–$2,858 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$274.50–$1,713 | $366–$2,284 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$257.25–$1,426.50 | $343–$1,902 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$241.50–$1,782 | $322–$2,376 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$231–$1,496.25 | $308–$1,995 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$254.25–$2,134.50 | $339–$2,846 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$231–$1,279.50 | $308–$1,706 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$217.50–$1,554 | $290–$2,072 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$459–$2,079 | $612–$2,772 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$172.50–$227.25 | $230–$303 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$276–$3,414 | $368–$4,552 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$220.50–$3,238.50 | $294–$4,318 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$219–$260.25 | $292–$347 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$60.75–$491.25 | $81–$655 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$38.25–$546 | $51–$728 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$55.50–$494.25 | $74–$659 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$30.75–$96.75 | $41–$129 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$94.50–$602.25 | $126–$803 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$266.25–$366.75 | $355–$489 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$145.50–$384.75 | $194–$513 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$72–$794.25 | $96–$1,059 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$36.75–$218.25 | $49–$291 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$35.25–$237 | $47–$316 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$113.25–$1,521.75 | $151–$2,029 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$35.25–$137.25 | $47–$183 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$120–$1,553.25 | $160–$2,071 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$98.25–$1,553.25 | $131–$2,071 | varies |
| Hysterosalpingogram (74740) | $559.50 | $746 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$76.50–$83.25 | $102–$111 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$63–$72.75 | $84–$97 | varies |
| Infusion Ivp (74410) | $98.25 | $131 | 0.5× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$171–$2,161.50 | $228–$2,882 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$38.25–$254.25 | $51–$339 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$39.75–$1,065.75 | $53–$1,421 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$140.25–$1,483.50 | $187–$1,978 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$260.25–$2,236.50 | $347–$2,982 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$93–$688.50 | $124–$918 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$75–$308.25 | $100–$411 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$421.50–$2,770.50 | $562–$3,694 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$181.50–$2,301 | $242–$3,068 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$375–$2,208.75 | $500–$2,945 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$423.75–$2,798.25 | $565–$3,731 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$198–$1,951.50 | $264–$2,602 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$150.75–$2,732.25 | $201–$3,643 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$319.50–$2,280 | $426–$3,040 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$72–$2,637.75 | $96–$3,517 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$264–$3,127.50 | $352–$4,170 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$148.50–$2,586 | $198–$3,448 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$543–$2,412.75 | $724–$3,217 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$319.50–$2,276.25 | $426–$3,035 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$319.50–$2,835.75 | $426–$3,781 | varies |
| MRI chest with contrast (71551) | $150.75 | $201 | 0.2× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$282.75–$3,485.25 | $377–$4,647 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$130.50–$2,695.50 | $174–$3,594 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$294.75–$3,186 | $393–$4,248 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$170.25–$2,007.75 | $227–$2,677 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$504–$2,463.75 | $672–$3,285 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$432.75–$2,238 | $577–$2,984 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,514.75 | $3,353 | 10.2× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$176.25–$2,673 | $235–$3,564 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$232.50–$1,956.75 | $310–$2,609 | varies |
| MRI pelvis w contrast (72196) | $1,851.75 | $2,469 | 5.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$282.75–$2,249.25 | $377–$2,999 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$319.50–$1,634.25 | $426–$2,179 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$319.50–$2,307.75 | $426–$3,077 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$130.50–$2,747.25 | $174–$3,663 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$163.50–$2,589 | $218–$3,452 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$294.75–$2,126.25 | $393–$2,835 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$282.75–$2,238 | $377–$2,984 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$428.25–$2,956.50 | $571–$3,942 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$383.25–$2,466 | $511–$3,288 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$260.25–$2,427 | $347–$3,236 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$173.25–$3,075.75 | $231–$4,101 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$393–$2,955 | $524–$3,940 | varies |
| Myelography thoracic (72255) | $1,632 | $2,176 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $4,047 | $5,396 | 3.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$35.25–$187.50 | $47–$250 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines |
$21–$62.25 | $28–$83 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$114–$1,052.25 | $152–$1,403 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$171–$1,416.75 | $228–$1,889 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$36–$237 | $48–$316 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$408.75–$5,053.50 | $545–$6,738 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$405.75–$3,714.75 | $541–$4,953 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$36.75–$239.25 | $49–$319 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$35.25–$211.50 | $47–$282 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$36.75–$254.25 | $49–$339 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$48.75–$339 | $65–$452 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$31.50–$186.75 | $42–$249 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$36.75–$239.25 | $49–$319 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$36.75–$239.25 | $49–$319 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$35.25–$205.50 | $47–$274 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$62.25–$267 | $83–$356 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$35.25–$237 | $47–$316 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$40.50–$254.25 | $54–$339 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$37.50–$254.25 | $50–$339 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$35.25–$263.25 | $47–$351 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$32.25–$201.75 | $43–$269 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$37.50–$282.75 | $50–$377 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$49.50–$363 | $66–$484 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$31.50–$186.75 | $42–$249 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$34.50–$205.50 | $46–$274 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$36.75–$249 | $49–$332 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$48–$267 | $64–$356 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $24 | $32 | 0.2× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$198–$816.75 | $264–$1,089 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$142.50–$919.50 | $190–$1,226 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$180–$621 | $240–$828 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$47.25–$266.25 | $63–$355 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$42.75–$290.25 | $57–$387 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$104.25–$347.25 | $139–$463 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$100.50–$549 | $134–$732 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$142.50–$352.50 | $190–$470 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$54.75–$146.25 | $73–$195 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$54.75–$193.50 | $73–$258 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$30.75–$237 | $41–$316 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$47.25–$387 | $63–$516 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$36–$237 | $48–$316 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$50.25–$348 | $67–$464 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$172.50–$2,329.50 | $230–$3,106 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$209.25–$2,329.50 | $279–$3,106 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$36.75–$231.75 | $49–$309 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$69.75–$79.50 | $93–$106 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$13.50–$211.50 | $18–$282 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$108.75–$793.50 | $145–$1,058 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$78.75–$769.50 | $105–$1,026 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$44.25–$510.75 | $59–$681 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$39.75–$303 | $53–$404 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$44.25–$290.25 | $59–$387 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$44.25–$326.25 | $59–$435 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$44.25–$280.50 | $59–$374 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$51.75–$351 | $69–$468 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$69–$1,329.75 | $92–$1,773 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$108.75–$322.50 | $145–$430 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$49.50–$672.75 | $66–$897 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$119.25–$653.25 | $159–$871 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$42.75–$488.25 | $57–$651 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$142.50–$658.50 | $190–$878 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$62.25–$697.50 | $83–$930 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$156–$350.25 | $208–$467 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$45.75–$330.75 | $61–$441 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$40.50–$456.75 | $54–$609 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$119.25–$309 | $159–$412 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$122.25–$345 | $163–$460 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$129–$363 | $172–$484 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$142.50–$672 | $190–$896 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$184.50–$497.25 | $246–$663 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$107.25–$269.25 | $143–$359 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$148.50–$584.25 | $198–$779 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$117.75–$421.50 | $157–$562 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$130.50–$427.50 | $174–$570 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$99–$139.50 | $132–$186 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$111.75–$660.75 | $149–$881 | varies |
| Us transrectal (76872) | $540.75 | $721 | 5.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$35.25–$70.50 | $47–$94 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$39.75–$290.25 | $53–$387 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$44.25–$325.50 | $59–$434 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$33.75–$211.50 | $45–$282 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$34.50–$365.25 | $46–$487 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$47.25–$177 | $63–$236 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$69–$240.75 | $92–$321 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$36.75–$210.75 | $49–$281 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$44.25–$254.25 | $59–$339 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$58.50–$381.75 | $78–$509 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$77.25–$420.75 | $103–$561 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$93.75–$511.50 | $125–$682 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$74.25–$489.75 | $99–$653 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$39.75–$217.50 | $53–$290 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$32.25–$489.75 | $43–$653 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$51–$280.50 | $68–$374 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$35.25–$183 | $47–$244 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$36.75–$254.25 | $49–$339 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$39–$806.25 | $52–$1,075 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$36–$202.50 | $48–$270 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$36–$218.25 | $48–$291 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$44.25–$297.75 | $59–$397 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$51–$66 | $68–$88 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$58.50–$376.50 | $78–$502 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$39–$267 | $52–$356 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$36.75–$194.25 | $49–$259 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$36.75–$254.25 | $49–$339 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$48–$348 | $64–$464 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$62.25–$387 | $83–$516 | varies |
| X-Ray Stress View (77071) | $88.50 | $118 | 1.0× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$36–$213.75 | $48–$285 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$55.50–$284.25 | $74–$379 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$101.25–$639.75 | $135–$853 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$57–$396.75 | $76–$529 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$36.75–$228.75 | $49–$305 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$36–$223.50 | $48–$298 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$82.50–$339 | $110–$452 | 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.