Imaging prices at Summa Health System
Akron, OH · every code in this section with a posted price and a Medicare benchmark.
427 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) | $13,947 | $13,947 | 10.7× |
| Abdomen 1 View (74018) | $419.50 | $419.50 | 5.1× |
| Abdomen 2 views (74019) | $602 | $602 | 6.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,201.50 | $4,201.50 | 11.1× |
| Angio internal mammary (75756) | $7,351.25 | $7,351.25 | 2.5× |
| Angio pulmonary bilat (75743) | $15,637 | $15,637 | 5.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $17,523 | $17,523 | 5.9× |
| Angiography extremity bilateral rs&i (75716) | $10,731 | $10,731 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $10,491.50 | $10,491.50 | 3.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $12,345.25 | $12,345.25 | 4.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,371 | $7,371 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$613.75–$1,227.50 | $613.75–$1,227.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $13,859 | $13,859 | 2.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $17,471.75 | $17,471.75 | 5.8× |
| Artery X-Rays Abdomen (75726) | $15,118.75 | $15,118.75 | 2.9× |
| Artery X-Rays Adrenal Gland (75731) | $17,523 | $17,523 | 5.9× |
| Artery X-Rays Pelvis (75736) | $12,466.75 | $12,466.75 | 2.4× |
| Artery X-Rays Spine (75705) | $12,841 | $12,841 | 2.4× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,357.50–$2,715 | $1,357.50–$2,715 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$3,209.50–$6,419 | $3,209.50–$6,419 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,357.50–$2,715 | $1,357.50–$2,715 | varies |
| Basic radiation dosimetry calculation (77300) | $1,431.25 | $1,431.25 | 11.3× |
| Bone age studies (77072) | $997.75 | $997.75 | 10.1× |
| Bone Imaging 3 Phase (78315) | $4,080 | $4,080 | 10.8× |
| Bone Imaging Limited Area (78300) | $3,367 | $3,367 | 8.9× |
| Bone Imaging Multiple Areas (78305) | $3,367 | $3,367 | 8.9× |
| Bone Imaging Whole Body (78306) | $4,580.25 | $4,580.25 | 12.1× |
| Bone marrow imaging limited area (78102) | $2,409.50 | $2,409.50 | 6.4× |
| Bone marrow imaging; multiple areas (78103) | $2,435.50 | $2,435.50 | 6.4× |
| Bone survey infant (77076) | $602 | $602 | 6.1× |
| Brachytx isodose complex (77318) | $4,865.50 | $4,865.50 | 13.7× |
| Brachytx isodose intermed (77317) | $3,786.50 | $3,786.50 | 10.7× |
| Brachytx Isodose Plan Simple (77316) | $2,714 | $2,714 | 7.7× |
| Brain Flow Imaging Only (78610) | $3,105.50 | $3,105.50 | 6.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,124.50 | $3,124.50 | 6.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,003.50 | $2,003.50 | 3.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $12,851.75 | $12,851.75 | 9.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $5,662.50 | $5,662.50 | 11.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,542 | $5,542 | 16.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $6,510.50 | $6,510.50 | 8.8× |
| Cat Scan Follow-Up Study (76380) | $1,081.75 | $1,081.75 | 13.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,395 | $3,395 | 6.6× |
| Cerebrospinal Fluid Scan (78630) | $4,508 | $4,508 | 8.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$51.75–$434.75 | $51.75–$434.75 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$73.25–$530 | $73.25–$530 | varies |
| Chest 3 views (71047) | $590 | $590 | 7.2× |
| Chest 4 or more views (71048) | $726.50 | $726.50 | 7.3× |
| Cholecystography Oral Contrast (74290) | $982.25 | $982.25 | 5.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$693.75–$1,387.50 | $693.75–$1,387.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $623 | $623 | 6.3× |
| Continuing medical physics consltj pr wk (77336) | $1,617.75 | $1,617.75 | 12.7× |
| Contrast Exam Abdominl Aorta (75625) | $9,184.75 | $9,184.75 | 3.1× |
| Contrast X-Ray Bladder (74430) | $1,639.25 | $1,639.25 | 5.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$3,376.50–$6,753 | $3,376.50–$6,753 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,447.75–$2,895.50 | $1,447.75–$2,895.50 | varies |
| Corpora cavernosography (74445) | $1,250.50 | $1,250.50 | 12.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,711.50 | $4,711.50 | 14.3× |
| CT abdomen and pelvis without contrast (74176) | $3,574.25 | $3,574.25 | 15.8× |
| CT abdomen w contrast (74160) | $3,232.75 | $3,232.75 | 19.5× |
| CT abdomen w wo contrast (74170) | $4,269.50 | $4,269.50 | 25.7× |
| CT abdomen w/o contrast (74150) | $2,555.50 | $2,555.50 | 25.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,137.75 | $6,137.75 | 18.6× |
| CT Angio Chest (71275) | $4,472.50 | $4,472.50 | 27.0× |
| CT Angio Head (70496) | $4,465.25 | $4,465.25 | 26.9× |
| CT angio hrt w/3d image (75574) | $3,746.25 | $3,746.25 | 11.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,783.50–$7,567 | $3,783.50–$7,567 | varies |
| CT Angio Neck (70498) | $4,513.50 | $4,513.50 | 27.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,727.25 | $3,727.25 | 22.5× |
| CT bone density (77078) | $2,972 | $2,972 | 36.1× |
| CT cervical spine w/ contrast (72126) | $3,275.75 | $3,275.75 | 9.9× |
| CT cervical spine w/o contrast (72125) | $2,902.75 | $2,902.75 | 29.3× |
| CT cervical spine w/wo cont (72127) | $4,322.75 | $4,322.75 | 26.1× |
| CT chest w contrast (71260) | $3,288.75 | $3,288.75 | 19.8× |
| CT chest w/wo contrast (71270) | $3,842.50 | $3,842.50 | 23.2× |
| CT colonography screening (74263) | $1,055.75 | $1,055.75 | 4.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $4,269.50 | $4,269.50 | 25.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,000.25 | $3,000.25 | 30.3× |
| CT head/brain with contrast (70460) | $2,152.50 | $2,152.50 | 13.0× |
| CT head/brain without and with contrast (70470) | $2,617.75 | $2,617.75 | 15.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,944.50 | $3,944.50 | 12.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $184.75 | $184.75 | 2.2× |
| CT hrt w/3d image congen (75573) | $3,688.75 | $3,688.75 | 11.2× |
| CT iac w contrast (70481) | $3,180 | $3,180 | 19.2× |
| CT l-spine w&w/o contrast (72133) | $4,269.50 | $4,269.50 | 25.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,737–$5,474 | $2,737–$5,474 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,911.75–$5,823.50 | $2,911.75–$5,823.50 | varies |
| CT lumbar spine w contrast (72132) | $3,195 | $3,195 | 9.7× |
| CT lumbar spine w/o contrast (72131) | $2,968.25 | $2,968.25 | 30.0× |
| CT maxillofacial w contrast (70487) | $2,947.75 | $2,947.75 | 17.8× |
| CT maxillofacial wo contrast (70486) | $2,406.50 | $2,406.50 | 24.3× |
| CT neck tissue combo (70492) | $3,911.50 | $3,911.50 | 23.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,831 | $3,831 | 23.1× |
| CT orbits w/o contrast (70480) | $2,587.25 | $2,587.25 | 26.2× |
| CT pelvis w&w/o contrast (72194) | $3,152.75 | $3,152.75 | 19.0× |
| CT pelvis w/o contrast (72192) | $1,511.50 | $1,511.50 | 15.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,152.75–$6,305.50 | $3,152.75–$6,305.50 | varies |
| CT scans face/jaw combo (70488) | $3,602.75 | $3,602.75 | 21.7× |
| CT soft tissue neck w contrast (70491) | $3,133.50 | $3,133.50 | 18.9× |
| CT soft tissue neck w/o contrast (70490) | $2,436.50 | $2,436.50 | 24.6× |
| CT thoracic spine w contrast (72129) | $2,911.75 | $2,911.75 | 17.5× |
| CT thoracic spine w/o contrast (72128) | $2,555 | $2,555 | 25.8× |
| CT thoracic spine w/wo cont (72130) | $4,269.50 | $4,269.50 | 25.7× |
| CT thorax w/o contrast (71250) | $2,857.50 | $2,857.50 | 28.9× |
| CT unlisted procedure (76497) | $2,945 | $2,945 | 35.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,637–$5,274 | $2,637–$5,274 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,269.25–$8,538.50 | $4,269.25–$8,538.50 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,928.75–$5,857.50 | $2,928.75–$5,857.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,294 | $4,294 | 25.9× |
| Cta Abdomen (74175) | $4,269.50 | $4,269.50 | 25.7× |
| CTA pelvis (72191) | $4,222.25 | $4,222.25 | 25.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $736.25 | $736.25 | 3.3× |
| Dilation ureters/urethra rs&i (74485) | $1,956.50 | $1,956.50 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $3,857 | $3,857 | 2.1× |
| Diskography lumbar (72295) | $3,857 | $3,857 | 2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $3,131.50 | $3,131.50 | 31.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,124.25 | $1,124.25 | 11.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,225.50 | $1,225.50 | 12.4× |
| Dxa Bone Density Axial (77080) | $882.75 | $882.75 | 8.9× |
| Dxa bone density study (77085) | $941 | $941 | 9.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $604.25 | $604.25 | 7.3× |
| Echo exam of fetal heart (76825) | $2,836.25 | $2,836.25 | 5.5× |
| Echo exam uterus (76831) | $1,485.25 | $1,485.25 | 6.6× |
| Echo Guide For Artery Repair (76936) | $2,239.75 | $2,239.75 | 11.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $684 | $684 | 3.0× |
| Echograp Trans R Pros Study (76873) | $1,774.50 | $1,774.50 | 17.9× |
| Esophagram (74220) | $1,161.50 | $1,161.50 | 7.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,519.50 | $1,519.50 | 15.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,211.75 | $1,211.75 | 12.3× |
| Fluoroscopy up to 1 hr (76000) | $1,783.50 | $1,783.50 | 7.9× |
| Follow-Up Angiography (75898) | $4,100.75 | $4,100.75 | 1.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$653.50–$1,307 | $653.50–$1,307 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$594.25–$1,188.50 | $594.25–$1,188.50 | varies |
| Gastric emptying imaging study (78264) | $4,635.25 | $4,635.25 | 12.3× |
| Gastroesophageal Reflux Exam (78262) | $2,618.25 | $2,618.25 | 6.9× |
| Gated Heart Planar Single (78472) | $4,200.25 | $4,200.25 | 11.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$629–$1,258 | $629–$1,258 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $10,734.50 | $10,734.50 | 16.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $9,950.50 | $9,950.50 | 15.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,297.25 | $8,297.25 | 12.6× |
| Heart first pass single,planar (78481) | $5,662.50 | $5,662.50 | 11.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,143 | $10,143 | 3.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,165.50 | $10,165.50 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $5,925.25 | $5,925.25 | 11.5× |
| Hepatobiliary System Imaging (78226) | $3,517 | $3,517 | 9.3× |
| Ht Muscle Image Spect Sing (78451) | $8,532 | $8,532 | 7.0× |
| Hysterosalpingogram (74740) | $1,885.75 | $1,885.75 | 8.4× |
| Infusion Ivp (74410) | $1,751 | $1,751 | 10.6× |
| Interstitial radiation source applic complex (77778) | $15,100.25 | $15,100.25 | 22.9× |
| Intracavitary Radiation Source Applic Complex (77763) | $9,944.50 | $9,944.50 | 15.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $8,097.75 | $8,097.75 | 15.5× |
| Intracavitary radiation source applic simple (77761) | $7,007.75 | $7,007.75 | 13.4× |
| Joint Survey Single View (77077) | $758 | $758 | 7.7× |
| K Flow/Funct Image Multiple (78709) | $4,765.25 | $4,765.25 | 9.3× |
| K Flow/Funct Image W/Drug (78708) | $4,179.50 | $4,179.50 | 8.1× |
| K Flow/Funct Image W/O Drug (78707) | $3,800 | $3,800 | 7.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $3,366.25 | $3,366.25 | 8.9× |
| Kidney Imaging Morphol (78700) | $2,578 | $2,578 | 6.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,694 | $2,694 | 7.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$774–$1,547.75 | $774–$1,547.75 | varies |
| Leveen/Shunt Patency Exam (78291) | $3,732 | $3,732 | 9.9× |
| Liver & Spleen Imaging Static Only (78215) | $2,718.75 | $2,718.75 | 7.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,771.25 | $3,771.25 | 10.0× |
| Liver imaging static only (78201) | $1,743.25 | $1,743.25 | 3.4× |
| Liver imaging w/vascular flow (78202) | $4,134.25 | $4,134.25 | 8.0× |
| Lung Perf&Ventilat Diferentl (78598) | $5,098.50 | $5,098.50 | 9.9× |
| Lung Ventilat&Perfus Imaging (78582) | $5,854 | $5,854 | 11.4× |
| Lung Ventilation Imaging (78579) | $3,421.25 | $3,421.25 | 9.0× |
| Lymph System Imaging (78195) | $3,786.75 | $3,786.75 | 7.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $6,722.75 | $6,722.75 | 4.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $4,485.50 | $4,485.50 | 7.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,722.75 | $6,722.75 | 2.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,485.50 | $4,485.50 | 1.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$4,029.50–$8,059 | $4,029.50–$8,059 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,524 | $1,524 | 6.8× |
| Mammary ductogram or galactogram single (77053) | $1,156 | $1,156 | 5.1× |
| Meckels Divert Exam (78290) | $1,933.75 | $1,933.75 | 5.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,872.25 | $3,872.25 | 10.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,601 | $4,601 | 13.9× |
| MRA head w/o contrast (70544) | $3,552.25 | $3,552.25 | 15.7× |
| MRA head with contrast (70545) | $3,558.25 | $3,558.25 | 10.8× |
| MRA neck w contrast (70548) | $3,552.25 | $3,552.25 | 10.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,324 | $5,324 | 16.1× |
| MRA neck w/o contrast (70547) | $3,376.25 | $3,376.25 | 15.0× |
| MRI abdomen w contrast (74182) | $4,384.25 | $4,384.25 | 13.3× |
| MRI abdomen w/o contrast (74181) | $4,235 | $4,235 | 18.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,529–$5,058 | $2,529–$5,058 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,146.75–$6,293.50 | $3,146.75–$6,293.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,235.25–$8,470.50 | $4,235.25–$8,470.50 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$4,236.25–$8,472.50 | $4,236.25–$8,472.50 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,303 | $4,303 | 19.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,344.75 | $4,344.75 | 19.2× |
| MRI cardiac w/o contrast (75557) | $4,301.50 | $4,301.50 | 19.1× |
| MRI cervical spine w contrast (72142) | $4,404.75 | $4,404.75 | 13.3× |
| MRI cervical spine w/o cont (72141) | $3,647.25 | $3,647.25 | 16.2× |
| MRI chest w/o contrast (71550) | $3,893 | $3,893 | 17.2× |
| MRI chest with contrast (71551) | $4,235 | $4,235 | 5.7× |
| MRI chest wo w contrast (71552) | $4,897.75 | $4,897.75 | 14.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,023.75–$8,047.50 | $4,023.75–$8,047.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$5,031.25–$10,062.50 | $5,031.25–$10,062.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,892.75–$7,785.50 | $3,892.75–$7,785.50 | varies |
| MRI lumbar spine w contrast (72149) | $4,239.25 | $4,239.25 | 12.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,127.25 | $6,127.25 | 18.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,400 | $3,400 | 15.1× |
| MRI orbit face neck w contrast (70542) | $3,552.25 | $3,552.25 | 10.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,468.25 | $4,468.25 | 13.5× |
| MRI pelvis w contrast (72196) | $4,235 | $4,235 | 12.8× |
| MRI pelvis w/o & w contrast (72197) | $6,304.25 | $6,304.25 | 19.1× |
| MRI pelvis w/o contrast (72195) | $3,893 | $3,893 | 17.2× |
| MRI thoracic spine w/o contrast (72146) | $3,867 | $3,867 | 17.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$4,235–$8,470 | $4,235–$8,470 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,771.25–$7,542.50 | $3,771.25–$7,542.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,897.75–$9,795.50 | $4,897.75–$9,795.50 | varies |
| MRI, abdomen, combo (74183) | $6,538 | $6,538 | 19.8× |
| MRI, dorsal spine combo (72157) | $5,889.75 | $5,889.75 | 17.8× |
| MRI, dorsal spine contrast (72147) | $4,235.25 | $4,235.25 | 12.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,697.25–$7,394.50 | $3,697.25–$7,394.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,897.75–$9,795.50 | $4,897.75–$9,795.50 | varies |
| MRI, lumbar spine combo (72158) | $3,476.25 | $3,476.25 | 10.5× |
| Myelogram cervical (72240) | $6,636.25 | $6,636.25 | 8.9× |
| Myelogram Lumbar (72265) | $6,498.25 | $6,498.25 | 8.8× |
| Myelography thoracic (72255) | $5,750.25 | $5,750.25 | 7.8× |
| Myelograpy 2/more regions rs&i (72270) | $6,274.50 | $6,274.50 | 8.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $20,513.50 | $20,513.50 | 16.7× |
| Myocardial Spect Multiple Studies (78452) | $10,852.25 | $10,852.25 | 8.9× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$5,284.40–$5,463.50 | $5,284.40–$5,463.50 | varies |
| Neck soft tissue (70360) | $551.25 | $551.25 | 6.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,348.75 | $1,348.75 | 3.7× |
| Nm csf leak detection (78650) | $3,694 | $3,694 | 3.0× |
| Nm myocard infarct spect (78469) | $4,397 | $4,397 | 8.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $23,000.25 | $23,000.25 | 17.6× |
| Nuclear Rx Intra-Arterial (79445) | $1,969 | $1,969 | 8.9× |
| Nuclear Rx Oral Admin (79005) | $2,190.25 | $2,190.25 | 9.9× |
| Ob us nuchal meas 1 gest (76813) | $1,378 | $1,378 | 13.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $1,024.25 | $1,024.25 | 10.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$857.50–$1,715 | $857.50–$1,715 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $189.75 | $189.75 | 6.9× |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$837.75–$1,675.50 | $837.75–$1,675.50 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$1,171.50–$2,343 | $1,171.50–$2,343 | varies |
| Panoramic X-ray of jaws (70355) | $557.50 | $557.50 | 6.8× |
| Parathyroid Planar Imaging (78070) | $3,523.25 | $3,523.25 | 9.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,835.75 | $4,835.75 | 12.8× |
| Pelvis 1 or 2 views (72170) | $578.25 | $578.25 | 5.8× |
| Peritoneogram Rs&I (74190) | $1,987.25 | $1,987.25 | 3.8× |
| Pet Image Skull-Thigh (78812) | $12,201.25 | $12,201.25 | 9.0× |
| Pet Image W/Ct Lmtd (78814) | $11,513.75 | $11,513.75 | 8.5× |
| PET image w/CT, full body (78816) | $12,201.25 | $12,201.25 | 9.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,201.25 | $12,201.25 | 9.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $12,201.25 | $12,201.25 | 10.0× |
| PET whole body (78813) | $12,201.25 | $12,201.25 | 9.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,263 | $11,263 | 3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,300.50 | $3,300.50 | 8.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $864.75 | $864.75 | 8.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,919 | $1,919 | 3.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$829.75–$1,659.50 | $829.75–$1,659.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$675.75–$1,351.50 | $675.75–$1,351.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$802.50–$1,605 | $802.50–$1,605 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,106.25 | $1,106.25 | 11.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$604.25–$1,208.50 | $604.25–$1,208.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$932.50–$1,865 | $932.50–$1,865 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$685.25–$1,370.50 | $685.25–$1,370.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$602–$1,114.25 | $602–$1,114.25 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,171.50–$2,343 | $1,171.50–$2,343 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $694.25 | $694.25 | 8.4× |
| Radex Ribs Unilateral 2 Views (71100) | $513.75 | $513.75 | 6.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$633.50–$1,266.73 | $633.50–$1,266.73 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $997.75 | $997.75 | 12.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,267.25 | $1,267.25 | 7.6× |
| Radex Spine 1 View Specify Level (72020) | $686 | $686 | 8.3× |
| Radex Sternum Minimum 2 Views (71120) | $719 | $719 | 8.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $853.75 | $853.75 | 10.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$645.25–$1,290.50 | $645.25–$1,290.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$602–$955.25 | $602–$955.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$644–$1,288 | $644–$1,288 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,050.75 | $1,050.75 | 10.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $40,889 | $40,889 | 5.9× |
| Radiation treatment delivery level 1 (77402) | $1,452.50 | $1,452.50 | 15.0× |
| Radiation treatment delivery level 2 (77407) | $1,329 | $1,329 | 3.6× |
| Radiation treatment delivery level 3 (77412) | $1,996.50 | $1,996.50 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,096.50 | $1,096.50 | 11.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $713 | $713 | 7.2× |
| Radiologic exam colon double contrast study (74280) | $1,625 | $1,625 | 9.8× |
| Radiologic exam colon single contrast study (74270) | $1,511.25 | $1,511.25 | 9.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,221 | $1,221 | 7.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$990.50–$1,981 | $990.50–$1,981 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $856.50 | $856.50 | 8.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,048.50 | $1,048.50 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $1,407 | $1,407 | 8.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,441 | $1,441 | 8.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$555.50–$1,111 | $555.50–$1,111 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$623.75–$1,247 | $623.75–$1,247 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$554.25–$1,108.25 | $554.25–$1,108.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,202.50 | $1,202.50 | 12.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$621.25–$1,242.25 | $621.25–$1,242.25 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $997.75 | $997.75 | 1.9× |
| Renal Cyst Study (74470) | $1,680.50 | $1,680.50 | 3.3× |
| Ribs bilateral 3 views (71110) | $1,012.25 | $1,012.25 | 10.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,185.50 | $4,185.50 | 11.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,268.50 | $4,268.50 | 11.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,850.50 | $7,850.50 | 15.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,178 | $6,178 | 12.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,971.75 | $4,971.75 | 9.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,380.50 | $4,380.50 | 3.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $6,460.75 | $6,460.75 | 29.3× |
| Rp Therapy Intravenous Administration (79101) | $2,173.50 | $2,173.50 | 9.8× |
| Salivary Gland Imaging Serial Images (78231) | $2,608.75 | $2,608.75 | 6.9× |
| Scapula (73010) range across 2 matching MRF lines |
$628–$1,256 | $628–$1,256 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $162.50 | $162.50 | 7.0× |
| Sella turcica (70240) | $997.75 | $997.75 | 12.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$543.50–$1,087 | $543.50–$1,087 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$3,506.75–$7,013.50 | $3,506.75–$7,013.50 | varies |
| Sialogram (70390) | $854.25 | $854.25 | 3.8× |
| Skull less than 4 views (70250) | $876.50 | $876.50 | 8.9× |
| Special dosimetry (77331) | $1,150.50 | $1,150.50 | 9.0× |
| Special Physics Consult (77370) | $2,289.50 | $2,289.50 | 18.0× |
| Special teletherapy port plan (77321) | $3,839.25 | $3,839.25 | 10.8× |
| Special treatment procedure (77470) | $8,952.25 | $8,952.25 | 17.1× |
| Stereotactic Body Radiation Delivery (77373) | $19,342 | $19,342 | 11.4× |
| Sternoclavicular joints (71130) | $649 | $649 | 7.9× |
| Superior sagittal sinus venogram (75870) | $7,371 | $7,371 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,607 | $3,607 | 10.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,022.50 | $2,022.50 | 5.7× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$1,430–$2,860 | $1,430–$2,860 | varies |
| Testicular Imaging W/Flow (78761) | $2,694 | $2,694 | 7.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,626 | $4,626 | 13.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,824 | $3,824 | 10.8× |
| Ther rad simulaj-aided field setting simple (77280) | $2,673.50 | $2,673.50 | 21.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,847.75 | $2,847.75 | 17.2× |
| Thoracic spine 2 views (72070) | $639.50 | $639.50 | 6.5× |
| Thoracic spine 3 views (72072) | $810.75 | $810.75 | 8.2× |
| Thoracolumbar 2 views (72080) | $685.50 | $685.50 | 8.3× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,787.50 | $1,787.50 | 4.7× |
| Thyroid Imaging With Vascular Flow (78013) | $4,768 | $4,768 | 12.6× |
| Thyroid Met Imaging Body (78018) | $4,362.25 | $4,362.25 | 8.5× |
| Thyroid Uptake Measurement (78012) | $1,881.75 | $1,881.75 | 5.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,241.75 | $3,241.75 | 8.6× |
| Tx Devices Design & Construction Complex (77334) | $4,146.50 | $4,146.50 | 11.7× |
| Tx devices design & construction intermediate (77333) | $3,249.25 | $3,249.25 | 25.6× |
| Tx devices design & construction simple (77332) | $1,724.50 | $1,724.50 | 13.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,082.50–$2,165 | $1,082.50–$2,165 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,125.25 | $1,125.25 | 11.4× |
| Ultrasound, abdomen limited (76705) | $1,025.25 | $1,025.25 | 10.4× |
| Umbilical-artery Doppler (OB) (76820) | $1,273.25 | $1,273.25 | 12.9× |
| Unlisted fluoroscopic procedure (76496) | $3,238.50 | $3,238.50 | 39.3× |
| Unlisted magnetic resonance procedure (76498) | $2,242 | $2,242 | 27.2× |
| Unlisted us procedure (76999) | $1,173.75 | $1,173.75 | 14.3× |
| Upper gi w/o kub (74240) | $1,237 | $1,237 | 7.5× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $11.06 | $11.06 | 1.0× |
| Urea breath test c-14 isotopic analysis (78268) | $94.41 | $94.41 | 1.0× |
| Urethrocystogram voiding (74455) | $1,711.25 | $1,711.25 | 7.6× |
| Urethrocystography retrograde (74450) | $1,446.25 | $1,446.25 | 6.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$1,463.50–$2,927 | $1,463.50–$2,927 | varies |
| Us chest (76604) | $1,275.50 | $1,275.50 | 12.9× |
| Us complete joint (76881) | $1,815.50 | $1,815.50 | 18.4× |
| Us exam, pelvic, limited (76857) | $1,053.25 | $1,053.25 | 10.6× |
| Us head (76506) | $1,276 | $1,276 | 12.9× |
| Us kidney transplant (76776) | $1,712 | $1,712 | 17.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,072.50 | $1,072.50 | 10.8× |
| Us ob detailed single fetus (76811) | $1,762.50 | $1,762.50 | 7.8× |
| Us ob limited 1 or more fetuses (76815) | $1,356 | $1,356 | 13.7× |
| Us ob transvaginal (76817) | $1,400.75 | $1,400.75 | 14.2× |
| Us pelvic non ob complete (76856) | $1,316.25 | $1,316.25 | 13.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,242 | $1,242 | 12.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $934.25 | $934.25 | 9.4× |
| Us retroperitoneal complete (76770) | $1,898.25 | $1,898.25 | 19.2× |
| Us retroperitoneal limited (76775) | $1,076.50 | $1,076.50 | 10.9× |
| Us scrotum and contents (76870) | $1,425.75 | $1,425.75 | 14.4× |
| Us spinal canal and contents (76800) | $1,276 | $1,276 | 12.9× |
| Us thyroid (76536) | $1,381.50 | $1,381.50 | 14.0× |
| Us transrectal (76872) | $344 | $344 | 3.5× |
| Vascular Flow Imaging (78445) | $958 | $958 | 2.5× |
| Vein X-Ray Chest (75827) | $7,227 | $7,227 | 4.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,989.75 | $9,989.75 | 3.3× |
| Vein X-Ray Skull Epidural (75872) | $8,008 | $8,008 | 13.5× |
| Vein X-Ray Spleen/Liver (75810) | $12,345.25 | $12,345.25 | 4.1× |
| Venogram Sinus/Jugular (75860) | $4,150.50 | $4,150.50 | 1.4× |
| Venography Adrenal Unilateral (75840) | $12,345.25 | $12,345.25 | 4.1× |
| Venography caval inferior serialography rs&i (75825) | $9,333.75 | $9,333.75 | 3.1× |
| Venography extremity bilateral rs&i (75822) | $5,704.25 | $5,704.25 | 3.8× |
| Venography extremity unilateral rs&i (75820) | $3,095 | $3,095 | 2.1× |
| Venography Renal Bilateral (75833) | $12,345.25 | $12,345.25 | 4.1× |
| Venography Renal Unilateral (75831) | $4,835.75 | $4,835.75 | 1.6× |
| Venous sampling by catheter (75893) | $13,105.75 | $13,105.75 | 2.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$628.25–$1,163.50 | $628.25–$1,163.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $590 | $590 | 7.2× |
| X-ray antegrade pyelogram tube (74425) | $2,350.25 | $2,350.25 | 7.1× |
| X-Ray Aorta Leg Arteries (75630) | $18,925 | $18,925 | 6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$646.25–$1,292.50 | $646.25–$1,292.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $964.50 | $964.50 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $686 | $686 | 8.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $904.75 | $904.75 | 9.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $982 | $982 | 9.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $562 | $562 | 6.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $603.75 | $603.75 | 7.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,020 | $1,020 | 10.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,180 | $1,180 | 11.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,279.50 | $1,279.50 | 12.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,358.50 | $1,358.50 | 13.7× |
| X-Ray Exam L-S Spine Bending (72114) | $749.25 | $749.25 | 7.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $599.50 | $599.50 | 7.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,089.75 | $1,089.75 | 11.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $623 | $623 | 6.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$722.25–$1,444.50 | $722.25–$1,444.50 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$573.75–$1,147.50 | $573.75–$1,147.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,751 | $1,751 | 10.6× |
| X-ray IV pyelogram+tomography (74415) | $1,961.25 | $1,961.25 | 11.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $625.25 | $625.25 | 7.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $577.25 | $577.25 | 7.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $430.25 | $430.25 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $504.75 | $504.75 | 6.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,171.50 | $1,171.50 | 11.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $997.75 | $997.75 | 10.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $718 | $718 | 7.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $595.50 | $595.50 | 7.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $831 | $831 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,156 | $1,156 | 11.7× |
| X-Ray Stress View (77071) | $1,253.25 | $1,253.25 | 15.2× |
| X-ray thoracic spine 4 vw (72074) | $884 | $884 | 8.9× |
| X-Ray Tmj Unilat (70328) | $932.50 | $932.50 | 11.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,803.75 | $1,803.75 | 5.5× |
| X-Rays Bone Length Studies (77073) | $739.25 | $739.25 | 7.5× |
| X-Rays Bone Survey Complete (77075) | $1,518.75 | $1,518.75 | 15.4× |
| Xr c-spine 4 or 5 views (72050) | $949 | $949 | 9.6× |
| Xr facial bones less than 3 views (70140) | $677 | $677 | 8.2× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$718–$1,436 | $718–$1,436 | varies |
| Xr myelogram posterior fossa (70010) | $1,470.50 | $1,470.50 | 4.5× |
| Xr orbits complete 4 views (70200) | $1,342.50 | $1,342.50 | 13.6× |
| Xr Tomogram Single Plane (76100) | $1,689.25 | $1,689.25 | 17.1× |
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.