Imaging prices at Tennova North Knoxville Medical Center
Powell, TN · every code in this section with a posted price and a Medicare benchmark.
357 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) | $2,777.50 | $12,262.71 | 2.2× |
| Abdomen 1 View (74018) | $141.12 | $623.06 | 1.8× |
| Abdomen 2 views (74019) | $280.81 | $1,239.78 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $943.42 | $4,165.19 | 2.6× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,201.39 | $5,304.16 | 1.0× |
| Angio internal mammary (75756) | $1,222.53 | $5,397.49 | 0.4× |
| Angio pulmonary bilat (75743) | $5,394.39 | $23,816.28 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $5,077.07 | $22,415.31 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $5,077.07 | $22,415.31 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,394.39 | $23,816.28 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,656.14 | $7,311.89 | 0.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$140.38–$251.44 | $619.78–$1,110.13 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,642.25 | $16,080.59 | 0.7× |
| Artery X-Rays Abdomen (75726) | $9,028.12 | $39,859.26 | 1.8× |
| Artery X-Rays Pelvis (75736) | $3,642.25 | $16,080.59 | 0.7× |
| Artery X-Rays Spine (75705) | $7,524.32 | $33,219.97 | 1.5× |
| Arthrogram hip (73525) | $710.46 | $3,136.71 | 2.2× |
| Arthrogram Wrist (73115) | $710.46 | $3,136.71 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $236.06 | $1,042.22 | 1.9× |
| Bone age studies (77072) | $148.26 | $654.58 | 1.6× |
| Bone Imaging 3 Phase (78315) | $886.60 | $3,914.36 | 2.4× |
| Bone Imaging Limited Area (78300) | $738.84 | $3,261.97 | 2.0× |
| Bone Imaging Whole Body (78306) | $849.65 | $3,751.23 | 2.3× |
| Bone marrow imaging limited area (78102) | $444.19 | $1,961.09 | 1.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$169.98–$179.77 | $750.48–$793.69 | varies |
| Brachytx isodose complex (77318) | $1,174.95 | $5,187.43 | 3.5× |
| Brachytx isodose intermed (77317) | $646.44 | $2,854.06 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $167.18 | $738.11 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $415.70 | $1,835.33 | 1.1× |
| Brain imaging < 4 static views (78600) | $415.70 | $1,835.33 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $539.47 | $2,381.77 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,289.36 | $14,522.58 | 2.5× |
| Cardiac Shunt Detection (78428) | $849.29 | $3,749.64 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $806.70 | $3,561.59 | 10.2× |
| Cerebrospinal Fluid Scan (78630) | $1,500.21 | $6,623.43 | 3.0× |
| Chest 1 view (71045) | $115.65 | $510.61 | 1.5× |
| Chest 2 views (71046) | $173.50 | $765.99 | 2.2× |
| Chest 3 views (71047) | $177.43 | $783.36 | 2.2× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $111.68 | $493.05 | 1.2× |
| Cholecystography Oral Contrast (74290) | $342.95 | $1,514.12 | 2.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$179.83–$539.76 | $793.96–$2,383.05 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$150.37–$162.40 | $663.90–$717 | varies |
| Continuing medical physics consltj pr wk (77336) | $286.96 | $1,266.94 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,865.05 | $17,064.22 | 1.3× |
| Contrast X-Ray Bladder (74430) | $507.61 | $2,241.12 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $501.51 | $2,214.15 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $501.51 | $2,214.15 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,633.93 | $11,628.83 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $2,367.50 | $10,452.52 | 10.9× |
| CT abdomen w contrast (74160) | $1,335.21 | $5,894.98 | 8.4× |
| CT abdomen w wo contrast (74170) | $1,479.39 | $6,531.51 | 9.3× |
| CT abdomen w/o contrast (74150) | $1,133.74 | $5,005.46 | 12.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,048.09 | $13,457.33 | 9.6× |
| CT Angio Chest (71275) | $1,191.63 | $5,261.05 | 7.5× |
| CT Angio Head (70496) | $1,401.75 | $6,188.76 | 8.8× |
| CT angio hrt w/3d image (75574) | $930.48 | $4,108.08 | 2.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $667.90 | $2,948.80 | 4.2× |
| CT Angio Neck (70498) | $1,344.46 | $5,935.79 | 8.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$885.08–$1,168.84 | $3,907.62–$5,160.42 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $153.05 | $675.70 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,497.25 | $6,610.39 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,291.69 | $5,702.81 | 13.6× |
| CT cervical spine w/wo cont (72127) | $1,272.96 | $5,620.13 | 8.0× |
| CT chest w contrast (71260) | $1,315.09 | $5,806.13 | 8.3× |
| CT chest w/wo contrast (71270) | $1,178.69 | $5,203.93 | 7.4× |
| CT head/brain with contrast (70460) | $985.17 | $4,349.52 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,160.07 | $5,121.70 | 7.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $510.82 | $2,255.28 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $49.30 | $217.66 | 0.6× |
| CT hrt w/3d image congen (75573) | $426.74 | $1,884.07 | 1.3× |
| CT iac w contrast (70481) | $1,162.75 | $5,133.54 | 7.3× |
| CT l-spine w&w/o contrast (72133) | $1,356.75 | $5,990.06 | 8.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$897.43–$1,889.65 | $3,962.15–$8,342.83 | varies |
| CT lower extremity w/contrast material (73701) | $906.33 | $4,001.44 | 5.7× |
| CT lumbar spine w contrast (72132) | $1,357.42 | $5,993.04 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,118.41 | $4,937.79 | 11.8× |
| CT maxillofacial w contrast (70487) | $972.83 | $4,295.04 | 6.1× |
| CT maxillofacial wo contrast (70486) | $924.18 | $4,080.26 | 9.7× |
| CT neck tissue combo (70492) | $1,434.86 | $6,334.93 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,156.73 | $5,106.96 | 7.3× |
| CT orbits w/o contrast (70480) | $942.01 | $4,158.97 | 9.9× |
| CT pelvis w&w/o contrast (72194) | $1,167.35 | $5,153.85 | 7.3× |
| CT pelvis w/o contrast (72192) | $985.17 | $4,349.52 | 10.4× |
| CT scan of leg combo (73702) | $985.17 | $4,349.52 | 6.2× |
| CT scans face/jaw combo (70488) | $1,488.53 | $6,571.88 | 9.4× |
| CT soft tissue neck w contrast (70491) | $975.40 | $4,306.42 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $950.30 | $4,195.57 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,245.75 | $5,500.02 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $991.23 | $4,376.29 | 10.5× |
| CT thoracic spine w/wo cont (72130) | $1,269.11 | $5,603.13 | 8.0× |
| CT thorax w/o contrast (71250) | $1,023.44 | $4,518.51 | 10.8× |
| CT upper ext wo (73200) | $828.11 | $3,656.11 | 8.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,179.60 | $5,207.95 | 7.4× |
| CT upper extremity with contrast (73201) | $1,005.39 | $4,438.79 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,503.01 | $6,635.82 | 9.4× |
| Cta Abdomen (74175) | $1,365.86 | $6,030.28 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,746.21 | $12,124.55 | 8.7× |
| CTA pelvis (72191) | $1,709.26 | $7,546.42 | 10.7× |
| Dilation ureters/urethra rs&i (74485) | $2,412.86 | $10,652.82 | 1.3× |
| Diskography lumbar (72295) | $4,923.66 | $21,738.01 | 2.8× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$256.81–$291.08 | $1,133.80–$1,285.14 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$247.14–$280.13 | $1,091.12–$1,236.76 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$136.52–$223.13 | $602.74–$985.11 | varies |
| Echo Guide For Artery Repair (76936) | $487.19 | $2,150.95 | 2.5× |
| Echograp Trans R Pros Study (76873) | $371.94 | $1,642.14 | 3.9× |
| Esophagram (74220) | $188.14 | $830.66 | 1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $255.93 | $1,129.95 | 2.7× |
| Fluoroscopy up to 1 hr (76000) | $310.57 | $1,371.19 | 1.4× |
| Follow-Up Angiography (75898) | $1,731.42 | $7,644.24 | 0.6× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$157.66–$321.59 | $696.09–$1,419.83 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$172.34–$349.73 | $760.88–$1,544.06 | varies |
| Gastric emptying imaging study (78264) | $1,068.76 | $4,718.57 | 2.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $450.18 | $1,987.53 | 1.2× |
| Gastroesophageal Reflux Exam (78262) | $638.03 | $2,816.93 | 1.8× |
| Gated Heart Planar Single (78472) | $1,004.82 | $4,436.31 | 2.8× |
| Gated Heart, Multiple (78473) | $907.79 | $4,007.89 | 2.5× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$140.38–$290.91 | $619.78–$1,284.36 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,193.17 | $5,267.85 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,201.50 | $5,304.64 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,589.66 | $7,018.36 | 2.5× |
| Heart Image (Pet) Multiple (78492) | $2,039.87 | $9,006.04 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,168.74 | $5,160 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $393.93 | $1,739.19 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,193.05 | $5,267.31 | 2.4× |
| Hepatobiliary System Imaging (78226) | $825.95 | $3,646.59 | 2.3× |
| Ht Musc Image Planar Mult (78454) | $1,500.70 | $6,625.62 | 1.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,206.93–$3,206.95 | $14,158.62–$14,158.70 | varies |
| Hysterosalpingogram (74740) | $704.78 | $3,111.59 | 3.3× |
| Interstitial radiation source applic complex (77778) | $3,827.84 | $16,899.96 | 6.1× |
| K Flow/Funct Image Multiple (78709) | $1,396.96 | $6,167.61 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $1,264.91 | $5,584.59 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,146.90 | $5,063.59 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$197.19–$340.30 | $870.59–$1,502.43 | varies |
| Leveen/Shunt Patency Exam (78291) | $538.12 | $2,375.79 | 1.5× |
| Liver & Spleen Imaging Static Only (78215) | $679.79 | $3,001.30 | 1.9× |
| Liver imaging static only (78201) | $1,832.58 | $8,090.88 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,167.46 | $5,154.36 | 2.4× |
| Lung Ventilation Imaging (78579) | $605.27 | $2,672.27 | 1.7× |
| Lymph System Imaging (78195) | $853.11 | $3,766.49 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,449.53 | $6,399.67 | 6.7× |
| Mammary ductogram or galactogram multiple (77054) | $378.19 | $1,669.71 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $447.41 | $1,975.33 | 2.1× |
| Meckels Divert Exam (78290) | $638.03 | $2,816.93 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $651.93 | $2,878.28 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $90.06 | $397.60 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.05 | $110.59 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $93.88 | $414.48 | 1.1× |
| Mr safety implt pos&/immoblj (76019) | $60.75 | $268.23 | 1.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $247.23 | $1,091.52 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,827.56 | $8,068.70 | 5.8× |
| MRA head w/o contrast (70544) | $1,538.15 | $6,790.96 | 7.1× |
| MRA head with contrast (70545) | $1,722.22 | $7,603.64 | 5.4× |
| MRA neck w contrast (70548) | $1,251.11 | $5,523.66 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,441.65 | $6,364.91 | 4.6× |
| MRA neck w/o contrast (70547) | $1,173.58 | $5,181.36 | 5.4× |
| MRI abdomen w contrast (74182) | $1,666.81 | $7,359 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,249.88 | $5,518.23 | 5.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,684.57–$3,036.06 | $7,437.40–$13,404.23 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,783.58–$3,722.21 | $7,874.54–$16,433.61 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,675.56 | $7,397.63 | 2.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,109.33 | $4,897.71 | 5.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $576.28 | $2,544.29 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,908.62 | $8,426.59 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,653.79 | $7,301.49 | 7.6× |
| MRI chest w/o contrast (71550) | $1,336.98 | $5,902.79 | 6.2× |
| MRI chest with contrast (71551) | $1,343.25 | $5,930.45 | 1.9× |
| MRI chest wo w contrast (71552) | $1,852.19 | $8,177.42 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,820.49–$3,153.49 | $8,037.48–$13,922.71 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,861.11–$3,722.21 | $8,216.80–$16,433.61 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,483.55–$2,499.98 | $6,549.88–$11,037.42 | varies |
| MRI lumbar spine w contrast (72149) | $1,597.43 | $7,052.66 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,331.56 | $10,293.88 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,336.35 | $5,899.99 | 6.2× |
| MRI orbit face neck w contrast (70542) | $1,522.37 | $6,721.30 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,983.32 | $8,756.37 | 6.3× |
| MRI pelvis w contrast (72196) | $1,676.01 | $7,399.59 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $1,875.82 | $8,281.78 | 5.9× |
| MRI pelvis w/o contrast (72195) | $1,393.97 | $6,154.41 | 6.4× |
| MRI thoracic spine w/o contrast (72146) | $1,363.25 | $6,018.75 | 6.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,849.40 | $8,165.11 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,416.80 | $6,255.19 | 6.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,223.31 | $9,815.92 | 7.0× |
| MRI, abdomen, combo (74183) | $1,946.62 | $8,594.33 | 6.2× |
| MRI, dorsal spine combo (72157) | $2,236.79 | $9,875.47 | 7.1× |
| MRI, dorsal spine contrast (72147) | $1,522.55 | $6,722.09 | 4.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,510.95–$2,583.84 | $6,670.86–$11,407.68 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$974.97–$2,339.24 | $4,304.49–$10,327.76 | varies |
| MRI, lumbar spine combo (72158) | $2,283.73 | $10,082.70 | 7.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,990.33 | $13,202.32 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $3,249.59 | $14,346.99 | 2.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,916.96 | $8,463.42 | 1.0× |
| N-invas est c ffr sw aly CTA (75580) | $1,274.97 | $5,629 | 1.6× |
| Neck soft tissue (70360) | $153.86 | $679.30 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $414.06 | $1,828.06 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $140.38 | $619.78 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,950.29 | $17,440.56 | 3.1× |
| Nuclear Rx Intra-Arterial (79445) | $267.86 | $1,182.62 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $752.22 | $3,321.05 | 3.6× |
| Panoramic X-ray of jaws (70355) | $182.70 | $806.64 | 2.3× |
| Parathyroid Planar Imaging (78070) | $1,090.31 | $4,813.75 | 3.0× |
| Pelvis 1 or 2 views (72170) | $188.91 | $834.04 | 2.0× |
| Pet Image Skull-Thigh (78812) | $1,962.72 | $8,665.42 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $2,603.99 | $11,496.65 | 2.0× |
| PET image w/CT, full body (78816) | $2,501.04 | $11,042.12 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,535.23 | $11,193.07 | 2.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,713.98 | $7,567.22 | 1.5× |
| Pet Myocardial Sngl Study (78491) | $2,351.11 | $10,380.17 | 1.8× |
| PET whole body (78813) | $2,501.04 | $11,042.12 | 1.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,426.60 | $10,713.45 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $558.35 | $2,465.10 | 1.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $811.77 | $3,583.97 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $308.98 | $1,364.15 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $626.47 | $2,765.86 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$173.50–$322.22 | $765.99–$1,422.59 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$148.09–$302.26 | $653.82–$1,334.46 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$183.09–$375.31 | $808.35–$1,657.01 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $227.20 | $1,003.10 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$159.81–$305.94 | $705.57–$1,350.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$188.91–$322.29 | $834.04–$1,422.90 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$173.93–$352.90 | $767.89–$1,558.07 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$142.70–$299.51 | $630.04–$1,322.34 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$287.07–$299.25 | $1,267.40–$1,321.21 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $193.92 | $856.18 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $186.84 | $824.88 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$176.56–$353.64 | $779.52–$1,561.33 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $101.84 | $449.62 | 1.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $223.51 | $986.78 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $155.14 | $684.96 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $273.43 | $1,207.19 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $197.43 | $871.64 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$147.05–$256.94 | $649.22–$1,134.41 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$178.31–$310.50 | $787.23–$1,370.84 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,053.76 | $4,652.36 | 11.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,432.60 | $63,720.08 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $1,268.90 | $5,602.19 | 13.7× |
| Radiation treatment delivery level 2 (77407) | $1,372.01 | $6,057.42 | 3.9× |
| Radiation treatment delivery level 3 (77412) | $1,425.95 | $6,295.60 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $167.62 | $740.05 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $280.81 | $1,239.78 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $451.77 | $1,994.59 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $375.28 | $1,656.88 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $325 | $1,434.86 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$195.27–$445 | $862.10–$1,964.67 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $244.61 | $1,079.96 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $292.79 | $1,292.69 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $190.50 | $841.05 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $474.47 | $2,094.79 | 3.0× |
| Radiologic examination femur 1 view (73551) | $293.78 | $1,297.05 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$237.90–$587.56 | $1,050.32–$2,594.07 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$157.32–$319.34 | $694.57–$1,409.87 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $353.93 | $1,562.59 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$179.12–$306 | $790.81–$1,350.99 | varies |
| Ribs bilateral 3 views (71110) | $275.18 | $1,214.93 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,111.83 | $9,323.75 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,984.12 | $8,759.91 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,346.03 | $5,942.73 | 2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,401 | $6,185.43 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $409.12 | $1,806.28 | 1.9× |
| Scapula (73010) range across 4 matching MRF lines |
$151.38–$302.02 | $668.34–$1,333.40 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$40.55–$55.30 | $179.04–$244.13 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$150.38–$272.82 | $663.92–$1,204.49 | varies |
| Shoulder Arthrography (73040) | $752.26 | $3,321.25 | 2.4× |
| Skull less than 4 views (70250) | $188.09 | $830.43 | 2.0× |
| Special dosimetry (77331) | $437.14 | $1,929.97 | 3.6× |
| Special Physics Consult (77370) | $988.25 | $4,363.14 | 8.1× |
| Special teletherapy port plan (77321) | $562.79 | $2,484.73 | 1.7× |
| Special treatment procedure (77470) | $754.77 | $3,332.32 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $2,877.32 | $12,703.40 | 1.8× |
| Sternoclavicular joints (71130) | $210.28 | $928.39 | 2.7× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $32.59 | $143.89 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $831.58 | $3,671.44 | 2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $542.40 | $2,394.71 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $689.08 | $3,042.31 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $569.81 | $2,515.70 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) | $336.86 | $1,487.24 | 2.8× |
| Thoracic spine 2 views (72070) | $210.47 | $929.21 | 2.2× |
| Thoracic spine 3 views (72072) | $260.30 | $1,149.21 | 2.7× |
| Thoracolumbar 2 views (72080) | $222.65 | $982.99 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $280.59 | $1,238.79 | 0.8× |
| Thyroid Met Imaging Body (78018) | $937.88 | $4,140.74 | 1.9× |
| Thyroid Uptake Measurement (78012) | $318.98 | $1,408.31 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $565.44 | $2,496.43 | 1.6× |
| Tx Devices Design & Construction Complex (77334) | $492.48 | $2,174.31 | 1.4× |
| Tx devices design & construction intermediate (77333) | $382.17 | $1,687.29 | 3.1× |
| Tx devices design & construction simple (77332) | $446.99 | $1,973.48 | 3.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$217.79–$495.27 | $961.55–$2,186.62 | varies |
| Ultrasound elastography first target lesion (76982) | $284.25 | $1,254.98 | 3.0× |
| Ultrasound Elastography Parenchyma (76981) | $284.25 | $1,254.98 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $170.24 | $751.63 | 1.8× |
| Ultrasound, abdomen limited (76705) | $321.66 | $1,420.12 | 3.4× |
| Unlisted Dx Radiographic Procedure (76499) | $84.32 | $372.27 | 1.1× |
| Upper gi w/o kub (74240) | $327.22 | $1,444.67 | 2.1× |
| Urethrocystogram voiding (74455) | $507.61 | $2,241.12 | 2.3× |
| Urethrocystography retrograde (74450) | $507.61 | $2,241.12 | 2.3× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$203.69–$400.02 | $899.31–$1,766.11 | varies |
| Us chest (76604) | $245.53 | $1,084.03 | 2.6× |
| Us complete joint (76881) range across 2 matching MRF lines |
$254.45–$419.19 | $1,123.41–$1,850.74 | varies |
| Us exam, pelvic, limited (76857) | $192.65 | $850.55 | 2.0× |
| Us head (76506) range across 2 matching MRF lines |
$132.50–$199.87 | $585–$882.44 | varies |
| Us kidney transplant (76776) | $373.90 | $1,650.76 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$262.21–$419.19 | $1,157.66–$1,850.74 | varies |
| Us ob limited 1 or more fetuses (76815) | $199.23 | $879.60 | 2.1× |
| Us ob transvaginal (76817) | $339.06 | $1,496.96 | 3.6× |
| Us pelvic non ob complete (76856) | $272.78 | $1,204.32 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $340.38 | $1,502.80 | 3.6× |
| Us retroperitoneal complete (76770) | $222.67 | $983.09 | 2.3× |
| Us retroperitoneal limited (76775) | $224.77 | $992.34 | 2.4× |
| Us scrotum and contents (76870) | $222.88 | $984.01 | 2.3× |
| Us spinal canal and contents (76800) | $167.73 | $740.51 | 1.8× |
| Us thyroid (76536) | $266.76 | $1,177.77 | 2.8× |
| Us transrectal (76872) | $357.78 | $1,579.62 | 3.8× |
| Vein X-Ray Chest (75827) | $1,222.53 | $5,397.49 | 0.9× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,169.39–$1,222.53 | $5,162.85–$5,397.49 | varies |
| Venography caval inferior serialography rs&i (75825) | $5,077.07 | $22,415.31 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $1,546.62 | $6,828.36 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,629.57 | $7,194.56 | 1.1× |
| Venography Renal Bilateral (75833) | $3,807.80 | $16,811.47 | 1.3× |
| Venography Renal Unilateral (75831) | $3,807.80 | $16,811.47 | 1.3× |
| Venous sampling by catheter (75893) | $3,642.25 | $16,080.59 | 0.7× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$153.21–$272.71 | $676.44–$1,204.01 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $241.07 | $1,064.34 | 3.1× |
| X-ray antegrade pyelogram tube (74425) | $507.61 | $2,241.12 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $5,077.07 | $22,415.31 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $120.12 | $530.33 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$151.25–$267.57 | $667.75–$1,181.33 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$585.92–$626.47 | $2,586.85–$2,765.86 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $858.09 | $3,788.47 | 10.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $526.87 | $2,326.15 | 5.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,053.76 | $4,652.36 | 11.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $226.62 | $1,000.52 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $479.07 | $2,115.08 | 6.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $479.07 | $2,115.08 | 5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,103.23 | $4,870.79 | 11.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,103.23 | $4,870.79 | 11.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,229.98 | $5,430.37 | 13.0× |
| X-Ray Exam L-S Spine Bending (72114) | $315.43 | $1,392.61 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $180.89 | $798.64 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $379.86 | $1,677.07 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $197.95 | $873.95 | 2.1× |
| X-ray eye for foreign body (70030) | $100.30 | $442.84 | 1.3× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$158.14–$315.50 | $698.19–$1,392.92 | varies |
| X-ray IV pyelogram (ivp) (74400) | $539.35 | $2,381.24 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $134.20 | $592.51 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $141.26 | $623.68 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $224.47 | $991.03 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $133.78 | $590.65 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $223.50 | $986.75 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $164.24 | $725.11 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $176.90 | $781.02 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $279.50 | $1,233.98 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $335.40 | $1,480.78 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $539.35 | $2,381.24 | 1.7× |
| X-Rays Bone Length Studies (77073) | $204.16 | $901.39 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $423.32 | $1,868.96 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $257.58 | $1,137.22 | 2.7× |
| Xr facial bones less than 3 views (70140) | $131.83 | $582.03 | 1.7× |
| Xr orbits complete 4 views (70200) | $207.32 | $915.34 | 2.2× |
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.