Imaging prices at The University of Kansas Health System Paola Hospital
Paola, KS · every code in this section with a posted price and a Medicare benchmark.
324 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) | $856 | $4,280 | 0.6× |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$37.20–$46.40 | $186–$232 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$57.20–$70 | $286–$350 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $255 | $1,275 | 0.7× |
| Angio internal mammary (75756) | $555.80 | $2,779 | 0.2× |
| Angio pulmonary bilat (75743) | $566.60 | $2,833 | 0.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $625 | $3,125 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $1,051 | $5,255 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $1,051 | $5,255 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $412.20 | $2,061 | 0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $194.80 | $974 | 0.1× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$46.40–$115.80 | $232–$579 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$630.60 | $3,153 | 0.1× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$311.20 | $1,556 | 0.1× |
| Artery X-Rays Adrenal Gland (75731) | $555.80 | $2,779 | 0.2× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,735.40 | $8,677 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$431.80 | $2,159 | 0.1× |
| Arthrogram ankle (73615) | $84.80 | $424 | 0.3× |
| Arthrogram hip (73525) | $147 | $735 | 0.4× |
| Arthrogram Wrist (73115) | $86.20 | $431 | 0.3× |
| Bone age studies (77072) | $104.20 | $521 | 1.0× |
| Bone Imaging 3 Phase (78315) | $412.20 | $2,061 | 1.1× |
| Bone Imaging Whole Body (78306) | $488 | $2,440 | 1.3× |
| Bone survey infant (77076) | $116 | $580 | 1.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $385.40 | $1,927 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $211 | $1,055 | 2.5× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$37.20–$46.40 | $186–$232 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$37.20–$46.40 | $186–$232 | varies |
| Chest 3 views (71047) | $37.20 | $186 | 0.4× |
| Chest 4 or more views (71048) | $68 | $340 | 0.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$29.80–$162 | $149–$810 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $336 | $336 | 3.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,051 | $5,255 | 0.3× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$128–$148.80 | $640–$744 | varies |
| Contrast X-Ray Of Elbow (73085) | $84.80 | $424 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $123.40 | $617 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) | $984.40 | $4,922 | 3.0× |
| CT abdomen and pelvis without contrast (74176) | $961.80 | $4,809 | 4.2× |
| CT abdomen w contrast (74160) | $599.20 | $2,996 | 3.6× |
| CT abdomen w wo contrast (74170) | $709.80 | $3,549 | 4.2× |
| CT abdomen w/o contrast (74150) | $595.40 | $2,977 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,048.60 | $5,243 | 3.1× |
| CT Angio Chest (71275) | $938.80 | $4,694 | 5.6× |
| CT Angio Head (70496) | $620.60 | $3,103 | 3.7× |
| CT angio hrt w/3d image (75574) | $320.60 | $1,603 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$620.60–$931 | $3,103–$4,655 | varies |
| CT Angio Neck (70498) | $620.60 | $3,103 | 3.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $494 | $2,470 | 2.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $742 | $3,710 | 4.4× |
| CT cervical spine w/ contrast (72126) | $709.80 | $3,549 | 2.1× |
| CT cervical spine w/o contrast (72125) | $709.80 | $3,549 | 7.1× |
| CT cervical spine w/wo cont (72127) | $709.80 | $3,549 | 4.2× |
| CT chest w contrast (71260) | $641.20 | $3,206 | 3.8× |
| CT chest w/wo contrast (71270) | $687 | $3,435 | 4.1× |
| CT colonography screening (74263) | $498.20 | $2,491 | 2.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $195.40 | $977 | 1.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $136.40 | $682 | 1.4× |
| CT head/brain with contrast (70460) | $470.80 | $2,354 | 2.8× |
| CT head/brain without and with contrast (70470) | $556.40 | $2,782 | 3.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $618.20 | $3,091 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $35 | $35 | 0.4× |
| CT iac w contrast (70481) | $528.60 | $2,643 | 3.2× |
| CT l-spine w&w/o contrast (72133) | $732.80 | $3,664 | 4.4× |
| CT lower ext w/o (73700) | $325.20 | $1,626 | 3.3× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$363.80–$545.80 | $1,819–$2,729 | varies |
| CT lumbar spine w contrast (72132) | $709.80 | $3,549 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $709.80 | $3,549 | 7.1× |
| CT maxillofacial w contrast (70487) | $528.60 | $2,643 | 3.2× |
| CT maxillofacial wo contrast (70486) | $321 | $1,605 | 3.2× |
| CT neck tissue combo (70492) | $556.40 | $2,782 | 3.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $549 | $2,745 | 3.3× |
| CT orbits w/o contrast (70480) | $470.80 | $2,354 | 4.7× |
| CT pelvis w&w/o contrast (72194) | $642 | $3,210 | 3.8× |
| CT pelvis w/o contrast (72192) | $556.40 | $2,782 | 5.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$427–$640.60 | $2,135–$3,203 | varies |
| CT scans face/jaw combo (70488) | $424.40 | $2,122 | 2.5× |
| CT soft tissue neck w contrast (70491) | $470.80 | $2,354 | 2.8× |
| CT soft tissue neck w/o contrast (70490) | $449.40 | $2,247 | 4.5× |
| CT thoracic spine w contrast (72129) | $663.40 | $3,317 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $663.40 | $3,317 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $684.80 | $3,424 | 4.1× |
| CT thorax w/o contrast (71250) | $595.40 | $2,977 | 6.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$325.20–$488 | $1,626–$2,440 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$391.80–$587.60 | $1,959–$2,938 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$363.80–$545.80 | $1,819–$2,729 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $589.60 | $2,948 | 3.5× |
| Cta Abdomen (74175) | $727.60 | $3,638 | 4.3× |
| CTA pelvis (72191) | $581.40 | $2,907 | 3.5× |
| Dilation ureters/urethra rs&i (74485) | $295.20 | $1,476 | 0.1× |
| Discography Cerv/Thor Spine (72285) | $238.40 | $1,192 | 0.1× |
| Diskography lumbar (72295) | $980.80 | $4,904 | 0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $57.20 | $286 | 0.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $57.20 | $286 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $57.20 | $286 | 0.6× |
| Dxa Bone Density Axial (77080) range across 5 matching MRF lines |
$39.80–$184.40 | $199–$922 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$30.40–$77.20 | $152–$386 | varies |
| Echo exam of fetal heart (76825) | $269.20 | $1,346 | 0.5× |
| Echo Guide For Artery Repair (76936) | $332.60 | $1,663 | 1.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $125 | $625 | 0.5× |
| Esophagram (74220) | $129.40 | $647 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) | $57.20 | $286 | 0.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$57.20–$138.60 | $286–$693 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$81.80–$144.60 | $409–$723 | varies |
| Follow-Up Angiography (75898) | $230.40 | $1,152 | 0.1× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$46.40–$147.20 | $232–$736 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$29.80–$159.60 | $149–$798 | varies |
| Gastric emptying imaging study (78264) | $317.60 | $1,588 | 0.8× |
| Gated Heart Planar Single (78472) | $449.40 | $2,247 | 1.2× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$57.20–$122.60 | $286–$613 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $537.20 | $2,686 | 0.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $416.80 | $2,084 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $549.60 | $2,748 | 1.1× |
| Hepatobiliary System Imaging (78226) | $427 | $2,135 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $955.20 | $4,776 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $807.80 | $4,039 | 0.7× |
| Hysterosalpingogram (74740) | $91.20 | $456 | 0.4× |
| Infant hip ultrasound, limited static exam (76886) | $63.60 | $318 | 0.8× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$57.20–$115.80 | $286–$579 | varies |
| K Flow/Funct Image W/Drug (78708) | $340.20 | $1,701 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $406.60 | $2,033 | 0.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$30.20–$161.40 | $151–$807 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $406.80 | $2,034 | 0.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $832.60 | $4,163 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $183.80 | $919 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $201.80 | $1,009 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $755.60 | $3,778 | 2.3× |
| MRA head w/o contrast (70544) | $588.60 | $2,943 | 2.6× |
| MRA head with contrast (70545) | $615 | $3,075 | 1.8× |
| MRA neck w contrast (70548) | $615 | $3,075 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $780.80 | $3,904 | 2.3× |
| MRA neck w/o contrast (70547) | $588.60 | $2,943 | 2.6× |
| MRI abdomen w contrast (74182) | $639.60 | $3,198 | 1.9× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$367.20–$612 | $1,836–$3,060 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$748.20–$1,108.20 | $3,741–$5,541 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$805–$1,207.60 | $4,025–$6,038 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$682.60–$884.80 | $3,413–$4,424 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $805 | $4,025 | 3.5× |
| MRI cardiac w/o cont stress (75559) | $252 | $1,260 | 0.5× |
| MRI cardiac w/o contrast (75557) | $259.20 | $1,296 | 1.1× |
| MRI cervical spine w contrast (72142) | $886.60 | $4,433 | 2.7× |
| MRI cervical spine w/o cont (72141) | $806 | $4,030 | 3.5× |
| MRI chest w/o contrast (71550) | $559.20 | $2,796 | 2.5× |
| MRI chest with contrast (71551) | $562.40 | $2,812 | 0.8× |
| MRI chest wo w contrast (71552) | $805 | $4,025 | 2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$559.20–$762.40 | $2,796–$3,812 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$906.80–$1,236.40 | $4,534–$6,182 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$517.80–$738 | $2,589–$3,690 | varies |
| MRI lumbar spine w contrast (72149) | $886.60 | $4,433 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $982.20 | $4,911 | 2.9× |
| MRI orbit face &/neck w/o contrast (70540) | $588.60 | $2,943 | 2.6× |
| MRI orbit face neck w contrast (70542) | $615 | $3,075 | 1.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $906.80 | $4,534 | 2.7× |
| MRI pelvis w contrast (72196) | $748.20 | $3,741 | 2.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$544–$906.80 | $2,720–$4,534 | varies |
| MRI pelvis w/o contrast (72195) | $680 | $3,400 | 3.0× |
| MRI thoracic spine w/o contrast (72146) | $806 | $4,030 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$559.20–$752.20 | $2,796–$3,761 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$522.60–$752.20 | $2,613–$3,761 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$805–$1,610 | $4,025–$8,050 | varies |
| MRI, abdomen, combo (74183) | $1,032.80 | $5,164 | 3.1× |
| MRI, dorsal spine combo (72157) | $982.20 | $4,911 | 2.9× |
| MRI, dorsal spine contrast (72147) | $886.60 | $4,433 | 2.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$648.60–$984 | $3,243–$4,920 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$805–$1,097.80 | $4,025–$5,489 | varies |
| MRI, lumbar spine combo (72158) | $1,057.80 | $5,289 | 3.2× |
| Myelogram cervical (72240) | $145.60 | $728 | 0.2× |
| Myelogram Lumbar (72265) | $127.80 | $639 | 0.2× |
| Myelography thoracic (72255) | $134.80 | $674 | 0.2× |
| Myelograpy 2/more regions rs&i (72270) | $359.60 | $1,798 | 0.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $597 | $2,985 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $1,145 | $5,725 | 0.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $998.20 | $4,991 | 0.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $898.80 | $4,494 | 0.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,442.60 | $7,213 | 0.7× |
| N-invas est c ffr sw aly CTA (75580) | $954 | $4,770 | 1.2× |
| Neck soft tissue (70360) | $115.80 | $579 | 1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $302.60 | $1,513 | 0.8× |
| Nuclear Rx Oral Admin (79005) | $158.80 | $794 | 0.7× |
| Ob us nuchal meas 1 gest (76813) | $57.20 | $286 | 0.6× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $46.40 | $232 | 0.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$57.20–$65.20 | $286–$326 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $10.80 | $54 | 0.4× |
| Ophthalmic us dx quantitative a-scan only (76511) | $57.20 | $286 | 0.6× |
| Panoramic X-ray of jaws (70355) | $53.80 | $269 | 0.6× |
| Parathyroid Planar Imaging (78070) | $257.20 | $1,286 | 0.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $272.20 | $1,361 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$39.40–$114.40 | $197–$572 | varies |
| Peritoneogram Rs&I (74190) | $150.40 | $752 | 0.3× |
| Pet Image W/Ct Lmtd (78814) | $1,177 | $5,885 | 0.9× |
| PET image w/CT, full body (78816) | $1,259.40 | $6,297 | 0.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,373.80 | $6,869 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,201 | $6,005 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $297.60 | $1,488 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $142.60 | $713 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $157.60 | $788 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$29.80–$147.20 | $149–$736 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$46.40–$153.40 | $232–$767 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$46.40–$153.80 | $232–$769 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$57.20–$115.60 | $286–$578 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$29.20–$90.40 | $146–$452 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$46.40–$147.20 | $232–$736 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$46.40–$146 | $232–$730 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $97.20 | $486 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$46.40–$115.80 | $232–$579 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$46.40–$74 | $232–$370 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$30.20–$189.20 | $151–$946 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $55.60 | $278 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $99.80 | $499 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$46.40–$126.40 | $232–$632 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $176.40 | $882 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$46.40–$98 | $232–$490 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $87 | $435 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$29.80–$138 | $149–$690 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $101.60 | $508 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $116.80 | $584 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $67.40 | $337 | 0.7× |
| Radiologic exam colon double contrast study (74280) | $199.20 | $996 | 1.2× |
| Radiologic exam colon single contrast study (74270) | $208.20 | $1,041 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$40–$215.40 | $200–$1,077 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $130.80 | $654 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $150.40 | $752 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $184.40 | $922 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $127.40 | $637 | 0.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$30–$60 | $150–$300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$30–$36 | $150–$180 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$29.80–$147.20 | $149–$736 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $102.80 | $514 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$46.40–$149.20 | $232–$746 | varies |
| Renal Cyst Study (74470) | $427 | $2,135 | 0.8× |
| Ribs bilateral 3 views (71110) | $108.80 | $544 | 1.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $487.80 | $2,439 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $589.80 | $2,949 | 1.1× |
| Scapula (73010) range across 4 matching MRF lines |
$57.20–$164.80 | $286–$824 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$8–$13.20 | $40–$66 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$46.40–$217.60 | $232–$1,088 | varies |
| Shoulder Arthrography (73040) | $154 | $770 | 0.5× |
| Sialogram (70390) | $101 | $505 | 0.4× |
| Skull less than 4 views (70250) | $127.40 | $637 | 1.3× |
| Sternoclavicular joints (71130) | $116.80 | $584 | 1.4× |
| Superior sagittal sinus venogram (75870) | $416.80 | $2,084 | 0.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$57.20–$118 | $286–$590 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$57.20–$135.40 | $286–$677 | varies |
| Thoracolumbar 2 views (72080) | $118 | $590 | 1.4× |
| Thyroid Met Imaging Body (78018) | $366 | $1,830 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $272.20 | $1,361 | 0.7× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$98.20–$138.40 | $491–$692 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$46.40–$86.20 | $232–$431 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$21–$75.40 | $21–$377 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$45.80–$219.20 | $229–$1,096 | varies |
| Umbilical-artery Doppler (OB) (76820) | $46.60 | $233 | 0.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$97.20–$100 | $100–$486 | varies |
| Unlisted fluoroscopic procedure (76496) | $74.40 | $372 | 0.9× |
| Unlisted magnetic resonance procedure (76498) | $257.60 | $1,288 | 3.1× |
| Unlisted us procedure (76999) | $52.20 | $261 | 0.6× |
| Upper gi w/o kub (74240) | $120 | $600 | 0.7× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$82–$94.20 | $410–$471 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$82–$99.80 | $410–$499 | varies |
| Us breast unilateral complete (76641) range across 9 matching MRF lines |
$89.80–$123 | $449–$615 | varies |
| Us chest (76604) range across 6 matching MRF lines |
$57.20–$149.80 | $286–$749 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$46.40–$109.60 | $232–$548 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$44.20–$121 | $221–$605 | varies |
| Us head (76506) | $86.20 | $431 | 0.9× |
| Us kidney transplant (76776) | $170 | $850 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $134.20 | $671 | 1.3× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$125–$140.80 | $625–$704 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$46.60–$155.40 | $233–$777 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$57.20–$179 | $286–$895 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$57.20–$302.20 | $286–$1,511 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$52.20–$155.40 | $261–$777 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$57.20–$155.40 | $286–$777 | varies |
| Us retroperitoneal complete (76770) | $302.20 | $1,511 | 3.0× |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$57.20–$191.60 | $286–$958 | varies |
| Us scrotum and contents (76870) | $327.40 | $1,637 | 3.3× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$57.20–$61.60 | $286–$308 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$57.20–$352.60 | $286–$1,763 | varies |
| Us transrectal (76872) | $47 | $235 | 0.5× |
| Vein X-Ray Chest (75827) | $560.40 | $2,802 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,134 | $5,670 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $715 | $3,575 | 0.2× |
| Venogram Sinus/Jugular (75860) | $467.20 | $2,336 | 0.2× |
| Venography Adrenal Unilateral (75840) | $715 | $3,575 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,041.20 | $5,206 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $560.40 | $2,802 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $373.60 | $1,868 | 0.2× |
| Venography Renal Bilateral (75833) | $496 | $2,480 | 0.2× |
| Venography Renal Unilateral (75831) | $389.20 | $1,946 | 0.1× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$259.80 | $1,299 | 0.0× |
| Vertebral fracture assessment via dxa (77086) | $34.40 | $172 | 0.4× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$38.80–$94.80 | $194–$474 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $103.80 | $519 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $148.60 | $743 | 0.4× |
| X-Ray Aorta Leg Arteries (75630) | $886.40 | $4,432 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $54.80 | $274 | 0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$40.40–$101.80 | $202–$509 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$185.60–$193 | $928–$965 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $37.20 | $186 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $60.20 | $301 | 0.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $109.20 | $546 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$35.80–$46.40 | $179–$232 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$30.60–$37.20 | $153–$186 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $60.20 | $301 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $60.20 | $301 | 0.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$40–$60.20 | $200–$301 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $103.80 | $519 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$57.20–$145 | $286–$725 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$41.80–$46.40 | $209–$232 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $78.80 | $394 | 0.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$57.20–$127.40 | $286–$637 | varies |
| X-ray eye for foreign body (70030) | $114 | $570 | 1.4× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$46.40–$187.40 | $232–$937 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $50.80 | $254 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $98 | $490 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$57.20–$144.60 | $286–$723 | varies |
| X-ray nose-rectum child f.b. (76010) | $97.20 | $486 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$57.20–$189.80 | $286–$949 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$57.20–$116 | $286–$580 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$46.40–$114 | $232–$570 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $112 | $560 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $131.80 | $659 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $161.20 | $806 | 0.5× |
| X-Rays Bone Length Studies (77073) | $86.20 | $431 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $155 | $775 | 1.6× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$57.20–$60.20 | $286–$301 | varies |
| Xr orbits complete 4 views (70200) | $132.60 | $663 | 1.3× |
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.