Imaging prices at Tift Regional Medical Center
Tifton, GA · every code in this section with a posted price and a Medicare benchmark.
352 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) | $2,033.50 | $4,067 | 1.6× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$45–$180 | $90–$360 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$49.50–$351.50 | $99–$703 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $950 | $1,900 | 2.6× |
| Adrenal Cortex & Medulla Img (78075) | $1,714 | $3,428 | 1.5× |
| Angio pulmonary bilat (75743) | $3,843.50 | $7,687 | 1.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,712.50 | $3,425 | 0.6× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$1,816.50–$1,917 | $3,633–$3,834 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$1,547–$1,917 | $3,094–$3,834 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,843.50 | $7,687 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,847 | $7,694 | 1.3× |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$35.50–$163.50 | $71–$327 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,578.50 | $5,157 | 0.5× |
| Artery X-Rays Abdomen (75726) | $3,033.50 | $6,067 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $3,847 | $7,694 | 1.3× |
| Artery X-Rays Pelvis (75736) | $2,578.50 | $5,157 | 0.5× |
| Arthrogram ankle (73615) | $629 | $1,258 | 2.0× |
| Arthrogram hip (73525) | $629 | $1,258 | 2.0× |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$622–$629 | $1,244–$1,258 | varies |
| Basic radiation dosimetry calculation (77300) | $407.50 | $815 | 3.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$43–$134 | $86–$268 | varies |
| Bone Imaging 3 Phase (78315) | $1,531 | $3,062 | 4.2× |
| Bone Imaging Limited Area (78300) | $497.50 | $995 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $1,024 | $2,048 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,362 | $2,724 | 3.8× |
| Bone marrow imaging; whole body (78104) | $1,362 | $2,724 | 3.8× |
| Bone survey infant (77076) | $317 | $634 | 3.3× |
| Brachytx isodose complex (77318) | $865 | $1,730 | 2.6× |
| Brachytx isodose intermed (77317) | $550.50 | $1,101 | 1.6× |
| Brachytx Isodose Plan Simple (77316) | $446 | $892 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $834 | $1,668 | 2.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $834 | $1,668 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,042.50 | $10,085 | 3.9× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$33.50–$361.50 | $67–$723 | varies |
| Chest 2 views (71046) range across 16 matching MRF lines |
$44.50–$189.50 | $89–$379 | varies |
| Chest 3 views (71047) | $197.50 | $395 | 2.5× |
| Chest 4 or more views (71048) range across 6 matching MRF lines |
$73–$197.50 | $146–$395 | varies |
| Clavicle complete (73000) range across 9 matching MRF lines |
$77–$366 | $154–$732 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,025 | $2,050 | 10.8× |
| Continuing medical physics consltj pr wk (77336) | $711.50 | $1,423 | 5.8× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$1,816.50–$1,917 | $3,633–$3,834 | varies |
| Contrast X-Ray Bladder (74430) | $464.50 | $929 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $629 | $1,258 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $629 | $1,258 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,320.50 | $6,641 | 10.5× |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$297–$2,070 | $594–$4,140 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$1,610.50–$1,644 | $3,221–$3,288 | varies |
| CT abdomen w wo contrast (74170) | $1,644 | $3,288 | 10.3× |
| CT abdomen w/o contrast (74150) | $1,039 | $2,078 | 11.0× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$673.50–$937 | $1,347–$1,874 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$909–$1,596.50 | $1,818–$3,193 | varies |
| CT Angio Head (70496) | $950.50 | $1,901 | 6.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$909–$1,817 | $1,818–$3,634 | varies |
| CT Angio Neck (70498) | $950.50 | $1,901 | 6.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$909–$1,817 | $1,818–$3,634 | varies |
| CT cervical spine w/ contrast (72126) | $1,596.50 | $3,193 | 5.1× |
| CT cervical spine w/o contrast (72125) | $1,329 | $2,658 | 14.0× |
| CT cervical spine w/wo cont (72127) | $1,899 | $3,798 | 12.0× |
| CT chest w contrast (71260) | $1,437.50 | $2,875 | 9.0× |
| CT chest w/wo contrast (71270) | $1,817 | $3,634 | 11.4× |
| CT head/brain with contrast (70460) | $1,333 | $2,666 | 8.4× |
| CT head/brain without and with contrast (70470) | $1,646 | $3,292 | 10.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $50 | $100 | 0.6× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,269–$1,333 | $2,538–$2,666 | varies |
| CT l-spine w&w/o contrast (72133) | $1,644 | $3,288 | 10.3× |
| CT lower ext w/o (73700) range across 25 matching MRF lines |
$293–$1,212 | $586–$2,424 | varies |
| CT lower extremity w/contrast material (73701) range across 28 matching MRF lines |
$367.50–$1,816 | $735–$3,632 | varies |
| CT lumbar spine w contrast (72132) | $1,596.50 | $3,193 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,329 | $2,658 | 14.0× |
| CT maxillofacial w contrast (70487) | $1,333 | $2,666 | 8.4× |
| CT maxillofacial wo contrast (70486) range across 6 matching MRF lines |
$176.50–$963.50 | $353–$1,927 | varies |
| CT neck tissue combo (70492) | $1,506 | $3,012 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,567.50–$1,646 | $3,135–$3,292 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$917.50–$963.50 | $1,835–$1,927 | varies |
| CT pelvis w&w/o contrast (72194) | $1,644 | $3,288 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,025 | $2,050 | 10.8× |
| CT scan of leg combo (73702) range across 36 matching MRF lines |
$444–$1,815.50 | $888–$3,631 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$333.50–$1,506 | $667–$3,012 | varies |
| CT soft tissue neck w contrast (70491) | $1,056.50 | $2,113 | 6.7× |
| CT soft tissue neck w/o contrast (70490) | $963.50 | $1,927 | 10.2× |
| CT thoracic spine w contrast (72129) | $1,595.50 | $3,191 | 10.0× |
| CT thoracic spine w/o contrast (72128) | $1,329 | $2,658 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $673.50 | $1,347 | 4.2× |
| CT thorax w/o contrast (71250) range across 8 matching MRF lines |
$267–$1,025 | $534–$2,050 | varies |
| CT upper ext wo (73200) range across 15 matching MRF lines |
$639.50–$1,212 | $1,279–$2,424 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 15 matching MRF lines |
$908–$1,815.50 | $1,816–$3,631 | varies |
| CT upper extremity with contrast (73201) range across 24 matching MRF lines |
$673.50–$1,815.50 | $1,347–$3,631 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,363 | $2,726 | 8.6× |
| Cta Abdomen (74175) | $909 | $1,818 | 5.7× |
| CTA pelvis (72191) | $909 | $1,818 | 5.7× |
| Dilation ureters/urethra rs&i (74485) | $1,497 | $2,994 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $2,285 | $4,570 | 1.3× |
| Diskography lumbar (72295) | $4,960 | $9,920 | 2.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$70.50–$128 | $141–$256 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 6 matching MRF lines |
$100.50–$154 | $201–$308 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 6 matching MRF lines |
$127.50–$154 | $255–$308 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$175–$248 | $350–$496 | varies |
| Echo exam of fetal heart (76825) range across 6 matching MRF lines |
$371.50–$767.50 | $743–$1,535 | varies |
| Echo Guide For Artery Repair (76936) | $379 | $758 | 1.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 4 matching MRF lines |
$221.50–$284.50 | $443–$569 | varies |
| Echograp Trans R Pros Study (76873) | $282.50 | $565 | 3.0× |
| Esophagram (74220) range across 4 matching MRF lines |
$155.50–$318 | $311–$636 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 8 matching MRF lines |
$107–$170.50 | $214–$341 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 16 matching MRF lines |
$70.50–$658 | $141–$1,316 | varies |
| Fluoroscopy up to 1 hr (76000) range across 14 matching MRF lines |
$87–$451 | $174–$902 | varies |
| Follow-Up Angiography (75898) | $3,847 | $7,694 | 1.3× |
| Foot 2 views (73620) range across 15 matching MRF lines |
$35.50–$181 | $71–$362 | varies |
| Forearm 2 views (73090) range across 19 matching MRF lines |
$65–$381 | $130–$762 | varies |
| Gastric emptying imaging study (78264) | $1,684.50 | $3,369 | 4.7× |
| Gated Heart Planar Single (78472) | $1,703.50 | $3,407 | 4.7× |
| Gated Heart, Multiple (78473) | $2,406.50 | $4,813 | 6.6× |
| Hand 2 views (73120) range across 19 matching MRF lines |
$16–$181 | $32–$362 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,120.50 | $2,241 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,120.50 | $2,241 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,120.50 | $2,241 | 1.8× |
| Heart Image (Pet) Multiple (78492) | $1,888 | $3,776 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,106 | $2,212 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,106 | $2,212 | 3.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,714–$2,327.50 | $3,428–$4,655 | varies |
| Hysterosalpingogram (74740) | $420.50 | $841 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $107 | $214 | 1.4× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$222–$642 | $444–$1,284 | varies |
| Interstitial radiation source applic complex (77778) | $1,581 | $3,162 | 2.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,693 | $3,386 | 2.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,185.50 | $2,371 | 2.4× |
| Intracavitary radiation source applic simple (77761) | $848 | $1,696 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,684.50 | $3,369 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $652.50 | $1,305 | 1.3× |
| Knee 3 Views (73562) range across 11 matching MRF lines |
$82.50–$449 | $165–$898 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,179 | $2,358 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,261 | $2,522 | 3.5× |
| Lung perfusion differential (78597) | $1,797.50 | $3,595 | 5.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,797.50 | $3,595 | 3.7× |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$950–$1,899.50 | $1,900–$3,799 | varies |
| Magnetic Image Jaw Joint (70336) | $1,713 | $3,426 | 7.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,713 | $3,426 | 3.5× |
| Meckels Divert Exam (78290) | $950 | $1,900 | 2.6× |
| Mlc imrt design & construction per imrt plan (77338) | $446 | $892 | 1.3× |
| Mr safety determination physician/other qhp (76016) | $107 | $214 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30 | $60 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $111.50 | $223 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $72 | $144 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $293.50 | $587 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,487.50 | $4,975 | 7.9× |
| MRA head w/o contrast (70544) | $1,768 | $3,536 | 8.2× |
| MRA neck w contrast (70548) | $1,978.50 | $3,957 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,487.50 | $4,975 | 7.9× |
| MRA neck w/o contrast (70547) | $1,768 | $3,536 | 8.2× |
| MRI abdomen w contrast (74182) | $1,713 | $3,426 | 5.4× |
| MRI abdomen w/o contrast (74181) | $1,713 | $3,426 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,978.50 | $3,957 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,432.50 | $4,865 | 7.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,978.50 | $3,957 | 2.8× |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$858–$1,716 | $1,716–$3,432 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$296–$858 | $592–$1,716 | varies |
| MRI cervical spine w contrast (72142) | $719.50 | $1,439 | 2.3× |
| MRI cervical spine w/o cont (72141) | $1,713 | $3,426 | 7.9× |
| MRI chest w/o contrast (71550) | $1,713 | $3,426 | 7.9× |
| MRI chest wo w contrast (71552) | $2,017.50 | $4,035 | 6.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,978.50 | $3,957 | 6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 16 matching MRF lines |
$692–$2,432.50 | $1,384–$4,865 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 13 matching MRF lines |
$498–$1,713 | $996–$3,426 | varies |
| MRI lumbar spine w contrast (72149) | $719.50 | $1,439 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,432.50 | $4,865 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$441–$1,713 | $882–$3,426 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$523–$1,978.50 | $1,046–$3,957 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$657.50–$2,432.50 | $1,315–$4,865 | varies |
| MRI pelvis w contrast (72196) | $1,978.50 | $3,957 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,432.50 | $4,865 | 7.7× |
| MRI pelvis w/o contrast (72195) | $1,713 | $3,426 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,713 | $3,426 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 10 matching MRF lines |
$653–$1,978.50 | $1,306–$3,957 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 11 matching MRF lines |
$593–$1,713 | $1,186–$3,426 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 11 matching MRF lines |
$809.50–$2,432.50 | $1,619–$4,865 | varies |
| MRI, abdomen, combo (74183) | $2,432.50 | $4,865 | 7.7× |
| MRI, dorsal spine combo (72157) | $2,432.50 | $4,865 | 7.7× |
| MRI, dorsal spine contrast (72147) | $719.50 | $1,439 | 2.3× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$683–$1,713 | $1,366–$3,426 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$1,095–$2,432.50 | $2,190–$4,865 | varies |
| MRI, lumbar spine combo (72158) | $2,432.50 | $4,865 | 7.7× |
| Musculoskeletal Nuclear Exam (78399) | $318 | $636 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$130–$2,327.50 | $260–$4,655 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$98–$110 | $196–$220 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $720 | $1,440 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $552 | $1,104 | 1.5× |
| Nm unlisted gi procedure (78299) | $497.50 | $995 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $313 | $626 | 3.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,474 | $4,948 | 2.0× |
| Nuclear medicine study of endocrine organs (78099) | $497.50 | $995 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $484.50 | $969 | 2.3× |
| Ob us nuchal meas 1 gest (76813) range across 8 matching MRF lines |
$167–$614.50 | $334–$1,229 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $137 | $274 | 1.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $165 | $330 | 1.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $652.50 | $1,305 | 1.3× |
| Parathyroid Planar Imaging (78070) | $497.50 | $995 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $497.50 | $995 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$31.50–$251 | $63–$502 | varies |
| PET image w/CT, full body (78816) | $4,502 | $9,004 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$4,325–$4,502 | $8,650–$9,004 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,816.50 | $3,633 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,019 | $2,038 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$401.50–$422 | $803–$844 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$666–$875.50 | $1,332–$1,751 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 10 matching MRF lines |
$30.68–$374.50 | $61.35–$749 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 12 matching MRF lines |
$47–$315 | $94–$630 | varies |
| Radex elbow complete minimum 3 views (73080) range across 12 matching MRF lines |
$29–$492 | $58–$984 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$61–$382.50 | $122–$765 | varies |
| Radex fingr minimum 2 views (73140) range across 12 matching MRF lines |
$41.50–$112.50 | $83–$225 | varies |
| Radex foot complete minimum 3 views (73630) range across 11 matching MRF lines |
$71–$374.50 | $142–$749 | varies |
| Radex Hand Minimum 3 Views (73130) range across 17 matching MRF lines |
$65–$381 | $130–$762 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$110–$166.50 | $220–$333 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$49–$197.50 | $98–$395 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 12 matching MRF lines |
$50–$224 | $100–$448 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 16 matching MRF lines |
$25.78–$378.50 | $51.56–$757 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$104.50–$110 | $209–$220 | varies |
| Radex Spine 1 View Specify Level (72020) range across 10 matching MRF lines |
$39–$180 | $78–$360 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$49–$207 | $98–$414 | varies |
| Radex Toe Minimum 2 Views (73660) range across 8 matching MRF lines |
$37.50–$110 | $75–$220 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$50–$166.50 | $100–$333 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 12 matching MRF lines |
$72.50–$381 | $145–$762 | varies |
| Radiation treatment delivery level 1 (77402) | $165.50 | $331 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $504.50 | $1,009 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $722.50 | $1,445 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$67.50–$282.50 | $135–$565 | varies |
| Radiologic exam colon double contrast study (74280) | $599 | $1,198 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $411 | $822 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$85.50–$492 | $171–$984 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$51.50–$333 | $103–$666 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$421–$466.50 | $842–$933 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$222–$318 | $444–$636 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $296 | $592 | 1.4× |
| Radiologic examination femur 1 view (73551) range across 14 matching MRF lines |
$40.50–$110 | $81–$220 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 12 matching MRF lines |
$47–$398.50 | $94–$797 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$75–$397 | $150–$794 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 18 matching MRF lines |
$26.68–$374.50 | $53.35–$749 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $324.50 | $649 | 0.9× |
| Ribs bilateral 3 views (71110) range across 9 matching MRF lines |
$44.50–$449 | $89–$898 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 5 matching MRF lines |
$497.50–$781.50 | $995–$1,563 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 8 matching MRF lines |
$1,714–$2,283 | $3,428–$4,566 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 10 matching MRF lines |
$1,714–$2,283 | $3,428–$4,566 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 12 matching MRF lines |
$1,714–$1,719.50 | $3,428–$3,439 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,766.50 | $3,533 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,712.50–$1,719.50 | $3,425–$3,439 | varies |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$323.50–$453.50 | $647–$907 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$31.50–$312.50 | $63–$625 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.50 | $47 | 1.0× |
| Shoulder 1 view (73020) range across 8 matching MRF lines |
$31.50–$125 | $63–$250 | varies |
| Shoulder Arthrography (73040) | $629 | $1,258 | 2.0× |
| Sialogram (70390) | $518.50 | $1,037 | 2.4× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$56.50–$203 | $113–$406 | varies |
| Special dosimetry (77331) | $326 | $652 | 2.7× |
| Special Physics Consult (77370) | $661 | $1,322 | 5.4× |
| Special teletherapy port plan (77321) | $457.50 | $915 | 1.3× |
| Special treatment procedure (77470) | $1,863.50 | $3,727 | 3.7× |
| Stereotactic Body Radiation Delivery (77373) | $2,513.50 | $5,027 | 1.6× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$59.50–$118.50 | $119–$237 | varies |
| Superior sagittal sinus venogram (75870) | $3,847 | $7,694 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,322.50 | $2,645 | 3.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $976 | $1,952 | 2.9× |
| Testicular Imaging W/Flow (78761) | $889.50 | $1,779 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,626 | $3,252 | 4.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,220.50 | $2,441 | 3.6× |
| Ther rad simulaj-aided field setting simple (77280) | $813.50 | $1,627 | 6.7× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$52.50–$132.50 | $105–$265 | varies |
| Thoracic spine 3 views (72072) range across 5 matching MRF lines |
$55.50–$301.50 | $111–$603 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$61.50–$256 | $123–$512 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $497.50 | $995 | 1.4× |
| Thyroid Met Imaging Body (78018) range across 5 matching MRF lines |
$652.50–$2,274 | $1,305–$4,548 | varies |
| Thyroid Uptake Measurement (78012) | $497.50 | $995 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$497.50–$876.50 | $995–$1,753 | varies |
| Tx Devices Design & Construction Complex (77334) | $915.50 | $1,831 | 2.7× |
| Tx devices design & construction intermediate (77333) | $593 | $1,186 | 4.9× |
| Tx devices design & construction simple (77332) | $559.50 | $1,119 | 4.6× |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$40–$273.50 | $80–$547 | varies |
| Ultrasound elastography first target lesion (76982) | $406.50 | $813 | 4.3× |
| Ultrasound Elastography Parenchyma (76981) | $406.50 | $813 | 4.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$151.50–$527.50 | $303–$1,055 | varies |
| Ultrasound, abdomen limited (76705) range across 19 matching MRF lines |
$159–$527.50 | $318–$1,055 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 6 matching MRF lines |
$65–$154 | $130–$308 | varies |
| Unlisted fluoroscopic procedure (76496) | $110 | $220 | 1.4× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $318 | $636 | 0.9× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $318 | $636 | 0.9× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $497.50 | $995 | 1.4× |
| Unlisted us procedure (76999) | $100.88 | $201.75 | 1.3× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$354.50–$820.50 | $709–$1,641 | varies |
| Urethrocystogram voiding (74455) | $316.50 | $633 | 1.5× |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$274.50–$464.50 | $549–$929 | varies |
| Us breast unilateral complete (76641) range across 12 matching MRF lines |
$48–$471.50 | $96–$943 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$146.50–$157.50 | $293–$315 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$78.50–$491 | $157–$982 | varies |
| Us head (76506) range across 3 matching MRF lines |
$165–$527.50 | $330–$1,055 | varies |
| Us kidney transplant (76776) | $420.50 | $841 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 13 matching MRF lines |
$18.50–$595 | $37–$1,190 | varies |
| Us ob detailed single fetus (76811) range across 9 matching MRF lines |
$239–$355.50 | $478–$711 | varies |
| Us ob limited 1 or more fetuses (76815) range across 13 matching MRF lines |
$43.50–$512 | $87–$1,024 | varies |
| Us ob transvaginal (76817) range across 14 matching MRF lines |
$101–$633 | $202–$1,266 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$160–$491 | $320–$982 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 10 matching MRF lines |
$154–$633 | $308–$1,266 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 13 matching MRF lines |
$132.50–$385.50 | $265–$771 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$181–$513 | $362–$1,026 | varies |
| Us retroperitoneal limited (76775) range across 18 matching MRF lines |
$86.50–$536 | $173–$1,072 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$283.50–$297.50 | $567–$595 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$266–$280 | $532–$560 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$81–$297.50 | $162–$595 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$43–$820 | $86–$1,640 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$830–$997 | $1,660–$1,994 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,847 | $7,694 | 1.3× |
| Venogram Sinus/Jugular (75860) | $1,547 | $3,094 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,816.50 | $3,633 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $1,547 | $3,094 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,933 | $3,866 | 1.4× |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$760–$1,003 | $1,520–$2,006 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,547–$3,660 | $3,094–$7,320 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$1,547–$3,660 | $3,094–$7,320 | varies |
| Venous sampling by catheter (75893) | $2,578.50 | $5,157 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $318 | $636 | 0.9× |
| Wrist 2 views (73100) range across 13 matching MRF lines |
$35.50–$181 | $71–$362 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$59–$175 | $118–$350 | varies |
| X-ray antegrade pyelogram tube (74425) | $464.50 | $929 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,816.50–$2,340 | $3,633–$4,680 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$92.50–$271.50 | $185–$543 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 15 matching MRF lines |
$37–$343 | $74–$686 | varies |
| X-Ray Exam Breast Specimen (76098) range across 7 matching MRF lines |
$168–$666 | $336–$1,332 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
$39–$110 | $78–$220 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$101.50–$633.50 | $203–$1,267 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 16 matching MRF lines |
$24–$489.50 | $48–$979 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 14 matching MRF lines |
$55.50–$296.50 | $111–$593 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$58–$87 | $116–$174 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 6 matching MRF lines |
$48–$430.50 | $96–$861 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$47.50–$274.50 | $95–$549 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 5 matching MRF lines |
$75–$381 | $150–$762 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$100–$291.50 | $200–$583 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 5 matching MRF lines |
$63.50–$402.50 | $127–$805 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 10 matching MRF lines |
$44–$256 | $88–$512 | varies |
| X-ray humerus (73060) range across 14 matching MRF lines |
$60.50–$351.50 | $121–$703 | varies |
| X-ray IV pyelogram+tomography (74415) | $719.50 | $1,439 | 4.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$51–$103 | $102–$206 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$42–$396 | $84–$792 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$92.50–$271.50 | $185–$543 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$49–$211 | $98–$422 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 8 matching MRF lines |
$50–$511.50 | $100–$1,023 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$57–$173.50 | $114–$347 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $132.50 | $265 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$31.50–$236.50 | $63–$473 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$73.50–$215.50 | $147–$431 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$70–$346.50 | $140–$693 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$66.50–$109.50 | $133–$219 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $524.50 | $1,049 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 6 matching MRF lines |
$133–$315.50 | $266–$631 | varies |
| X-Rays Bone Survey Complete (77075) | $632 | $1,264 | 6.7× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$72–$402.50 | $144–$805 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$75–$231.50 | $150–$463 | 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.