Imaging prices at Titus Regional Medical Center
Mount Pleasant, TX · every code in this section with a posted price and a Medicare benchmark.
507 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) range across 4 matching MRF lines |
$447–$2,119.80 | $745–$3,533 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$33.60–$132.60 | $56–$221 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$34.80–$182.40 | $58–$304 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$97.80–$1,064.40 | $163–$1,774 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 3 matching MRF lines |
$100.20–$658.80 | $167–$1,098 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 3 matching MRF lines |
$72.60–$912.60 | $121–$1,521 | varies |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$113.40–$340.80 | $189–$568 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$164.40–$342 | $274–$570 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$129.60–$373.80 | $216–$623 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$185.40–$4,675.20 | $309–$7,792 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$161.40–$4,675.20 | $269–$7,792 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$128.40–$304.20 | $214–$507 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$113.40–$308.40 | $189–$514 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$28.20–$132.60 | $47–$221 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$7,788.60 | $464–$12,981 | 1.4× |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$48–$393 | $80–$655 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$124.20–$300.60 | $207–$501 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$115.20–$345 | $192–$575 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$321.60–$7,788.60 | $351–$12,981 | varies |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
$228–$498 | $380–$830 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$57–$602.40 | $95–$1,004 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$57.60–$602.40 | $96–$1,004 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$57–$602.40 | $95–$1,004 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$64.80–$212.40 | $108–$354 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$41.40–$178.20 | $69–$297 | varies |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$99.60–$1,051.80 | $166–$1,753 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$49.20–$694.20 | $82–$1,157 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$67.80–$478.20 | $113–$797 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$70.20–$897 | $117–$1,495 | varies |
| Bone marrow imaging limited area (78102) range across 3 matching MRF lines |
$52.80–$351 | $88–$585 | varies |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
$71.40–$453 | $119–$755 | varies |
| Bone marrow imaging; whole body (78104) range across 3 matching MRF lines |
$76.80–$505.80 | $128–$843 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$72–$290.40 | $120–$484 | varies |
| Brachytx isodose complex (77318) range across 3 matching MRF lines |
$300.60–$718.80 | $501–$1,198 | varies |
| Brachytx isodose intermed (77317) range across 3 matching MRF lines |
$189.60–$496.80 | $316–$828 | varies |
| Brachytx Isodose Plan Simple (77316) range across 3 matching MRF lines |
$145.80–$381 | $243–$635 | varies |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$30–$359.40 | $50–$599 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 3 matching MRF lines |
$49.80–$441.60 | $83–$736 | varies |
| Brain imaging < 4 static views (78600) range across 3 matching MRF lines |
$44.40–$381.60 | $74–$636 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 3 matching MRF lines |
$62.40–$678.60 | $104–$1,131 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 3 matching MRF lines |
$54–$412.80 | $90–$688 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $149.40 | $249 | 0.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 3 matching MRF lines |
$116.40–$463.80 | $194–$773 | varies |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 3 matching MRF lines |
$143.40–$501.60 | $239–$836 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$252–$852.60 | $420–$1,421 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines |
$289.80–$1,015.80 | $483–$1,693 | varies |
| Cardiac Shunt Detection (78428) range across 3 matching MRF lines |
$75–$373.80 | $125–$623 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$99–$720 | $165–$1,200 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$55.20–$666.60 | $92–$1,111 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 3 matching MRF lines |
$62.40–$703.20 | $104–$1,172 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$67.20–$696.60 | $112–$1,161 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$63.60–$132.60 | $106–$221 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$35.40–$148.80 | $59–$248 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$39–$132.60 | $65–$221 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$46.80–$178.20 | $78–$297 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$32.40–$139.80 | $54–$233 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 3 matching MRF lines |
$33–$169.20 | $55–$282 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$75–$103.20 | $125–$172 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$30–$132.60 | $50–$221 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$177–$720 | $295–$1,200 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$156.60–$346.80 | $261–$578 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$163.80–$4,675.20 | $190–$7,792 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$42–$602.40 | $70–$1,004 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$58.20–$602.40 | $97–$1,004 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$56.40–$602.40 | $94–$1,004 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 4 matching MRF lines |
$37.20–$309 | $62–$515 | varies |
| Corpora cavernosography (74445) | $113.40 | $189 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$202.20–$1,211.40 | $337–$2,019 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$177.60–$720 | $296–$1,200 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$128.40–$969.60 | $214–$1,616 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$141.60–$1,211.40 | $236–$2,019 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$121.20–$720 | $202–$1,200 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$220.20–$1,332.60 | $367–$2,221 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$183.60–$1,211.40 | $306–$2,019 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$186.60–$1,302.60 | $311–$2,171 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$240.60–$1,211.40 | $401–$2,019 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$190.20–$1,321.20 | $317–$2,202 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$192–$1,302.60 | $320–$2,171 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$180.60–$1,211.40 | $301–$2,019 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$24.60–$227.40 | $41–$379 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$123.60–$969.60 | $206–$1,616 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$108–$720 | $180–$1,200 | varies |
| CT cervical spine w/wo cont (72127) range across 4 matching MRF lines |
$127.20–$1,211.40 | $212–$2,019 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$146.40–$969.60 | $244–$1,616 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$162.60–$720 | $271–$1,200 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$141.60–$1,293.60 | $236–$2,156 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 3 matching MRF lines |
$252–$1,089.60 | $420–$1,816 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 3 matching MRF lines |
$241.80–$972.60 | $403–$1,621 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$114–$969.60 | $190–$1,616 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$129–$1,211.40 | $215–$2,019 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$177–$1,211.40 | $295–$2,019 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$57–$720 | $95–$1,200 | varies |
| CT hrt w/3d image congen (75573) range across 4 matching MRF lines |
$255–$1,211.40 | $425–$2,019 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$139.20–$969.60 | $232–$1,616 | varies |
| CT l-spine w&w/o contrast (72133) range across 4 matching MRF lines |
$127.80–$1,211.40 | $213–$2,019 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$117.60–$969.60 | $196–$1,616 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$123–$969.60 | $205–$1,616 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$113.40–$969.60 | $189–$1,616 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$86.40–$720 | $144–$1,200 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$185.40–$1,211.40 | $309–$2,019 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$145.80–$1,211.40 | $243–$2,019 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$129–$720 | $215–$1,200 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$123–$1,211.40 | $205–$2,019 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$110.40–$720 | $184–$1,200 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$121.80–$1,211.40 | $203–$2,019 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$128.40–$1,211.40 | $214–$2,019 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$162–$969.60 | $270–$1,616 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$148.80–$720 | $248–$1,200 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$123.60–$969.60 | $206–$1,616 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT thoracic spine w/wo cont (72130) range across 4 matching MRF lines |
$127.80–$1,211.40 | $213–$2,019 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$130.20–$720 | $217–$1,200 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$122.40–$1,211.40 | $204–$2,019 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$117.60–$969.60 | $196–$1,616 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$207–$766.20 | $345–$1,277 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$181.80–$1,332.60 | $303–$2,221 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$181.20–$1,211.40 | $302–$2,019 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$99–$412.20 | $165–$687 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $99 | $165 | 0.2× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$52.20–$184.20 | $87–$307 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$106.20–$228.60 | $177–$381 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$108.60–$2,868.60 | $147–$4,781 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$51.60–$110.40 | $86–$184 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$58.80–$154.20 | $98–$257 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$73.20–$189.60 | $122–$316 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$25.80–$178.20 | $43–$297 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$30–$112.20 | $50–$187 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$38.40–$132.60 | $64–$221 | varies |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$169.80–$562.80 | $283–$938 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$74.40–$241.80 | $124–$403 | varies |
| Echo Guide For Artery Repair (76936) range across 4 matching MRF lines |
$197.40–$656.40 | $329–$1,094 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines |
$83.40–$330 | $139–$550 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$156.60–$348 | $261–$580 | varies |
| Esophageal Motility Study (78258) range across 3 matching MRF lines |
$73.20–$463.80 | $122–$773 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$46.80–$292.80 | $78–$488 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$111–$271.20 | $185–$452 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$80.40–$194.40 | $134–$324 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$296.40–$669.60 | $494–$1,116 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$20.40–$376.80 | $34–$628 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$174.60–$4,675.20 | $291–$7,792 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$29.40–$148.80 | $49–$248 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$32.40–$148.80 | $54–$248 | varies |
| Gastric emptying imaging study (78264) range across 4 matching MRF lines |
$77.40–$1,035.60 | $129–$1,726 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 3 matching MRF lines |
$96–$821.40 | $160–$1,369 | varies |
| Gastric Mucosa Imaging (78261) range across 3 matching MRF lines |
$70.20–$505.80 | $117–$843 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$66.60–$499.80 | $111–$833 | varies |
| Gastrointestinal Protein Loss (78282) | $99 | $165 | 0.2× |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$96.60–$645 | $161–$1,075 | varies |
| Gated Heart, Multiple (78473) range across 3 matching MRF lines |
$142.20–$596.40 | $237–$994 | varies |
| GI Endoscopic US S&I (76975) | $99 | $165 | 0.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 3 matching MRF lines |
$106.20–$973.20 | $177–$1,622 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$30–$178.20 | $50–$297 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 3 matching MRF lines |
$556.20–$1,839 | $927–$3,065 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 3 matching MRF lines |
$393–$1,204.80 | $655–$2,008 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 3 matching MRF lines |
$200.40–$646.20 | $334–$1,077 | varies |
| Heart first pass single,planar (78481) range across 3 matching MRF lines |
$96–$361.20 | $160–$602 | varies |
| Heart Image (Pet) Multiple (78492) | $186.60 | $311 | 0.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines |
$179.40–$4,675.20 | $184–$7,792 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 4 matching MRF lines |
$180.60–$4,675.20 | $188–$7,792 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$89.40–$975 | $149–$1,625 | varies |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$73.20–$1,022.40 | $122–$1,704 | varies |
| High energy neutron radj tx dlvr 1/> isocenter (77423) | $286.80 | $478 | 0.5× |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$132.60–$899.40 | $221–$1,499 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$134.40–$2,134.80 | $224–$3,558 | varies |
| Hyperthermia external generated superficial (77600) range across 3 matching MRF lines |
$135.60–$828.60 | $226–$1,381 | varies |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) range across 3 matching MRF lines |
$147.60–$1,712.40 | $246–$2,854 | varies |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) range across 3 matching MRF lines |
$186.60–$2,042.40 | $311–$3,404 | varies |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) range across 3 matching MRF lines |
$168.60–$922.80 | $281–$1,538 | varies |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) range across 3 matching MRF lines |
$207.60–$1,553.40 | $346–$2,589 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$38.40–$376.80 | $64–$628 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$76.20–$295.20 | $127–$492 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 4 matching MRF lines |
$65.40–$276 | $109–$460 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$48.60–$217.20 | $81–$362 | varies |
| Interstitial radiation source applic complex (77778) range across 3 matching MRF lines |
$757.20–$1,674.60 | $1,262–$2,791 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 3 matching MRF lines |
$598.80–$1,503.60 | $998–$2,506 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 3 matching MRF lines |
$455.40–$1,064.40 | $759–$1,774 | varies |
| Intracavitary radiation source applic simple (77761) range across 3 matching MRF lines |
$392.40–$795.60 | $654–$1,326 | varies |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$43.20–$99 | $72–$165 | varies |
| K Flow/Funct Image Multiple (78709) range across 4 matching MRF lines |
$136.20–$1,421.40 | $227–$2,369 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$119.40–$799.80 | $199–$1,333 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$93–$799.80 | $155–$1,333 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 3 matching MRF lines |
$36.60–$219.60 | $61–$366 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$43.80–$352.80 | $73–$588 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$46.80–$435 | $78–$725 | varies |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$26.40–$148.80 | $44–$248 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 3 matching MRF lines |
$62.40–$285.60 | $104–$476 | varies |
| Leveen/Shunt Patency Exam (78291) range across 3 matching MRF lines |
$85.20–$528 | $142–$880 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$48.60–$399.60 | $81–$666 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$55.20–$261.60 | $92–$436 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$42–$388.20 | $70–$647 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$47.40–$411.60 | $79–$686 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$82.80–$630.60 | $138–$1,051 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$70.80–$616.20 | $118–$1,027 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$105.60–$1,071 | $176–$1,785 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$47.40–$336 | $79–$560 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$117.60–$1,048.20 | $196–$1,747 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $122.40 | $204 | 0.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $99 | $165 | 0.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $123 | $205 | 0.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $99 | $165 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$147–$1,008 | $245–$1,680 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) range across 2 matching MRF lines |
$334.80–$694.20 | $558–$1,157 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 2 matching MRF lines |
$304.20–$576.60 | $507–$961 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 2 matching MRF lines |
$337.20–$3,237 | $562–$5,395 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$46.80–$155.40 | $78–$259 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$36.60–$117.60 | $61–$196 | varies |
| Meckels Divert Exam (78290) range across 4 matching MRF lines |
$66.60–$1,049.40 | $111–$1,749 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 4 matching MRF lines |
$445.80–$1,029 | $743–$1,715 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$182.40–$1,332.60 | $304–$2,221 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$144–$1,008 | $240–$1,680 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$143.40–$772.80 | $239–$1,288 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$172.80–$1,008 | $288–$1,680 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$215.40–$1,332.60 | $359–$2,221 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$144.60–$1,008 | $241–$1,680 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$206.40–$906.60 | $344–$1,511 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$172.80–$1,008 | $288–$1,680 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$163.20–$1,008 | $272–$1,680 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$215.40–$1,332.60 | $359–$2,221 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$162.60–$1,008 | $271–$1,680 | varies |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$162–$779.40 | $270–$1,299 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 3 matching MRF lines |
$212.40–$898.80 | $354–$1,498 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$263.40–$683.40 | $439–$1,139 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$100.20–$1,008 | $167–$1,680 | varies |
| MRI cardiac w/o cont stress (75559) range across 3 matching MRF lines |
$283.80–$879.60 | $473–$1,466 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$227.40–$644.40 | $379–$1,074 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$179.40–$651 | $299–$1,085 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$160.20–$1,008 | $267–$1,680 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$146.40–$1,008 | $244–$1,680 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$174.60–$920.40 | $291–$1,534 | varies |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$226.20–$1,332.60 | $377–$2,221 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$192.60–$808.20 | $321–$1,347 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$253.80–$1,332.60 | $423–$2,221 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$161.40–$1,008 | $269–$1,680 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$180–$643.80 | $300–$1,073 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$229.80–$1,332.60 | $383–$2,221 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$151.20–$1,008 | $252–$1,680 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$172.20–$1,008 | $287–$1,680 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$221.40–$1,332.60 | $369–$2,221 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$205.80–$819.60 | $343–$1,366 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$261.60–$1,332.60 | $436–$2,221 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$173.40–$1,008 | $289–$1,680 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$79.80–$760.20 | $133–$1,267 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$160.80–$1,008 | $268–$1,680 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$162–$1,542 | $270–$2,570 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$135.60–$1,008 | $226–$1,680 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$216–$1,332.60 | $360–$2,221 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$261.60–$1,332.60 | $436–$2,221 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$229.80–$1,332.60 | $383–$2,221 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$178.80–$646.80 | $298–$1,078 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$145.20–$1,008 | $242–$1,680 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$215.40–$1,332.60 | $359–$2,221 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$230.40–$1,332.60 | $384–$2,221 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$93–$199.20 | $155–$332 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$84–$186.60 | $140–$311 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$94.80–$199.80 | $158–$333 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$121.20–$258.60 | $202–$431 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$69.60–$403.20 | $116–$672 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $147.60 | $246 | 0.1× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) range across 3 matching MRF lines |
$78–$400.80 | $130–$668 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$98.40–$625.80 | $164–$1,043 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$157.20–$2,134.80 | $262–$3,558 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$30–$132.60 | $50–$221 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 3 matching MRF lines |
$345.60–$763.80 | $576–$1,273 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $99 | $165 | 0.2× |
| Nm csf leak detection (78650) range across 3 matching MRF lines |
$61.20–$681 | $102–$1,135 | varies |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$89.40–$468.60 | $149–$781 | varies |
| Nm red cell survival study (78130) range across 3 matching MRF lines |
$62.40–$345 | $104–$575 | varies |
| Nm whole blood volume (78122) range across 3 matching MRF lines |
$42.60–$198.60 | $71–$331 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$48–$197.40 | $80–$329 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$819.60–$4,882.20 | $1,366–$8,137 | varies |
| Nuclear Rx Intra-Arterial (79445) | $240.60 | $401 | 1.0× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$110.40–$282 | $184–$470 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$124.20–$125.40 | $207–$209 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 3 matching MRF lines |
$71.40–$169.80 | $119–$283 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 3 matching MRF lines |
$72–$191.40 | $120–$319 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 3 matching MRF lines |
$163.80–$344.40 | $273–$574 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 3 matching MRF lines |
$62.40–$158.40 | $104–$264 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$65.40–$159 | $109–$265 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$80.40–$188.40 | $134–$314 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines |
$36–$99 | $60–$165 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 3 matching MRF lines |
$98.40–$206.40 | $164–$344 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$31.20–$99 | $52–$165 | varies |
| Panoramic X-ray of jaws (70355) range across 3 matching MRF lines |
$45.60–$99 | $76–$165 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 3 matching MRF lines |
$153.60–$851.40 | $256–$1,419 | varies |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$78–$905.40 | $130–$1,509 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$117.60–$737.40 | $196–$1,229 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$27.60–$178.20 | $46–$297 | varies |
| Perineogram (74775) | $99 | $165 | 0.4× |
| Peritoneogram Rs&I (74190) | $99 | $165 | 0.2× |
| Pet Image Skull-Thigh (78812) | $195.60 | $326 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $225.60 | $376 | 0.2× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$251.40–$2,418 | $419–$4,030 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$249–$2,418 | $415–$4,030 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $160.80 | $268 | 0.1× |
| Pet Myocardial Sngl Study (78491) | $148.80 | $248 | 0.1× |
| PET whole body (78813) | $204 | $340 | 0.1× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 3 matching MRF lines |
$23.40–$195.60 | $39–$326 | varies |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 3 matching MRF lines |
$19.80–$205.20 | $33–$342 | varies |
| Platelet survival study Non-Facility (78191) range across 3 matching MRF lines |
$62.40–$345 | $104–$575 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 3 matching MRF lines |
$138.60–$316.20 | $231–$527 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$73.20–$492.60 | $122–$821 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$36–$178.20 | $60–$297 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$53.40–$789.60 | $89–$1,316 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$27.60–$148.80 | $46–$248 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$29.40–$148.80 | $49–$248 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$27.60–$132.60 | $46–$221 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$32.40–$178.20 | $54–$297 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$21.60–$132.60 | $36–$221 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$28.80–$148.80 | $48–$248 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$27.60–$144 | $46–$240 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$29.40–$132.60 | $49–$221 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$34.80–$180 | $58–$300 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$26.40–$132.60 | $44–$221 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$34.20–$153.60 | $57–$256 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$33.60–$148.80 | $56–$248 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$32.40–$148.80 | $54–$248 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$29.40–$132.60 | $49–$221 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$73.80–$762.60 | $123–$1,271 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$34.80–$132.60 | $58–$221 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$34.20–$132.60 | $57–$221 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$25.80–$162.60 | $43–$271 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$23.40–$148.80 | $39–$248 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$29.40–$178.20 | $49–$297 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$25.20–$148.80 | $42–$248 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$39.60–$308.40 | $66–$514 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$2,130.60 | $3,551 | 0.3× |
| Radiation treatment delivery level 1 (77402) | $210 | $350 | 2.0× |
| Radiation treatment delivery level 2 (77407) | $476.40 | $794 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $511.80 | $853 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$33.60–$178.20 | $56–$297 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$38.40–$178.20 | $64–$297 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$99.60–$454.80 | $166–$758 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$69–$299.40 | $115–$499 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $300.60 | $501 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$28.20–$178.20 | $47–$297 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$28.80–$182.40 | $48–$304 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$51–$292.80 | $85–$488 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$52.80–$292.80 | $88–$488 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 3 matching MRF lines |
$25.20–$106.20 | $42–$177 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 3 matching MRF lines |
$21.60–$99 | $36–$165 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$69.60–$292.80 | $116–$488 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$30–$154.80 | $50–$258 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$19.80–$132.60 | $33–$221 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$27–$148.80 | $45–$248 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$46.20–$129.60 | $77–$216 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$26.40–$99 | $44–$165 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$29.40–$148.80 | $49–$248 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$36–$103.80 | $60–$173 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 3 matching MRF lines |
$40.20–$99 | $67–$165 | varies |
| Radiopharm Dacryocystography (78660) range across 3 matching MRF lines |
$51.60–$369.60 | $86–$616 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $165.60 | $276 | 0.7× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 3 matching MRF lines |
$103.80–$304.80 | $173–$508 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 3 matching MRF lines |
$109.80–$289.20 | $183–$482 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 3 matching MRF lines |
$24–$192.60 | $40–$321 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 3 matching MRF lines |
$33–$214.20 | $55–$357 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$144.60–$562.80 | $241–$938 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 2 matching MRF lines |
$108–$343.80 | $180–$573 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$99–$789.60 | $165–$1,316 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$36.60–$178.20 | $61–$297 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$67.20–$330 | $112–$550 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$79.80–$461.40 | $133–$769 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$103.20–$2,134.80 | $172–$3,558 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$82.80–$2,134.80 | $138–$3,558 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$103.20–$601.20 | $172–$1,002 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 3 matching MRF lines |
$169.80–$393.60 | $283–$656 | varies |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$123–$295.80 | $205–$493 | varies |
| Salivary Gland Function Study (78232) range across 3 matching MRF lines |
$39.60–$206.40 | $66–$344 | varies |
| Salivary Gland Imaging (78230) range across 3 matching MRF lines |
$45.60–$359.40 | $76–$599 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 3 matching MRF lines |
$53.40–$265.80 | $89–$443 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$30–$178.20 | $50–$297 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$51.60–$94.20 | $86–$157 | varies |
| Sella turcica (70240) range across 4 matching MRF lines |
$31.80–$132.60 | $53–$221 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$34.80–$132.60 | $58–$221 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$54.60–$602.40 | $91–$1,004 | varies |
| Sialogram (70390) range across 4 matching MRF lines |
$37.80–$382.20 | $63–$637 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$34.80–$178.20 | $58–$297 | varies |
| Special dosimetry (77331) range across 4 matching MRF lines |
$60.60–$212.40 | $101–$354 | varies |
| Special Physics Consult (77370) | $330 | $550 | 2.4× |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$90–$545.40 | $150–$909 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$141–$909 | $235–$1,515 | varies |
| Speech evaluation, complex (70371) range across 3 matching MRF lines |
$85.80–$181.80 | $143–$303 | varies |
| Spleen Imaging (78185) range across 3 matching MRF lines |
$41.40–$434.40 | $69–$724 | varies |
| Stereotactic Body Radiation Delivery (77373) | $2,704.20 | $4,507 | 1.5× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$31.20–$132.60 | $52–$221 | varies |
| Superior sagittal sinus venogram (75870) range across 3 matching MRF lines |
$116.40–$300.60 | $194–$501 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 3 matching MRF lines |
$118.20–$241.80 | $197–$403 | varies |
| Tbs technical calculation only (77091) | $160.80 | $268 | 1.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 3 matching MRF lines |
$285–$531.60 | $475–$886 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 3 matching MRF lines |
$146.40–$642.60 | $244–$1,071 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$61.80–$160.80 | $103–$268 | varies |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$72–$439.80 | $120–$733 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$160.20–$1,426.80 | $267–$2,378 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 3 matching MRF lines |
$106.20–$871.80 | $177–$1,453 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$71.40–$904.20 | $119–$1,507 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 4 matching MRF lines |
$208.80–$423 | $348–$705 | varies |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$33–$182.40 | $55–$304 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$31.20–$263.40 | $52–$439 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$33.60–$132.60 | $56–$221 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 3 matching MRF lines |
$69–$585.60 | $115–$976 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 3 matching MRF lines |
$66–$457.20 | $110–$762 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$36–$616.20 | $60–$1,027 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$82.20–$645 | $137–$1,075 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$146.40–$616.20 | $31–$1,027 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$49.20–$760.20 | $82–$1,267 | varies |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$123–$545.40 | $205–$909 | varies |
| Tx devices design & construction intermediate (77333) range across 4 matching MRF lines |
$78–$382.20 | $130–$637 | varies |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$54.60–$245.40 | $91–$409 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$69–$207.60 | $115–$346 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$55.80–$316.20 | $93–$527 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$59.40–$233.40 | $99–$389 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$46.20–$52.80 | $77–$88 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$160.80–$432.60 | $268–$721 | varies |
| Unlisted fluoroscopic procedure (76496) | $139.20 | $232 | 1.6× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$70.20–$292.80 | $117–$488 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $27 | $45 | 2.4× |
| Urea breath test c-14 isotopic analysis (78268) | $180 | $300 | 1.9× |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$55.20–$450.60 | $92–$751 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$33–$130.20 | $55–$217 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$99–$727.20 | $165–$1,212 | varies |
| Us bone density measurement (76977) range across 3 matching MRF lines |
$37.80–$99 | $63–$165 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$73.80–$266.40 | $123–$444 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$54–$178.20 | $90–$297 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$74.40–$255 | $124–$425 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$57.60–$178.20 | $96–$297 | varies |
| Us head (76506) range across 4 matching MRF lines |
$64.80–$321.60 | $108–$536 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$76.20–$437.40 | $127–$729 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$43.80–$255 | $73–$425 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$174.60–$201 | $291–$335 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$66.60–$198 | $111–$330 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$77.40–$324.60 | $129–$541 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$69.60–$286.20 | $116–$477 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$101.40–$379.20 | $169–$632 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$89.40–$273.60 | $149–$456 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$74.40–$287.40 | $124–$479 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$61.80–$273 | $103–$455 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$66.60–$274.80 | $111–$458 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$118.20–$436.20 | $197–$727 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$56.40–$327.60 | $94–$546 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$67.20–$660.60 | $112–$1,101 | varies |
| Vascular Flow Imaging (78445) range across 3 matching MRF lines |
$48–$373.80 | $80–$623 | varies |
| Vasogram (74440) range across 3 matching MRF lines |
$37.20–$162 | $62–$270 | varies |
| Vein X-Ray Chest (75827) range across 5 matching MRF lines |
$113.40–$2,297.40 | $189–$3,829 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 3 matching MRF lines |
$139.80–$319.80 | $233–$533 | varies |
| Vein X-Ray Skull Epidural (75872) range across 3 matching MRF lines |
$121.20–$312.60 | $202–$521 | varies |
| Vein X-Ray Spleen/Liver (75810) | $120 | $200 | 0.0× |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$176.40–$4,675.20 | $188–$7,792 | varies |
| Venography Adrenal Unilateral (75840) range across 4 matching MRF lines |
$184.20–$4,635 | $195–$7,725 | varies |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$273–$4,675.20 | $190–$7,792 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$106.20–$2,297.40 | $177–$3,829 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$161.40–$2,830.80 | $117–$4,718 | varies |
| Venography Orbital Rs&I (75880) range across 3 matching MRF lines |
$82.80–$294 | $138–$490 | varies |
| Venography Renal Bilateral (75833) range across 4 matching MRF lines |
$186–$4,675.20 | $244–$7,792 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$111.60–$282.60 | $186–$471 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$7,788.60 | $306–$12,981 | 1.4× |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$69–$363 | $115–$605 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 3 matching MRF lines |
$90.60–$423 | $151–$705 | varies |
| Vertebral fracture assessment via dxa (77086) range across 4 matching MRF lines |
$24–$160.80 | $40–$268 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$27.60–$132.60 | $46–$221 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$29.40–$132.60 | $49–$221 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$99–$602.40 | $165–$1,004 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$166.80–$346.80 | $278–$578 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$27.60–$178.20 | $46–$297 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$29.40–$148.80 | $49–$248 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$47.40–$789.60 | $79–$1,316 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$34.80–$132.60 | $58–$221 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$32.40–$178.20 | $54–$297 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$33–$243 | $55–$405 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$31.20–$132.60 | $52–$221 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$29.40–$148.80 | $49–$248 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$28.80–$178.20 | $48–$297 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$30–$178.20 | $50–$297 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$30.60–$182.40 | $51–$304 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$32.40–$183.60 | $54–$306 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$33.60–$183.60 | $56–$306 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$33.60–$148.80 | $56–$248 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$112.20–$189 | $187–$315 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$36–$182.40 | $60–$304 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$30–$132.60 | $50–$221 | varies |
| X-ray head for orthodontia (70350) range across 3 matching MRF lines |
$48.60–$99 | $81–$165 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$28.80–$148.80 | $48–$248 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
$49.80–$437.40 | $83–$729 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$49.20–$271.80 | $82–$453 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$27.60–$132.60 | $46–$221 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$24.60–$218.40 | $41–$364 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$31.80–$182.40 | $53–$304 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$34.80–$132.60 | $58–$221 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$34.80–$178.20 | $58–$297 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$28.80–$178.20 | $48–$297 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$31.20–$178.20 | $52–$297 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$31.20–$132.60 | $52–$221 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$33.60–$181.80 | $56–$303 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$38.40–$178.20 | $64–$297 | varies |
| X-Ray Stress View (77071) | $99 | $165 | 1.1× |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$28.20–$178.20 | $47–$297 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$30–$181.80 | $50–$303 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$99–$602.40 | $165–$1,004 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$39.60–$178.20 | $66–$297 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$54.60–$287.40 | $91–$479 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$34.80–$178.20 | $58–$297 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$35.40–$132.60 | $59–$221 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$27.60–$178.20 | $46–$297 | varies |
| Xr myelogram posterior fossa (70010) | $106.80 | $178 | 0.3× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$33.60–$178.20 | $56–$297 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$64.20–$184.20 | $107–$307 | 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.