Imaging prices at Touchette Regional Hospital Inc
Centreville, IL · every code in this section with a posted price and a Medicare benchmark.
267 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$17.67–$153.14 | $28.50–$247 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$215.14–$225.99 | $347–$364.50 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$568.54–$597.06 | $917–$963 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,750.94–$2,888.58 | $4,437–$4,659 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,446.52–$2,568.97 | $3,946–$4,143.50 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$35.34–$349.06 | $57–$563 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$686.34–$1,199.39 | $1,107–$1,934.50 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$571.02–$1,114.14 | $921–$1,797 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$814.68–$1,199.39 | $1,314–$1,934.50 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$125.24–$131.75 | $202–$212.50 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$801.66–$841.96 | $1,293–$1,358 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$311.86–$327.67 | $503–$528.50 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$622.48–$653.79 | $1,004–$1,054.50 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$198.40–$208.32 | $320–$336 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$409.20–$429.66 | $660–$693 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$17.67–$134.85 | $28.50–$217.50 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$21.08–$168.64 | $34–$272 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$21.08–$203.36 | $34–$328 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$180.42–$189.72 | $291–$306 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$16.43–$168.02 | $26.50–$271 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,459.54–$2,582.61 | $3,967–$4,165.50 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$314.34–$330.15 | $507–$532.50 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$515.22–$814.68 | $831–$1,314 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$50.22–$627.75 | $81–$1,012.50 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$154.38–$162.13 | $249–$261.50 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$689.44–$724.16 | $1,112–$1,168 | varies |
| CT abdomen and pelvis without contrast (74176) range across 5 matching MRF lines |
$149.73–$857.46 | $241.50–$1,383 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$114.08–$724.16 | $184–$1,168 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$124.62–$724.16 | $201–$1,168 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$105.09–$724.16 | $169.50–$1,168 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$248.93–$724.16 | $401.50–$1,168 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$209.87–$724.16 | $338.50–$1,168 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$214.21–$1,510.32 | $345.50–$2,436 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$199.95–$966.89 | $322.50–$1,559.50 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$156.24–$1,541.63 | $252–$2,486.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$199.95–$1,713.68 | $322.50–$2,764 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$327.36–$343.79 | $528–$554.50 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$103.54–$1,542.25 | $167–$2,487.50 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$103.54–$724.16 | $167–$1,168 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$362.70–$1,713.68 | $585–$2,764 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$47.74–$724.16 | $77–$1,168 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$122.45–$724.16 | $197.50–$1,168 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$979.60–$1,028.58 | $1,580–$1,659 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$101.06–$724.16 | $163–$1,168 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$168.02–$724.16 | $271–$1,168 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$67.27–$968.75 | $108.50–$1,562.50 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$95.79–$1,713.68 | $154.50–$2,764 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$82.15–$1,503.19 | $132.50–$2,424.50 | varies |
| CT lower extremity w/contrast material (73701) range across 7 matching MRF lines |
$82.15–$1,285.26 | $132.50–$2,073 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$108.19–$1,713.68 | $174.50–$2,764 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$103.54–$724.16 | $167–$1,168 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$117.18–$724.16 | $189–$1,168 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$102.30–$724.16 | $165–$1,168 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$127.72–$724.16 | $206–$1,168 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$95.79–$1,104.84 | $154.50–$1,782 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$114.08–$724.16 | $184–$1,168 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,509.70–$1,585.34 | $2,435–$2,557 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$98.58–$724.16 | $159–$1,168 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$82.15–$1,766.38 | $132.50–$2,849 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,105.46–$1,160.95 | $1,783–$1,872.50 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$122.45–$724.16 | $197.50–$1,168 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$114.70–$724.16 | $185–$1,168 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$35.34–$1,585.34 | $57–$2,557 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$103.54–$724.16 | $167–$1,168 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$114.08–$1,713.68 | $184–$2,764 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$103.54–$724.16 | $167–$1,168 | varies |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$128.96–$942.71 | $208–$1,520.50 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$98.58–$874.51 | $159–$1,410.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$601.09–$1,746.23 | $969.50–$2,816.50 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$103.54–$1,542.25 | $167–$2,487.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$72.54–$362.70 | $117–$585 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$193.44–$525.45 | $312–$847.50 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$476.16–$500.03 | $768–$806.50 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$225.99–$500.03 | $364.50–$806.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$225.99–$500.03 | $364.50–$806.50 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$224.44–$235.91 | $362–$380.50 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$477.40–$501.27 | $770–$808.50 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$105.09–$209.87 | $169.50–$338.50 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$505.30–$530.72 | $815–$856 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$249.86–$262.57 | $403–$423.50 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$15.19–$186.31 | $24.50–$300.50 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$15.19–$155.62 | $24.50–$251 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$734.70–$771.59 | $1,185–$1,244.50 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$607.60–$637.98 | $980–$1,029 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$592.72–$622.48 | $956–$1,004 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$17.67–$118.11 | $28.50–$190.50 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$592.72–$622.48 | $956–$1,004 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$514.60–$540.33 | $830–$871.50 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$521.73–$735.01 | $841.50–$1,185.50 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$373.24–$392.15 | $602–$632.50 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$714.86–$750.82 | $1,153–$1,211 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$816.54–$857.46 | $1,317–$1,383 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$603.88–$634.26 | $974–$1,023 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$816.54–$857.46 | $1,317–$1,383 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$18.91–$251.41 | $30.50–$405.50 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$522.04–$548.39 | $842–$884.50 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$522.04–$548.39 | $842–$884.50 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$375.10–$394.01 | $605–$635.50 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$880.40–$924.42 | $1,420–$1,491 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$792.36–$832.04 | $1,278–$1,342 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$199.33–$704.01 | $321.50–$1,135.50 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$885.36–$929.69 | $1,428–$1,499.50 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$327.05–$411.68 | $527.50–$664 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$263.19–$359.60 | $424.50–$580 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$353.09–$1,210.86 | $569.50–$1,953 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$105.71–$1,210.86 | $170.50–$1,953 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$256.06–$1,210.86 | $413–$1,953 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$256.06–$1,210.86 | $413–$1,953 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$353.09–$1,705 | $569.50–$2,750 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$256.06–$1,210.86 | $413–$1,953 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,729.18–$1,815.67 | $2,789–$2,928.50 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$129.58–$1,247.44 | $209–$2,012 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,001.30–$2,101.49 | $1,615–$3,389.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$1,247.44–$2,507.90 | $2,012–$4,045 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$142.60–$1,747.47 | $230–$2,818.50 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$568.54–$597.06 | $917–$963 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$471.82–$495.69 | $761–$799.50 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$471.82–$495.69 | $761–$799.50 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$149.11–$896.52 | $240.50–$1,446 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$140.74–$929.07 | $227–$1,498.50 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,153.20–$1,210.86 | $1,860–$1,953 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$256.06–$1,210.86 | $413–$1,953 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,520.86–$1,597.12 | $2,453–$2,576 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$700.60–$1,398.41 | $1,130–$2,255.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$189.72–$3,134.10 | $306–$5,055 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$168.02–$1,491.72 | $271–$2,406 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$149.11–$1,037.26 | $240.50–$1,673 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$225.99–$1,247.44 | $364.50–$2,012 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$168.02–$729.12 | $271–$1,176 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$256.06–$700.60 | $413–$1,130 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$189.72–$1,247.44 | $306–$2,012 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$256.06–$874.51 | $413–$1,410.50 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$199.33–$1,247.44 | $321.50–$2,012 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$128.96–$912.95 | $208–$1,472.50 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$568.54–$597.06 | $917–$963 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$141.36–$929.07 | $228–$1,498.50 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$256.06–$1,336.72 | $413–$2,156 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$168.02–$1,845.74 | $271–$2,977 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$256.06–$2,507.90 | $413–$4,045 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$199.33–$1,247.44 | $321.50–$2,012 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,187.92–$1,247.44 | $1,916–$2,012 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$149.11–$896.52 | $240.50–$1,446 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$168.02–$1,491.72 | $271–$2,406 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$189.72–$1,285.26 | $306–$2,073 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$207.08–$1,247.44 | $334–$2,012 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$76.26–$942.71 | $123–$1,520.50 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$76.26–$1,199.39 | $123–$1,934.50 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$76.26–$599.85 | $123–$967.50 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$368.28–$386.88 | $594–$624 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$138.88–$1,506.60 | $224–$2,430 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$17.67–$143.22 | $28.50–$231 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$96.10–$101.06 | $155–$163 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$425.32–$446.71 | $686–$720.50 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$17.67–$149.11 | $28.50–$240.50 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$624.34–$655.65 | $1,007–$1,057.50 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$180.42–$189.72 | $291–$306 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$51.46–$255.44 | $83–$412 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$120.28–$199.95 | $194–$322.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$15.19–$153.14 | $24.50–$247 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$17.67–$177.32 | $28.50–$286 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$23.56–$211.11 | $38–$340.50 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$13.02–$86.80 | $21–$140 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$17.67–$186.31 | $28.50–$300.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$17.67–$172.05 | $28.50–$277.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$151.90–$159.65 | $245–$257.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$17.67–$114.08 | $28.50–$184 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$21.08–$194.68 | $34–$314 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$18.91–$211.11 | $30.50–$340.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$15.19–$138.26 | $24.50–$223 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$19.53–$118.73 | $31.50–$191.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$145.70–$153.14 | $235–$247 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$12.40–$108.19 | $20–$174.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$17.67–$181.66 | $28.50–$293 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$238.70–$250.79 | $385–$404.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$22.94–$217.62 | $37–$351 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$215.14–$225.99 | $347–$364.50 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$411.68–$432.45 | $664–$697.50 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$285.82–$300.39 | $461–$484.50 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$22.32–$243.04 | $36–$392 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$43.09–$300.39 | $69.50–$484.50 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$292.64–$307.52 | $472–$496 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$344.10–$361.46 | $555–$583 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$193.44–$203.36 | $312–$328 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$84.63–$203.36 | $136.50–$328 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$17.67–$227.85 | $28.50–$367.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$234.36–$246.14 | $378–$397 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$17.67–$196.85 | $28.50–$317.50 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$24.18–$249.55 | $39–$402.50 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$304.42–$319.92 | $491–$516 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$238.39–$392.15 | $384.50–$632.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$656.58–$689.44 | $1,059–$1,112 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$17.67–$181.66 | $28.50–$293 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$59.52–$133.61 | $96–$215.50 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$131.44–$138.26 | $212–$223 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$18.91–$195.30 | $30.50–$315 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$48.98–$729.12 | $79–$1,176 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$145.70–$153.14 | $235–$247 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$22.32–$118.11 | $36–$190.50 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$245.52–$257.92 | $396–$416 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$118.42–$124.62 | $191–$201 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$373.86–$392.77 | $603–$633.50 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$21.08–$134.85 | $34–$217.50 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$21.08–$159.65 | $34–$257.50 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$42.47–$295.74 | $68.50–$477 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$342.24–$359.60 | $552–$580 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$460.04–$483.29 | $742–$779.50 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$48.98–$566.37 | $79–$913.50 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$360.84–$379.13 | $582–$611.50 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$100.44–$105.71 | $162–$170.50 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$139.50–$146.63 | $225–$236.50 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$358.36–$376.34 | $578–$607 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$275.90–$289.85 | $445–$467.50 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$259.78–$272.80 | $419–$440 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$48.98–$283.34 | $79–$457 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$50.22–$319.92 | $81–$516 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$298.84–$314.03 | $482–$506.50 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$36.58–$234.36 | $59–$378 | varies |
| Us head (76506) range across 2 matching MRF lines |
$289.54–$304.11 | $467–$490.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$53.01–$429.66 | $85.50–$693 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$257.92–$270.94 | $416–$437 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$56.73–$256.68 | $91.50–$414 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$66.65–$356.81 | $107.50–$575.50 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$62.62–$361.46 | $101–$583 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$86.80–$246.14 | $140–$397 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$74.40–$185.69 | $120–$299.50 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$66.65–$389.98 | $107.50–$629 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$479.88–$504.06 | $774–$813 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$57.35–$329.53 | $92.50–$531.50 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$449.50–$472.13 | $725–$761.50 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$461.28–$484.53 | $744–$781.50 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$277.14–$291.09 | $447–$469.50 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$572.88–$601.71 | $924–$970.50 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$621.86–$653.17 | $1,003–$1,053.50 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$98.58–$155.62 | $159–$251 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$250.48–$263.19 | $404–$424.50 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$213.90–$224.75 | $345–$362.50 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$124.62–$131.13 | $201–$211.50 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$13.95–$194.06 | $22.50–$313 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$16.43–$269.70 | $26.50–$435 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$162.44–$170.81 | $262–$275.50 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$162.44–$170.81 | $262–$275.50 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$238.70–$250.79 | $385–$404.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$121.21–$155.62 | $195.50–$251 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$84.63–$180.42 | $136.50–$291 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$23.56–$296.98 | $38–$479 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$84.63–$252.65 | $136.50–$407.50 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$84.63–$252.65 | $136.50–$407.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$236.22–$248.31 | $381–$400.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$21.08–$131.13 | $34–$211.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$34.72–$186.93 | $56–$301.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$237.46–$249.55 | $383–$402.50 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$17.67–$181.66 | $28.50–$293 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$409.20–$429.66 | $660–$693 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$571.02–$599.85 | $921–$967.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$20.46–$224.13 | $33–$361.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$21.08–$188.79 | $34–$304.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$19.53–$180.42 | $31.50–$291 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$17.67–$199.95 | $28.50–$322.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$22.94–$186.31 | $37–$300.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$31.31–$194.68 | $50.50–$314 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$337.90–$354.95 | $545–$572.50 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$145.70–$153.14 | $235–$247 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$269.70–$283.34 | $435–$457 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$27.59–$213.59 | $44.50–$344.50 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$100.44–$105.71 | $162–$170.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$158.10–$166.16 | $255–$268 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$307.52–$323.02 | $496–$521 | 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.