Imaging prices at TriHealth Clinton Regional Hospital
Wilmington, OH · every code in this section with a posted price and a Medicare benchmark.
309 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) | $5,280.94 | $10,561.87 | 3.9× |
| Abdomen 1 View (74018) | $146.93 | $293.85 | 1.7× |
| Abdomen 2 views (74019) | $132.97 | $265.95 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $463.72 | $927.44 | 1.2× |
| Angio pulmonary bilat (75743) | $4,828.02 | $9,656.05 | 1.6× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,216.49–$3,218.70 | $4,432.99–$6,437.40 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,621.80–$3,367.03 | $5,243.60–$6,734.05 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,218.70 | $6,437.40 | 1.1× |
| Ankle 2 views (73600) | $142.49 | $284.97 | 1.7× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,027.13–$5,350.98 | $6,054.26–$10,701.95 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $2,849.80 | $5,699.59 | 0.9× |
| Artery X-Rays Abdomen (75726) | $3,027.13 | $6,054.26 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,027.13 | $6,054.26 | 0.6× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$474.98–$538.28 | $949.96–$1,076.56 | varies |
| Basic radiation dosimetry calculation (77300) | $423.97 | $847.94 | 3.3× |
| Bone age studies (77072) | $158.34 | $316.69 | 1.6× |
| Bone Imaging 3 Phase (78315) | $794.96 | $1,589.92 | 2.1× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$606.65–$1,622.96 | $1,213.30–$3,245.93 | varies |
| Bone Imaging Multiple Areas (78305) | $579.92 | $1,159.85 | 1.5× |
| Bone Imaging Whole Body (78306) | $894.31 | $1,788.62 | 2.3× |
| Bone survey infant (77076) | $174.15 | $348.30 | 1.7× |
| Brachytx isodose complex (77318) | $543.35 | $1,086.70 | 1.5× |
| Brachytx isodose intermed (77317) | $543.35 | $1,086.70 | 1.5× |
| Brachytx Isodose Plan Simple (77316) | $223.40 | $446.79 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,780.18 | $3,560.37 | 1.3× |
| Chest 1 view (71045) | $104.47 | $208.95 | 1.2× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$189.98–$218.49 | $379.96–$436.97 | varies |
| Chest 3 views (71047) | $113.72 | $227.44 | 1.4× |
| Chest 4 or more views (71048) | $218.49 | $436.97 | 2.2× |
| Clavicle complete (73000) | $189.98 | $379.96 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $224.18 | $448.36 | 2.2× |
| Continuing medical physics consltj pr wk (77336) | $399.99 | $799.98 | 3.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,216.49–$3,218.70 | $4,432.99–$6,437.40 | varies |
| Contrast X-Ray Bladder (74430) | $429.18 | $858.36 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $174.15 | $348.30 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,636.42 | $3,272.84 | 4.9× |
| CT abdomen and pelvis without contrast (74176) | $1,175.37 | $2,350.73 | 5.1× |
| CT abdomen w contrast (74160) | $1,075.96 | $2,151.92 | 6.3× |
| CT abdomen w wo contrast (74170) | $1,235.53 | $2,471.06 | 7.3× |
| CT abdomen w/o contrast (74150) | $915.11 | $1,830.21 | 9.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,928.37 | $3,856.73 | 5.7× |
| CT Angio Chest (71275) | $1,469.85 | $2,939.69 | 8.7× |
| CT Angio Head (70496) | $763.74 | $1,527.48 | 4.5× |
| CT angio hrt w/3d image (75574) | $2,116.49 | $4,232.98 | 6.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $781.48 | $1,562.95 | 4.6× |
| CT Angio Neck (70498) | $1,514.18 | $3,028.36 | 8.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $781.48 | $1,562.95 | 4.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$898–$898.02 | $1,795.99–$1,796.04 | varies |
| CT cervical spine w/o contrast (72125) | $1,035.41 | $2,070.82 | 10.2× |
| CT cervical spine w/wo cont (72127) | $1,266.59 | $2,533.18 | 7.5× |
| CT chest w contrast (71260) | $1,138.63 | $2,277.26 | 6.7× |
| CT chest w/wo contrast (71270) | $1,141.82 | $2,283.64 | 6.7× |
| CT head/brain with contrast (70460) | $778.32 | $1,556.63 | 4.6× |
| CT head/brain without and with contrast (70470) | $1,188.69 | $2,377.38 | 7.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $51.73 | $103.46 | 0.6× |
| CT iac w contrast (70481) | $936.63 | $1,873.27 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,352.05 | $2,704.09 | 8.0× |
| CT lower ext w/o (73700) | $960.07 | $1,920.14 | 9.5× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$977.15–$1,029.09 | $1,954.31–$2,058.18 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$893.58–$893.66 | $1,787.16–$1,787.32 | varies |
| CT lumbar spine w/o contrast (72131) | $1,108.25 | $2,216.50 | 11.0× |
| CT maxillofacial w contrast (70487) | $852.40 | $1,704.81 | 5.0× |
| CT maxillofacial wo contrast (70486) | $809.96 | $1,619.91 | 8.0× |
| CT neck tissue combo (70492) | $1,252.64 | $2,505.28 | 7.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,319.79 | $2,639.57 | 7.8× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$800.47–$842.32 | $1,600.94–$1,684.64 | varies |
| CT pelvis w&w/o contrast (72194) | $1,322.29 | $2,644.58 | 7.8× |
| CT pelvis w/o contrast (72192) | $1,001.84 | $2,003.68 | 9.9× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$796.03–$796.13 | $1,592.06–$1,592.27 | varies |
| CT scans face/jaw combo (70488) | $1,226.67 | $2,453.35 | 7.2× |
| CT soft tissue neck w contrast (70491) | $973.37 | $1,946.73 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $786.54 | $1,573.09 | 7.8× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$944.87–$944.94 | $1,889.73–$1,889.88 | varies |
| CT thoracic spine w/o contrast (72128) | $853.03 | $1,706.07 | 8.4× |
| CT thoracic spine w/wo cont (72130) | $1,266.07 | $2,532.14 | 7.5× |
| CT thorax w/o contrast (71250) | $939.17 | $1,878.34 | 9.3× |
| CT upper ext wo (73200) | $801.73 | $1,603.45 | 7.9× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$934.10–$984.13 | $1,868.20–$1,968.26 | varies |
| CT upper extremity with contrast (73201) | $955 | $1,910 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $828.35 | $1,656.69 | 4.9× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,302.64–$1,302.72 | $2,605.29–$2,605.45 | varies |
| CTA pelvis (72191) | $780.83 | $1,561.65 | 4.6× |
| Dilation ureters/urethra rs&i (74485) | $1,010.20 | $2,020.40 | 0.5× |
| Dxa Bone Density Axial (77080) | $174.15 | $348.30 | 1.7× |
| Dxa bone density study (77085) | $174.15 | $348.30 | 1.7× |
| Echo Guide For Artery Repair (76936) | $472.73 | $945.46 | 2.3× |
| Esophagram (74220) | $322.99 | $645.97 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $347.67 | $695.34 | 3.4× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$281.81–$429.63 | $563.62–$859.25 | varies |
| Follow-Up Angiography (75898) | $949.93 | $1,899.86 | 0.3× |
| Foot 2 views (73620) | $152.62 | $305.24 | 1.8× |
| Forearm 2 views (73090) | $164.01 | $328.03 | 1.9× |
| Gastric emptying imaging study (78264) | $871.16 | $1,742.33 | 2.3× |
| Gated Heart Planar Single (78472) | $987.74 | $1,975.47 | 2.6× |
| Hand 2 views (73120) | $181.13 | $362.25 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $629.33 | $1,258.65 | 1.2× |
| Hepatobiliary System Imaging (78226) | $548.52 | $1,097.04 | 1.4× |
| Ht Musc Image Planar Mult (78454) | $1,200.73 | $2,401.46 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,676.70 | $3,353.41 | 1.3× |
| Hysterosalpingogram (74740) | $429.18 | $858.36 | 1.9× |
| Image fusion (77399) | $193.14 | $386.28 | 1.5× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $6,649.52 | $13,299.04 | 0.9× |
| K Flow/Funct Image Multiple (78709) | $747.13 | $1,494.25 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $901.60 | $1,803.20 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $747.13 | $1,494.25 | 1.4× |
| Knee 3 Views (73562) | $358.44 | $716.87 | 4.3× |
| Liver & Spleen Imaging Static Only (78215) | $606.65 | $1,213.30 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $601.63 | $1,203.27 | 1.1× |
| Lung perfusion differential (78597) | $524.36 | $1,048.71 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $548.52 | $1,097.04 | 1.0× |
| Lymph System Imaging (78195) | $460.43 | $920.85 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $417.92 | $835.84 | 1.8× |
| Mammary ductogram or galactogram multiple (77054) | $596.01 | $1,192.03 | 2.6× |
| Mammary ductogram or galactogram single (77053) | $549.07 | $1,098.14 | 2.4× |
| Meckels Divert Exam (78290) | $395.80 | $791.59 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $526.63 | $1,053.25 | 1.5× |
| Mr safety determination physician/other qhp (76016) | $191.75 | $383.50 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $57.38 | $114.75 | 2.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $199.88 | $399.75 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $129.38 | $258.75 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $485 | $970 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,253.86 | $4,507.71 | 6.7× |
| MRA head w/o contrast (70544) | $1,202.61 | $2,405.22 | 5.2× |
| MRA head with contrast (70545) | $1,582.76 | $3,165.51 | 4.7× |
| MRA neck w contrast (70548) | $1,582.76 | $3,165.51 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,605.38–$1,605.46 | $3,210.76–$3,210.92 | varies |
| MRA neck w/o contrast (70547) | $1,158.90 | $2,317.81 | 5.0× |
| MRI abdomen w contrast (74182) | $1,587.17 | $3,174.34 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,604.13 | $3,208.25 | 7.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,507.28–$1,587.17 | $3,014.56–$3,174.34 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,729.50 | $3,459 | 5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,320.41 | $2,640.82 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,199.46 | $2,398.92 | 5.2× |
| MRI cervical spine w contrast (72142) | $1,511.64 | $3,023.29 | 4.5× |
| MRI cervical spine w/o cont (72141) | $1,650.34 | $3,300.68 | 7.2× |
| MRI chest w/o contrast (71550) | $1,511.64 | $3,023.29 | 6.6× |
| MRI chest with contrast (71551) | $1,511.64 | $3,023.29 | 2.0× |
| MRI chest wo w contrast (71552) | $2,311.49 | $4,622.98 | 6.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,421.10 | $2,842.19 | 4.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,646.53–$1,648.03 | $3,293.06–$3,296.06 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,572.44 | $3,144.88 | 6.8× |
| MRI lumbar spine w contrast (72149) | $1,587.17 | $3,174.34 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,232.95–$2,233.03 | $4,465.91–$4,466.07 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,552.19 | $3,104.38 | 6.7× |
| MRI orbit face neck w contrast (70542) | $1,552.19 | $3,104.38 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,603.47 | $3,206.95 | 4.8× |
| MRI pelvis w contrast (72196) | $1,511.64 | $3,023.29 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $1,477.44 | $2,954.89 | 4.4× |
| MRI pelvis w/o contrast (72195) | $1,432.48 | $2,864.97 | 6.2× |
| MRI thoracic spine w/o contrast (72146) | $1,706.10 | $3,412.19 | 7.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,583.22 | $3,166.45 | 4.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,654.79 | $3,309.57 | 7.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,133.55–$2,311.49 | $4,267.10–$4,622.98 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,861.88–$1,862.09 | $3,723.75–$3,724.17 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,926.46–$1,926.59 | $3,852.92–$3,853.18 | varies |
| MRI, dorsal spine contrast (72147) | $1,511.64 | $3,023.29 | 4.5× |
| MRI, joint upper extrem (73221) | $1,718.11 | $3,436.22 | 7.4× |
| MRI, joint upper extrem combo (73223) | $2,311.49 | $4,622.98 | 6.9× |
| MRI, lumbar spine combo (72158) | $2,212.71 | $4,425.42 | 6.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $379.99 | $759.98 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $837.83 | $1,675.66 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,697.73 | $3,395.47 | 1.4× |
| Neck soft tissue (70360) | $155.16 | $310.31 | 1.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $439.50 | $879 | 1.1× |
| Nm myocard infarct spect (78469) | $820.75 | $1,641.49 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,184.42 | $6,368.84 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $458.44 | $916.88 | 2.0× |
| Optic foramina (70190) | $181.75 | $363.50 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,095.03 | $2,190.06 | 2.8× |
| Pelvis 1 or 2 views (72170) | $143.12 | $286.23 | 1.4× |
| Peritoneogram Rs&I (74190) | $436.94 | $873.88 | 0.8× |
| PET image w/CT, full body (78816) | $4,896.98 | $9,793.95 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,842.28 | $7,684.56 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $403.42 | $806.84 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $189.98 | $379.96 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$474.98–$880.57 | $949.96–$1,761.14 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $180.47 | $360.94 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$183.66–$202.63 | $367.32–$405.25 | varies |
| Radex elbow complete minimum 3 views (73080) | $189.98 | $379.96 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $152 | $303.99 | 1.5× |
| Radex fingr minimum 2 views (73140) | $174.15 | $348.30 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $177.94 | $355.87 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $169.08 | $338.16 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $113.72 | $227.44 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $174.15 | $348.30 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $174.15 | $348.30 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $147.56 | $295.11 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) | $237.47 | $474.95 | 2.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $136.13 | $272.27 | 1.6× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$124.75–$253.96 | $249.49–$507.92 | varies |
| Radex Sternum Minimum 2 Views (71120) | $113.72 | $227.44 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $288.76 | $577.52 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $174.15 | $348.30 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$148.81–$214.15 | $297.62–$428.29 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $169.08 | $338.16 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $199.49 | $398.98 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $478.12 | $956.23 | 4.8× |
| Radiation treatment delivery level 3 (77412) | $839.93 | $1,679.87 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $176.69 | $353.37 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $525.63 | $1,051.27 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $568.03 | $1,136.07 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $363.53 | $727.06 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$214.15–$475.61 | $428.29–$951.21 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $105.13 | $210.25 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $370.45 | $740.91 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $214.15 | $428.29 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$383.31–$1,144.98 | $766.61–$2,289.96 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$79.16–$94.99 | $158.32–$189.98 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$79.16–$113.72 | $158.32–$227.44 | varies |
| Radiologic examination knee 1/2 views (73560) | $234.94 | $469.88 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $174.15 | $348.30 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $178.56 | $357.13 | 2.1× |
| Renal Cyst Study (74470) | $827.72 | $1,655.44 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $474.98 | $949.96 | 1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $579.92 | $1,159.85 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,108.25 | $2,216.50 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$601.63–$1,139 | $1,203.27–$2,278 | varies |
| Scapula (73010) | $174.15 | $348.30 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $50.66 | $101.31 | 2.2× |
| Shoulder 1 view (73020) | $177.31 | $354.62 | 2.1× |
| Shoulder Arthrography (73040) | $429.18 | $858.36 | 1.3× |
| Skull less than 4 views (70250) | $214.15 | $428.29 | 2.1× |
| Special dosimetry (77331) | $430.65 | $861.30 | 3.3× |
| Special Physics Consult (77370) | $469.25 | $938.51 | 3.6× |
| Special teletherapy port plan (77321) | $571.95 | $1,143.89 | 1.6× |
| Special treatment procedure (77470) | $844.91 | $1,689.82 | 1.6× |
| Sternoclavicular joints (71130) | $115.27 | $230.53 | 1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $733.29 | $1,466.58 | 2.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $474.98 | $949.96 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$560.43–$1,519.90 | $1,120.87–$3,039.80 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$560.43–$1,466.68 | $1,120.87–$2,933.37 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$235.07–$601.95 | $470.15–$1,203.90 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$174.15–$214.15 | $348.30–$428.29 | varies |
| Thoracic spine 3 views (72072) | $250.15 | $500.29 | 2.5× |
| Thoracolumbar 2 views (72080) | $128.22 | $256.44 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $707.36 | $1,414.72 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $730.69 | $1,461.38 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $1,082.60 | $2,165.19 | 3.0× |
| Tx devices design & construction intermediate (77333) | $303.96 | $607.93 | 2.3× |
| Tx devices design & construction simple (77332) | $587.95 | $1,175.90 | 4.5× |
| Ultrasound Breast Limited (76642) | $179.22 | $358.44 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $223.53 | $447.05 | 2.2× |
| Ultrasound, abdomen limited (76705) | $443.29 | $886.58 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $136.13 | $272.27 | 1.3× |
| Unlisted fluoroscopic procedure (76496) | $150.06 | $300.12 | 1.8× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$545.25–$835.29 | $1,090.51–$1,670.59 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $138.20 | $276.40 | 12.5× |
| Urea breath test c-14 isotopic analysis (78268) | $155.60 | $311.20 | 1.6× |
| Urethrocystogram voiding (74455) | $352.12 | $704.23 | 1.5× |
| Urethrocystography retrograde (74450) | $312.19 | $624.39 | 1.4× |
| Us breast unilateral complete (76641) | $179.22 | $358.44 | 1.8× |
| Us chest (76604) | $298.08 | $596.17 | 2.9× |
| Us complete joint (76881) | $466.07 | $932.14 | 4.6× |
| Us exam, pelvic, limited (76857) | $303.33 | $606.67 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $207.93 | $415.86 | 2.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$142.44–$214.15 | $284.87–$428.29 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$231.13–$241.78 | $462.26–$483.57 | varies |
| Us pelvic non ob complete (76856) | $675.07 | $1,350.14 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $395.50 | $791.01 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $262.82 | $525.64 | 2.6× |
| Us retroperitoneal complete (76770) | $315.38 | $630.76 | 3.1× |
| Us retroperitoneal limited (76775) | $288.76 | $577.52 | 2.9× |
| Us scrotum and contents (76870) | $523.73 | $1,047.46 | 5.2× |
| Us thyroid (76536) | $570.60 | $1,141.19 | 5.6× |
| Vein X-Ray Chest (75827) | $1,082.93 | $2,165.87 | 0.7× |
| Venogram Sinus/Jugular (75860) | $3,364.17 | $6,728.34 | 1.1× |
| Venography Adrenal Unilateral (75840) | $3,364.17 | $6,728.34 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $2,869.41 | $5,738.83 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,033.53 | $2,067.06 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $869.52 | $1,739.04 | 0.6× |
| Venography Renal Bilateral (75833) | $3,364.17 | $6,728.34 | 1.1× |
| Venography Renal Unilateral (75831) | $2,751.61 | $5,503.23 | 0.9× |
| Wrist 2 views (73100) | $139.95 | $279.90 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$158.34–$231.75 | $316.69–$463.51 | varies |
| X-ray antegrade pyelogram tube (74425) | $474.98 | $949.96 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,216.49–$3,218.70 | $4,432.99–$6,437.40 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $174.15 | $348.30 | 2.1× |
| X-Ray Exam Breast Specimen (76098) | $445.14 | $890.29 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $174.15 | $348.30 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$79.16–$113.72 | $158.32–$227.44 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $113.72 | $227.44 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $214.15 | $428.29 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $131.72 | $263.44 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $131.72 | $263.44 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $237.47 | $474.95 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $309.04 | $618.07 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$205.81–$267.24 | $411.63–$534.47 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$310.31–$389.47 | $620.63–$778.94 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $167.82 | $335.65 | 1.7× |
| X-ray eye for foreign body (70030) | $104.47 | $208.95 | 1.2× |
| X-ray humerus (73060) | $136.79 | $273.58 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $429.18 | $858.36 | 2.5× |
| X-ray IV pyelogram+tomography (74415) | $429.18 | $858.36 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $126.03 | $252.05 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $183.03 | $366.06 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $214.15 | $428.29 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $242.54 | $485.09 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$167.82–$177.31 | $335.65–$354.62 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $214.15 | $428.29 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $174.15 | $348.30 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $120.31 | $240.61 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $216.57 | $433.15 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $214.15 | $428.29 | 2.1× |
| X-Ray Tmj Unilat (70328) | $173.52 | $347.04 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $387.56 | $775.13 | 1.1× |
| X-Rays Bone Length Studies (77073) | $174.15 | $348.30 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $174.15 | $348.30 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $237.47 | $474.95 | 2.3× |
| Xr orbits complete 4 views (70200) | $172.24 | $344.48 | 1.7× |
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.