Imaging prices at Trinity Bettendorf
Bettendorf, IA · every code in this section with a posted price and a Medicare benchmark.
357 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) | $5,914.79 | $7,393.48 | 4.4× |
| Abdomen 1 View (74018) | $180.50 | $225.62 | 2.2× |
| Abdomen 2 views (74019) | $231.94 | $289.92 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,065.53 | $1,331.91 | 2.8× |
| Angio pulmonary bilat (75743) | $1,280 | $1,599.99 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $5,134.72 | $6,418.40 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $5,134.72 | $6,418.40 | 1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,280 | $1,599.99 | 0.4× |
| Ankle 2 views (73600) | $182.44 | $228.05 | 2.2× |
| Aortography thoracic serialography rs&i (75605) | $4,248.56 | $5,310.70 | 0.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,648.84 | $4,561.04 | 1.2× |
| Artery X-Rays Abdomen (75726) | $4,086.49 | $5,108.11 | 0.8× |
| Artery X-Rays Pelvis (75736) | $4,086.49 | $5,108.11 | 0.8× |
| Arthrogram ankle (73615) | $884.07 | $1,105.08 | 2.6× |
| Arthrogram hip (73525) | $502.69 | $628.36 | 1.5× |
| Arthrogram Wrist (73115) | $508.50 | $635.62 | 1.5× |
| Basic radiation dosimetry calculation (77300) | $658.92 | $823.65 | 5.1× |
| Bone age studies (77072) | $208.64 | $260.80 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,967.08 | $2,458.84 | 5.1× |
| Bone Imaging Limited Area (78300) | $459.97 | $574.96 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $1,534.24 | $1,917.80 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,534.24 | $1,917.80 | 4.0× |
| Bone marrow imaging; multiple areas (78103) | $790.92 | $988.64 | 2.1× |
| Bone survey infant (77076) | $275.60 | $344.50 | 2.7× |
| Brachytx isodose complex (77318) | $2,405.72 | $3,007.14 | 6.7× |
| Brachytx isodose intermed (77317) | $1,641.97 | $2,052.46 | 4.6× |
| Brachytx Isodose Plan Simple (77316) | $1,041.28 | $1,301.60 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $999.56 | $1,249.44 | 2.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,145.12 | $1,431.39 | 2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,729.83 | $3,412.28 | 8.1× |
| Cat Scan Follow-Up Study (76380) | $1,102.42 | $1,378.02 | 13.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $611.38 | $764.22 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,410.04 | $1,762.55 | 2.7× |
| Chest 1 view (71045) | $206.71 | $258.38 | 2.5× |
| Chest 2 views (71046) | $308.60 | $385.75 | 3.7× |
| Chest 3 views (71047) | $451.25 | $564.06 | 5.4× |
| Chest 4 or more views (71048) | $551.21 | $689.01 | 5.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $229.68 | $287.09 | 2.3× |
| Clavicle complete (73000) | $306.65 | $383.31 | 3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $359.90 | $449.87 | 3.6× |
| Continuing medical physics consltj pr wk (77336) | $799.63 | $999.53 | 6.2× |
| Contrast Exam Abdominl Aorta (75625) | $4,527.08 | $5,658.84 | 1.5× |
| Contrast X-Ray Bladder (74430) | $380.41 | $475.51 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $502.69 | $628.36 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $609.44 | $761.79 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $4,600.84 | $5,751.04 | 13.7× |
| CT abdomen and pelvis without contrast (74176) | $3,941.91 | $4,927.38 | 17.2× |
| CT abdomen w contrast (74160) | $2,157.27 | $2,696.58 | 12.8× |
| CT abdomen w wo contrast (74170) | $2,185.42 | $2,731.77 | 13.0× |
| CT abdomen w/o contrast (74150) | $1,925.36 | $2,406.69 | 19.2× |
| CT Angio Abdomen and Pelvis (74174) | $5,350 | $6,687.50 | 16.0× |
| CT Angio Chest (71275) | $2,674.52 | $3,343.14 | 15.9× |
| CT Angio Head (70496) | $2,411.53 | $3,014.41 | 14.3× |
| CT angio hrt w/3d image (75574) | $2,544.48 | $3,180.60 | 7.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,674.52 | $3,343.14 | 15.9× |
| CT Angio Neck (70498) | $2,411.53 | $3,014.41 | 14.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,674.52 | $3,343.14 | 15.9× |
| CT cervical spine w/ contrast (72126) | $2,393.09 | $2,991.36 | 7.1× |
| CT cervical spine w/o contrast (72125) | $2,128.16 | $2,660.19 | 21.2× |
| CT cervical spine w/wo cont (72127) | $2,580.39 | $3,225.48 | 15.3× |
| CT chest w contrast (71260) | $2,233.93 | $2,792.41 | 13.2× |
| CT chest w/wo contrast (71270) | $2,318.36 | $2,897.95 | 13.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,545.97 | $4,432.46 | 35.3× |
| CT head/brain with contrast (70460) | $1,945.72 | $2,432.15 | 11.5× |
| CT head/brain without and with contrast (70470) | $2,166.98 | $2,708.72 | 12.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $88 | $110 | 1.1× |
| CT iac w contrast (70481) | $1,543 | $1,928.74 | 9.2× |
| CT l-spine w&w/o contrast (72133) | $2,674.52 | $3,343.14 | 15.9× |
| CT lower ext w/o (73700) | $1,588.60 | $1,985.75 | 15.8× |
| CT lower extremity w/contrast material (73701) | $1,859.35 | $2,324.18 | 11.0× |
| CT lumbar spine w contrast (72132) | $2,426.09 | $3,032.61 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,161.16 | $2,701.44 | 21.5× |
| CT maxillofacial w contrast (70487) | $1,773.96 | $2,217.44 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,536.19 | $1,920.23 | 15.3× |
| CT neck tissue combo (70492) | $1,996.18 | $2,495.22 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,580.84 | $1,976.04 | 9.4× |
| CT orbits w/o contrast (70480) | $1,301.36 | $1,626.70 | 12.9× |
| CT pelvis w&w/o contrast (72194) | $2,113.60 | $2,642 | 12.5× |
| CT pelvis w/o contrast (72192) | $1,870.02 | $2,337.52 | 18.6× |
| CT scan of leg combo (73702) | $2,026.26 | $2,532.82 | 12.0× |
| CT scans face/jaw combo (70488) | $1,871 | $2,338.74 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,949.60 | $2,436.99 | 11.6× |
| CT soft tissue neck w/o contrast (70490) | $1,687.59 | $2,109.48 | 16.8× |
| CT thoracic spine w contrast (72129) | $2,426.09 | $3,032.61 | 14.4× |
| CT thoracic spine w/o contrast (72128) | $2,161.16 | $2,701.44 | 21.5× |
| CT thoracic spine w/wo cont (72130) | $2,753.13 | $3,441.41 | 16.3× |
| CT thorax w/o contrast (71250) | $1,954.45 | $2,443.06 | 19.4× |
| CT upper ext wo (73200) | $1,870.02 | $2,337.52 | 18.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,213.56 | $2,766.94 | 13.1× |
| CT upper extremity with contrast (73201) | $2,161.16 | $2,701.44 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,243.20 | $4,053.99 | 19.2× |
| Cta Abdomen (74175) | $2,674.52 | $3,343.14 | 15.9× |
| CTA pelvis (72191) | $2,674.52 | $3,343.14 | 15.9× |
| Diskography lumbar (72295) | $2,949.15 | $3,686.43 | 1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $250.55 | $313.18 | 2.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $565.77 | $707.21 | 5.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $273.79 | $342.23 | 2.7× |
| Dxa Bone Density Axial (77080) | $417.29 | $521.61 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $108.69 | $135.86 | 1.3× |
| Echo exam of fetal heart (76825) | $1,179.44 | $1,474.29 | 2.2× |
| Echo exam uterus (76831) | $677.37 | $846.71 | 3.0× |
| Echo Guide For Artery Repair (76936) | $680.28 | $850.35 | 3.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $547.43 | $684.28 | 2.4× |
| Echograp Trans R Pros Study (76873) | $242.61 | $303.26 | 2.4× |
| Esophagram (74220) | $434.76 | $543.44 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $503.67 | $629.58 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $480.37 | $600.46 | 4.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,729.83 | $3,412.28 | 11.9× |
| Fluoroscopy up to 1 hr (76000) | $212.53 | $265.66 | 0.9× |
| Follow-Up Angiography (75898) | $765.68 | $957.09 | 0.3× |
| Foot 2 views (73620) | $182.44 | $228.05 | 2.2× |
| Forearm 2 views (73090) | $306.65 | $383.31 | 3.7× |
| Gastric emptying imaging study (78264) | $1,863.47 | $2,329.33 | 4.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,863.47 | $2,329.33 | 4.8× |
| Gated Heart Planar Single (78472) | $1,518.72 | $1,898.40 | 4.0× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,280.91 | $2,851.13 | 4.4× |
| Hand 2 views (73120) | $182.44 | $228.05 | 1.8× |
| Heart first pass single,planar (78481) | $1,317.85 | $1,647.31 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,600.24 | $2,000.29 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,206.26 | $1,507.82 | 3.1× |
| Ht Musc Image Planar Mult (78454) | $1,734.17 | $2,167.71 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $1,734.17 | $2,167.71 | 1.4× |
| Hysterosalpingogram (74740) | $459.03 | $573.78 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $602.64 | $753.30 | 7.2× |
| Infant hip ultrasound, limited static exam (76886) | $531.80 | $664.74 | 6.4× |
| Interstitial radiation source applic complex (77778) | $4,997.75 | $6,247.18 | 7.5× |
| Joint Survey Single View (77077) | $313.45 | $391.81 | 3.1× |
| K Flow/Funct Image Multiple (78709) | $1,679.76 | $2,099.69 | 3.2× |
| K Flow/Funct Image W/Drug (78708) | $1,679.76 | $2,099.69 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,679.76 | $2,099.69 | 3.2× |
| Kidney Imaging Morphol (78700) | $999.56 | $1,249.44 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,316.88 | $1,646.10 | 3.4× |
| Knee 3 Views (73562) | $278.51 | $348.13 | 3.3× |
| Leveen/Shunt Patency Exam (78291) | $608.46 | $760.57 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,067.48 | $1,334.34 | 2.8× |
| Lung Perf&Ventilat Diferentl (78598) | $2,269.54 | $2,836.92 | 4.3× |
| Lung perfusion differential (78597) | $2,158.24 | $2,697.80 | 5.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,244.61 | $2,805.76 | 4.3× |
| Lung Ventilation Imaging (78579) | $972.37 | $1,215.46 | 2.5× |
| Lymph System Imaging (78195) | $1,784.63 | $2,230.78 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $2,729.83 | $3,412.28 | 11.9× |
| Mammary ductogram or galactogram multiple (77054) | $699.68 | $874.60 | 3.1× |
| Mammary ductogram or galactogram single (77053) | $378.48 | $473.09 | 1.7× |
| Meckels Divert Exam (78290) | $1,065.53 | $1,331.91 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $839.43 | $1,049.28 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,768.19 | $4,710.23 | 11.2× |
| MRA head w/o contrast (70544) | $2,969.52 | $3,711.89 | 12.9× |
| MRA head with contrast (70545) | $3,501.33 | $4,376.66 | 10.4× |
| MRA neck w contrast (70548) | $3,501.33 | $4,376.66 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,768.19 | $4,710.23 | 11.2× |
| MRA neck w/o contrast (70547) | $2,969.52 | $3,711.89 | 12.9× |
| MRI abdomen w contrast (74182) | $4,520.28 | $5,650.34 | 13.5× |
| MRI abdomen w/o contrast (74181) | $2,729.83 | $3,412.28 | 11.9× |
| MRI any jt lower extrem w/contrast material (73722) | $4,520.28 | $5,650.34 | 6.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,941.45 | $6,176.81 | 14.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,520.28 | $5,650.34 | 6.0× |
| MRI cardiac w/o contrast (75557) | $2,729.83 | $3,412.28 | 11.9× |
| MRI cervical spine w contrast (72142) | $4,520.28 | $5,650.34 | 13.5× |
| MRI cervical spine w/o cont (72141) | $2,729.83 | $3,412.28 | 11.9× |
| MRI chest w/o contrast (71550) | $2,729.83 | $3,412.28 | 11.9× |
| MRI chest with contrast (71551) | $3,826.41 | $4,783.01 | 5.1× |
| MRI chest wo w contrast (71552) | $4,520.28 | $5,650.34 | 13.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,520.28 | $5,650.34 | 13.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,941.45 | $6,176.81 | 14.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,729.83 | $3,412.28 | 11.9× |
| MRI lumbar spine w contrast (72149) | $4,520.28 | $5,650.34 | 13.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,408.23 | $6,760.28 | 16.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,781.72 | $2,227.15 | 7.8× |
| MRI orbit face neck w contrast (70542) | $3,501.33 | $4,376.66 | 10.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,134.04 | $5,167.55 | 12.3× |
| MRI pelvis w contrast (72196) | $3,826.41 | $4,783.01 | 11.4× |
| MRI pelvis w/o & w contrast (72197) | $4,520.28 | $5,650.34 | 13.5× |
| MRI pelvis w/o contrast (72195) | $2,729.83 | $3,412.28 | 11.9× |
| MRI spectroscopy (76390) | $2,199 | $2,748.75 | 26.3× |
| MRI thoracic spine w/o contrast (72146) | $2,729.83 | $3,412.28 | 11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,729.83 | $3,412.28 | 11.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,750.28 | $5,937.84 | 14.2× |
| MRI, abdomen, combo (74183) | $5,220.93 | $6,526.16 | 15.6× |
| MRI, dorsal spine combo (72157) | $5,408.23 | $6,760.28 | 16.1× |
| MRI, dorsal spine contrast (72147) | $4,520.28 | $5,650.34 | 13.5× |
| MRI, joint upper extrem (73221) | $2,729.83 | $3,412.28 | 11.9× |
| MRI, joint upper extrem combo (73223) | $4,750.28 | $5,937.84 | 14.2× |
| MRI, lumbar spine combo (72158) | $5,408.23 | $6,760.28 | 16.1× |
| Myelogram cervical (72240) | $1,549.78 | $1,937.22 | 2.1× |
| Myelogram Lumbar (72265) | $1,069.41 | $1,336.76 | 1.4× |
| Myelography thoracic (72255) | $1,199.46 | $1,499.32 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,799.19 | $2,248.98 | 2.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $942.29 | $1,177.86 | 2.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,734.17 | $2,167.71 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $2,571.65 | $3,214.56 | 2.1× |
| Neck soft tissue (70360) | $180.50 | $225.62 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $817.57 | $1,021.96 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $313.45 | $391.81 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,914.79 | $7,393.48 | 4.4× |
| Nuclear Rx Oral Admin (79005) | $710.36 | $887.95 | 3.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $997.61 | $1,247.01 | 1.9× |
| Parathyroid Planar Imaging (78070) | $817.76 | $1,022.19 | 2.1× |
| Pelvis 1 or 2 views (72170) | $262.99 | $328.73 | 2.6× |
| PET image w/CT, full body (78816) | $2,809.41 | $3,511.76 | 2.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,809.41 | $3,511.76 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,643.92 | $2,054.89 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $352.28 | $440.34 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $355.17 | $443.96 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $278.51 | $348.13 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $231.94 | $289.92 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $262.99 | $328.73 | 3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $439.62 | $549.52 | 4.4× |
| Radex fingr minimum 2 views (73140) | $196.99 | $246.23 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $278.51 | $348.13 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $262.99 | $328.73 | 3.1× |
| Radex lower extremity infant minimum 2 views (73592) | $192.16 | $240.19 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $610.40 | $763 | 6.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $295.02 | $368.77 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $443.65 | $554.56 | 5.3× |
| Radex shoulder complete minimum 2 views (73030) | $295.02 | $368.77 | 3.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $132.95 | $166.18 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $159.16 | $198.94 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $262.99 | $328.73 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $506.57 | $633.21 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $176.62 | $220.77 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $255.23 | $319.03 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $262.99 | $328.73 | 3.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $597.79 | $747.23 | 5.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,473.10 | $20,591.37 | 2.3× |
| Radiation treatment delivery level 1 (77402) | $573.52 | $716.90 | 5.8× |
| Radiation treatment delivery level 2 (77407) | $600.71 | $750.88 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $1,099.50 | $1,374.37 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $476.48 | $595.60 | 4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $231.94 | $289.92 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $569.65 | $712.06 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $490.07 | $612.58 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $405.14 | $506.42 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $314.43 | $393.03 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $361.99 | $452.48 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $490.07 | $612.58 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $434.76 | $543.44 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $490.07 | $612.58 | 2.9× |
| Radiologic examination femur 1 view (73551) | $190.20 | $237.75 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $190.20 | $237.75 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $208.64 | $260.80 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $599.73 | $749.66 | 6.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $221.27 | $276.58 | 2.6× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $954.92 | $1,193.64 | 2.5× |
| Ribs bilateral 3 views (71110) | $536.75 | $670.93 | 5.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $922.89 | $1,153.61 | 2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,389.66 | $1,737.07 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,100.55 | $3,875.68 | 5.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,629.36 | $2,036.69 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,605.11 | $2,006.38 | 3.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,204.93 | $4,006.16 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,825.56 | $3,531.95 | 2.3× |
| Rp Therapy Intravenous Administration (79101) | $633.70 | $792.12 | 2.8× |
| Scapula (73010) | $204.77 | $255.96 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $27.18 | $33.97 | 1.2× |
| Sella turcica (70240) | $199.92 | $249.90 | 2.4× |
| Shoulder 1 view (73020) | $164.97 | $206.21 | 2.0× |
| Shoulder Arthrography (73040) | $538.60 | $673.24 | 1.6× |
| Sialogram (70390) | $403.70 | $504.62 | 1.8× |
| Skull less than 4 views (70250) | $221.27 | $276.58 | 2.2× |
| Special dosimetry (77331) | $999.56 | $1,249.44 | 7.7× |
| Special Physics Consult (77370) | $999.56 | $1,249.44 | 7.7× |
| Special teletherapy port plan (77321) | $2,498.88 | $3,123.59 | 6.9× |
| Special treatment procedure (77470) | $2,357.19 | $2,946.48 | 4.4× |
| Spleen Imaging (78185) | $1,204.32 | $1,505.40 | 3.1× |
| Stereotactic Body Radiation Delivery (77373) | $11,018.29 | $13,772.86 | 6.4× |
| Sternoclavicular joints (71130) | $275.60 | $344.50 | 3.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,998.20 | $4,997.74 | 11.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,899.13 | $2,373.91 | 5.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,321.39 | $4,151.73 | 9.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,321.39 | $4,151.73 | 9.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,219.65 | $1,524.56 | 9.4× |
| Thoracic spine 2 views (72070) | $333.83 | $417.28 | 3.3× |
| Thoracic spine 3 views (72072) | $439.62 | $549.52 | 4.4× |
| Thoracolumbar 2 views (72080) | $310.55 | $388.18 | 3.7× |
| Thyroid Imaging With Vascular Flow (78013) | $750.16 | $937.69 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,876.82 | $2,346.02 | 3.6× |
| Thyroid Uptake Measurement (78012) | $363.92 | $454.89 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,098.54 | $1,373.17 | 2.9× |
| Tx Devices Design & Construction Complex (77334) | $1,212.07 | $1,515.08 | 3.4× |
| Tx devices design & construction intermediate (77333) | $791.88 | $989.84 | 6.1× |
| Tx devices design & construction simple (77332) | $659.90 | $824.87 | 5.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$213.50–$427 | $266.87–$533.74 | varies |
| Ultrasound Exam Aaa Screen (76706) | $515.30 | $644.12 | 5.1× |
| Ultrasound, abdomen limited (76705) | $656.01 | $820.01 | 6.5× |
| Umbilical-artery Doppler (OB) (76820) | $286.28 | $357.85 | 2.8× |
| Upper gi w/o kub (74240) | $490.07 | $612.58 | 2.9× |
| Urea breath test c-14 isotopic analysis (78268) | $339.66 | $424.57 | 3.6× |
| Ureteral Reflux Study (78740) | $1,098.54 | $1,373.17 | 2.9× |
| Urethrocystogram voiding (74455) | $462.90 | $578.62 | 2.0× |
| Urethrocystography retrograde (74450) | $380.41 | $475.51 | 1.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$285.31–$570.61 | $356.63–$713.26 | varies |
| Us chest (76604) | $463.88 | $579.84 | 4.6× |
| Us complete joint (76881) | $321.21 | $401.51 | 3.2× |
| Us exam, pelvic, limited (76857) | $375.57 | $469.46 | 3.7× |
| Us head (76506) | $494.92 | $618.65 | 4.9× |
| Us kidney transplant (76776) | $421.16 | $526.45 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $206.71 | $258.38 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $503.67 | $629.58 | 5.0× |
| Us ob transvaginal (76817) | $573.52 | $716.90 | 5.7× |
| Us pelvic non ob complete (76856) | $503.67 | $629.58 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $660.86 | $826.07 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $503.67 | $629.58 | 5.0× |
| Us retroperitoneal complete (76770) | $733.65 | $917.06 | 7.3× |
| Us retroperitoneal limited (76775) | $500.74 | $625.92 | 5.0× |
| Us scrotum and contents (76870) | $706.48 | $883.09 | 7.0× |
| Us spinal canal and contents (76800) | $281.44 | $351.79 | 2.8× |
| Us thyroid (76536) | $428.94 | $536.17 | 4.3× |
| Us transrectal (76872) | $531.80 | $664.74 | 5.3× |
| Vein X-Ray Chest (75827) | $1,799.19 | $2,248.98 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $839.43 | $1,049.28 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $1,361.52 | $1,701.89 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,048.08 | $1,310.09 | 0.7× |
| Venography Renal Bilateral (75833) | $2,573.60 | $3,216.99 | 0.8× |
| Venography Renal Unilateral (75831) | $2,573.60 | $3,216.99 | 0.8× |
| Venous sampling by catheter (75893) | $3,118 | $3,897.50 | 0.6× |
| Wrist 2 views (73100) | $182.44 | $228.05 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $333.83 | $417.28 | 4.0× |
| X-ray antegrade pyelogram tube (74425) | $365.86 | $457.32 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $4,086.49 | $5,108.11 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $514.23 | $642.78 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $221.27 | $276.58 | 2.6× |
| X-Ray Exam Breast Specimen (76098) | $294.03 | $367.53 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.20 | $237.75 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $313.45 | $391.81 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $399.82 | $499.77 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $190.20 | $237.75 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $190.20 | $237.75 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $313.45 | $391.81 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $313.45 | $391.81 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $313.45 | $391.81 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $597.79 | $747.23 | 5.9× |
| X-Ray Exam L-S Spine Bending (72114) | $514.23 | $642.78 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $333.83 | $417.28 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $590.03 | $737.53 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $536.75 | $670.93 | 5.3× |
| X-ray eye for foreign body (70030) | $202.83 | $253.53 | 2.4× |
| X-ray humerus (73060) | $278.51 | $348.13 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $547.33 | $684.16 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $314.43 | $393.03 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $255.23 | $319.03 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $514.23 | $642.78 | 5.1× |
| X-ray nose-rectum child f.b. (76010) | $180.50 | $225.62 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $536.75 | $670.93 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.60 | $344.50 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $333.83 | $417.28 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $323.16 | $403.94 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $476.48 | $595.60 | 4.7× |
| X-Ray Stress View (77071) | $254.72 | $318.40 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $447.36 | $559.20 | 4.5× |
| X-Ray Tmj Unilat (70328) | $179.54 | $224.42 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $405.64 | $507.05 | 1.2× |
| X-Rays Bone Length Studies (77073) | $336.74 | $420.92 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $694.84 | $868.54 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $502.69 | $628.36 | 5.0× |
| Xr facial bones less than 3 views (70140) | $221.27 | $276.58 | 2.6× |
| Xr orbits complete 4 views (70200) | $393.03 | $491.28 | 3.9× |
| Xr Tomogram Single Plane (76100) | $399.82 | $499.77 | 4.0× |
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.