Imaging prices at Trinity Medical Center East & Trinity Medical Center West
Steubenville, OH · every code in this section with a posted price and a Medicare benchmark.
286 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) | $1,808.66 | $3,647 | 1.4× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$172.09–$205.32 | $347–$414 | varies |
| Abdomen 2 views (74019) | $232.60 | $469 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $759.77 | $1,532 | 2.0× |
| Adrenal Cortex & Medulla Img (78075) | $946.24 | $1,908 | 0.8× |
| Angio internal mammary (75756) | $1,381.17 | $2,785 | 0.5× |
| Angio pulmonary bilat (75743) | $2,595.21 | $5,233 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,778 | $7,618 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $3,513.67 | $7,085 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,569.92 | $5,182 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,920.74 | $3,873 | 0.6× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,866.19 | $3,763 | 0.4× |
| Artery X-Rays Abdomen (75726) | $3,268.68 | $6,591 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $2,332.37 | $4,703 | 0.8× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,866.19 | $3,763 | 0.4× |
| Artery X-Rays Spine (75705) | $3,268.68 | $6,591 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $307.98 | $621 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,057.33 | $2,132 | 2.8× |
| Bone Imaging Limited Area (78300) | $698.27 | $1,408 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $846.06 | $1,706 | 2.2× |
| Bone Imaging Whole Body (78306) | $909.54 | $1,834 | 2.4× |
| Bone marrow imaging limited area (78102) | $578.76 | $1,167 | 1.5× |
| Bone marrow imaging; multiple areas (78103) | $824.74 | $1,663 | 2.2× |
| Bone marrow imaging; whole body (78104) | $956.65 | $1,929 | 2.5× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$1,248.76–$1,314.22 | $2,518–$2,650 | varies |
| Brachytx isodose intermed (77317) | $985.91 | $1,988 | 2.8× |
| Brachytx Isodose Plan Simple (77316) | $709.68 | $1,431 | 2.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $739.93 | $1,492 | 1.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $669.01 | $1,349 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,074.48 | $4,183 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $199.86 | $403 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $973.52 | $1,963 | 1.9× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$113.57–$187.96 | $229–$379 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$90.76–$226.65 | $183–$457 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$262.85–$276.73 | $530–$558 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$287.15–$307.98 | $579–$621 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $814.32 | $1,642 | 8.2× |
| Continuing medical physics consltj pr wk (77336) | $307.48 | $620 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,179.41 | $6,411 | 1.1× |
| Contrast X-Ray Bladder (74430) | $402.70 | $812 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,464.28 | $4,969 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $1,525.49 | $3,076 | 6.8× |
| CT abdomen w contrast (74160) | $861.93 | $1,738 | 5.2× |
| CT abdomen w wo contrast (74170) | $1,267.60 | $2,556 | 7.6× |
| CT abdomen w/o contrast (74150) | $786.05 | $1,585 | 7.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,476.68 | $4,994 | 7.5× |
| CT Angio Chest (71275) | $1,240.33 | $2,501 | 7.5× |
| CT Angio Head (70496) | $1,240.33 | $2,501 | 7.5× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$221.19–$265.82 | $446–$536 | varies |
| CT Angio Neck (70498) | $1,240.33 | $2,501 | 7.5× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,021.13–$1,094.03 | $2,059–$2,206 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$779.61–$835.15 | $1,572–$1,684 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,200.65–$1,285.95 | $2,421–$2,593 | varies |
| CT chest w contrast (71260) | $1,004.26 | $2,025 | 6.1× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,193.71–$1,194.21 | $2,407–$2,408 | varies |
| CT head/brain with contrast (70460) | $1,114.86 | $2,248 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,312.73 | $2,647 | 7.9× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$221.19–$265.82 | $446–$536 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$69.93–$85.31 | $141–$172 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$898.63–$963.10 | $1,812–$1,942 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,225.45–$1,246.77 | $2,471–$2,514 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,036–$1,053.86 | $2,089–$2,125 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$790.52–$804.40 | $1,594–$1,622 | varies |
| CT maxillofacial w contrast (70487) | $940.78 | $1,897 | 5.7× |
| CT maxillofacial wo contrast (70486) | $790.52 | $1,594 | 8.0× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,197.68–$1,283.97 | $2,415–$2,589 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,062.78–$1,139.16 | $2,143–$2,297 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$781.59–$837.63 | $1,576–$1,689 | varies |
| CT pelvis w&w/o contrast (72194) | $1,549.79 | $3,125 | 9.3× |
| CT pelvis w/o contrast (72192) | $790.52 | $1,594 | 8.0× |
| CT scans face/jaw combo (70488) | $1,154.53 | $2,328 | 7.0× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$989.88–$1,061.30 | $1,996–$2,140 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$801.92–$859.45 | $1,617–$1,733 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,043.94–$1,062.78 | $2,105–$2,143 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$790.52–$804.90 | $1,594–$1,623 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,233.38–$1,255.70 | $2,487–$2,532 | varies |
| CT thorax w/o contrast (71250) | $790.52 | $1,594 | 8.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,384.64 | $2,792 | 8.3× |
| Cta Abdomen (74175) | $1,981.74 | $3,996 | 11.9× |
| CTA pelvis (72191) | $1,250.74 | $2,522 | 7.5× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $176.56 | $356 | 0.8× |
| Dilation ureters/urethra rs&i (74485) | $1,183.29 | $2,386 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $698.27 | $1,408 | 0.4× |
| Diskography lumbar (72295) | $698.27 | $1,408 | 0.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $92.74 | $187 | 0.9× |
| Echo Guide For Artery Repair (76936) | $1,080.64 | $2,179 | 5.3× |
| Echograp Trans R Pros Study (76873) | $282.69 | $570 | 2.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$423.53–$508.33 | $854–$1,025 | varies |
| Fetal Biophys Profile W/Nst (76818) | $747.37 | $1,507 | 7.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $545.53 | $1,100 | 5.5× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$458.24–$503.37 | $924–$1,015 | varies |
| Follow-Up Angiography (75898) | $873.83 | $1,762 | 0.3× |
| Gastric emptying imaging study (78264) | $976.99 | $1,970 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $793.49 | $1,600 | 2.1× |
| Gated Heart Planar Single (78472) | $1,301.82 | $2,625 | 3.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,332.37 | $4,703 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,074.19 | $2,166 | 2.1× |
| Hepatobiliary System Imaging (78226) | $784.07 | $1,581 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $2,805.48 | $5,657 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $2,328.40 | $4,695 | 1.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$630.33–$704.23 | $1,271–$1,420 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $46.13 | $93 | 0.6× |
| Infant hip ultrasound, limited static exam (76886) | $46.13 | $93 | 0.6× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$899.62–$1,079.65 | $1,814–$2,177 | varies |
| Interstitial radiation source applic complex (77778) | $2,126.06 | $4,287 | 3.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $836.14 | $1,686 | 1.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $588.67 | $1,187 | 1.1× |
| Joint Survey Single View (77077) | $109.61 | $221 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $2,248.06 | $4,533 | 4.4× |
| K Flow/Funct Image W/Drug (78708) | $1,060.30 | $2,138 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,410.43 | $2,844 | 2.7× |
| Kidney Imaging Morphol (78700) | $1,049.89 | $2,117 | 2.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,357.37 | $2,737 | 3.6× |
| Leveen/Shunt Patency Exam (78291) | $685.38 | $1,382 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $670.01 | $1,351 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,183.29 | $2,386 | 2.3× |
| Lung perfusion differential (78597) | $689.35 | $1,390 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,035.01 | $2,087 | 2.0× |
| Lung Ventilation Imaging (78579) | $579.75 | $1,169 | 1.5× |
| Lymph System Imaging (78195) | $946.24 | $1,908 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $1,888.51 | $3,808 | 8.4× |
| Mammary ductogram or galactogram multiple (77054) | $437.42 | $882 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $235.57 | $475 | 1.0× |
| Meckels Divert Exam (78290) | $537.10 | $1,083 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $506.35 | $1,021 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,676.04 | $5,396 | 8.1× |
| MRA head w/o contrast (70544) | $1,749.15 | $3,527 | 7.7× |
| MRA head with contrast (70545) | $1,836.43 | $3,703 | 5.6× |
| MRA neck w contrast (70548) | $1,660.88 | $3,349 | 5.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,339.31 | $4,717 | 7.1× |
| MRA neck w/o contrast (70547) | $1,473.41 | $2,971 | 6.5× |
| MRI abdomen w contrast (74182) | $1,900.41 | $3,832 | 5.8× |
| MRI abdomen w/o contrast (74181) | $1,203.63 | $2,427 | 5.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,741.71 | $3,512 | 7.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,741.71 | $3,512 | 7.7× |
| MRI cervical spine w contrast (72142) | $2,892.77 | $5,833 | 8.8× |
| MRI cervical spine w/o cont (72141) | $1,981.25 | $3,995 | 8.8× |
| MRI chest w/o contrast (71550) | $1,888.51 | $3,808 | 8.4× |
| MRI chest wo w contrast (71552) | $2,625.46 | $5,294 | 8.0× |
| MRI lumbar spine w contrast (72149) | $2,833.25 | $5,713 | 8.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,348.53 | $6,752 | 10.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,757.58 | $3,544 | 7.8× |
| MRI orbit face neck w contrast (70542) | $2,098.78 | $4,232 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,623.48 | $5,290 | 7.9× |
| MRI pelvis w contrast (72196) | $2,029.35 | $4,092 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $2,536.69 | $5,115 | 7.7× |
| MRI pelvis w/o contrast (72195) | $1,724.85 | $3,478 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $2,117.63 | $4,270 | 9.4× |
| MRI, abdomen, combo (74183) | $2,111.68 | $4,258 | 6.4× |
| MRI, dorsal spine combo (72157) | $3,599.96 | $7,259 | 10.9× |
| MRI, dorsal spine contrast (72147) | $3,070.81 | $6,192 | 9.3× |
| MRI, lumbar spine combo (72158) | $3,348.53 | $6,752 | 10.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $607.02 | $1,224 | 1.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,074.48 | $4,183 | 1.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,328.40 | $4,695 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $2,805.48 | $5,657 | 2.3× |
| Nm csf leak detection (78650) | $914 | $1,843 | 0.7× |
| Nm myocard infarct spect (78469) | $945.74 | $1,907 | 1.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,320.46 | $4,679 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $1,009.72 | $2,036 | 4.6× |
| Ob us nuchal meas 1 gest (76813) | $254.91 | $514 | 2.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $53.07 | $107 | 0.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $74.39 | $150 | 0.8× |
| Parathyroid Planar Imaging (78070) | $466.68 | $941 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,056.83 | $2,131 | 2.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$221.69–$229.12 | $447–$462 | varies |
| Peritoneogram Rs&I (74190) | $386.83 | $780 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $3,496.31 | $7,050 | 2.6× |
| PET image w/CT, full body (78816) | $3,962.49 | $7,990 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,884.63 | $7,833 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $734.97 | $1,482 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $232.60 | $469 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $268.80 | $542 | 0.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $269.79 | $544 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $181.02 | $365 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $191.93 | $387 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,668.81 | $3,365 | 10.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $189.45 | $382 | 2.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,358.36 | $2,739 | 13.7× |
| Radiation treatment delivery level 1 (77402) | $326.82 | $659 | 3.4× |
| Radiation treatment delivery level 2 (77407) | $406.67 | $820 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $683.89 | $1,379 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $232.60 | $469 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$229.62–$232.60 | $463–$469 | varies |
| Radiologic exam colon double contrast study (74280) | $738.94 | $1,490 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $527.67 | $1,064 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$420.06–$435.93 | $847–$879 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $507.34 | $1,023 | 3.1× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$385.84–$395.76 | $778–$798 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$531.64–$551.98 | $1,072–$1,113 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $365.01 | $736 | 3.7× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $157.71 | $318 | 0.3× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$244.99–$264.34 | $494–$533 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,393.57 | $2,810 | 3.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,544.83 | $3,115 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,626.25 | $7,312 | 7.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,712.45 | $3,453 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,115.64 | $4,266 | 4.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,895.04 | $7,854 | 3.2× |
| Rp Therapy Intravenous Administration (79101) | $343.68 | $693 | 1.6× |
| Salivary Gland Function Study (78232) | $669.01 | $1,349 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $70.92 | $143 | 3.0× |
| Sialogram (70390) | $343.68 | $693 | 1.5× |
| Skull less than 4 views (70250) | $200.86 | $405 | 2.0× |
| Special dosimetry (77331) | $222.68 | $449 | 1.8× |
| Special Physics Consult (77370) | $479.57 | $967 | 3.8× |
| Special teletherapy port plan (77321) | $524.20 | $1,057 | 1.5× |
| Special treatment procedure (77470) | $954.17 | $1,924 | 1.8× |
| Spleen Imaging (78185) | $433.94 | $875 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) | $2,923.02 | $5,894 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,050.39 | $2,118 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $493.95 | $996 | 1.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $493.46 | $995 | 2.2× |
| Testicular Imaging W/Flow (78761) | $652.65 | $1,316 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,778.41 | $3,586 | 5.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,547.31 | $3,120 | 4.4× |
| Ther rad simulaj-aided field setting simple (77280) | $1,031.54 | $2,080 | 8.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $530.15 | $1,069 | 3.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$272.77–$298.06 | $550–$601 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$327.32–$389.81 | $660–$786 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,220.99 | $2,462 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $517.26 | $1,043 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,695.59 | $3,419 | 3.3× |
| Thyroid Uptake Measurement (78012) | $363.03 | $732 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $834.16 | $1,682 | 2.2× |
| Tx Devices Design & Construction Complex (77334) | $1,046.42 | $2,110 | 3.0× |
| Tx devices design & construction intermediate (77333) | $1,004.76 | $2,026 | 7.9× |
| Tx devices design & construction simple (77332) | $335.25 | $676 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $395.76 | $798 | 4.0× |
| Ultrasound, abdomen limited (76705) | $399.23 | $805 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $92.74 | $187 | 0.9× |
| Unlisted us procedure (76999) | $53.07 | $107 | 0.6× |
| Upper gi w/o kub (74240) | $499.90 | $1,008 | 3.0× |
| Ureteral Reflux Study (78740) | $509.33 | $1,027 | 1.3× |
| Urethrocystogram voiding (74455) | $402.70 | $812 | 1.8× |
| Urethrocystography retrograde (74450) | $229.12 | $462 | 1.0× |
| Us chest (76604) | $406.67 | $820 | 4.1× |
| Us exam, pelvic, limited (76857) | $455.27 | $918 | 4.6× |
| Us head (76506) | $88.28 | $178 | 0.9× |
| Us kidney transplant (76776) | $435.43 | $878 | 4.4× |
| Us ob detailed single fetus (76811) | $380.38 | $767 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $368.98 | $744 | 3.7× |
| Us ob transvaginal (76817) | $420.55 | $848 | 4.3× |
| Us pelvic non ob complete (76856) | $455.27 | $918 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $503.37 | $1,015 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $497.92 | $1,004 | 5.0× |
| Us retroperitoneal complete (76770) | $489.49 | $987 | 4.9× |
| Us retroperitoneal limited (76775) | $249.95 | $504 | 2.5× |
| Us scrotum and contents (76870) | $455.76 | $919 | 4.6× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$88.28–$173.58 | $178–$350 | varies |
| Us thyroid (76536) | $505.36 | $1,019 | 5.1× |
| Vein X-Ray Chest (75827) | $1,531.44 | $3,088 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $1,866.19 | $3,763 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,027.57 | $2,072 | 0.7× |
| Venography Renal Bilateral (75833) | $2,206.40 | $4,449 | 0.7× |
| Venography Renal Unilateral (75831) | $2,206.40 | $4,449 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $660.09 | $1,331 | 1.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$432.46–$519.24 | $872–$1,047 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,877.19 | $7,818 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$206.81–$213.75 | $417–$431 | varies |
| X-Ray Exam Breast Specimen (76098) | $436.92 | $881 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $586.19 | $1,182 | 7.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $976.99 | $1,970 | 9.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,104.44 | $2,227 | 11.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $121.01 | $244 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $242.02 | $488 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $362.53 | $731 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$316.90–$454.28 | $639–$916 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $196.39 | $396 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$311.45–$322.36 | $628–$650 | varies |
| X-ray eye for foreign body (70030) | $167.63 | $338 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$865.40–$1,037.99 | $1,745–$2,093 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,055.34–$1,266.61 | $2,128–$2,554 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $184.49 | $372 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$107.13–$201.85 | $216–$407 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$293.60–$318.39 | $592–$642 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$181.02–$200.36 | $365–$404 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $167.13 | $337 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$223.17–$225.65 | $450–$455 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $254.91 | $514 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$432.46–$519.24 | $872–$1,047 | varies |
| X-Rays Bone Length Studies (77073) | $273.26 | $551 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $552.97 | $1,115 | 5.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$261.36–$266.32 | $527–$537 | varies |
| Xr orbits complete 4 views (70200) | $224.17 | $452 | 2.3× |
| Xr Tomogram Single Plane (76100) | $357.07 | $720 | 3.6× |
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.