Imaging prices at TriStar Centennial Medical Center
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
335 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) | $11,341.67 | $11,341.67 | 8.5× |
| Abdomen 1 View (74018) | $1,066.60 | $1,066.60 | 12.8× |
| Abdomen 2 views (74019) | $1,436.16 | $1,436.16 | 14.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,284.87 | $4,284.87 | 11.2× |
| Adrenal Cortex & Medulla Img (78075) | $5,556.76 | $5,556.76 | 4.5× |
| Angio pulmonary bilat (75743) | $14,404.06 | $14,404.06 | 4.8× |
| Angiography extremity bilateral rs&i (75716) | $10,829.12 | $10,829.12 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $14,404.06 | $14,404.06 | 4.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,383.01 | $8,383.01 | 2.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$1,436.16–$2,708.06 | $1,436.16–$2,708.06 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,404.06 | $14,404.06 | 2.7× |
| Artery X-Rays Abdomen (75726) | $14,404.06 | $14,404.06 | 2.7× |
| Artery X-Rays Adrenal Gland (75731) | $14,404.06 | $14,404.06 | 4.8× |
| Artery X-Rays Pelvis (75736) | $14,404.06 | $14,404.06 | 2.7× |
| Artery X-Rays Spine (75705) | $12,805.06 | $12,805.06 | 2.4× |
| Arthrogram hip (73525) | $2,570.50 | $2,570.50 | 7.7× |
| Basic radiation dosimetry calculation (77300) | $1,299.83 | $1,299.83 | 10.1× |
| Bone age studies (77072) | $1,436.16 | $1,436.16 | 14.3× |
| Bone Imaging 3 Phase (78315) | $6,942.87 | $6,942.87 | 18.1× |
| Bone Imaging Whole Body (78306) | $5,672.52 | $5,672.52 | 14.8× |
| Bone survey infant (77076) | $2,779.10 | $2,779.10 | 27.7× |
| Brachytx isodose complex (77318) | $7,465.78 | $7,465.78 | 20.8× |
| Brachytx isodose intermed (77317) | $5,196.05 | $5,196.05 | 14.5× |
| Brachytx Isodose Plan Simple (77316) | $4,442.80 | $4,442.80 | 12.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $9,248.91 | $9,248.91 | 17.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,944.54 | $8,944.54 | 6.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,517.15 | $3,517.15 | 10.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,517.15 | $3,517.15 | 4.7× |
| Cat Scan Follow-Up Study (76380) | $4,322.55 | $4,322.55 | 51.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,248.27 | $6,248.27 | 12.0× |
| Cerebrospinal Fluid Scan (78630) | $2,801.51 | $2,801.51 | 5.4× |
| Chest 1 view (71045) | $1,030.03 | $1,030.03 | 12.3× |
| Chest 2 views (71046) | $1,196.54 | $1,196.54 | 14.3× |
| Chest 3 views (71047) | $1,293.48 | $1,293.48 | 15.5× |
| Chest 4 or more views (71048) | $1,589.86 | $1,589.86 | 15.9× |
| Clavicle complete (73000) | $1,436.16 | $1,436.16 | 17.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $454.14 | $454.14 | 4.5× |
| Continuing medical physics consltj pr wk (77336) | $1,733.11 | $1,733.11 | 13.4× |
| Contrast Exam Abdominl Aorta (75625) | $14,404.06 | $14,404.06 | 4.8× |
| Contrast X-Ray Bladder (74430) | $2,080.19 | $2,080.19 | 6.2× |
| CT abdomen and pelvis without and with contrast (74178) | $17,004.12 | $17,004.12 | 50.8× |
| CT abdomen and pelvis without contrast (74176) | $14,291.60 | $14,291.60 | 62.4× |
| CT abdomen w contrast (74160) | $7,631.56 | $7,631.56 | 45.4× |
| CT abdomen w wo contrast (74170) | $9,010.45 | $9,010.45 | 53.5× |
| CT abdomen w/o contrast (74150) | $7,510.33 | $7,510.33 | 74.9× |
| CT Angio Abdomen and Pelvis (74174) | $10,657.66 | $10,657.66 | 31.8× |
| CT Angio Chest (71275) | $10,531.57 | $10,531.57 | 62.6× |
| CT Angio Head (70496) | $11,265.48 | $11,265.48 | 66.9× |
| CT angio hrt w/3d image (75574) | $6,726.31 | $6,726.31 | 20.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $9,686.14 | $9,686.14 | 57.6× |
| CT Angio Neck (70498) | $11,385.12 | $11,385.12 | 67.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,686.14 | $9,686.14 | 57.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $12,106.01 | $12,106.01 | 71.9× |
| CT cervical spine w/ contrast (72126) | $8,308.88 | $8,308.88 | 24.8× |
| CT cervical spine w/o contrast (72125) | $8,308.88 | $8,308.88 | 82.8× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$7,828.33–$8,611.17 | $7,828.33–$8,611.17 | varies |
| CT chest w contrast (71260) | $7,510.33 | $7,510.33 | 44.6× |
| CT chest w/wo contrast (71270) | $9,448.52 | $9,448.52 | 56.1× |
| CT head/brain with contrast (70460) | $7,510.33 | $7,510.33 | 44.6× |
| CT head/brain without and with contrast (70470) | $9,328.91 | $9,328.91 | 55.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,726.31 | $6,726.31 | 20.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $893.90 | $893.90 | 10.7× |
| CT iac w contrast (70481) | $7,372.91 | $7,372.91 | 43.8× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$7,600.33–$8,611.17 | $7,600.33–$8,611.17 | varies |
| CT lower ext w/o (73700) | $7,120.74 | $7,120.74 | 71.0× |
| CT lower extremity w/contrast material (73701) | $7,510.33 | $7,510.33 | 44.6× |
| CT lumbar spine w contrast (72132) | $10,053.09 | $10,053.09 | 30.0× |
| CT lumbar spine w/o contrast (72131) | $9,083.18 | $9,083.18 | 90.6× |
| CT maxillofacial w contrast (70487) | $7,510.33 | $7,510.33 | 44.6× |
| CT maxillofacial wo contrast (70486) | $7,372.91 | $7,372.91 | 73.5× |
| CT neck tissue combo (70492) | $7,712.39 | $7,712.39 | 45.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $9,448.52 | $9,448.52 | 56.1× |
| CT orbits w/o contrast (70480) | $7,372.91 | $7,372.91 | 73.5× |
| CT pelvis w&w/o contrast (72194) | $7,995.28 | $7,995.28 | 47.5× |
| CT pelvis w/o contrast (72192) | $6,784.49 | $6,784.49 | 67.6× |
| CT scan of leg combo (73702) | $7,995.28 | $7,995.28 | 47.5× |
| CT scans face/jaw combo (70488) | $7,712.39 | $7,712.39 | 45.8× |
| CT soft tissue neck w contrast (70491) | $7,510.33 | $7,510.33 | 44.6× |
| CT soft tissue neck w/o contrast (70490) | $7,372.91 | $7,372.91 | 73.5× |
| CT thoracic spine w contrast (72129) | $8,308.88 | $8,308.88 | 49.4× |
| CT thoracic spine w/o contrast (72128) | $8,308.88 | $8,308.88 | 82.8× |
| CT thoracic spine w/wo cont (72130) | $8,611.17 | $8,611.17 | 51.2× |
| CT thorax w/o contrast (71250) | $7,372.91 | $7,372.91 | 73.5× |
| CT upper ext wo (73200) | $7,120.74 | $7,120.74 | 71.0× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$7,056.73–$7,995.28 | $7,056.73–$7,995.28 | varies |
| CT upper extremity with contrast (73201) | $7,120.74 | $7,120.74 | 21.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $12,351.77 | $12,351.77 | 73.4× |
| Cta Abdomen (74175) | $10,531.57 | $10,531.57 | 62.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $22,650.60 | $22,650.60 | 67.7× |
| CTA pelvis (72191) | $10,657.66 | $10,657.66 | 63.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $374.56 | $374.56 | 3.7× |
| Dxa Bone Density Axial (77080) | $1,037.34 | $1,037.34 | 10.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $415.30 | $415.30 | 5.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $626.57 | $626.57 | 2.7× |
| Echograp Trans R Pros Study (76873) | $1,986.15 | $1,986.15 | 19.8× |
| Esophagram (74220) | $1,589.86 | $1,589.86 | 9.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $869.98 | $869.98 | 8.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $7,143.51 | $7,143.51 | 31.2× |
| Fluoroscopy up to 1 hr (76000) | $2,779.10 | $2,779.10 | 12.1× |
| Follow-Up Angiography (75898) | $6,205.85 | $6,205.85 | 2.0× |
| Foot 2 views (73620) | $1,436.16 | $1,436.16 | 17.2× |
| Forearm 2 views (73090) | $1,436.16 | $1,436.16 | 17.2× |
| Gastric emptying imaging study (78264) | $6,016.74 | $6,016.74 | 15.7× |
| Gated Heart Planar Single (78472) | $8,790.48 | $8,790.48 | 22.9× |
| Hand 2 views (73120) | $1,436.16 | $1,436.16 | 14.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,152.79 | $7,152.79 | 10.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,356.76 | $8,356.76 | 12.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,560.18 | $10,560.18 | 3.5× |
| Hepatobil Syst Image W/Drug (78227) | $8,557.40 | $8,557.40 | 16.4× |
| Hepatobiliary System Imaging (78226) | $8,557.40 | $8,557.40 | 22.3× |
| Ht Muscle Image Spect Sing (78451) | $11,751.02 | $11,751.02 | 9.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,053.44 | $1,053.44 | 12.6× |
| Infant hip ultrasound, limited static exam (76886) | $1,041.21 | $1,041.21 | 12.5× |
| Interstitial radiation source applic complex (77778) | $12,957.22 | $12,957.22 | 19.4× |
| K Flow/Funct Image Multiple (78709) | $13,738.13 | $13,738.13 | 26.4× |
| K Flow/Funct Image W/Drug (78708) | $7,980.12 | $7,980.12 | 15.3× |
| K Flow/Funct Image W/O Drug (78707) | $6,248.27 | $6,248.27 | 12.0× |
| Knee 3 Views (73562) | $1,578.89 | $1,578.89 | 18.9× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,018.64 | $1,018.64 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $4,746.40 | $4,746.40 | 12.4× |
| Liver imaging static only (78201) | $5,090.62 | $5,090.62 | 9.8× |
| Lung Perf&Ventilat Diferentl (78598) | $4,862.16 | $4,862.16 | 9.3× |
| Lung perfusion differential (78597) | $4,862.16 | $4,862.16 | 12.7× |
| Lung Ventilat&Perfus Imaging (78582) | $7,171.31 | $7,171.31 | 13.8× |
| Lymph System Imaging (78195) | $6,360.93 | $6,360.93 | 12.2× |
| Meckels Divert Exam (78290) | $6,248.27 | $6,248.27 | 16.3× |
| Mlc imrt design & construction per imrt plan (77338) | $9,605.54 | $9,605.54 | 26.7× |
| Mr safety determination physician/other qhp (76016) | $228.24 | $228.24 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63.49 | $63.49 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $237.94 | $237.94 | 2.6× |
| Mr safety implt pos&/immoblj (76019) | $153.97 | $153.97 | 2.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $626.57 | $626.57 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $12,648.33 | $12,648.33 | 37.8× |
| MRA head w/o contrast (70544) | $7,719.79 | $7,719.79 | 33.7× |
| MRA head with contrast (70545) | $8,007.74 | $8,007.74 | 23.9× |
| MRA neck w contrast (70548) | $7,719.79 | $7,719.79 | 23.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,648.33 | $12,648.33 | 37.8× |
| MRA neck w/o contrast (70547) | $7,719.79 | $7,719.79 | 33.7× |
| MRI abdomen w contrast (74182) | $10,187.05 | $10,187.05 | 30.4× |
| MRI abdomen w/o contrast (74181) | $9,972.58 | $9,972.58 | 43.6× |
| MRI any jt lower extrem w/contrast material (73722) | $9,113.15 | $9,113.15 | 12.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,217.86 | $12,217.86 | 36.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,113.15 | $9,113.15 | 12.1× |
| MRI bone marrow blood supply (77084) | $609.43 | $609.43 | 2.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $7,934.26 | $7,934.26 | 34.7× |
| MRI cardiac w/o cont stress (75559) | $2,300.78 | $2,300.78 | 4.4× |
| MRI cardiac w/o contrast (75557) | $2,300.78 | $2,300.78 | 10.1× |
| MRI cervical spine w contrast (72142) | $10,721.01 | $10,721.01 | 32.0× |
| MRI cervical spine w/o cont (72141) | $7,719.79 | $7,719.79 | 33.7× |
| MRI chest w/o contrast (71550) | $7,719.79 | $7,719.79 | 33.7× |
| MRI chest wo w contrast (71552) | $8,574.71 | $8,574.71 | 25.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,113.15 | $9,113.15 | 27.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $12,217.86 | $12,217.86 | 36.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,826.27 | $7,826.27 | 34.2× |
| MRI lumbar spine w contrast (72149) | $10,721.01 | $10,721.01 | 32.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,862.80 | $12,862.80 | 38.4× |
| MRI orbit face &/neck w/o contrast (70540) | $9,648.60 | $9,648.60 | 42.2× |
| MRI orbit face neck w contrast (70542) | $9,113.15 | $9,113.15 | 27.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,217.86 | $12,217.86 | 36.5× |
| MRI pelvis w contrast (72196) | $10,290.55 | $10,290.55 | 30.7× |
| MRI pelvis w/o & w contrast (72197) | $12,327.36 | $12,327.36 | 36.8× |
| MRI pelvis w/o contrast (72195) | $7,719.79 | $7,719.79 | 33.7× |
| MRI thoracic spine w/o contrast (72146) | $7,719.79 | $7,719.79 | 33.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $9,222.64 | $9,222.64 | 27.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,900.17 | $8,900.17 | 38.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $12,217.86 | $12,217.86 | 36.5× |
| MRI, abdomen, combo (74183) | $12,327.36 | $12,327.36 | 36.8× |
| MRI, dorsal spine combo (72157) | $13,290.27 | $13,290.27 | 39.7× |
| MRI, dorsal spine contrast (72147) | $10,721.01 | $10,721.01 | 32.0× |
| MRI, joint upper extrem (73221) | $7,398.80 | $7,398.80 | 32.3× |
| MRI, joint upper extrem combo (73223) | $12,217.86 | $12,217.86 | 36.5× |
| MRI, lumbar spine combo (72158) | $12,541.85 | $12,541.85 | 37.5× |
| Myelogram Lumbar (72265) | $4,754.99 | $4,754.99 | 6.3× |
| Myocardial Spect Multiple Studies (78452) | $14,453.78 | $14,453.78 | 11.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,008.31 | $4,008.31 | 2.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,251.36 | $6,251.36 | 3.0× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $7,640.23 | $7,640.23 | 3.6× |
| N-invas est c ffr sw aly CTA (75580) | $3,879.31 | $3,879.31 | 4.7× |
| Neck soft tissue (70360) | $1,143.44 | $1,143.44 | 13.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,431.88 | $12,431.88 | 9.4× |
| Nuclear Rx Intra-Arterial (79445) | $2,988.30 | $2,988.30 | 13.3× |
| Nuclear Rx Oral Admin (79005) | $2,690.39 | $2,690.39 | 12.0× |
| Panoramic X-ray of jaws (70355) | $980.63 | $980.63 | 11.7× |
| Parathyroid Planar Imaging (78070) | $6,942.87 | $6,942.87 | 18.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,942.87 | $6,942.87 | 18.1× |
| Pelvis 1 or 2 views (72170) | $1,589.86 | $1,589.86 | 15.9× |
| Pet Image W/Ct Lmtd (78814) | $9,021.01 | $9,021.01 | 6.6× |
| PET image w/CT, full body (78816) | $9,021.01 | $9,021.01 | 6.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,021.01 | $9,021.01 | 6.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,383.01 | $8,383.01 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,587.17 | $3,587.17 | 9.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,376.25 | $2,376.25 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,380.24 | $2,380.24 | 23.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,713.96 | $3,713.96 | 7.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,578.89 | $1,578.89 | 18.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,436.16 | $1,436.16 | 17.2× |
| Radex elbow complete minimum 3 views (73080) | $1,578.89 | $1,578.89 | 18.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,436.16 | $1,436.16 | 14.3× |
| Radex fingr minimum 2 views (73140) | $858.03 | $858.03 | 10.3× |
| Radex foot complete minimum 3 views (73630) | $1,578.89 | $1,578.89 | 18.9× |
| Radex Hand Minimum 3 Views (73130) | $1,578.89 | $1,578.89 | 18.9× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$764–$825.12 | $764–$825.12 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $960.48 | $960.48 | 11.5× |
| Radex Ribs Unilateral 2 Views (71100) | $1,436.16 | $1,436.16 | 17.2× |
| Radex shoulder complete minimum 2 views (73030) | $1,589.86 | $1,589.86 | 19.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $801.34 | $801.34 | 9.6× |
| Radex Spine 1 View Specify Level (72020) | $980.63 | $980.63 | 11.7× |
| Radex Sternum Minimum 2 Views (71120) | $1,066.60 | $1,066.60 | 12.8× |
| Radex Toe Minimum 2 Views (73660) | $801.34 | $801.34 | 9.6× |
| Radex upper extremity infant minimum 2 views (73092) | $825.12 | $825.12 | 8.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,578.89 | $1,578.89 | 18.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,338.16 | $1,338.16 | 13.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,935.22 | $26,935.22 | 3.8× |
| Radiation treatment delivery level 1 (77402) | $6,325.89 | $6,325.89 | 64.6× |
| Radiation treatment delivery level 2 (77407) | $6,193.63 | $6,193.63 | 16.7× |
| Radiation treatment delivery level 3 (77412) | $6,757.50 | $6,757.50 | 12.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,380.24 | $2,380.24 | 23.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,480.08 | $1,480.08 | 14.8× |
| Radiologic exam colon double contrast study (74280) | $3,632.98 | $3,632.98 | 21.6× |
| Radiologic exam colon single contrast study (74270) | $2,290.58 | $2,290.58 | 13.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,908.99 | $2,908.99 | 17.3× |
| Radiologic exam knee complete 4/more views (73564) | $1,664.88 | $1,664.88 | 16.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,955.78 | $1,955.78 | 11.6× |
| Radiologic exam swallow function contrast study (74230) | $788.52 | $788.52 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,511.97 | $2,511.97 | 14.9× |
| Radiologic examination femur 1 view (73551) | $1,589.08 | $1,589.08 | 19.0× |
| Radiologic examination femur minimum 2 views (73552) | $1,763.31 | $1,763.31 | 21.1× |
| Radiologic examination knee 1/2 views (73560) | $1,436.16 | $1,436.16 | 17.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,430.70 | $1,430.70 | 14.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,589.86 | $1,589.86 | 19.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,491.46–$1,717.93 | $1,491.46–$1,717.93 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $9,365.09 | $9,365.09 | 24.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $11,207.67 | $11,207.67 | 21.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $13,063.04 | $13,063.04 | 25.1× |
| Rp Therapy Intravenous Administration (79101) | $2,690.39 | $2,690.39 | 12.0× |
| Scapula (73010) | $1,436.16 | $1,436.16 | 14.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $201.82 | $201.82 | 8.6× |
| Shoulder 1 view (73020) | $1,196.54 | $1,196.54 | 14.3× |
| Skull less than 4 views (70250) | $1,721.59 | $1,721.59 | 17.2× |
| Special dosimetry (77331) | $1,623.12 | $1,623.12 | 12.6× |
| Special Physics Consult (77370) | $3,139.63 | $3,139.63 | 24.3× |
| Special teletherapy port plan (77321) | $4,002.84 | $4,002.84 | 11.1× |
| Special treatment procedure (77470) | $4,216.17 | $4,216.17 | 8.0× |
| Stereotactic Body Radiation Delivery (77373) | $14,406.66 | $14,406.66 | 8.4× |
| Sternoclavicular joints (71130) | $873.60 | $873.60 | 10.5× |
| Superior sagittal sinus venogram (75870) | $10,560.18 | $10,560.18 | 3.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $3,573.10 | $3,573.10 | 36.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $9,090.61 | $9,090.61 | 25.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $5,739.34 | $5,739.34 | 16.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,866.09 | $4,866.09 | 13.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,203.63 | $3,203.63 | 8.9× |
| Ther rad simulaj-aided field setting simple (77280) | $2,489.69 | $2,489.69 | 19.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,433.28 | $2,433.28 | 14.5× |
| Thoracic spine 2 views (72070) | $2,122.28 | $2,122.28 | 21.2× |
| Thoracic spine 3 views (72072) | $1,456.30 | $1,456.30 | 14.5× |
| Thyroid Met Imaging Body (78018) | $9,599.31 | $9,599.31 | 18.4× |
| Thyroid Uptake Measurement (78012) | $2,900.30 | $2,900.30 | 7.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,357.19 | $3,357.19 | 8.8× |
| Tx Devices Design & Construction Complex (77334) | $3,351.27 | $3,351.27 | 9.3× |
| Tx devices design & construction intermediate (77333) | $2,639.67 | $2,639.67 | 20.5× |
| Tx devices design & construction simple (77332) | $1,299.83 | $1,299.83 | 10.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$222.28–$964.76 | $222.28–$964.76 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,791.95 | $1,791.95 | 17.9× |
| Ultrasound, abdomen limited (76705) | $1,688 | $1,688 | 16.8× |
| Umbilical-artery Doppler (OB) (76820) | $807.29 | $807.29 | 8.0× |
| Unlisted Dx Radiographic Procedure (76499) | $477.50 | $477.50 | 5.7× |
| Unlisted fluoroscopic procedure (76496) | $9,058.10 | $9,058.10 | 108.5× |
| Unlisted us procedure (76999) | $2,045.76 | $2,045.76 | 24.5× |
| Upper gi w/o kub (74240) | $2,380.24 | $2,380.24 | 14.1× |
| Urethrocystogram voiding (74455) | $2,252.17 | $2,252.17 | 9.8× |
| Urethrocystography retrograde (74450) | $2,080.19 | $2,080.19 | 9.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$964.76–$1,721.59 | $964.76–$1,721.59 | varies |
| Us chest (76604) | $1,158.96 | $1,158.96 | 11.6× |
| Us complete joint (76881) | $1,432.64 | $1,432.64 | 14.3× |
| Us exam, pelvic, limited (76857) | $886.79 | $886.79 | 8.8× |
| Us head (76506) | $1,564.14 | $1,564.14 | 15.6× |
| Us kidney transplant (76776) | $1,686.44 | $1,686.44 | 16.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,027.47 | $1,027.47 | 10.2× |
| Us ob detailed single fetus (76811) | $1,671.15 | $1,671.15 | 7.3× |
| Us ob limited 1 or more fetuses (76815) | $1,155.88 | $1,155.88 | 11.5× |
| Us ob transvaginal (76817) | $1,837.81 | $1,837.81 | 18.3× |
| Us pelvic non ob complete (76856) | $2,045.76 | $2,045.76 | 20.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,762.90 | $1,762.90 | 17.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,090.15 | $1,090.15 | 10.9× |
| Us retroperitoneal complete (76770) | $2,738.39 | $2,738.39 | 27.3× |
| Us retroperitoneal limited (76775) | $1,791.95 | $1,791.95 | 17.9× |
| Us scrotum and contents (76870) | $2,065.64 | $2,065.64 | 20.6× |
| Us spinal canal and contents (76800) | $1,807.26 | $1,807.26 | 18.0× |
| Us thyroid (76536) | $1,688 | $1,688 | 16.8× |
| Us transrectal (76872) | $2,314.88 | $2,314.88 | 23.1× |
| Vein X-Ray Chest (75827) | $10,560.18 | $10,560.18 | 7.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $14,404.06 | $14,404.06 | 4.8× |
| Vein X-Ray Spleen/Liver (75810) | $10,560.18 | $10,560.18 | 3.5× |
| Venogram Sinus/Jugular (75860) | $7,122.45 | $7,122.45 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $10,560.18 | $10,560.18 | 3.5× |
| Venography extremity bilateral rs&i (75822) | $10,560.18 | $10,560.18 | 7.0× |
| Venography extremity unilateral rs&i (75820) | $5,067.87 | $5,067.87 | 3.4× |
| Venography Renal Unilateral (75831) | $10,560.18 | $10,560.18 | 3.5× |
| Venous sampling by catheter (75893) | $9,241.08 | $9,241.08 | 1.7× |
| Vertebral fracture assessment via dxa (77086) | $978.61 | $978.61 | 11.7× |
| Wrist 2 views (73100) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Aorta Leg Arteries (75630) | $13,105.11 | $13,105.11 | 4.3× |
| X-Ray Bend Only L-S Spine (72120) | $1,324.57 | $1,324.57 | 13.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Exam Breast Specimen (76098) | $1,055.63 | $1,055.63 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $425.14 | $425.14 | 5.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $702.17 | $702.17 | 7.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,338.16 | $1,338.16 | 13.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,589.08 | $1,589.08 | 19.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,763.31 | $1,763.31 | 21.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$1,774.66–$1,937.57 | $1,774.66–$1,937.57 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,589.08 | $1,589.08 | 15.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,763.31 | $1,763.31 | 17.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,937.57 | $1,937.57 | 19.3× |
| X-Ray Exam L-S Spine Bending (72114) | $2,122.28 | $2,122.28 | 21.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,324.57 | $1,324.57 | 15.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,657.58 | $1,657.58 | 16.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,992.36 | $1,992.36 | 19.9× |
| X-ray humerus (73060) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,122.28 | $2,122.28 | 25.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,988.72 | $1,988.72 | 23.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,252.17 | $2,252.17 | 22.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,210.06 | $2,210.06 | 22.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,578.89 | $1,578.89 | 15.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,066.60 | $1,066.60 | 12.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,485.58 | $1,485.58 | 17.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,645.52 | $2,645.52 | 26.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$1,134.32–$1,249.57 | $1,134.32–$1,249.57 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$1,558.69–$1,589.86 | $1,558.69–$1,589.86 | varies |
| X-Rays Bone Length Studies (77073) | $1,436.16 | $1,436.16 | 14.3× |
| X-Rays Bone Survey Complete (77075) | $2,645.52 | $2,645.52 | 26.4× |
| Xr c-spine 4 or 5 views (72050) | $2,122.28 | $2,122.28 | 21.2× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,143.61–$1,317.25 | $1,143.61–$1,317.25 | varies |
| Xr orbits complete 4 views (70200) | $1,324.57 | $1,324.57 | 13.2× |
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.