Imaging prices at TriStar Skyline Medical Center
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
328 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) | $8,535.99 | $8,535.99 | 6.4× |
| Abdomen 1 View (74018) | $1,088.32 | $1,088.32 | 13.0× |
| Abdomen 2 views (74019) | $1,769.36 | $1,769.36 | 17.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,901.30 | $3,901.30 | 10.2× |
| Angio internal mammary (75756) | $5,437.68 | $5,437.68 | 1.8× |
| Angio pulmonary bilat (75743) | $12,924.43 | $12,924.43 | 4.3× |
| Angiography extremity bilateral rs&i (75716) | $12,924.43 | $12,924.43 | 4.3× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$11,683–$13,287.89 | $11,683–$13,287.89 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,931.26 | $8,931.26 | 2.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,781.46 | $10,781.46 | 3.6× |
| Aortography thoracic serialography rs&i (75605) | $10,967.06 | $10,967.06 | 2.1× |
| Artery X-Rays Abdomen (75726) | $11,683.56 | $11,683.56 | 2.2× |
| Artery X-Rays Pelvis (75736) | $12,090.94 | $12,090.94 | 2.3× |
| Artery X-Rays Spine (75705) | $15,811.36 | $15,811.36 | 3.0× |
| Arthrogram hip (73525) | $3,739.23 | $3,739.23 | 11.2× |
| Arthrogram Wrist (73115) | $4,173.73 | $4,173.73 | 12.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,194–$1,255.51 | $1,194–$1,255.51 | varies |
| Bone age studies (77072) | $1,832 | $1,832 | 18.3× |
| Bone Imaging 3 Phase (78315) | $4,789.10 | $4,789.10 | 12.5× |
| Bone Imaging Limited Area (78300) | $3,256.84 | $3,256.84 | 8.5× |
| Bone Imaging Multiple Areas (78305) | $4,448.11 | $4,448.11 | 11.6× |
| Bone Imaging Whole Body (78306) | $5,221.76 | $5,221.76 | 13.6× |
| Bone marrow imaging limited area (78102) | $3,256.84 | $3,256.84 | 8.5× |
| Bone marrow imaging; whole body (78104) | $6,585.78 | $6,585.78 | 17.2× |
| Bone survey infant (77076) | $3,530.33 | $3,530.33 | 35.2× |
| Brachytx isodose complex (77318) | $5,668.94 | $5,668.94 | 15.8× |
| Brain Flow Imaging Only (78610) | $2,439.62 | $2,439.62 | 4.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,911.04 | $3,911.04 | 2.9× |
| Cat Scan Follow-Up Study (76380) | $3,664.47 | $3,664.47 | 43.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,735.52 | $5,735.52 | 11.0× |
| Cerebrospinal Fluid Scan (78630) | $3,241.79 | $3,241.79 | 6.2× |
| Chest 1 view (71045) | $994.32 | $994.32 | 11.9× |
| Chest 2 views (71046) | $1,286.77 | $1,286.77 | 15.4× |
| Chest 3 views (71047) | $1,681.20 | $1,681.20 | 20.1× |
| Chest 4 or more views (71048) | $2,005.38 | $2,005.38 | 20.0× |
| Cisternography Positive Contrast Rs&I (70015) | $1,353.64 | $1,353.64 | 1.8× |
| Clavicle complete (73000) | $1,102.93 | $1,102.93 | 13.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$374.64–$681.75 | $374.64–$681.75 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,592.37 | $1,592.37 | 12.3× |
| Contrast Exam Abdominl Aorta (75625) | $10,967.06 | $10,967.06 | 3.6× |
| Contrast X-Ray Bladder (74430) | $1,641.91 | $1,641.91 | 4.9× |
| Contrast X-Ray Of Elbow (73085) | $1,675.31 | $1,675.31 | 5.0× |
| Contrast X-Ray Of Knee Joint (73580) | $3,791.46 | $3,791.46 | 11.3× |
| CT abdomen and pelvis without and with contrast (74178) | $19,179.61 | $19,179.61 | 57.3× |
| CT abdomen and pelvis without contrast (74176) | $16,563.85 | $16,563.85 | 72.4× |
| CT abdomen w contrast (74160) | $8,091.33 | $8,091.33 | 48.1× |
| CT abdomen w wo contrast (74170) | $9,529.30 | $9,529.30 | 56.6× |
| CT abdomen w/o contrast (74150) | $8,091.33 | $8,091.33 | 80.7× |
| CT Angio Abdomen and Pelvis (74174) | $17,277.79 | $17,277.79 | 51.6× |
| CT Angio Chest (71275) | $11,239.52 | $11,239.52 | 66.8× |
| CT Angio Head (70496) | $11,239.52 | $11,239.52 | 66.8× |
| CT angio hrt w/3d image (75574) | $7,189.82 | $7,189.82 | 21.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $11,568.27 | $11,568.27 | 68.7× |
| CT Angio Neck (70498) | $11,239.52 | $11,239.52 | 66.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $11,568.27 | $11,568.27 | 68.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $13,404.27 | $13,404.27 | 79.7× |
| CT cervical spine w/ contrast (72126) | $8,091.33 | $8,091.33 | 24.2× |
| CT cervical spine w/o contrast (72125) | $8,091.33 | $8,091.33 | 80.7× |
| CT cervical spine w/wo cont (72127) | $11,035.84 | $11,035.84 | 65.6× |
| CT chest w contrast (71260) | $8,091.33 | $8,091.33 | 48.1× |
| CT chest w/wo contrast (71270) | $12,487.92 | $12,487.92 | 74.2× |
| CT head/brain with contrast (70460) | $8,091.33 | $8,091.33 | 48.1× |
| CT head/brain without and with contrast (70470) | $9,529.30 | $9,529.30 | 56.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$134.42–$607.50 | $134.42–$607.50 | varies |
| CT iac w contrast (70481) | $8,091.33 | $8,091.33 | 48.1× |
| CT l-spine w&w/o contrast (72133) | $9,884.26 | $9,884.26 | 58.7× |
| CT lower ext w/o (73700) | $7,605 | $7,605 | 75.8× |
| CT lower extremity w/contrast material (73701) | $8,937 | $8,937 | 53.1× |
| CT lumbar spine w contrast (72132) | $8,091.33 | $8,091.33 | 24.2× |
| CT lumbar spine w/o contrast (72131) | $8,091.33 | $8,091.33 | 80.7× |
| CT maxillofacial w contrast (70487) | $8,091.33 | $8,091.33 | 48.1× |
| CT maxillofacial wo contrast (70486) | $8,091.33 | $8,091.33 | 80.7× |
| CT neck tissue combo (70492) | $9,529.30 | $9,529.30 | 56.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $10,640.55 | $10,640.55 | 63.2× |
| CT orbits w/o contrast (70480) | $8,091.33 | $8,091.33 | 80.7× |
| CT pelvis w&w/o contrast (72194) | $10,640.55 | $10,640.55 | 63.2× |
| CT pelvis w/o contrast (72192) | $8,091.33 | $8,091.33 | 80.7× |
| CT scan of leg combo (73702) | $10,939 | $10,939 | 65.0× |
| CT scans face/jaw combo (70488) | $9,884.26 | $9,884.26 | 58.7× |
| CT soft tissue neck w contrast (70491) | $8,091.33 | $8,091.33 | 48.1× |
| CT soft tissue neck w/o contrast (70490) | $8,091.33 | $8,091.33 | 80.7× |
| CT thoracic spine w contrast (72129) | $8,091.33 | $8,091.33 | 48.1× |
| CT thoracic spine w/o contrast (72128) | $8,091.33 | $8,091.33 | 80.7× |
| CT thoracic spine w/wo cont (72130) | $9,884.26 | $9,884.26 | 58.7× |
| CT thorax w/o contrast (71250) | $8,091.33 | $8,091.33 | 80.7× |
| CT upper ext wo (73200) | $8,652 | $8,652 | 86.3× |
| CT upper extremity w/o & w/contrast material (73202) | $10,586.10 | $10,586.10 | 62.9× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$8,652–$8,662.07 | $8,652–$8,662.07 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,239.52 | $11,239.52 | 66.8× |
| Cta Abdomen (74175) | $11,239.52 | $11,239.52 | 66.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $22,479.04 | $22,479.04 | 67.2× |
| CTA pelvis (72191) | $12,548.44 | $12,548.44 | 74.6× |
| Discography Cerv/Thor Spine (72285) | $5,966.84 | $5,966.84 | 3.2× |
| Diskography lumbar (72295) | $6,126.92 | $6,126.92 | 3.3× |
| Dxa Bone Density Axial (77080) | $1,510.32 | $1,510.32 | 15.1× |
| Dxa bone density study (77085) | $1,351.82 | $1,351.82 | 13.5× |
| Echo exam of fetal heart (76825) | $1,838.81 | $1,838.81 | 3.5× |
| Echo Guide For Artery Repair (76936) | $7,412.23 | $7,412.23 | 35.8× |
| Echograp Trans R Pros Study (76873) | $1,580.52 | $1,580.52 | 15.8× |
| Esophagram (74220) | $1,756.82 | $1,756.82 | 10.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,849.41 | $1,849.41 | 18.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,393.53 | $2,393.53 | 23.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,020.04–$2,054 | $2,020.04–$2,054 | varies |
| Follow-Up Angiography (75898) | $2,901.55 | $2,901.55 | 1.0× |
| Forearm 2 views (73090) | $1,602.21 | $1,602.21 | 19.2× |
| Gastric emptying imaging study (78264) | $3,887.76 | $3,887.76 | 10.1× |
| Gated Heart Planar Single (78472) | $4,353.74 | $4,353.74 | 11.4× |
| Hand 2 views (73120) | $994.32 | $994.32 | 9.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $13,045.57 | $13,045.57 | 4.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $8,226.32 | $8,226.32 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $5,525.20 | $5,525.20 | 10.6× |
| Hepatobiliary System Imaging (78226) | $5,525.20 | $5,525.20 | 14.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$4,905.47–$5,396.02 | $4,905.47–$5,396.02 | varies |
| Hysterosalpingogram (74740) | $2,402.28 | $2,402.28 | 10.5× |
| Interstitial radiation source applic complex (77778) | $6,439.73 | $6,439.73 | 9.6× |
| K Flow/Funct Image W/Drug (78708) | $7,368.44 | $7,368.44 | 14.1× |
| K Flow/Funct Image W/O Drug (78707) | $5,735.52 | $5,735.52 | 11.0× |
| Kidney Imaging Morphol (78700) | $4,829.66 | $4,829.66 | 12.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $6,735.99 | $6,735.99 | 17.6× |
| Knee 3 Views (73562) | $1,648.16 | $1,648.16 | 19.7× |
| Liver & Spleen Imaging Static Only (78215) | $4,448.11 | $4,448.11 | 11.6× |
| Liver imaging static only (78201) | $3,548.27 | $3,548.27 | 6.8× |
| Liver imaging w/vascular flow (78202) | $4,769.57 | $4,769.57 | 9.2× |
| Lung Perf&Ventilat Diferentl (78598) | $4,565.26 | $4,565.26 | 8.8× |
| Lung Ventilat&Perfus Imaging (78582) | $5,525.20 | $5,525.20 | 10.6× |
| Lung Ventilation Imaging (78579) | $2,140.67 | $2,140.67 | 5.6× |
| Lymph System Imaging (78195) | $5,891.76 | $5,891.76 | 11.3× |
| Magnetic Image Jaw Joint (70336) | $8,926.74 | $8,926.74 | 39.0× |
| Mlc imrt design & construction per imrt plan (77338) | $8,825.37 | $8,825.37 | 24.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $89.45 | $89.45 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $14,367.68 | $14,367.68 | 42.9× |
| MRA head w/o contrast (70544) | $9,048.26 | $9,048.26 | 39.5× |
| MRA head with contrast (70545) | $11,054.49 | $11,054.49 | 33.0× |
| MRA neck w contrast (70548) | $9,900.79 | $9,900.79 | 29.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,868.74 | $12,868.74 | 38.4× |
| MRA neck w/o contrast (70547) | $9,307.19 | $9,307.19 | 40.7× |
| MRI abdomen w contrast (74182) | $12,017.96 | $12,017.96 | 35.9× |
| MRI abdomen w/o contrast (74181) | $9,083.49 | $9,083.49 | 39.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$12,113.10–$13,523.98 | $12,113.10–$13,523.98 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,113.10 | $12,113.10 | 36.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,252.59 | $9,252.59 | 12.3× |
| MRI cervical spine w contrast (72142) | $10,892.45 | $10,892.45 | 32.5× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,314.10–$8,949.62 | $5,314.10–$8,949.62 | varies |
| MRI chest w/o contrast (71550) | $7,401.36 | $7,401.36 | 32.3× |
| MRI chest wo w contrast (71552) | $11,181.30 | $11,181.30 | 33.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,926.74 | $8,926.74 | 26.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $12,113.10 | $12,113.10 | 36.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,422.98 | $8,422.98 | 36.8× |
| MRI lumbar spine w contrast (72149) | $9,756.35 | $9,756.35 | 29.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,446 | $12,446 | 37.2× |
| MRI orbit face &/neck w/o contrast (70540) | $7,376.70 | $7,376.70 | 32.2× |
| MRI orbit face neck w contrast (70542) | $9,638.34 | $9,638.34 | 28.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,516.45 | $12,516.45 | 37.4× |
| MRI pelvis w contrast (72196) | $10,892.45 | $10,892.45 | 32.5× |
| MRI pelvis w/o & w contrast (72197) | $12,446 | $12,446 | 37.2× |
| MRI pelvis w/o contrast (72195) | $8,412.40 | $8,412.40 | 36.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,934.12–$8,412.40 | $5,934.12–$8,412.40 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $10,330.57 | $10,330.57 | 30.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,657.24 | $8,657.24 | 37.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $12,113.10 | $12,113.10 | 36.2× |
| MRI, abdomen, combo (74183) | $12,782.42 | $12,782.42 | 38.2× |
| MRI, dorsal spine combo (72157) | $12,446 | $12,446 | 37.2× |
| MRI, dorsal spine contrast (72147) | $10,892.45 | $10,892.45 | 32.5× |
| MRI, joint upper extrem (73221) | $8,075.98 | $8,075.98 | 35.3× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$12,113.10–$13,523.98 | $12,113.10–$13,523.98 | varies |
| MRI, lumbar spine combo (72158) | $14,656.55 | $14,656.55 | 43.8× |
| Myelogram cervical (72240) | $5,989.06 | $5,989.06 | 8.0× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$5,878.31–$6,112.30 | $5,878.31–$6,112.30 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$5,878.31–$6,822.56 | $5,878.31–$6,822.56 | varies |
| Myelograpy 2/more regions rs&i (72270) | $5,989.06 | $5,989.06 | 8.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $4,458.61 | $4,458.61 | 11.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$9,742.65–$10,109 | $9,742.65–$10,109 | varies |
| Neck soft tissue (70360) | $1,301.42 | $1,301.42 | 15.6× |
| Nonvascular Shunt X-Ray (75809) | $3,344.42 | $3,344.42 | 33.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,951.29 | $6,951.29 | 5.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,153.70 | $1,153.70 | 5.2× |
| Nuclear Rx Oral Admin (79005) | $2,451.62 | $2,451.62 | 11.0× |
| Ob us nuchal meas 1 gest (76813) | $1,955.11 | $1,955.11 | 19.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,898.80 | $1,898.80 | 3.6× |
| Parathyroid Planar Imaging (78070) | $6,720.97 | $6,720.97 | 17.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,898.80 | $1,898.80 | 5.0× |
| Pelvis 1 or 2 views (72170) | $1,798.59 | $1,798.59 | 17.9× |
| Pet Image W/Ct Lmtd (78814) range across 5 matching MRF lines |
$4,569.18–$5,449.67 | $4,569.18–$5,449.67 | varies |
| PET image w/CT, full body (78816) | $3,911.04 | $3,911.04 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,911.04 | $3,911.04 | 2.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 3 matching MRF lines |
$4,569.18–$5,105.07 | $4,569.18–$5,105.07 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $12,959.93 | $12,959.93 | 4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,384.04 | $2,384.04 | 6.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,101.46 | $2,101.46 | 21.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,846.63 | $1,846.63 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,286.77 | $1,286.77 | 15.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,102.93 | $1,102.93 | 13.2× |
| Radex elbow complete minimum 3 views (73080) | $1,499.85 | $1,499.85 | 18.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,769.36 | $1,769.36 | 17.6× |
| Radex fingr minimum 2 views (73140) | $902.40 | $902.40 | 10.8× |
| Radex foot complete minimum 3 views (73630) | $1,290.96 | $1,290.96 | 15.5× |
| Radex Hand Minimum 3 Views (73130) | $1,804.85 | $1,804.85 | 21.6× |
| Radex lower extremity infant minimum 2 views (73592) | $1,230.38 | $1,230.38 | 14.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,184.40 | $1,184.40 | 14.2× |
| Radex Ribs Unilateral 2 Views (71100) | $1,520.74 | $1,520.74 | 18.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,804.85–$4,010.79 | $1,804.85–$4,010.79 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $837.65 | $837.65 | 10.0× |
| Radex Spine 1 View Specify Level (72020) | $902.40 | $902.40 | 10.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,301.42 | $1,301.42 | 15.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,345.90 | $2,345.90 | 28.1× |
| Radex Toe Minimum 2 Views (73660) | $902.40 | $902.40 | 10.8× |
| Radex upper extremity infant minimum 2 views (73092) | $1,102.93 | $1,102.93 | 11.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,804.85 | $1,804.85 | 21.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,406.03 | $1,406.03 | 14.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $28,460.48 | $28,460.48 | 4.0× |
| Radiation treatment delivery level 1 (77402) | $1,643.74 | $1,643.74 | 16.8× |
| Radiation treatment delivery level 2 (77407) | $2,658 | $2,658 | 7.2× |
| Radiation treatment delivery level 3 (77412) | $1,592.37 | $1,592.37 | 3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,523.83 | $2,523.83 | 25.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,227.62 | $2,227.62 | 22.2× |
| Radiologic exam colon double contrast study (74280) | $4,453.64 | $4,453.64 | 26.5× |
| Radiologic exam colon single contrast study (74270) | $2,228.92 | $2,228.92 | 13.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$1,769.36–$1,976.15 | $1,769.36–$1,976.15 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,886.29 | $1,886.29 | 18.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,197.58 | $2,197.58 | 13.1× |
| Radiologic exam swallow function contrast study (74230) | $2,013.75 | $2,013.75 | 12.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,943.31 | $2,943.31 | 17.5× |
| Radiologic examination femur 1 view (73551) | $1,004.31 | $1,004.31 | 12.0× |
| Radiologic examination femur minimum 2 views (73552) | $1,004.31 | $1,004.31 | 12.0× |
| Radiologic examination knee 1/2 views (73560) | $1,744.27 | $1,744.27 | 20.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,804.85 | $1,804.85 | 21.6× |
| Renal Cyst Study (74470) | $3,241.62 | $3,241.62 | 6.2× |
| Ribs bilateral 3 views (71110) | $1,894.67 | $1,894.67 | 18.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,255.33 | $3,255.33 | 8.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,038.96 | $6,038.96 | 15.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,572.22 | $9,572.22 | 18.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,790.56 | $7,790.56 | 15.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $9,468.56 | $9,468.56 | 18.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,608.88 | $8,608.88 | 6.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $14,348.12 | $14,348.12 | 10.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,887.10 | $6,887.10 | 5.5× |
| Scapula (73010) | $1,804.85 | $1,804.85 | 18.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $196.70 | $196.70 | 8.4× |
| Shoulder 1 view (73020) | $1,002.67 | $1,002.67 | 12.0× |
| Shoulder Arthrography (73040) | $3,739.23 | $3,739.23 | 11.2× |
| Skull less than 4 views (70250) | $3,043.60 | $3,043.60 | 30.3× |
| Special dosimetry (77331) | $1,491.31 | $1,491.31 | 11.6× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$2,884.63–$3,128.08 | $2,884.63–$3,128.08 | varies |
| Special teletherapy port plan (77321) | $3,677.73 | $3,677.73 | 10.2× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,873.72–$4,267.23 | $3,873.72–$4,267.23 | varies |
| Stereotactic Body Radiation Delivery (77373) | $15,222.40 | $15,222.40 | 8.9× |
| Sternoclavicular joints (71130) | $1,128.02 | $1,128.02 | 13.5× |
| Superior sagittal sinus venogram (75870) | $10,781.46 | $10,781.46 | 3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $8,352.25 | $8,352.25 | 23.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $4,928.69 | $4,928.69 | 13.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,470.88 | $4,470.88 | 12.4× |
| Ther rad simulaj-aided field setting simple (77280) | $2,287.48 | $2,287.48 | 17.7× |
| Thoracic spine 3 views (72072) | $1,602.21 | $1,602.21 | 16.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,419.07 | $3,419.07 | 8.9× |
| Thyroid Met Imaging Body (78018) | $7,613.31 | $7,613.31 | 14.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,129.13 | $3,129.13 | 8.2× |
| Tx Devices Design & Construction Complex (77334) | $3,079.09 | $3,079.09 | 8.6× |
| Tx devices design & construction intermediate (77333) | $2,425.29 | $2,425.29 | 18.8× |
| Tx devices design & construction simple (77332) | $1,194.25 | $1,194.25 | 9.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,342.51–$1,990.46 | $1,342.51–$1,990.46 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,581.40 | $2,581.40 | 25.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,872.68–$1,922 | $1,872.68–$1,922 | varies |
| Unlisted fluoroscopic procedure (76496) | $10,164.21 | $10,164.21 | 121.7× |
| Unlisted magnetic resonance procedure (76498) | $9,300.16 | $9,300.16 | 111.4× |
| Unlisted us procedure (76999) | $1,902.85 | $1,902.85 | 22.8× |
| Upper gi w/o kub (74240) | $2,402.28 | $2,402.28 | 14.3× |
| Urethrocystogram voiding (74455) | $2,235.18 | $2,235.18 | 9.8× |
| Urethrocystography retrograde (74450) | $2,421.09 | $2,421.09 | 10.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,342.51–$1,990.46 | $1,342.51–$1,990.46 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$859–$1,272.87 | $859–$1,272.87 | varies |
| Us complete joint (76881) | $1,554.66 | $1,554.66 | 15.5× |
| Us exam, pelvic, limited (76857) | $719.02 | $719.02 | 7.2× |
| Us kidney transplant (76776) | $2,882.62 | $2,882.62 | 28.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,078.54 | $1,078.54 | 10.8× |
| Us ob limited 1 or more fetuses (76815) | $1,404.06 | $1,404.06 | 14.0× |
| Us ob transvaginal (76817) | $1,781.39 | $1,781.39 | 17.8× |
| Us pelvic non ob complete (76856) | $2,451.84 | $2,451.84 | 24.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,766.68 | $1,766.68 | 17.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,744.14 | $1,744.14 | 17.4× |
| Us retroperitoneal complete (76770) | $2,581.40 | $2,581.40 | 25.7× |
| Us retroperitoneal limited (76775) | $1,865.60 | $1,865.60 | 18.6× |
| Us scrotum and contents (76870) | $1,791.09 | $1,791.09 | 17.9× |
| Us thyroid (76536) | $1,716.61 | $1,716.61 | 17.1× |
| Us transrectal (76872) | $2,451.84 | $2,451.84 | 24.4× |
| Vein X-Ray Chest (75827) | $13,045.57 | $13,045.57 | 8.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,222.76 | $9,222.76 | 3.0× |
| Vein X-Ray Skull Epidural (75872) | $8,512.51 | $8,512.51 | 14.1× |
| Venogram Sinus/Jugular (75860) | $7,472.21 | $7,472.21 | 2.5× |
| Venography caval inferior serialography rs&i (75825) | $13,045.57 | $13,045.57 | 4.3× |
| Venography extremity bilateral rs&i (75822) | $6,830.91 | $6,830.91 | 4.5× |
| Venography extremity unilateral rs&i (75820) | $4,027.51 | $4,027.51 | 2.7× |
| Venography Orbital Rs&I (75880) | $2,137.65 | $2,137.65 | 3.6× |
| Venography Renal Bilateral (75833) | $13,960.54 | $13,960.54 | 4.6× |
| Venography Renal Unilateral (75831) | $13,045.57 | $13,045.57 | 4.3× |
| Venous sampling by catheter (75893) | $18,919.95 | $18,919.95 | 3.5× |
| Wrist 2 views (73100) | $1,451.80 | $1,451.80 | 17.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,414.20 | $1,414.20 | 16.9× |
| X-ray antegrade pyelogram tube (74425) | $1,763.07 | $1,763.07 | 5.3× |
| X-Ray Aorta Leg Arteries (75630) | $13,120.78 | $13,120.78 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,401.67 | $1,401.67 | 16.8× |
| X-Ray Exam Breast Specimen (76098) | $1,203.23 | $1,203.23 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,102.93 | $1,102.93 | 13.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,255.39 | $1,255.39 | 12.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,349.58 | $1,349.58 | 13.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,267.97 | $1,267.97 | 15.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,355.82 | $1,355.82 | 16.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,456.25 | $1,456.25 | 14.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,209.48 | $2,209.48 | 22.0× |
| X-Ray Exam L-S Spine Bending (72114) | $2,983 | $2,983 | 29.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,522.83 | $1,522.83 | 18.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,421.09 | $2,421.09 | 24.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,122.39 | $2,122.39 | 21.2× |
| X-ray humerus (73060) | $1,401.67 | $1,401.67 | 16.8× |
| X-ray IV pyelogram (ivp) (74400) | $3,216.99 | $3,216.99 | 19.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,203.84 | $2,203.84 | 26.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,253.98 | $2,253.98 | 27.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,055.51 | $2,055.51 | 20.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,199.65 | $2,199.65 | 21.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,265.88 | $1,265.88 | 12.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,234.56 | $1,234.56 | 14.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,769.36 | $1,769.36 | 21.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,001.19 | $2,001.19 | 20.0× |
| X-Ray Tmj Unilat (70328) | $1,579.22 | $1,579.22 | 18.9× |
| X-Rays Bone Length Studies (77073) | $2,521.92 | $2,521.92 | 25.1× |
| X-Rays Bone Survey Complete (77075) | $2,989.28 | $2,989.28 | 29.8× |
| Xr c-spine 4 or 5 views (72050) | $2,366.76 | $2,366.76 | 23.6× |
| Xr facial bones less than 3 views (70140) | $1,372.43 | $1,372.43 | 16.4× |
| Xr orbits complete 4 views (70200) | $1,648.16 | $1,648.16 | 16.4× |
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.