Imaging prices at TriStar StoneCrest Medical Center
Smyrna, TN · every code in this section with a posted price and a Medicare benchmark.
312 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) | $10,915.53 | $10,915.53 | 8.2× |
| Abdomen 1 View (74018) | $446.80 | $446.80 | 5.4× |
| Abdomen 2 views (74019) | $695.21 | $695.21 | 6.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,441.23 | $3,441.23 | 9.0× |
| Angio internal mammary (75756) | $14,374.93 | $14,374.93 | 4.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$5,837.69–$6,121 | $5,837.69–$6,121 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$734–$6,121 | $734–$6,121 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,496.62 | $7,496.62 | 2.5× |
| Ankle 2 views (73600) | $446.80 | $446.80 | 5.4× |
| Aortography thoracic serialography rs&i (75605) | $6,121 | $6,121 | 1.1× |
| Artery X-Rays Abdomen (75726) | $5,837.69 | $5,837.69 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,837.69 | $5,837.69 | 1.1× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,607.09–$3,214.18 | $1,607.09–$3,214.18 | varies |
| Arthrogram hip (73525) | $1,334.52 | $1,334.52 | 4.0× |
| Arthrogram Wrist (73115) | $2,303.38 | $2,303.38 | 6.9× |
| Basic radiation dosimetry calculation (77300) | $1,479.33 | $1,479.33 | 11.5× |
| Bone age studies (77072) | $446.80 | $446.80 | 4.5× |
| Bone Imaging 3 Phase (78315) | $6,058.05 | $6,058.05 | 15.8× |
| Bone Imaging Limited Area (78300) | $3,203.74 | $3,203.74 | 8.4× |
| Bone Imaging Whole Body (78306) | $6,278.68 | $6,278.68 | 16.4× |
| Bone survey infant (77076) | $446.80 | $446.80 | 4.5× |
| Brain Flow Imaging Only (78610) | $3,203.74 | $3,203.74 | 6.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,948.45 | $1,948.45 | 5.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,785.42 | $3,785.42 | 5.0× |
| Cat Scan Follow-Up Study (76380) | $1,940.11 | $1,940.11 | 23.2× |
| Cerebrospinal Fluid Scan (78630) | $4,086.60 | $4,086.60 | 7.8× |
| Chest 1 view (71045) | $446.80 | $446.80 | 5.4× |
| Chest 2 views (71046) | $625.34 | $625.34 | 7.5× |
| Chest 3 views (71047) | $731.89 | $731.89 | 8.8× |
| Chest 4 or more views (71048) | $801.04 | $801.04 | 8.0× |
| Clavicle complete (73000) | $428.67 | $428.67 | 5.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$448.88–$597.58 | $448.88–$597.58 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,900.31 | $1,900.31 | 14.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$5,837.69–$6,121 | $5,837.69–$6,121 | varies |
| Contrast X-Ray Bladder (74430) | $890.16 | $890.16 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $2,751.01 | $2,751.01 | 8.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,838.15 | $8,838.15 | 26.4× |
| CT abdomen and pelvis without contrast (74176) | $6,499.93 | $6,499.93 | 28.4× |
| CT abdomen w contrast (74160) | $3,895.85 | $3,895.85 | 23.2× |
| CT abdomen w wo contrast (74170) | $4,419.07 | $4,419.07 | 26.3× |
| CT abdomen w/o contrast (74150) | $3,250.31 | $3,250.31 | 32.4× |
| CT Angio Abdomen and Pelvis (74174) | $5,247.87 | $5,247.87 | 15.7× |
| CT Angio Chest (71275) | $4,473.31 | $4,473.31 | 26.6× |
| CT Angio Head (70496) | $4,473.31 | $4,473.31 | 26.6× |
| CT angio hrt w/3d image (75574) | $2,782.04 | $2,782.04 | 8.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,473.31 | $4,473.31 | 26.6× |
| CT Angio Neck (70498) | $4,473.31 | $4,473.31 | 26.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,473.31 | $4,473.31 | 26.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $13,520 | $13,520 | 80.3× |
| CT cervical spine w/ contrast (72126) | $3,895.85 | $3,895.85 | 11.6× |
| CT cervical spine w/o contrast (72125) | $3,250.31 | $3,250.31 | 32.4× |
| CT cervical spine w/wo cont (72127) | $8,103.14 | $8,103.14 | 48.2× |
| CT chest w contrast (71260) | $3,895.85 | $3,895.85 | 23.2× |
| CT chest w/wo contrast (71270) | $4,419.07 | $4,419.07 | 26.3× |
| CT head/brain with contrast (70460) | $3,895.85 | $3,895.85 | 23.2× |
| CT head/brain without and with contrast (70470) | $4,419.07 | $4,419.07 | 26.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$61.67–$77.27 | $61.67–$77.27 | varies |
| CT iac w contrast (70481) | $3,895.85 | $3,895.85 | 23.2× |
| CT l-spine w&w/o contrast (72133) | $4,419.07 | $4,419.07 | 26.3× |
| CT lower ext w/o (73700) | $3,250.31 | $3,250.31 | 32.4× |
| CT lower extremity w/contrast material (73701) | $3,895.85 | $3,895.85 | 23.2× |
| CT lumbar spine w contrast (72132) | $3,895.85 | $3,895.85 | 11.6× |
| CT lumbar spine w/o contrast (72131) | $3,250.31 | $3,250.31 | 32.4× |
| CT maxillofacial w contrast (70487) | $3,895.85 | $3,895.85 | 23.2× |
| CT maxillofacial wo contrast (70486) | $3,250.31 | $3,250.31 | 32.4× |
| CT neck tissue combo (70492) | $4,419.07 | $4,419.07 | 26.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,085.67 | $4,085.67 | 24.3× |
| CT orbits w/o contrast (70480) | $3,250.31 | $3,250.31 | 32.4× |
| CT pelvis w&w/o contrast (72194) | $4,419.07 | $4,419.07 | 26.3× |
| CT pelvis w/o contrast (72192) | $3,250.31 | $3,250.31 | 32.4× |
| CT scan of leg combo (73702) | $4,032.69 | $4,032.69 | 24.0× |
| CT scans face/jaw combo (70488) | $4,419.07 | $4,419.07 | 26.3× |
| CT soft tissue neck w contrast (70491) | $3,895.85 | $3,895.85 | 23.2× |
| CT soft tissue neck w/o contrast (70490) | $3,250.31 | $3,250.31 | 32.4× |
| CT thoracic spine w contrast (72129) | $3,895.85 | $3,895.85 | 23.2× |
| CT thoracic spine w/o contrast (72128) | $3,250.31 | $3,250.31 | 32.4× |
| CT thoracic spine w/wo cont (72130) | $7,055.35 | $7,055.35 | 41.9× |
| CT thorax w/o contrast (71250) | $3,250.31 | $3,250.31 | 32.4× |
| CT upper ext wo (73200) | $3,250.31 | $3,250.31 | 32.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,290.35–$4,419.07 | $4,290.35–$4,419.07 | varies |
| CT upper extremity with contrast (73201) | $3,508.03 | $3,508.03 | 10.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,187.65 | $7,187.65 | 42.7× |
| Cta Abdomen (74175) | $5,249.65 | $5,249.65 | 31.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $13,520 | $13,520 | 40.4× |
| CTA pelvis (72191) | $4,473.31 | $4,473.31 | 26.6× |
| Discography Cerv/Thor Spine (72285) | $8,876.96 | $8,876.96 | 4.7× |
| Diskography lumbar (72295) | $6,998.37 | $6,998.37 | 3.7× |
| Dxa Bone Density Axial (77080) | $615.57 | $615.57 | 6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $440.19 | $440.19 | 5.3× |
| Echo Guide For Artery Repair (76936) | $1,682.72 | $1,682.72 | 8.1× |
| Esophagram (74220) | $882.80 | $882.80 | 5.2× |
| Fetal Biophys Profile W/Nst (76818) | $775.46 | $775.46 | 7.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $916.52 | $916.52 | 9.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$493.98–$511.45 | $493.98–$511.45 | varies |
| Follow-Up Angiography (75898) | $1,080.90 | $1,080.90 | 0.4× |
| Foot 2 views (73620) | $446.80 | $446.80 | 5.4× |
| Forearm 2 views (73090) | $428.67 | $428.67 | 5.1× |
| Gastric emptying imaging study (78264) | $4,570 | $4,570 | 11.9× |
| Gated Heart Planar Single (78472) | $4,043.16 | $4,043.16 | 10.5× |
| Hand 2 views (73120) | $428.67 | $428.67 | 4.3× |
| Heart first pass single,planar (78481) | $5,235.56 | $5,235.56 | 10.1× |
| Hepatobil Syst Image W/Drug (78227) | $6,084.76 | $6,084.76 | 11.7× |
| Hepatobiliary System Imaging (78226) | $6,084.76 | $6,084.76 | 15.9× |
| Ht Muscle Image Spect Sing (78451) | $10,329.69 | $10,329.69 | 8.3× |
| Hysterosalpingogram (74740) | $1,155.99 | $1,155.99 | 5.0× |
| Infant hip ultrasound, limited static exam (76886) | $847.37 | $847.37 | 10.1× |
| K Flow/Funct Image Multiple (78709) | $4,825.72 | $4,825.72 | 9.3× |
| K Flow/Funct Image W/Drug (78708) | $2,505.48 | $2,505.48 | 4.8× |
| K Flow/Funct Image W/O Drug (78707) | $4,825.72 | $4,825.72 | 9.3× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,633.73 | $1,633.73 | 4.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,203.74 | $3,203.74 | 8.4× |
| Knee 3 Views (73562) | $535.23 | $535.23 | 6.4× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,618.27 | $1,618.27 | 4.2× |
| Lung Perf&Ventilat Diferentl (78598) | $1,922.69 | $1,922.69 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) | $3,131.06 | $3,131.06 | 6.0× |
| Lung Ventilation Imaging (78579) | $1,230.43 | $1,230.43 | 3.2× |
| Lymph System Imaging (78195) | $4,999.03 | $4,999.03 | 9.6× |
| Magnetic Image Jaw Joint (70336) | $4,056.68 | $4,056.68 | 17.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,173.35 | $1,173.35 | 5.1× |
| Mammary ductogram or galactogram single (77053) | $1,104.15 | $1,104.15 | 4.8× |
| Meckels Divert Exam (78290) | $3,378.69 | $3,378.69 | 8.8× |
| Mlc imrt design & construction per imrt plan (77338) | $9,616.16 | $9,616.16 | 26.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $114.62 | $114.62 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $4,373.64 | $4,373.64 | 13.1× |
| MRA head w/o contrast (70544) | $4,036.92 | $4,036.92 | 17.6× |
| MRA head with contrast (70545) | $3,469.64 | $3,469.64 | 10.4× |
| MRA neck w contrast (70548) | $4,100.74 | $4,100.74 | 12.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,169.16 | $5,169.16 | 15.4× |
| MRA neck w/o contrast (70547) | $4,035.16 | $4,035.16 | 17.6× |
| MRI abdomen w contrast (74182) | $5,106.42 | $5,106.42 | 15.3× |
| MRI abdomen w/o contrast (74181) | $4,747.70 | $4,747.70 | 20.7× |
| MRI any jt lower extrem w/contrast material (73722) | $5,106.42 | $5,106.42 | 6.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,224.13 | $6,224.13 | 18.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,106.42 | $5,106.42 | 6.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,346.74 | $5,346.74 | 23.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,346.74 | $5,346.74 | 23.4× |
| MRI cardiac w/o cont stress (75559) | $2,555.92 | $2,555.92 | 4.9× |
| MRI cardiac w/o contrast (75557) | $1,964.87 | $1,964.87 | 8.6× |
| MRI cervical spine w contrast (72142) | $5,106.42 | $5,106.42 | 15.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,132.84–$3,742.33 | $1,132.84–$3,742.33 | varies |
| MRI chest w/o contrast (71550) | $3,917.62 | $3,917.62 | 17.1× |
| MRI chest wo w contrast (71552) | $6,219.16 | $6,219.16 | 18.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,309.73 | $4,309.73 | 12.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,760.45 | $5,760.45 | 17.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,303.52 | $5,303.52 | 23.2× |
| MRI lumbar spine w contrast (72149) | $5,106.42 | $5,106.42 | 15.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,224.13 | $6,224.13 | 18.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,678.19 | $3,678.19 | 16.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,580.04 | $6,580.04 | 19.7× |
| MRI pelvis w contrast (72196) | $5,106.42 | $5,106.42 | 15.3× |
| MRI pelvis w/o & w contrast (72197) | $6,224.13 | $6,224.13 | 18.6× |
| MRI pelvis w/o contrast (72195) | $3,742.33 | $3,742.33 | 16.3× |
| MRI thoracic spine w/o contrast (72146) | $3,742.33 | $3,742.33 | 16.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,904.23–$4,021.36 | $3,904.23–$4,021.36 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,742.33 | $3,742.33 | 16.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,942.52–$6,224.13 | $2,942.52–$6,224.13 | varies |
| MRI, abdomen, combo (74183) | $6,224.13 | $6,224.13 | 18.6× |
| MRI, dorsal spine combo (72157) | $6,224.13 | $6,224.13 | 18.6× |
| MRI, dorsal spine contrast (72147) | $5,106.42 | $5,106.42 | 15.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,338.90–$4,749.79 | $1,338.90–$4,749.79 | varies |
| MRI, joint upper extrem combo (73223) | $6,237.23 | $6,237.23 | 18.6× |
| MRI, lumbar spine combo (72158) | $6,224.13 | $6,224.13 | 18.6× |
| Myelogram Lumbar (72265) | $3,681.20 | $3,681.20 | 4.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $10,329.69 | $10,329.69 | 8.3× |
| Myocardial Spect Multiple Studies (78452) | $10,329.69 | $10,329.69 | 8.3× |
| N-invas est c ffr sw aly CTA (75580) | $3,948.03 | $3,948.03 | 4.8× |
| Neck soft tissue (70360) | $426.91 | $426.91 | 5.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,488.05 | $1,488.05 | 3.9× |
| Nonvascular Shunt X-Ray (75809) | $2,576.83 | $2,576.83 | 25.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,845.97 | $8,845.97 | 6.7× |
| Nuclear Rx Oral Admin (79005) | $3,265.10 | $3,265.10 | 14.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,601.19 | $2,601.19 | 5.0× |
| Parathyroid Planar Imaging (78070) | $4,040.72 | $4,040.72 | 10.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,235.31 | $2,235.31 | 5.8× |
| Pelvis 1 or 2 views (72170) | $446.80 | $446.80 | 4.5× |
| Peritoneogram Rs&I (74190) | $2,518.88 | $2,518.88 | 4.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $14,647.03 | $14,647.03 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,307.23 | $4,307.23 | 11.2× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $4,277.25 | $4,277.25 | 4.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $979.58 | $979.58 | 9.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $800.35 | $800.35 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $446.80 | $446.80 | 5.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $446.80 | $446.80 | 5.4× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$428.67–$683.34 | $428.67–$683.34 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $660.29 | $660.29 | 6.6× |
| Radex fingr minimum 2 views (73140) | $428.67 | $428.67 | 5.1× |
| Radex foot complete minimum 3 views (73630) | $518.44 | $518.44 | 6.2× |
| Radex Hand Minimum 3 Views (73130) | $446.80 | $446.80 | 5.4× |
| Radex lower extremity infant minimum 2 views (73592) | $428.67 | $428.67 | 5.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $446.80 | $446.80 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) | $625.34 | $625.34 | 7.5× |
| Radex shoulder complete minimum 2 views (73030) | $445.07 | $445.07 | 5.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $446.80 | $446.80 | 5.4× |
| Radex Spine 1 View Specify Level (72020) | $411.54 | $411.54 | 4.9× |
| Radex Sternum Minimum 2 Views (71120) | $554.41 | $554.41 | 6.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $802.45 | $802.45 | 9.6× |
| Radex Toe Minimum 2 Views (73660) | $428.67 | $428.67 | 5.1× |
| Radex upper extremity infant minimum 2 views (73092) | $428.67 | $428.67 | 4.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $446.80 | $446.80 | 5.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $505.52 | $505.52 | 5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $37,071.63 | $37,071.63 | 5.2× |
| Radiation treatment delivery level 1 (77402) | $4,805.40 | $4,805.40 | 49.1× |
| Radiation treatment delivery level 2 (77407) | $4,998.22 | $4,998.22 | 13.5× |
| Radiation treatment delivery level 3 (77412) | $2,631.94 | $2,631.94 | 5.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $660.29 | $660.29 | 6.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $801.04 | $801.04 | 8.0× |
| Radiologic exam colon double contrast study (74280) | $1,257.92 | $1,257.92 | 7.5× |
| Radiologic exam colon single contrast study (74270) | $1,246.51 | $1,246.51 | 7.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $879.23 | $879.23 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) | $589.36 | $589.36 | 5.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $535.23 | $535.23 | 5.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $882.80 | $882.80 | 5.2× |
| Radiologic exam swallow function contrast study (74230) | $801.40 | $801.40 | 4.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,246.51 | $1,246.51 | 7.4× |
| Radiologic examination femur 1 view (73551) | $291.55 | $291.55 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) | $518.44 | $518.44 | 6.2× |
| Radiologic examination knee 1/2 views (73560) | $445.07 | $445.07 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $482.81 | $482.81 | 5.8× |
| Ribs bilateral 3 views (71110) | $731.89 | $731.89 | 7.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,087.71 | $7,087.71 | 13.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,448.71 | $3,448.71 | 6.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,166.82 | $7,166.82 | 13.8× |
| Scapula (73010) | $446.80 | $446.80 | 4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $216.90 | $216.90 | 9.3× |
| Shoulder 1 view (73020) | $267.94 | $267.94 | 3.2× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,600.03–$1,653.49 | $1,600.03–$1,653.49 | varies |
| Skull less than 4 views (70250) | $802.45 | $802.45 | 8.0× |
| Special Physics Consult (77370) | $3,562.81 | $3,562.81 | 27.6× |
| Special teletherapy port plan (77321) | $4,510.82 | $4,510.82 | 12.6× |
| Special treatment procedure (77470) | $4,688.64 | $4,688.64 | 8.8× |
| Speech evaluation, complex (70371) | $1,155.66 | $1,155.66 | 5.0× |
| Stereotactic Body Radiation Delivery (77373) | $14,198.76 | $14,198.76 | 8.3× |
| Sternoclavicular joints (71130) | $426.91 | $426.91 | 5.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $9,410.49 | $9,410.49 | 26.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,519.89 | $5,519.89 | 15.4× |
| Ther rad simulaj-aided field setting simple (77280) | $2,781.91 | $2,781.91 | 21.6× |
| Thoracic spine 2 views (72070) | $731.89 | $731.89 | 7.3× |
| Thoracic spine 3 views (72072) | $802.45 | $802.45 | 8.0× |
| Thyroid Imaging With Vascular Flow (78013) | $4,003.26 | $4,003.26 | 10.4× |
| Thyroid Met Imaging Body (78018) | $7,125.97 | $7,125.97 | 13.7× |
| Thyroid Uptake Measurement (78012) | $4,040.72 | $4,040.72 | 10.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,040.72 | $4,040.72 | 10.5× |
| Tx Devices Design & Construction Complex (77334) | $3,752.41 | $3,752.41 | 10.4× |
| Tx devices design & construction intermediate (77333) | $1,974.76 | $1,974.76 | 15.3× |
| Tx devices design & construction simple (77332) | $1,435.41 | $1,435.41 | 11.1× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$425.82–$927.31 | $425.82–$927.31 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,443.29 | $1,443.29 | 14.4× |
| Ultrasound, abdomen limited (76705) | $1,375.32 | $1,375.32 | 13.7× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$752.26–$822.01 | $752.26–$822.01 | varies |
| Unlisted us procedure (76999) | $825.19 | $825.19 | 9.9× |
| Upper gi w/o kub (74240) | $1,246.51 | $1,246.51 | 7.4× |
| Urethrocystogram voiding (74455) | $1,157.38 | $1,157.38 | 5.1× |
| Urethrocystography retrograde (74450) | $1,251.91 | $1,251.91 | 5.5× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$515.24–$1,854.66 | $515.24–$1,854.66 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,014.09–$1,044.51 | $1,014.09–$1,044.51 | varies |
| Us head (76506) | $1,008.21 | $1,008.21 | 10.1× |
| Us kidney transplant (76776) | $1,375.32 | $1,375.32 | 13.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $611.99 | $611.99 | 6.1× |
| Us ob limited 1 or more fetuses (76815) | $825.19 | $825.19 | 8.2× |
| Us ob transvaginal (76817) | $1,293.69 | $1,293.69 | 12.9× |
| Us pelvic non ob complete (76856) | $953.57 | $953.57 | 9.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $916.52 | $916.52 | 9.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $825.19 | $825.19 | 8.2× |
| Us retroperitoneal complete (76770) | $1,375.32 | $1,375.32 | 13.7× |
| Us retroperitoneal limited (76775) | $1,375.32 | $1,375.32 | 13.7× |
| Us scrotum and contents (76870) | $1,191.58 | $1,191.58 | 11.9× |
| Us spinal canal and contents (76800) | $1,191.58 | $1,191.58 | 11.9× |
| Us thyroid (76536) | $1,044.51 | $1,044.51 | 10.4× |
| Vein X-Ray Chest (75827) | $3,317.44 | $3,317.44 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $3,317.44 | $3,317.44 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,103.11 | $2,103.11 | 1.4× |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$2,005.63–$7,363.26 | $2,005.63–$7,363.26 | varies |
| Venography Renal Bilateral (75833) | $2,891.10 | $2,891.10 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $344.76 | $344.76 | 4.1× |
| Wrist 2 views (73100) | $428.67 | $428.67 | 5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $578.15 | $578.15 | 6.9× |
| X-ray antegrade pyelogram tube (74425) | $921.59 | $921.59 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $6,594.71 | $6,594.71 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $446.80 | $446.80 | 5.4× |
| X-Ray Exam Breast Specimen (76098) | $423.42 | $423.42 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $429.62 | $429.62 | 5.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $801.40 | $801.40 | 8.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $756.16 | $756.16 | 7.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $446.80 | $446.80 | 5.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $554.41 | $554.41 | 6.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $554.41 | $554.41 | 5.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $890.85 | $890.85 | 8.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $890.85 | $890.85 | 8.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $815.25 | $815.25 | 8.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,085.78 | $1,085.78 | 10.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $446.80 | $446.80 | 5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,014.86 | $1,014.86 | 10.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $731.89 | $731.89 | 7.3× |
| X-ray eye for foreign body (70030) | $446.80 | $446.80 | 5.4× |
| X-ray humerus (73060) | $535.23 | $535.23 | 6.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,406.13 | $1,406.13 | 8.4× |
| X-ray IV pyelogram+tomography (74415) | $1,262.19 | $1,262.19 | 7.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $428.67 | $428.67 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $622.18 | $622.18 | 6.2× |
| X-ray nose-rectum child f.b. (76010) | $446.80 | $446.80 | 5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $890.16 | $890.16 | 8.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $535.23 | $535.23 | 5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $625.34 | $625.34 | 7.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $802.45 | $802.45 | 9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $979.58 | $979.58 | 9.8× |
| X-Ray Tmj Unilat (70328) | $802.45 | $802.45 | 9.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,920.21 | $1,920.21 | 5.7× |
| X-Rays Bone Length Studies (77073) | $563.11 | $563.11 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $1,071.81 | $1,071.81 | 10.7× |
| Xr c-spine 4 or 5 views (72050) | $979.58 | $979.58 | 9.8× |
| Xr facial bones less than 3 views (70140) | $571.55 | $571.55 | 6.8× |
| Xr orbits complete 4 views (70200) | $660.29 | $660.29 | 6.6× |
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.