Imaging prices at TriStar Summit Medical Center
Hermitage, TN · every code in this section with a posted price and a Medicare benchmark.
294 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) | $14,372.65 | $14,372.65 | 10.8× |
| Abdomen 1 View (74018) | $1,143.82 | $1,143.82 | 13.7× |
| Abdomen 2 views (74019) | $1,731.70 | $1,731.70 | 17.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,496.48 | $3,496.48 | 9.1× |
| Angio pulmonary bilat (75743) | $8,445.24 | $8,445.24 | 2.8× |
| Angiography extremity bilateral rs&i (75716) | $10,091.66 | $10,091.66 | 3.3× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$7,033.53–$7,391.80 | $7,033.53–$7,391.80 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,606.97 | $8,606.97 | 2.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,356.62–$2,708.76 | $1,356.62–$2,708.76 | varies |
| Artery X-Rays Abdomen (75726) | $9,514.38 | $9,514.38 | 1.8× |
| Artery X-Rays Adrenal Gland (75731) | $12,876.92 | $12,876.92 | 4.3× |
| Artery X-Rays Pelvis (75736) | $8,939.37 | $8,939.37 | 1.7× |
| Artery X-Rays Spine (75705) | $6,734.06 | $6,734.06 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $1,805.30 | $1,805.30 | 14.0× |
| Bone age studies (77072) range across 3 matching MRF lines |
$1,169–$1,240 | $1,169–$1,240 | varies |
| Bone Imaging 3 Phase (78315) | $6,975.69 | $6,975.69 | 18.2× |
| Bone Imaging Whole Body (78306) | $6,474.03 | $6,474.03 | 16.9× |
| Bone survey infant (77076) | $902.90 | $902.90 | 9.0× |
| Brain Flow Imaging Only (78610) | $4,867.41 | $4,867.41 | 9.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,027.80 | $7,027.80 | 5.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,389.85 | $1,389.85 | 4.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,700.17 | $2,700.17 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $3,508.29 | $3,508.29 | 42.0× |
| Chest 1 view (71045) | $1,120.76 | $1,120.76 | 13.4× |
| Chest 2 views (71046) | $1,435.22 | $1,435.22 | 17.2× |
| Chest 3 views (71047) | $1,531.77 | $1,531.77 | 18.3× |
| Chest 4 or more views (71048) | $1,531.77 | $1,531.77 | 15.3× |
| Clavicle complete (73000) | $1,255.55 | $1,255.55 | 15.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $905.60 | $905.60 | 9.0× |
| Continuing medical physics consltj pr wk (77336) | $2,410.94 | $2,410.94 | 18.7× |
| Contrast Exam Abdominl Aorta (75625) | $9,491.93 | $9,491.93 | 3.1× |
| Contrast X-Ray Bladder (74430) | $1,457.68 | $1,457.68 | 4.4× |
| CT abdomen and pelvis without and with contrast (74178) | $20,221.68 | $20,221.68 | 60.4× |
| CT abdomen and pelvis without contrast (74176) | $17,165.50 | $17,165.50 | 75.0× |
| CT abdomen w contrast (74160) | $10,296.70 | $10,296.70 | 61.2× |
| CT abdomen w wo contrast (74170) | $11,272.63 | $11,272.63 | 67.0× |
| CT abdomen w/o contrast (74150) | $9,496.78 | $9,496.78 | 94.7× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$17,811–$18,969 | $17,811–$18,969 | varies |
| CT Angio Chest (71275) | $13,920.21 | $13,920.21 | 82.7× |
| CT Angio Head (70496) | $14,872.27 | $14,872.27 | 88.4× |
| CT angio hrt w/3d image (75574) | $4,199.52 | $4,199.52 | 12.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$12,016.70–$12,737.71 | $12,016.70–$12,737.71 | varies |
| CT Angio Neck (70498) | $14,872.27 | $14,872.27 | 88.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$12,319–$13,121 | $12,319–$13,121 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $14,870.09 | $14,870.09 | 88.4× |
| CT cervical spine w/ contrast (72126) | $8,614.23 | $8,614.23 | 25.7× |
| CT cervical spine w/o contrast (72125) | $9,253.30 | $9,253.30 | 92.3× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$8,082.84–$8,729.45 | $8,082.84–$8,729.45 | varies |
| CT chest w contrast (71260) | $9,235.92 | $9,235.92 | 54.9× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$8,287.98–$9,488.08 | $8,287.98–$9,488.08 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $4,199.52 | $4,199.52 | 41.9× |
| CT head/brain with contrast (70460) | $8,583.80 | $8,583.80 | 51.0× |
| CT head/brain without and with contrast (70470) | $9,418.51 | $9,418.51 | 56.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$256.49–$284.74 | $256.49–$284.74 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$149–$7,673.07 | $149–$7,673.07 | varies |
| CT l-spine w&w/o contrast (72133) | $9,647 | $9,647 | 57.3× |
| CT lower ext w/o (73700) | $5,642.83 | $5,642.83 | 56.3× |
| CT lower extremity w/contrast material (73701) | $7,751.34 | $7,751.34 | 46.1× |
| CT lumbar spine w contrast (72132) | $7,279.64 | $7,279.64 | 21.7× |
| CT lumbar spine w/o contrast (72131) | $6,523.20 | $6,523.20 | 65.0× |
| CT maxillofacial w contrast (70487) | $7,914.31 | $7,914.31 | 47.0× |
| CT maxillofacial wo contrast (70486) | $7,673.07 | $7,673.07 | 76.5× |
| CT neck tissue combo (70492) | $9,153.33 | $9,153.33 | 54.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $7,655.68 | $7,655.68 | 45.5× |
| CT orbits w/o contrast (70480) | $7,712.18 | $7,712.18 | 76.9× |
| CT pelvis w&w/o contrast (72194) | $8,955.53 | $8,955.53 | 53.2× |
| CT pelvis w/o contrast (72192) | $7,673.07 | $7,673.07 | 76.5× |
| CT scan of leg combo (73702) | $8,644.68 | $8,644.68 | 51.4× |
| CT scans face/jaw combo (70488) | $8,064.32 | $8,064.32 | 47.9× |
| CT soft tissue neck w contrast (70491) | $7,751.34 | $7,751.34 | 46.1× |
| CT soft tissue neck w/o contrast (70490) | $6,523.20 | $6,523.20 | 65.0× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$6,708.22–$7,679.57 | $6,708.22–$7,679.57 | varies |
| CT thoracic spine w/o contrast (72128) | $6,838.34 | $6,838.34 | 68.2× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$8,680.31–$9,057 | $8,680.31–$9,057 | varies |
| CT thorax w/o contrast (71250) | $8,614.23 | $8,614.23 | 85.9× |
| CT upper ext wo (73200) | $6,212.36 | $6,212.36 | 61.9× |
| CT upper extremity w/o & w/contrast material (73202) | $8,644.68 | $8,644.68 | 51.4× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$7,312.57–$7,751.34 | $7,312.57–$7,751.34 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,609.04 | $16,609.04 | 98.7× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$13,707–$14,598 | $13,707–$14,598 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $29,744.54 | $29,744.54 | 88.9× |
| CTA pelvis (72191) | $13,920.21 | $13,920.21 | 82.7× |
| Diskography lumbar (72295) | $6,053.18 | $6,053.18 | 3.2× |
| Dxa Bone Density Axial (77080) | $1,237.57 | $1,237.57 | 12.3× |
| Dxa bone density study (77085) | $1,665.68 | $1,665.68 | 16.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,237.57 | $1,237.57 | 14.8× |
| Echo exam uterus (76831) | $2,182.18 | $2,182.18 | 9.5× |
| Esophagram (74220) | $1,983.27 | $1,983.27 | 11.8× |
| Fetal Biophys Profile W/Nst (76818) | $2,318.84 | $2,318.84 | 23.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,964–$2,003.50 | $1,964–$2,003.50 | varies |
| Follow-Up Angiography (75898) | $3,182.68 | $3,182.68 | 1.1× |
| Foot 2 views (73620) | $1,906.90 | $1,906.90 | 22.8× |
| Forearm 2 views (73090) | $1,998.99 | $1,998.99 | 23.9× |
| Gastric emptying imaging study (78264) | $5,669.64 | $5,669.64 | 14.8× |
| Gated Heart Planar Single (78472) | $5,598.02 | $5,598.02 | 14.6× |
| Hand 2 views (73120) | $1,127.51 | $1,127.51 | 11.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $277 | $277 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $7,587.63 | $7,587.63 | 14.6× |
| Hepatobiliary System Imaging (78226) | $7,587.63 | $7,587.63 | 19.8× |
| Ht Muscle Image Spect Sing (78451) | $10,874.41 | $10,874.41 | 8.8× |
| Hysterosalpingogram (74740) | $2,670.56 | $2,670.56 | 11.7× |
| K Flow/Funct Image Multiple (78709) | $6,115.06 | $6,115.06 | 11.7× |
| K Flow/Funct Image W/O Drug (78707) | $6,115.06 | $6,115.06 | 11.7× |
| Knee 3 Views (73562) | $1,920.37 | $1,920.37 | 23.0× |
| Liver & Spleen Imaging Static Only (78215) | $4,375.20 | $4,375.20 | 11.4× |
| Liver imaging static only (78201) | $2,811.22 | $2,811.22 | 5.4× |
| Lung Perf&Ventilat Diferentl (78598) | $2,088.80 | $2,088.80 | 4.0× |
| Lung perfusion differential (78597) | $1,381.69 | $1,381.69 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,160.16 | $2,160.16 | 4.1× |
| Lymph System Imaging (78195) | $5,669.64 | $5,669.64 | 10.9× |
| Magnetic Image Jaw Joint (70336) | $17,293.76 | $17,293.76 | 75.5× |
| Magnetic Resonance Elastography (76391) | $1,425.86 | $1,425.86 | 6.2× |
| Mammary ductogram or galactogram multiple (77054) | $1,693.84 | $1,693.84 | 7.4× |
| Mammary ductogram or galactogram single (77053) | $2,616.24 | $2,616.24 | 11.4× |
| Mlc imrt design & construction per imrt plan (77338) | $11,321.08 | $11,321.08 | 31.5× |
| Mr safety determination physician/other qhp (76016) | $373.33 | $373.33 | 4.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $103.84 | $103.84 | 3.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $389.19 | $389.19 | 4.3× |
| Mr safety implt pos&/immoblj (76019) | $251.86 | $251.86 | 4.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,024.89 | $1,024.89 | 4.5× |
| MRA head w/o contrast (70544) | $8,847.21 | $8,847.21 | 38.6× |
| MRA head with contrast (70545) | $7,787.06 | $7,787.06 | 23.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,027.58 | $11,027.58 | 32.9× |
| MRA neck w/o contrast (70547) | $8,847.21 | $8,847.21 | 38.6× |
| MRI abdomen w/o contrast (74181) | $12,786.29 | $12,786.29 | 55.9× |
| MRI any jt lower extrem w/contrast material (73722) | $14,824.56 | $14,824.56 | 19.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $19,972.64 | $19,972.64 | 59.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,824.56 | $14,824.56 | 19.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $9,919.77 | $9,919.77 | 43.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $8,194.43 | $8,194.43 | 35.8× |
| MRI cardiac w/o cont stress (75559) | $2,261.27 | $2,261.27 | 4.3× |
| MRI cardiac w/o contrast (75557) | $868.86 | $868.86 | 3.8× |
| MRI cervical spine w contrast (72142) | $16,872.17 | $16,872.17 | 50.4× |
| MRI cervical spine w/o cont (72141) | $12,709.43 | $12,709.43 | 55.5× |
| MRI chest w/o contrast (71550) | $12,534.72 | $12,534.72 | 54.8× |
| MRI chest with contrast (71551) | $9,488.06 | $9,488.06 | 12.6× |
| MRI chest wo w contrast (71552) | $13,603.92 | $13,603.92 | 40.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $11,771.23 | $11,771.23 | 35.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $19,972.64 | $19,972.64 | 59.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $11,682.15 | $11,682.15 | 51.0× |
| MRI lumbar spine w contrast (72149) | $15,341.70 | $15,341.70 | 45.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $16,438.85 | $16,438.85 | 49.1× |
| MRI orbit face &/neck w/o contrast (70540) | $12,425.22 | $12,425.22 | 54.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $19,972.64 | $19,972.64 | 59.7× |
| MRI pelvis w/o & w contrast (72197) | $20,172.97 | $20,172.97 | 60.3× |
| MRI pelvis w/o contrast (72195) | $12,707.09 | $12,707.09 | 55.5× |
| MRI thoracic spine w/o contrast (72146) | $11,581.99 | $11,581.99 | 50.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$14,070.25–$15,055.16 | $14,070.25–$15,055.16 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $11,682.15 | $11,682.15 | 51.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $19,972.64 | $19,972.64 | 59.7× |
| MRI, abdomen, combo (74183) | $19,972.64 | $19,972.64 | 59.7× |
| MRI, dorsal spine combo (72157) | $21,531.05 | $21,531.05 | 64.3× |
| MRI, dorsal spine contrast (72147) | $13,708.77 | $13,708.77 | 41.0× |
| MRI, joint upper extrem (73221) | $11,682.15 | $11,682.15 | 51.0× |
| MRI, joint upper extrem combo (73223) | $19,972.64 | $19,972.64 | 59.7× |
| MRI, lumbar spine combo (72158) | $20,105.43 | $20,105.43 | 60.1× |
| Myelography thoracic (72255) | $5,794.77 | $5,794.77 | 7.7× |
| Myocardial Spect Multiple Studies (78452) | $10,874.41 | $10,874.41 | 8.8× |
| Neck soft tissue (70360) | $1,507.11 | $1,507.11 | 18.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$4,654.35–$5,480.42 | $4,654.35–$5,480.42 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,858.87 | $8,858.87 | 6.7× |
| Nuclear Rx Intra-Arterial (79445) | $987.13 | $987.13 | 4.4× |
| Parathyroid Planar Imaging (78070) | $2,004.46 | $2,004.46 | 5.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,336.62 | $3,336.62 | 8.7× |
| Pelvis 1 or 2 views (72170) | $2,142.76 | $2,142.76 | 21.4× |
| Pet Image Skull-Thigh (78812) | $7,027.80 | $7,027.80 | 5.1× |
| PET image w/CT, full body (78816) | $7,027.80 | $7,027.80 | 5.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,027.80 | $7,027.80 | 5.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,679.12 | $6,679.12 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,774.44 | $4,774.44 | 12.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,109.03 | $2,109.03 | 21.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,030.45 | $2,030.45 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,356.62 | $1,356.62 | 16.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,183.64 | $1,183.64 | 14.2× |
| Radex elbow complete minimum 3 views (73080) | $774.87 | $774.87 | 9.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,956.30 | $1,956.30 | 19.5× |
| Radex fingr minimum 2 views (73140) | $1,127.51 | $1,127.51 | 13.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,906.90–$3,802.59 | $1,906.90–$3,802.59 | varies |
| Radex Hand Minimum 3 Views (73130) | $2,064.13 | $2,064.13 | 24.7× |
| Radex lower extremity infant minimum 2 views (73592) | $2,192.14 | $2,192.14 | 26.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,399.30 | $1,399.30 | 16.8× |
| Radex Ribs Unilateral 2 Views (71100) | $1,563.26 | $1,563.26 | 18.7× |
| Radex shoulder complete minimum 2 views (73030) | $2,183.15 | $2,183.15 | 26.1× |
| Radex Spine 1 View Specify Level (72020) | $947.80 | $947.80 | 11.4× |
| Radex Sternum Minimum 2 Views (71120) | $1,435.22 | $1,435.22 | 17.2× |
| Radex Toe Minimum 2 Views (73660) | $1,055.64 | $1,055.64 | 12.6× |
| Radex upper extremity infant minimum 2 views (73092) | $2,192.14 | $2,192.14 | 21.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,021.43 | $2,021.43 | 24.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $35,047.03 | $35,047.03 | 5.0× |
| Radiation treatment delivery level 1 (77402) | $6,543.39 | $6,543.39 | 66.8× |
| Radiation treatment delivery level 2 (77407) | $7,798.96 | $7,798.96 | 21.1× |
| Radiation treatment delivery level 3 (77412) | $3,009.60 | $3,009.60 | 5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,956.30 | $1,956.30 | 19.5× |
| Radiologic exam colon double contrast study (74280) | $3,043.42 | $3,043.42 | 18.1× |
| Radiologic exam colon single contrast study (74270) | $3,023.19 | $3,023.19 | 18.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $901.07 | $901.07 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) | $1,239.78 | $1,239.78 | 12.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,251.05 | $1,251.05 | 12.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,607.68 | $2,607.68 | 15.5× |
| Radiologic exam swallow function contrast study (74230) | $1,495.86 | $1,495.86 | 8.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,908.64 | $2,908.64 | 17.3× |
| Radiologic examination femur 1 view (73551) | $505.77 | $505.77 | 6.1× |
| Radiologic examination femur minimum 2 views (73552) | $505.77 | $505.77 | 6.1× |
| Radiologic examination knee 1/2 views (73560) | $2,021.43 | $2,021.43 | 24.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,113 | $1,113 | 11.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,192.14 | $2,192.14 | 26.3× |
| Ribs bilateral 3 views (71110) | $2,324.65 | $2,324.65 | 23.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,974.02 | $12,974.02 | 24.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,972.10 | $5,972.10 | 11.5× |
| Scapula (73010) | $1,370.08 | $1,370.08 | 13.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $254.60 | $254.60 | 10.9× |
| Shoulder 1 view (73020) | $557.01 | $557.01 | 6.7× |
| Shoulder Arthrography (73040) | $3,595.98 | $3,595.98 | 10.7× |
| Skull less than 4 views (70250) | $2,553.77 | $2,553.77 | 25.5× |
| Special dosimetry (77331) | $1,327.28 | $1,327.28 | 10.3× |
| Special Physics Consult (77370) | $4,810.29 | $4,810.29 | 37.3× |
| Special teletherapy port plan (77321) | $6,000.64 | $6,000.64 | 16.7× |
| Special treatment procedure (77470) | $6,000.64 | $6,000.64 | 11.3× |
| Stereotactic Body Radiation Delivery (77373) | $8,579.11 | $8,579.11 | 5.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $9,611.28 | $9,611.28 | 26.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $7,796.64 | $7,796.64 | 21.7× |
| Ther rad simulaj-aided field setting simple (77280) | $3,603.63 | $3,603.63 | 27.9× |
| Thoracic spine 2 views (72070) | $1,949.59 | $1,949.59 | 19.4× |
| Thoracic spine 3 views (72072) | $1,792.36 | $1,792.36 | 17.9× |
| Thyroid Imaging With Vascular Flow (78013) | $3,892.19 | $3,892.19 | 10.1× |
| Thyroid Uptake Measurement (78012) | $2,808.62 | $2,808.62 | 7.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,125.72 | $4,125.72 | 10.8× |
| Tx Devices Design & Construction Complex (77334) | $4,950.03 | $4,950.03 | 13.8× |
| Tx devices design & construction simple (77332) | $1,805.30 | $1,805.30 | 14.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,428.90–$2,851.03 | $1,428.90–$2,851.03 | varies |
| Ultrasound Exam Aaa Screen (76706) | $875.11 | $875.11 | 8.7× |
| Ultrasound, abdomen limited (76705) | $2,755.92 | $2,755.92 | 27.5× |
| Umbilical-artery Doppler (OB) (76820) | $1,557.98 | $1,557.98 | 15.5× |
| Upper gi w/o kub (74240) | $3,164.70 | $3,164.70 | 18.8× |
| Urethrocystogram voiding (74455) | $3,108.56 | $3,108.56 | 13.6× |
| Urethrocystography retrograde (74450) | $2,497.62 | $2,497.62 | 10.9× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$1,945.24–$3,856.50 | $1,945.24–$3,856.50 | varies |
| Us chest (76604) | $1,822.92 | $1,822.92 | 18.2× |
| Us complete joint (76881) | $1,413.04 | $1,413.04 | 14.1× |
| Us exam, pelvic, limited (76857) | $1,034.87 | $1,034.87 | 10.3× |
| Us head (76506) | $2,574.78 | $2,574.78 | 25.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,413.04 | $1,413.04 | 14.1× |
| Us ob detailed single fetus (76811) | $2,075.39 | $2,075.39 | 9.1× |
| Us ob limited 1 or more fetuses (76815) | $2,026.74 | $2,026.74 | 20.2× |
| Us ob transvaginal (76817) | $2,796.68 | $2,796.68 | 27.9× |
| Us pelvic non ob complete (76856) | $2,986.90 | $2,986.90 | 29.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,796.68 | $2,796.68 | 27.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,451.54–$1,582.89 | $1,451.54–$1,582.89 | varies |
| Us retroperitoneal complete (76770) | $2,964.26 | $2,964.26 | 29.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,918–$3,064 | $2,918–$3,064 | varies |
| Us scrotum and contents (76870) | $2,678.91 | $2,678.91 | 26.7× |
| Us spinal canal and contents (76800) | $2,004.08 | $2,004.08 | 20.0× |
| Us thyroid (76536) | $2,583.81 | $2,583.81 | 25.8× |
| Us transrectal (76872) | $2,678.91 | $2,678.91 | 26.7× |
| Vein X-Ray Chest (75827) | $70 | $70 | 0.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $10,316.15 | $10,316.15 | 3.4× |
| Venogram Sinus/Jugular (75860) | $4,820.74 | $4,820.74 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $381 | $381 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $6,598.88 | $6,598.88 | 4.4× |
| Venography extremity unilateral rs&i (75820) | $5,031.22 | $5,031.22 | 3.3× |
| Wrist 2 views (73100) | $1,125.25 | $1,125.25 | 13.5× |
| X-ray antegrade pyelogram tube (74425) | $1,563.26 | $1,563.26 | 4.7× |
| X-Ray Aorta Leg Arteries (75630) | $13,388.87 | $13,388.87 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,998.99 | $1,998.99 | 23.9× |
| X-Ray Exam Breast Specimen (76098) | $1,776.63 | $1,776.63 | 3.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $505.77 | $505.77 | 6.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $836.75 | $836.75 | 8.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,596.94 | $1,596.94 | 15.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$389.53–$505.77 | $389.53–$505.77 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $505.77 | $505.77 | 6.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $837.59 | $837.59 | 8.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $837.59 | $837.59 | 8.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $837.59 | $837.59 | 8.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,596.94 | $1,596.94 | 15.9× |
| X-Ray Exam L-S Spine Bending (72114) | $2,908.64 | $2,908.64 | 29.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,012.96 | $1,012.96 | 12.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,208.37 | $1,208.37 | 12.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,192.14 | $2,192.14 | 21.9× |
| X-ray eye for foreign body (70030) | $1,291.49 | $1,291.49 | 15.5× |
| X-ray humerus (73060) | $2,214.60 | $2,214.60 | 26.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,075.86 | $1,075.86 | 12.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$831.03–$1,590 | $831.03–$1,590 | varies |
| X-ray nose-rectum child f.b. (76010) | $723.22 | $723.22 | 8.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,466.16 | $2,466.16 | 24.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,581.22 | $1,581.22 | 15.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,480.15 | $1,480.15 | 17.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,976.52 | $1,976.52 | 23.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,203.39 | $2,203.39 | 22.0× |
| X-ray thoracic spine 4 vw (72074) | $1,792.36 | $1,792.36 | 17.9× |
| X-Ray Tmj Unilat (70328) | $1,483.45 | $1,483.45 | 17.8× |
| X-Rays Bone Length Studies (77073) | $723.74 | $723.74 | 7.2× |
| X-Rays Bone Survey Complete (77075) | $2,358.37 | $2,358.37 | 23.5× |
| Xr c-spine 4 or 5 views (72050) | $2,668.33 | $2,668.33 | 26.6× |
| Xr orbits complete 4 views (70200) | $1,808.06 | $1,808.06 | 18.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.