Imaging prices at UConn Health Waterbury Hospital
Waterbury, CT · every code in this section with a posted price and a Medicare benchmark.
366 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) | $5,754.99 | $11,509.98 | 3.5× |
| Abdomen 1 View (74018) | $326.55 | $653.10 | 3.1× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$365.12–$558.63 | $730.24–$1,117.25 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $819.45 | $1,638.89 | 1.7× |
| Angio pulmonary bilat (75743) | $5,388.65 | $10,777.29 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,388.65 | $10,777.29 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,962.55–$4,809.34 | $3,925.09–$9,618.67 | varies |
| Angiography extremity unilateral rs&i (75710) | $4,923.33 | $9,846.65 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,388.65 | $10,777.29 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,434.88 | $2,869.75 | 0.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$259.76–$309.36 | $519.51–$618.72 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,937.09 | $17,874.18 | 1.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,635.05 | $5,270.09 | 0.7× |
| Artery X-Rays Abdomen (75726) | $8,937.09 | $17,874.18 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $1,434.88 | $2,869.75 | 0.4× |
| Artery X-Rays Pelvis (75736) | $8,937.09 | $17,874.18 | 1.3× |
| Artery X-Rays Spine (75705) | $8,937.09 | $17,874.18 | 1.3× |
| Arthrogram ankle (73615) | $733.74 | $1,467.48 | 1.8× |
| Arthrogram hip (73525) | $733.74 | $1,467.48 | 1.8× |
| Arthrogram Wrist (73115) | $565.15 | $1,130.29 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $568.65 | $1,137.29 | 3.5× |
| Bone age studies (77072) | $326.55 | $653.10 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,279.66 | $2,559.32 | 2.7× |
| Bone Imaging Limited Area (78300) | $577.78 | $1,155.55 | 1.2× |
| Bone Imaging Whole Body (78306) | $1,740.14 | $3,480.28 | 3.6× |
| Bone marrow imaging limited area (78102) | $528.07 | $1,056.13 | 1.1× |
| Bone marrow imaging; multiple areas (78103) | $561.82 | $1,123.64 | 1.2× |
| Bone survey infant (77076) | $271.95 | $543.89 | 2.2× |
| Brain Flow Imaging Only (78610) | $820.37 | $1,640.73 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $820.90 | $1,641.80 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $874.15 | $1,748.29 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,714.66 | $3,429.32 | 4.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$1,433.68–$3,816.63 | $2,867.35–$7,633.25 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,133.09 | $2,266.17 | 1.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$306.72–$306.74 | $613.44–$613.48 | varies |
| Chest 2 views (71046) | $328.03 | $656.05 | 3.1× |
| Chest 3 views (71047) | $155.19 | $310.37 | 1.5× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$337.32–$556.88 | $674.64–$1,113.75 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$271.05–$309.36 | $542.10–$618.72 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $955.56 | $1,911.11 | 7.6× |
| Continuing medical physics consltj pr wk (77336) | $648.10 | $1,296.19 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,007.78 | $8,015.56 | 1.1× |
| Contrast X-Ray Bladder (74430) | $843.86 | $1,687.72 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $565.15 | $1,130.29 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $733.74 | $1,467.48 | 1.8× |
| Corpora cavernosography (74445) | $184.03 | $368.06 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,420.24 | $4,840.48 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,950.70 | $3,901.40 | 6.8× |
| CT abdomen w contrast (74160) | $1,366.58 | $2,733.15 | 6.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,635.80–$2,615 | $3,271.60–$5,230 | varies |
| CT abdomen w/o contrast (74150) | $1,286.78 | $2,573.56 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,240.72 | $4,481.44 | 5.4× |
| CT Angio Chest (71275) | $1,814.49 | $3,628.97 | 8.6× |
| CT Angio Head (70496) | $2,530.17 | $5,060.33 | 12.0× |
| CT angio hrt w/3d image (75574) | $1,406.34 | $2,812.67 | 3.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$625.53–$641.90 | $1,251.06–$1,283.80 | varies |
| CT Angio Neck (70498) | $2,530.79 | $5,061.57 | 12.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$625.53–$800.50 | $1,251.06–$1,601 | varies |
| CT cervical spine w/ contrast (72126) | $1,715.53 | $3,431.06 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,708.09 | $3,416.17 | 13.6× |
| CT cervical spine w/wo cont (72127) | $321.87 | $643.74 | 1.5× |
| CT chest w contrast (71260) | $1,303.45 | $2,606.89 | 6.2× |
| CT chest w/wo contrast (71270) | $3,335.31 | $6,670.62 | 15.9× |
| CT colonography screening (74263) | $374.50 | $749 | 1.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $374.50 | $749 | 3.0× |
| CT head/brain with contrast (70460) | $1,708.09 | $3,416.17 | 8.1× |
| CT head/brain without and with contrast (70470) | $2,516.52 | $5,033.03 | 12.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $547.06 | $1,094.12 | 1.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $99 | $198 | 0.9× |
| CT hrt w/3d image congen (75573) | $547.06 | $1,094.12 | 1.3× |
| CT iac w contrast (70481) | $695.50 | $1,391 | 3.3× |
| CT l-spine w&w/o contrast (72133) | $1,738.77 | $3,477.54 | 8.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$374.34–$1,237.62 | $748.68–$2,475.24 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$625.53–$857.77 | $1,251.06–$1,715.54 | varies |
| CT lumbar spine w contrast (72132) | $2,066.84 | $4,133.67 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,708.09 | $3,416.17 | 13.6× |
| CT maxillofacial w contrast (70487) | $2,066.84 | $4,133.67 | 9.8× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$941.16–$1,708.09 | $1,882.32–$3,416.17 | varies |
| CT neck tissue combo (70492) | $2,214.63 | $4,429.25 | 10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $695.50 | $1,391 | 3.3× |
| CT orbits w/o contrast (70480) | $695.50 | $1,391 | 5.5× |
| CT pelvis w&w/o contrast (72194) | $2,104.31 | $4,208.61 | 10.0× |
| CT pelvis w/o contrast (72192) | $1,126.33 | $2,252.66 | 9.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$625.53–$1,148.85 | $1,251.06–$2,297.69 | varies |
| CT scans face/jaw combo (70488) | $2,386.59 | $4,773.17 | 11.4× |
| CT soft tissue neck w contrast (70491) | $2,066.84 | $4,133.67 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,708.09 | $3,416.17 | 13.6× |
| CT thoracic spine w contrast (72129) | $1,715.52 | $3,431.03 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $2,612.88 | $5,225.76 | 20.8× |
| CT thoracic spine w/wo cont (72130) | $823.07 | $1,646.14 | 3.9× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,112.72–$2,066.84 | $2,225.43–$4,133.67 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$374.34–$978.70 | $748.68–$1,957.40 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$625.53–$857.77 | $1,251.06–$1,715.54 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$857.77–$1,309.29 | $1,715.54–$2,618.58 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,190.01 | $4,380.01 | 10.4× |
| Cta Abdomen (74175) | $2,103.74 | $4,207.48 | 10.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$487.62–$669.81 | $975.23–$1,339.61 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,444.70 | $6,889.40 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $2,589.34 | $5,178.67 | 1.1× |
| Diskography lumbar (72295) | $1,604.99 | $3,209.98 | 0.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 5 matching MRF lines |
$199.58–$501.62 | $399.16–$1,003.23 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$199.58–$501.62 | $399.16–$1,003.23 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $314.81 | $629.62 | 2.5× |
| Dxa Bone Density Axial (77080) | $386.86 | $773.72 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $154.19 | $308.38 | 1.5× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$442.90–$939.51 | $885.79–$1,879.01 | varies |
| Echo Guide For Artery Repair (76936) | $1,782.44 | $3,564.88 | 6.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 4 matching MRF lines |
$436.06–$448.21 | $872.12–$896.42 | varies |
| Esophagram (74220) | $521.27 | $1,042.53 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $431.08 | $862.16 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$184.03–$470.27 | $368.06–$940.54 | varies |
| Fluoroscopy up to 1 hr (76000) | $736.68 | $1,473.35 | 2.6× |
| Follow-Up Angiography (75898) | $3,171.66 | $6,343.31 | 0.8× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$259.76–$309.36 | $519.51–$618.72 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$282.76–$309.36 | $565.51–$618.72 | varies |
| Gastric emptying imaging study (78264) | $1,185.19 | $2,370.38 | 2.5× |
| Gastric Mucosa Imaging (78261) | $626.01 | $1,252.02 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $599.93 | $1,199.86 | 1.3× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$620.60–$622.03 | $1,241.20–$1,244.06 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$259.76–$374.34 | $519.51–$748.68 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,933.59 | $3,867.17 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,975.68 | $3,951.36 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $874.15 | $1,748.29 | 1.3× |
| Hepatobiliary System Imaging (78226) | $1,170.46 | $2,340.92 | 2.4× |
| Ht Musc Image Planar Mult (78454) | $2,320.38 | $4,640.76 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $2,260.48 | $4,520.95 | 1.5× |
| Hysterosalpingogram (74740) | $726.38 | $1,452.75 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $537.24 | $1,074.48 | 5.1× |
| Infant hip ultrasound, limited static exam (76886) | $408.27 | $816.54 | 3.9× |
| Joint Survey Single View (77077) | $250.61 | $501.21 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $749.59 | $1,499.17 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $749.59 | $1,499.17 | 1.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$293.89–$309.36 | $587.78–$618.72 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,301.55 | $2,603.10 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $587.48 | $1,174.96 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $822.83 | $1,645.66 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $988.74 | $1,977.47 | 1.5× |
| Lung perfusion differential (78597) | $674.18 | $1,348.36 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,311.32 | $2,622.63 | 2.0× |
| Lung Ventilation Imaging (78579) | $674.18 | $1,348.36 | 1.4× |
| Lymph System Imaging (78195) | $1,225.15 | $2,450.29 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $847.49 | $1,694.97 | 3.0× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$416.69–$443.08 | $833.37–$886.15 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$376.97–$416.69 | $753.94–$833.37 | varies |
| Meckels Divert Exam (78290) | $678.32 | $1,356.63 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $8,834.98 | $17,669.96 | 19.7× |
| Mr safety determination physician/other qhp (76016) | $157.88 | $315.75 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $43.91 | $87.81 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $164.58 | $329.16 | 1.4× |
| Mr safety implt pos&/immoblj (76019) | $106.50 | $213 | 1.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $433.40 | $866.79 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,862.90 | $3,725.79 | 4.5× |
| MRA head w/o contrast (70544) | $1,635.55 | $3,271.10 | 5.7× |
| MRA head with contrast (70545) | $1,373.48 | $2,746.95 | 3.3× |
| MRA neck w contrast (70548) | $1,373.48 | $2,746.95 | 3.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,635.55 | $3,271.10 | 3.9× |
| MRA neck w/o contrast (70547) | $1,036.28 | $2,072.55 | 3.6× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$743.76–$1,708.49 | $1,487.51–$3,416.98 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,463.20–$1,471.86 | $2,926.40–$2,943.72 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 18 matching MRF lines |
$1,705–$2,725.95 | $3,409.99–$5,451.90 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$1,309.29–$1,780.57 | $2,618.58–$3,561.13 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 14 matching MRF lines |
$1,705–$2,725.95 | $3,409.99–$5,451.90 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $535 | $1,070 | 1.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,056.41 | $2,112.81 | 3.7× |
| MRI cardiac w/o contrast (75557) | $444.38 | $888.75 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,579.15 | $3,158.29 | 3.8× |
| MRI cervical spine w/o cont (72141) | $2,180.42 | $4,360.84 | 7.6× |
| MRI chest w/o contrast (71550) | $1,471.86 | $2,943.72 | 5.1× |
| MRI chest with contrast (71551) | $1,312.78 | $2,625.56 | 1.4× |
| MRI chest wo w contrast (71552) | $1,579.15 | $3,158.29 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,309.29 | $2,618.58 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$702.14–$1,471.86 | $1,404.27–$2,943.72 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$834.24–$2,179.08 | $1,668.48–$4,358.15 | varies |
| MRI lumbar spine w contrast (72149) | $1,962.78 | $3,925.55 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,798.48 | $5,596.95 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,850.58 | $3,701.15 | 6.5× |
| MRI orbit face neck w contrast (70542) | $1,978.86 | $3,957.71 | 4.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,704.58 | $5,409.16 | 6.5× |
| MRI pelvis w contrast (72196) | $1,471.86 | $2,943.72 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $3,493.84 | $6,987.68 | 8.4× |
| MRI pelvis w/o contrast (72195) | $1,602.84 | $3,205.67 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $2,180.42 | $4,360.84 | 7.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$975.99–$1,309.29 | $1,951.98–$2,618.58 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$834.24–$1,057.62 | $1,668.48–$2,115.23 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$1,309.29–$1,472.27 | $2,618.58–$2,944.54 | varies |
| MRI, abdomen, combo (74183) | $2,704.58 | $5,409.16 | 6.5× |
| MRI, dorsal spine combo (72157) | $2,798.48 | $5,596.95 | 6.7× |
| MRI, dorsal spine contrast (72147) | $2,433.89 | $4,867.77 | 5.8× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$834.24–$2,179.08 | $1,668.48–$4,358.15 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$1,309.29–$1,780.57 | $2,618.58–$3,561.13 | varies |
| MRI, lumbar spine combo (72158) | $2,798.48 | $5,596.95 | 6.7× |
| Myelography thoracic (72255) | $1,096.31 | $2,192.62 | 1.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $674.18 | $1,348.36 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,320.38 | $4,640.76 | 1.5× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$2,316.30–$3,508.83 | $4,632.60–$7,017.66 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,351.63 | $8,703.26 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $1,779.80 | $3,559.59 | 1.7× |
| Neck soft tissue (70360) | $237.17 | $474.34 | 2.3× |
| Nm csf leak detection (78650) | $2,473.72 | $4,947.44 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $184.03 | $368.06 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,177.57 | $14,355.13 | 4.3× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$460.11–$1,438.69 | $920.21–$2,877.38 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$224.18–$269.01 | $448.36–$538.02 | varies |
| Parathyroid Planar Imaging (78070) | $958.86 | $1,917.72 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $638.02 | $1,276.03 | 1.3× |
| Pelvis 1 or 2 views (72170) | $326.55 | $653.10 | 2.6× |
| Peritoneogram Rs&I (74190) | $332.07 | $664.13 | 0.5× |
| PET image w/CT, full body (78816) | $6,427.27 | $12,854.54 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,427.27 | $12,854.54 | 3.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,388.65 | $10,777.29 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $777.13 | $1,554.25 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $337.32 | $674.64 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$809.95–$1,872.81 | $1,619.89–$3,745.62 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$309.36–$326.55 | $618.72–$653.10 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$246.03–$309.36 | $492.06–$618.72 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$309.36–$326.55 | $618.72–$653.10 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $556.88 | $1,113.75 | 4.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$238.74–$309.36 | $477.47–$618.72 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$309.36–$326.55 | $618.72–$653.10 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$283.37–$326.55 | $566.74–$653.10 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$271.05–$309.36 | $542.10–$618.72 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $288.04 | $576.07 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $326.55 | $653.10 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$307.47–$309.36 | $614.94–$618.72 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $326.55 | $653.10 | 3.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $374.50 | $749 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $233.64 | $467.28 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $326.55 | $653.10 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $215.27 | $430.54 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$240.70–$309.36 | $481.39–$618.72 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$271.05–$374.34 | $542.10–$748.68 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$309.36–$326.55 | $618.72–$653.10 | varies |
| Radiation treatment delivery level 1 (77402) | $328.32 | $656.64 | 2.7× |
| Radiation treatment delivery level 2 (77407) | $369.18 | $738.36 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $1,116.86 | $2,233.72 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $556.88 | $1,113.75 | 4.4× |
| Radiologic exam colon double contrast study (74280) | $374.50 | $749 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $499.80 | $999.60 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $354.32 | $708.64 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $336.44 | $672.87 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $337.32 | $674.64 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $374.50 | $749 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $505.92 | $1,011.83 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $743.28 | $1,486.55 | 3.5× |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$212.99–$309.36 | $425.97–$618.72 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$309.36–$340.75 | $618.72–$681.49 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$259.76–$309.36 | $519.51–$618.72 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $222.45 | $444.90 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$303.14–$309.36 | $606.28–$618.72 | varies |
| Renal Cyst Study (74470) | $373.51 | $747.02 | 0.6× |
| Ribs bilateral 3 views (71110) | $216.85 | $433.70 | 1.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,251.58 | $2,503.16 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,473.31 | $4,946.61 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,499.23 | $2,998.46 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 9 matching MRF lines |
$1,590.72–$2,539.35 | $3,181.43–$5,078.70 | varies |
| Rp Therapy Intravenous Administration (79101) | $790.03 | $1,580.06 | 2.8× |
| Scapula (73010) range across 3 matching MRF lines |
$340.74–$374.34 | $681.47–$748.68 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $278.91 | $557.82 | 11.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$259.76–$309.36 | $519.51–$618.72 | varies |
| Shoulder Arthrography (73040) | $589.72 | $1,179.44 | 1.4× |
| Sialogram (70390) range across 2 matching MRF lines |
$373.51–$373.67 | $747.02–$747.34 | varies |
| Skull less than 4 views (70250) | $326.55 | $653.10 | 2.6× |
| Special dosimetry (77331) | $274.15 | $548.29 | 1.7× |
| Special Physics Consult (77370) | $812.81 | $1,625.62 | 5.0× |
| Spleen Imaging (78185) | $674.18 | $1,348.36 | 1.4× |
| Stereotactic Body Radiation Delivery (77373) | $3,090.57 | $6,181.14 | 1.4× |
| Sternoclavicular joints (71130) | $337.32 | $674.64 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,326.01 | $4,652.02 | 5.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $217.75 | $435.49 | 0.5× |
| Testicular Imaging W/Flow (78761) | $674.18 | $1,348.36 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,247.65 | $4,495.29 | 5.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $512.49 | $1,024.97 | 1.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,056.08 | $2,112.16 | 6.6× |
| Thoracic spine 2 views (72070) | $296.91 | $593.82 | 2.4× |
| Thoracic spine 3 views (72072) | $324.62 | $649.23 | 2.6× |
| Thoracolumbar 2 views (72080) | $197.47 | $394.93 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $455.15 | $910.30 | 0.9× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$728.46–$831.61 | $1,456.91–$1,663.21 | varies |
| Thyroid Uptake Measurement (78012) | $715.82 | $1,431.63 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $604.95 | $1,209.90 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $2,220.01 | $4,440.01 | 4.9× |
| Tx devices design & construction intermediate (77333) | $223.01 | $446.01 | 1.4× |
| Tx devices design & construction simple (77332) | $768.87 | $1,537.74 | 4.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$324.47–$726.33 | $648.93–$1,452.66 | varies |
| Ultrasound elastography first target lesion (76982) | $216.85 | $433.70 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $216.85 | $433.70 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $509.61 | $1,019.22 | 4.1× |
| Ultrasound, abdomen limited (76705) | $707.14 | $1,414.28 | 5.6× |
| Umbilical-artery Doppler (OB) (76820) | $419.74 | $839.48 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $116.28 | $232.56 | 1.1× |
| Upper gi w/o kub (74240) | $516.41 | $1,032.82 | 2.5× |
| Urethrocystogram voiding (74455) | $373.51 | $747.02 | 1.3× |
| Urethrocystography retrograde (74450) | $444.38 | $888.75 | 1.6× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$343.09–$633.15 | $686.17–$1,266.30 | varies |
| Us chest (76604) | $625.12 | $1,250.24 | 5.0× |
| Us complete joint (76881) range across 6 matching MRF lines |
$187.17–$710.61 | $374.34–$1,421.21 | varies |
| Us exam, pelvic, limited (76857) | $904.69 | $1,809.38 | 7.2× |
| Us head (76506) | $633.45 | $1,266.89 | 5.1× |
| Us kidney transplant (76776) | $439.75 | $879.49 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 12 matching MRF lines |
$187.17–$334.33 | $374.34–$668.66 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$745.81–$958.24 | $1,491.61–$1,916.48 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$186.53–$425.15 | $373.05–$850.29 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$519.66–$1,153.74 | $1,039.32–$2,307.47 | varies |
| Us pelvic non ob complete (76856) | $872.69 | $1,745.37 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$448.99–$491.41 | $897.97–$982.81 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$386.97–$415.41 | $773.93–$830.81 | varies |
| Us retroperitoneal complete (76770) | $1,113.17 | $2,226.34 | 8.9× |
| Us retroperitoneal limited (76775) | $1,004.13 | $2,008.25 | 8.0× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$690.20–$723.61 | $1,380.39–$1,447.22 | varies |
| Us spinal canal and contents (76800) | $1,067.58 | $2,135.16 | 8.5× |
| Us thyroid (76536) | $620.79 | $1,241.57 | 5.0× |
| Us transrectal (76872) | $227.17 | $454.34 | 1.8× |
| Vasogram (74440) range across 2 matching MRF lines |
$267.24–$394.12 | $534.48–$788.24 | varies |
| Vein X-Ray Chest (75827) | $1,334.58 | $2,669.16 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,580.41 | $3,160.81 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $1,477.07 | $2,954.14 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,934.90 | $3,869.79 | 0.5× |
| Venography Adrenal Unilateral (75840) | $5,388.65 | $10,777.29 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $5,388.65 | $10,777.29 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $3,171.66 | $6,343.31 | 1.7× |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$792.08–$2,785.67 | $1,584.15–$5,571.33 | varies |
| Venography Renal Bilateral (75833) | $5,388.65 | $10,777.29 | 1.4× |
| Venography Renal Unilateral (75831) | $5,388.65 | $10,777.29 | 1.4× |
| Venous sampling by catheter (75893) | $8,937.09 | $17,874.18 | 1.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $336.61 | $673.21 | 0.7× |
| Wrist 2 views (73100) | $259.76 | $519.51 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $337.32 | $674.64 | 3.2× |
| X-ray antegrade pyelogram tube (74425) | $396.41 | $792.81 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $5,388.65 | $10,777.29 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $337.32 | $674.64 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$259.76–$309.36 | $519.51–$618.72 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,496.53 | $2,993.06 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $155.19 | $310.37 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$107.63–$217.93 | $215.25–$435.85 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $351.98 | $703.95 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $197.62 | $395.24 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $374.43 | $748.85 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $260.33 | $520.66 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$187.17–$404.18 | $374.34–$808.36 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $385.26 | $770.52 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $321 | $642 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$326.55–$337.32 | $653.10–$674.64 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $696.11 | $1,392.21 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $355.08 | $710.16 | 2.8× |
| X-ray eye for foreign body (70030) | $351.98 | $703.95 | 3.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$309.36–$328.13 | $618.72–$656.25 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$367.21–$489.42 | $734.42–$978.83 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $197.47 | $394.93 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $259.76 | $519.51 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $333.89 | $667.77 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $120.74 | $241.48 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $216.85 | $433.70 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $429.36 | $858.72 | 3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $326.55 | $653.10 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $324.13 | $648.25 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $556.88 | $1,113.75 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $556.88 | $1,113.75 | 4.4× |
| X-ray thoracic spine 4 vw (72074) | $267.50 | $535 | 2.1× |
| X-Ray Tmj Unilat (70328) | $107.63 | $215.25 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $749 | $1,498 | 1.8× |
| X-Rays Bone Length Studies (77073) | $385.22 | $770.44 | 3.1× |
| X-Rays Bone Survey Complete (77075) | $316.63 | $633.26 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $379.42 | $758.84 | 3.0× |
| Xr facial bones less than 3 views (70140) | $326.55 | $653.10 | 3.1× |
| Xr myelogram posterior fossa (70010) | $619.58 | $1,239.15 | 1.5× |
| Xr orbits complete 4 views (70200) | $658.58 | $1,317.16 | 5.3× |
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.