Imaging prices at UK Albert B. Chandler Hospital
Lexington, KY · every code in this section with a posted price and a Medicare benchmark.
402 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) | $4,112 | $10,280 | 3.0× |
| Abdomen 1 View (74018) | $211.01 | $527.52 | 2.5× |
| Abdomen 2 views (74019) | $254.02 | $635.04 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $927.81 | $2,319.52 | 2.4× |
| Adrenal Cortex & Medulla Img (78075) | $1,571.58 | $3,928.96 | 1.2× |
| Angio internal mammary (75756) | $1,709.95 | $4,274.87 | 0.6× |
| Angio pulmonary bilat (75743) | $3,115.93 | $7,789.82 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,899.03 | $7,247.58 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,576 | $6,440 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,336.95 | $5,842.37 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,404.95 | $3,512.38 | 0.5× |
| Ankle 2 views (73600) | $235.44 | $588.59 | 2.8× |
| Aortography thoracic serialography rs&i (75605) | $2,910.88 | $7,277.20 | 0.5× |
| Artery X-Rays Abdomen (75726) | $3,491 | $8,727.49 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $2,409.08 | $6,022.69 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,017.01 | $7,542.53 | 0.6× |
| Artery X-Rays Spine (75705) | $2,960.86 | $7,402.14 | 0.5× |
| Arthrogram hip (73525) | $653.79 | $1,634.47 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $370.80 | $927 | 2.8× |
| Bone age studies (77072) | $250.80 | $627.01 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,224.83 | $3,062.08 | 3.1× |
| Bone Imaging Limited Area (78300) | $793.86 | $1,984.64 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $810.88 | $2,027.20 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,226.18 | $3,065.44 | 3.1× |
| Bone marrow imaging limited area (78102) | $673.34 | $1,683.36 | 1.7× |
| Bone marrow imaging; multiple areas (78103) | $434.07 | $1,085.18 | 1.1× |
| Bone marrow imaging; whole body (78104) | $861.95 | $2,154.88 | 2.2× |
| Bone survey infant (77076) | $519.72 | $1,299.30 | 5.1× |
| Brachytx isodose complex (77318) | $1,165.60 | $2,914 | 3.2× |
| Brachytx isodose intermed (77317) | $932 | $2,330 | 2.5× |
| Brachytx Isodose Plan Simple (77316) | $746.40 | $1,866 | 2.0× |
| Brain Flow Imaging Only (78610) | $594.94 | $1,487.36 | 1.1× |
| Brain Image W/Flow < 4 Views (78601) | $881.66 | $2,204.16 | 2.3× |
| Brain imaging < 4 static views (78600) | $529.98 | $1,324.96 | 1.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,199.30 | $2,998.24 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,164.25–$2,724.29 | $5,410.63–$6,810.72 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,728.89 | $4,322.22 | 5.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,950.34 | $4,875.85 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $375.98 | $939.96 | 4.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$206.98–$263.87 | $517.44–$659.68 | varies |
| Chest 2 views (71046) | $212.40 | $531 | 2.5× |
| Chest 4 or more views (71048) | $210 | $525 | 2.1× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $90 | $225 | 0.9× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $260.74 | $651.84 | 2.6× |
| Clavicle complete (73000) | $250.26 | $625.64 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $53.48 | $133.69 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $414.80 | $1,037 | 3.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,655.34 | $6,638.35 | 0.9× |
| Contrast X-Ray Bladder (74430) | $407.23 | $1,018.08 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,570.59 | $6,426.47 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $1,719.07 | $4,297.68 | 7.4× |
| CT abdomen w contrast (74160) | $1,237.78 | $3,094.46 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,481.31 | $3,703.27 | 8.6× |
| CT abdomen w/o contrast (74150) | $1,011.12 | $2,527.81 | 9.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,387.94 | $5,969.86 | 7.0× |
| CT Angio Chest (71275) | $1,488.30 | $3,720.75 | 8.7× |
| CT Angio Head (70496) | $1,560.74 | $3,901.85 | 9.1× |
| CT angio hrt w/3d image (75574) | $756.08 | $1,890.20 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,244.36 | $3,110.91 | 7.3× |
| CT Angio Neck (70498) | $1,615.52 | $4,038.79 | 9.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,104.09 | $2,760.23 | 6.4× |
| CT bone density (77078) | $273.56 | $683.89 | 3.2× |
| CT cervical spine w/ contrast (72126) | $1,357.97 | $3,394.93 | 4.0× |
| CT cervical spine w/o contrast (72125) | $1,297.89 | $3,244.73 | 12.7× |
| CT cervical spine w/wo cont (72127) | $1,512.14 | $3,780.36 | 8.8× |
| CT chest w contrast (71260) | $1,328.28 | $3,320.70 | 7.8× |
| CT chest w/wo contrast (71270) | $1,436.88 | $3,592.20 | 8.4× |
| CT colonography screening (74263) | $240 | $600 | 1.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $470 | $1,175 | 2.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $501.60 | $1,254 | 4.9× |
| CT head/brain with contrast (70460) | $1,020.91 | $2,552.27 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,232.51 | $3,081.28 | 7.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $815.32 | $2,038.29 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$43.19–$1,919.68 | $107.98–$4,799.20 | varies |
| CT hrt w/3d image congen (75573) | $604.70 | $1,511.75 | 1.8× |
| CT iac w contrast (70481) | $854.36 | $2,135.91 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $1,323.76 | $3,309.39 | 7.7× |
| CT lower ext w/o (73700) | $983.56 | $2,458.90 | 9.6× |
| CT lower extremity w/contrast material (73701) | $1,058.84 | $2,647.10 | 6.2× |
| CT lumbar spine w contrast (72132) | $1,268.22 | $3,170.56 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,178.96 | $2,947.39 | 11.5× |
| CT maxillofacial w contrast (70487) | $1,065.08 | $2,662.71 | 6.2× |
| CT maxillofacial wo contrast (70486) | $975.41 | $2,438.52 | 9.6× |
| CT neck tissue combo (70492) | $1,411.42 | $3,528.56 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,027.09 | $2,567.73 | 6.0× |
| CT orbits w/o contrast (70480) | $733.32 | $1,833.30 | 7.2× |
| CT pelvis w&w/o contrast (72194) | $1,201.17 | $3,002.93 | 7.0× |
| CT pelvis w/o contrast (72192) | $889.77 | $2,224.43 | 8.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,116.43–$1,674.65 | $2,791.08–$4,186.62 | varies |
| CT scans face/jaw combo (70488) | $1,148.58 | $2,871.44 | 6.7× |
| CT soft tissue neck w contrast (70491) | $1,344.72 | $3,361.79 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,074.80 | $2,687.01 | 10.5× |
| CT thoracic spine w contrast (72129) | $1,290.44 | $3,226.09 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $1,252.18 | $3,130.45 | 12.3× |
| CT thoracic spine w/wo cont (72130) | $1,323.76 | $3,309.39 | 7.7× |
| CT thorax w/o contrast (71250) | $936.67 | $2,341.67 | 9.2× |
| CT upper ext wo (73200) | $945.72 | $2,364.29 | 9.3× |
| CT upper extremity w/o & w/contrast material (73202) | $94.80 | $237 | 0.6× |
| CT upper extremity with contrast (73201) | $1,053.49 | $2,633.73 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,332.40 | $3,330.99 | 7.8× |
| Cta Abdomen (74175) | $1,542.19 | $3,855.47 | 9.0× |
| CTA pelvis (72191) | $1,323.76 | $3,309.39 | 7.7× |
| Dilation ureters/urethra rs&i (74485) | $720 | $1,800 | 0.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $226.45 | $566.13 | 2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $412.13 | $1,030.32 | 4.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $279.24 | $698.10 | 2.7× |
| Dxa Bone Density Axial (77080) | $398.43 | $996.08 | 3.9× |
| Dxa bone density study (77085) | $283.36 | $708.40 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $340.26 | $850.65 | 4.0× |
| Echo exam of fetal heart (76825) | $751.33 | $1,878.32 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $465.38 | $1,163.45 | 2.0× |
| Echograp Trans R Pros Study (76873) | $599.72 | $1,499.30 | 5.9× |
| Esophagram (74220) | $343.17 | $857.92 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $476.90 | $1,192.24 | 4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $417.40 | $1,043.51 | 4.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $366.18 | $915.44 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $510.05 | $1,275.12 | 2.2× |
| Follow-Up Angiography (75898) | $900.57 | $2,251.42 | 0.3× |
| Foot 2 views (73620) | $238.73 | $596.82 | 2.8× |
| Forearm 2 views (73090) | $256.29 | $640.73 | 3.0× |
| Gastric emptying imaging study (78264) | $1,115.07 | $2,787.68 | 2.9× |
| Gated Heart Planar Single (78472) | $1,168.38 | $2,920.96 | 3.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$231.77–$257.94 | $579.42–$644.85 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,276 | $8,190 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,809.20 | $4,523 | 2.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,650.19 | $6,625.47 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,330.76 | $5,826.91 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,162.11 | $2,905.28 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,113.28 | $2,783.20 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $2,320.19 | $5,800.48 | 1.8× |
| Hysterosalpingogram (74740) | $459.20 | $1,148 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $419.32 | $1,048.31 | 4.9× |
| Infant hip ultrasound, limited static exam (76886) | $302.26 | $755.65 | 3.6× |
| Interstitial radiation source applic complex (77778) | $2,256.80 | $5,642 | 3.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,225.60 | $3,064 | 1.8× |
| Joint Survey Single View (77077) | $208 | $519.99 | 2.0× |
| K Flow/Funct Image Multiple (78709) | $1,251.26 | $3,128.16 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $1,121.34 | $2,803.36 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,073.41 | $2,683.52 | 2.0× |
| Kidney Imaging Morphol (78700) | $802.82 | $2,007.04 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$323.25–$613.60 | $808.12–$1,534 | varies |
| Leveen/Shunt Patency Exam (78291) | $630.78 | $1,576.96 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $854.78 | $2,136.96 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $947.07 | $2,367.68 | 2.4× |
| Liver imaging static only (78201) | $850.75 | $2,126.88 | 1.6× |
| Liver imaging w/vascular flow (78202) | $670 | $1,675 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,145.98 | $2,864.96 | 2.2× |
| Lung perfusion differential (78597) | $939.90 | $2,349.76 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,121.34 | $2,803.36 | 2.1× |
| Lymph System Imaging (78195) | $1,038.02 | $2,595.04 | 2.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,075.74 | $2,689.34 | 0.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,368.37 | $3,420.93 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,023.19 | $2,557.97 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,126.10 | $2,815.24 | 4.8× |
| Magnetic Resonance Elastography (76391) | $294.50 | $736.26 | 1.3× |
| Meckels Divert Exam (78290) | $722.18 | $1,805.44 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,462.80 | $3,657 | 4.0× |
| Mr safety determination physician/other qhp (76016) | $49.31 | $123.27 | 0.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $13.72 | $34.29 | 0.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $51.40 | $128.51 | 0.6× |
| Mr safety implt pos&/immoblj (76019) | $33.26 | $83.16 | 0.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $135.36 | $338.41 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,477.20 | $3,693 | 4.3× |
| MRA head w/o contrast (70544) | $1,233.60 | $3,084 | 5.3× |
| MRA head with contrast (70545) | $1,403.20 | $3,508 | 4.1× |
| MRA neck w contrast (70548) | $1,350.40 | $3,376 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,403.20 | $3,508 | 4.1× |
| MRA neck w/o contrast (70547) | $1,292.80 | $3,232 | 5.5× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,623.20–$1,756 | $4,058–$4,390 | varies |
| MRI abdomen w/o contrast (74181) | $1,690.76 | $4,226.89 | 7.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,807.45 | $4,518.63 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,073.01 | $5,182.53 | 6.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,616.32–$1,750.02 | $4,040.81–$4,375.06 | varies |
| MRI brain functional w/o physician admnistration (70554) | $882.40 | $2,206 | 3.8× |
| MRI brain functional w/physician admnistration (70555) | $918 | $2,295 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,143.56 | $2,858.89 | 4.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $713.60 | $1,784 | 3.1× |
| MRI cardiac w/o cont stress (75559) | $1,461.03 | $3,652.58 | 2.7× |
| MRI cardiac w/o contrast (75557) | $1,338.82 | $3,347.05 | 5.7× |
| MRI cervical spine w contrast (72142) | $1,794.40 | $4,486 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,625.20 | $4,063 | 7.0× |
| MRI chest w/o contrast (71550) | $1,423.36 | $3,558.40 | 6.1× |
| MRI chest with contrast (71551) | $1,502.84 | $3,757.10 | 2.0× |
| MRI chest wo w contrast (71552) | $1,989.39 | $4,973.48 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,796.89 | $4,492.22 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,921.86 | $4,804.64 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,609.43 | $4,023.58 | 6.9× |
| MRI lumbar spine w contrast (72149) | $1,946.20 | $4,865.51 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,156.80 | $5,392 | 6.3× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,318–$1,476.16 | $3,295–$3,690.40 | varies |
| MRI orbit face neck w contrast (70542) | $1,374.40 | $3,436 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,910.80 | $4,777 | 5.6× |
| MRI pelvis w contrast (72196) | $1,655.38 | $4,138.44 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $2,046.82 | $5,117.06 | 6.0× |
| MRI pelvis w/o contrast (72195) | $1,251.07 | $3,127.67 | 5.4× |
| MRI spectroscopy (76390) | $596.36 | $1,490.90 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,760.59 | $4,401.48 | 7.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,418.76 | $3,546.91 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,317.68 | $3,294.21 | 5.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,839.62 | $4,599.04 | 5.4× |
| MRI, abdomen, combo (74183) | $2,187.87 | $5,469.68 | 6.4× |
| MRI, dorsal spine combo (72157) | $2,250.82 | $5,627.04 | 6.6× |
| MRI, dorsal spine contrast (72147) | $1,903.94 | $4,759.84 | 5.6× |
| MRI, joint upper extrem (73221) | $1,616.32 | $4,040.81 | 6.9× |
| MRI, joint upper extrem combo (73223) | $2,073.93 | $5,184.83 | 6.1× |
| MRI, lumbar spine combo (72158) | $2,273.79 | $5,684.47 | 6.7× |
| Myelogram cervical (72240) | $1,185.99 | $2,964.98 | 1.5× |
| Myelogram Lumbar (72265) | $1,185.99 | $2,964.98 | 1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,856.90 | $7,142.24 | 2.3× |
| Myocardial Spect Multiple Studies (78452) | $2,929.92 | $7,324.80 | 2.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,132 | $5,330 | 1.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,961.40 | $7,403.50 | 1.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,912.80 | $7,282 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $760 | $1,900 | 0.9× |
| Neck soft tissue (70360) | $190.85 | $477.12 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $360.64 | $901.60 | 0.9× |
| Nm csf leak detection (78650) | $977.54 | $2,443.84 | 0.8× |
| Nonvascular Shunt X-Ray (75809) | $268.80 | $672 | 2.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,401.20 | $8,503 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $895.55 | $2,238.88 | 3.9× |
| Ob us nuchal meas 1 gest (76813) | $315.21 | $788.03 | 3.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $278.44 | $696.10 | 2.7× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $289.15 | $722.88 | 2.8× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $169.21 | $423.02 | 1.7× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $94.52 | $236.29 | 1.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $138.18 | $345.44 | 1.4× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $29.56 | $73.89 | 1.0× |
| Panoramic X-ray of jaws (70355) | $249.71 | $624.27 | 2.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,391.94 | $3,479.84 | 2.6× |
| Parathyroid Planar Imaging (78070) | $1,096.26 | $2,740.64 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,825.60 | $4,564 | 4.7× |
| Pelvis 1 or 2 views (72170) | $270.56 | $676.41 | 2.6× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,164.25–$2,987.26 | $5,410.63–$7,468.16 | varies |
| PET image w/CT, full body (78816) | $3,803.97 | $9,509.92 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,164.25–$3,592.96 | $5,410.63–$8,982.40 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,041.94 | $5,104.85 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $717.70 | $1,794.24 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $303.74 | $759.36 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $417.09 | $1,042.72 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $279.34 | $698.36 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $227.21 | $568.02 | 2.7× |
| Radex elbow complete minimum 3 views (73080) | $267.82 | $669.54 | 3.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $243.12 | $607.80 | 2.4× |
| Radex fingr minimum 2 views (73140) | $203.06 | $507.64 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $293.61 | $734.03 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $271.66 | $679.15 | 3.2× |
| Radex lower extremity infant minimum 2 views (73592) | $203.61 | $509.02 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $179.46 | $448.64 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $271.66 | $679.15 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $300.74 | $751.86 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $221.72 | $554.29 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $208 | $519.99 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $254.65 | $636.62 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $186.60 | $466.49 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $208 | $519.99 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $287.02 | $717.56 | 3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $457.15 | $1,142.88 | 4.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,960 | $22,400 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $600 | $1,500 | 6.0× |
| Radiation treatment delivery level 2 (77407) | $703.20 | $1,758 | 1.9× |
| Radiation treatment delivery level 3 (77412) | $894 | $2,235 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $306.24 | $765.59 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $314 | $785 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $596.74 | $1,491.84 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $521.92 | $1,304.80 | 3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $347.20 | $868 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $389.10 | $972.75 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $306.24 | $765.59 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $396.03 | $990.08 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $353.02 | $882.56 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $621.82 | $1,554.56 | 3.6× |
| Radiologic examination femur 1 view (73551) | $237.08 | $592.71 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $275.50 | $688.75 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $267.82 | $669.54 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $446.18 | $1,115.45 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $288.12 | $720.30 | 3.4× |
| Radiopharm Dacryocystography (78660) | $458.75 | $1,146.88 | 1.2× |
| Ribs bilateral 3 views (71110) | $389.10 | $972.75 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $832.83 | $2,082.08 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,048 | $2,620 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,775.42 | $4,438.56 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,559.04 | $3,897.60 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,352.51 | $3,381.28 | 2.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $694.52 | $1,736.29 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,214.46 | $5,536.16 | 1.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,491.78 | $6,229.44 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $766.53 | $1,916.32 | 3.4× |
| Scapula (73010) | $255.20 | $637.99 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$36.60–$48.80 | $91.50–$122 | varies |
| Shoulder 1 view (73020) | $220.07 | $550.18 | 2.6× |
| Skull less than 4 views (70250) | $298 | $745 | 2.9× |
| Special dosimetry (77331) | $340.40 | $851 | 2.6× |
| Special Physics Consult (77370) | $512.80 | $1,282 | 3.9× |
| Special teletherapy port plan (77321) | $740.40 | $1,851 | 2.0× |
| Special treatment procedure (77470) | $1,769.20 | $4,423 | 3.3× |
| Srs Multisource (77371) | $31,768.80 | $79,422 | 4.4× |
| Stereotactic Body Radiation Delivery (77373) | $3,863.60 | $9,659 | 2.2× |
| Sternoclavicular joints (71130) | $170.13 | $425.32 | 2.0× |
| Superior sagittal sinus venogram (75870) | $1,319.43 | $3,298.57 | 0.4× |
| Tbs technical calculation only (77091) | $38 | $95 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,844.40 | $4,611 | 5.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,088.40 | $2,721 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,123.20 | $2,808 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $560.80 | $1,402 | 4.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $745.50 | $1,863.74 | 4.4× |
| Thoracic spine 2 views (72070) | $299.65 | $749.12 | 2.9× |
| Thoracic spine 3 views (72072) | $316.11 | $790.28 | 3.1× |
| Thoracolumbar 2 views (72080) | $318.31 | $795.77 | 3.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $672 | $1,680 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $927.36 | $2,318.40 | 2.4× |
| Thyroid Met Imaging Body (78018) | $1,215.87 | $3,039.68 | 2.3× |
| Thyroid Uptake Measurement (78012) | $777.28 | $1,943.20 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,279.94 | $3,199.84 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $779.60 | $1,949 | 2.1× |
| Tx devices design & construction intermediate (77333) | $469.20 | $1,173 | 3.6× |
| Tx devices design & construction simple (77332) | $360.40 | $901 | 2.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$365.59–$548.38 | $913.97–$1,370.96 | varies |
| Ultrasound elastography first target lesion (76982) | $177.34 | $443.36 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $187.11 | $467.78 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $181.84 | $454.59 | 1.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $373.26 | $933.16 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$146.33–$551.74 | $365.83–$1,379.35 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$247.48–$277.18 | $618.70–$692.94 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $455.58 | $1,138.96 | 5.4× |
| Unlisted fluoroscopic procedure (76496) | $2,074 | $5,185 | 24.4× |
| Unlisted magnetic resonance procedure (76498) | $1,062.24 | $2,655.59 | 12.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,139.26 | $2,848.16 | 2.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $764.40 | $1,911 | 7.7× |
| Unlisted us procedure (76999) | $147.29 | $368.23 | 1.7× |
| Upper gi w/o kub (74240) | $404.10 | $1,010.24 | 2.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $751.74 | $1,879.36 | 68.0× |
| Ureteral Reflux Study (78740) | $671.55 | $1,678.88 | 1.7× |
| Urethrocystogram voiding (74455) | $499.07 | $1,247.68 | 2.1× |
| Urethrocystography retrograde (74450) | $404.54 | $1,011.36 | 1.7× |
| Us breast unilateral complete (76641) | $381.42 | $953.55 | 3.7× |
| Us chest (76604) range across 2 matching MRF lines |
$96.92–$324.33 | $242.29–$810.82 | varies |
| Us complete joint (76881) | $444.75 | $1,111.88 | 4.4× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$146.33–$434.20 | $365.83–$1,085.49 | varies |
| Us head (76506) | $412.13 | $1,030.32 | 4.0× |
| Us kidney transplant (76776) | $542.14 | $1,355.36 | 5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$99.31–$372.30 | $248.28–$930.76 | varies |
| Us ob detailed single fetus (76811) | $564.70 | $1,411.74 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$113.71–$369.91 | $284.27–$924.77 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$113.71–$339.20 | $284.27–$848 | varies |
| Us pelvic non ob complete (76856) | $583.89 | $1,459.72 | 5.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $371.82 | $929.56 | 3.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $366.55 | $916.37 | 3.6× |
| Us retroperitoneal complete (76770) | $570.93 | $1,427.33 | 5.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$145.37–$465.38 | $363.43–$1,163.45 | varies |
| Us scrotum and contents (76870) | $501.84 | $1,254.61 | 4.9× |
| Us spinal canal and contents (76800) | $381.42 | $953.55 | 3.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$133.38–$447.63 | $333.44–$1,119.08 | varies |
| Us transrectal (76872) | $384.30 | $960.75 | 3.8× |
| Vein X-Ray Chest (75827) | $1,837.20 | $4,593.01 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,491.50 | $3,728.76 | 0.5× |
| Venogram Sinus/Jugular (75860) | $1,777.44 | $4,443.60 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,448.74 | $6,121.86 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,279.24 | $3,198.10 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,057.19 | $2,642.98 | 0.7× |
| Venography Renal Bilateral (75833) | $2,717.16 | $6,792.91 | 0.9× |
| Venography Renal Unilateral (75831) | $2,312.73 | $5,781.83 | 0.8× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,377.13 | $5,942.83 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $128.80 | $322 | 1.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$112.78–$225.56 | $281.95–$563.90 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $246.41 | $616.03 | 2.9× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$472.40–$529.09 | $1,181–$1,322.72 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,597.12 | $6,492.81 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $360.57 | $901.42 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $235.44 | $588.59 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $237.60 | $594 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $192.08 | $480.20 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $290.87 | $727.17 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $346.30 | $865.74 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $232.69 | $581.73 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $257.94 | $644.85 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $284.28 | $710.71 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $349.59 | $873.98 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $374.83 | $937.08 | 3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $463.74 | $1,159.35 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $462.56 | $1,156.41 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $325.44 | $813.60 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $463.19 | $1,157.98 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $353.43 | $883.57 | 3.5× |
| X-ray eye for foreign body (70030) | $169.34 | $423.36 | 2.0× |
| X-ray humerus (73060) | $250.26 | $625.64 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $538.05 | $1,345.12 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.06 | $620.15 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $267.27 | $668.17 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $360.57 | $901.42 | 3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $420.94 | $1,052.34 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $243.67 | $609.17 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $232.69 | $581.73 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $299.65 | $749.12 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $318.86 | $797.15 | 3.1× |
| X-Ray Stress View (77071) | $107.02 | $267.54 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $322.70 | $806.74 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $602.40 | $1,506 | 1.8× |
| X-Rays Bone Length Studies (77073) | $266.17 | $665.42 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $548.80 | $1,372.01 | 5.4× |
| Xr c-spine 4 or 5 views (72050) | $442.89 | $1,107.22 | 4.3× |
| Xr facial bones less than 3 views (70140) | $227.75 | $569.38 | 2.7× |
| Xr orbits complete 4 views (70200) | $329.83 | $824.58 | 3.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.