Imaging prices at UK St. Claire Regional Medical Center
Morehead, KY · every code in this section with a posted price and a Medicare benchmark.
282 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$31.50–$139.50 | $42–$186 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$30.75–$120 | $41–$160 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $951 | $1,268 | 2.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$201.75–$6,874.50 | $269–$9,166 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$169.50–$6,874.50 | $226–$9,166 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$33.75–$900 | $45–$1,200 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,207 | $8,276 | 1.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$7,941 | $301–$10,588 | 1.5× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$151.50 | $202 | 0.0× |
| Bone age studies (77072) range across 3 matching MRF lines |
$21.75–$343.50 | $29–$458 | varies |
| Bone Imaging 3 Phase (78315) | $1,429.50 | $1,906 | 3.7× |
| Bone Imaging Limited Area (78300) | $762.75 | $1,017 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,795.50 | $2,394 | 4.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$118.50–$390 | $158–$520 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,272.75 | $1,697 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $2,530.50 | $3,374 | 4.8× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$27–$171.75 | $36–$229 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$35.25–$250.50 | $47–$334 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$45–$102 | $60–$136 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$33.75–$425.25 | $45–$567 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,127.25 | $1,503 | 11.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,874.50 | $195–$9,166 | 2.2× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$414–$440.25 | $21–$587 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,127.25 | $1,503 | 3.3× |
| CT abdomen and pelvis without contrast (74176) | $1,127.25 | $1,503 | 4.9× |
| CT abdomen w contrast (74160) | $1,127.25 | $1,503 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,127.25 | $1,503 | 6.6× |
| CT abdomen w/o contrast (74150) | $1,127.25 | $1,503 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,127.25 | $1,503 | 3.3× |
| CT Angio Chest (71275) | $1,127.25 | $1,503 | 6.6× |
| CT Angio Head (70496) | $1,127.25 | $1,503 | 6.6× |
| CT angio hrt w/3d image (75574) | $1,127.25 | $1,503 | 3.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,127.25 | $1,503 | 6.6× |
| CT Angio Neck (70498) | $1,127.25 | $1,503 | 6.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,127.25 | $1,503 | 6.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $336 | $448 | 2.0× |
| CT cervical spine w/ contrast (72126) | $1,127.25 | $1,503 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,127.25 | $1,503 | 11.1× |
| CT cervical spine w/wo cont (72127) | $1,127.25 | $1,503 | 6.6× |
| CT chest w contrast (71260) | $1,127.25 | $1,503 | 6.6× |
| CT chest w/wo contrast (71270) | $1,127.25 | $1,503 | 6.6× |
| CT head/brain with contrast (70460) | $1,127.25 | $1,503 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,127.25 | $1,503 | 6.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,127.25 | $1,503 | 13.4× |
| CT iac w contrast (70481) | $1,127.25 | $1,503 | 6.6× |
| CT l-spine w&w/o contrast (72133) | $1,127.25 | $1,503 | 6.6× |
| CT lower ext w/o (73700) | $1,127.25 | $1,503 | 11.1× |
| CT lower extremity w/contrast material (73701) | $1,127.25 | $1,503 | 6.6× |
| CT lumbar spine w contrast (72132) | $1,127.25 | $1,503 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,127.25 | $1,503 | 11.1× |
| CT maxillofacial w contrast (70487) | $1,127.25 | $1,503 | 6.6× |
| CT maxillofacial wo contrast (70486) | $1,127.25 | $1,503 | 11.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,127.25 | $1,503 | 6.6× |
| CT orbits w/o contrast (70480) | $1,127.25 | $1,503 | 11.1× |
| CT pelvis w&w/o contrast (72194) | $1,127.25 | $1,503 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,127.25 | $1,503 | 11.1× |
| CT scan of leg combo (73702) | $1,127.25 | $1,503 | 6.6× |
| CT scans face/jaw combo (70488) | $1,127.25 | $1,503 | 6.6× |
| CT soft tissue neck w contrast (70491) | $1,127.25 | $1,503 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $1,127.25 | $1,503 | 11.1× |
| CT thoracic spine w contrast (72129) | $1,127.25 | $1,503 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,127.25 | $1,503 | 11.1× |
| CT thoracic spine w/wo cont (72130) | $1,127.25 | $1,503 | 6.6× |
| CT thorax w/o contrast (71250) | $1,127.25 | $1,503 | 11.1× |
| CT upper ext wo (73200) | $1,127.25 | $1,503 | 11.1× |
| CT upper extremity with contrast (73201) | $1,127.25 | $1,503 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,127.25 | $1,503 | 6.6× |
| Cta Abdomen (74175) | $1,127.25 | $1,503 | 6.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $668.25 | $891 | 2.0× |
| CTA pelvis (72191) | $1,127.25 | $1,503 | 6.6× |
| Dxa Bone Density Axial (77080) | $231.75 | $309 | 2.3× |
| Dxa bone density study (77085) | $231.75 | $309 | 2.3× |
| Echo Guide For Artery Repair (76936) | $504.75 | $673 | 2.4× |
| Esophagram (74220) | $510 | $680 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $375.75 | $501 | 3.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$43.50–$440.25 | $58–$587 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$30–$826.50 | $40–$1,102 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$30.75–$946.50 | $41–$1,262 | varies |
| Gastric emptying imaging study (78264) | $1,032 | $1,376 | 2.7× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$49.50–$963 | $66–$1,284 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$32.25–$825 | $43–$1,100 | varies |
| Hepatobil Syst Image W/Drug (78227) | $762 | $1,016 | 1.4× |
| Hepatobiliary System Imaging (78226) | $762 | $1,016 | 2.0× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$68.25–$3,424.50 | $91–$4,566 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $412.50 | $550 | 4.9× |
| Infant hip ultrasound, limited static exam (76886) | $352.50 | $470 | 4.2× |
| K Flow/Funct Image Multiple (78709) | $1,008 | $1,344 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,308.75 | $1,745 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,308.75 | $1,745 | 2.5× |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$36–$990.75 | $48–$1,321 | varies |
| Liver & Spleen Imaging Static Only (78215) | $843 | $1,124 | 2.2× |
| Lung Perf&Ventilat Diferentl (78598) | $1,262.25 | $1,683 | 2.4× |
| Lung perfusion differential (78597) | $762 | $1,016 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $762 | $1,016 | 1.4× |
| Lung Ventilation Imaging (78579) | $762 | $1,016 | 2.0× |
| Lymph System Imaging (78195) | $1,398.75 | $1,865 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $1,302.75 | $1,737 | 5.6× |
| Mammary ductogram or galactogram multiple (77054) | $440.25 | $587 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $537 | $716 | 2.3× |
| Meckels Divert Exam (78290) | $990.75 | $1,321 | 2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $47.25 | $63 | 1.7× |
| MRA head w/o contrast (70544) | $1,302.75 | $1,737 | 5.6× |
| MRA head with contrast (70545) | $1,302.75 | $1,737 | 3.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,302.75 | $1,737 | 3.9× |
| MRA neck w/o contrast (70547) | $1,302.75 | $1,737 | 5.6× |
| MRI abdomen w/o contrast (74181) | $1,302.75 | $1,737 | 5.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,302.75 | $1,737 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,302.75 | $1,737 | 3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,302.75 | $1,737 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $908.25 | $1,211 | 3.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $454.50 | $606 | 2.0× |
| MRI cervical spine w contrast (72142) | $1,302.75 | $1,737 | 3.9× |
| MRI cervical spine w/o cont (72141) | $1,302.75 | $1,737 | 5.6× |
| MRI chest w/o contrast (71550) | $1,302.75 | $1,737 | 5.6× |
| MRI chest wo w contrast (71552) | $1,302.75 | $1,737 | 3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,302.75 | $1,737 | 3.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,302.75 | $1,737 | 3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,302.75 | $1,737 | 5.6× |
| MRI lumbar spine w contrast (72149) | $1,302.75 | $1,737 | 3.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,302.75 | $1,737 | 3.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,302.75 | $1,737 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,302.75 | $1,737 | 3.9× |
| MRI pelvis w contrast (72196) | $1,302.75 | $1,737 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $1,302.75 | $1,737 | 3.9× |
| MRI pelvis w/o contrast (72195) | $1,302.75 | $1,737 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $1,302.75 | $1,737 | 5.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,302.75 | $1,737 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,302.75 | $1,737 | 5.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,302.75 | $1,737 | 3.9× |
| MRI, abdomen, combo (74183) | $1,302.75 | $1,737 | 3.9× |
| MRI, dorsal spine combo (72157) | $1,302.75 | $1,737 | 3.9× |
| MRI, dorsal spine contrast (72147) | $1,302.75 | $1,737 | 3.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,302.75–$2,607.75 | $1,737–$3,477 | varies |
| MRI, joint upper extrem combo (73223) | $1,302.75 | $1,737 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,302.75 | $1,737 | 3.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,418.25 | $1,891 | 1.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$78.75–$2,530.50 | $105–$3,374 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,923.75 | $2,565 | 2.3× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$33–$478.50 | $44–$638 | varies |
| Nm whole blood volume (78122) | $1,398.75 | $1,865 | 2.7× |
| Nuclear Rx Oral Admin (79005) | $756.75 | $1,009 | 3.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,039.50 | $1,386 | 2.0× |
| Parathyroid Planar Imaging (78070) | $1,859.25 | $2,479 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,859.25 | $2,479 | 4.8× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$29.25–$456 | $39–$608 | varies |
| Perineogram (74775) | $272.25 | $363 | 1.2× |
| Peritoneogram Rs&I (74190) | $972 | $1,296 | 1.8× |
| PET image w/CT, full body (78816) | $2,993.25 | $3,991 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,993.25 | $3,991 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $937.50 | $1,250 | 2.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) range across 2 matching MRF lines |
$1,782 | $60–$2,376 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$52.50–$561.75 | $70–$749 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $803.25 | $1,071 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$39–$1,053.75 | $52–$1,405 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$30–$911.25 | $40–$1,215 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$33.75–$1,139.25 | $45–$1,519 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$50.25–$495 | $67–$660 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$39–$450 | $52–$600 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$36–$857.25 | $48–$1,143 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$37.50–$898.50 | $50–$1,198 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$65.25–$447.75 | $87–$597 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $118.50 | $158 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$40.50–$456 | $54–$608 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$39–$510 | $52–$680 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$36–$963.75 | $48–$1,285 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$65.25–$294.75 | $87–$393 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$35.25–$456 | $47–$608 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$102–$279.75 | $136–$373 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$30.75–$867.75 | $41–$1,157 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$118.50–$447.75 | $158–$597 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$42.75–$900 | $57–$1,200 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $231.75 | $309 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 5 matching MRF lines |
$25.50–$489.75 | $34–$653 | varies |
| Radiologic exam colon double contrast study (74280) | $640.50 | $854 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $577.50 | $770 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$48–$1,139.25 | $64–$1,519 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$118.50–$231.75 | $158–$309 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $512.25 | $683 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $332.25 | $443 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $295.50 | $394 | 1.7× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$30.75–$102 | $41–$136 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$36.75–$279.75 | $49–$373 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$36–$946.50 | $48–$1,262 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$118.50–$512.25 | $158–$683 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$33–$900 | $44–$1,200 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $635.25 | $847 | 1.2× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$46.50–$541.50 | $62–$722 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,159.50 | $1,546 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,159.50 | $1,546 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,914.50 | $3,886 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,959.75 | $2,613 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,107 | $1,476 | 2.1× |
| Scapula (73010) range across 3 matching MRF lines |
$25.50–$478.50 | $34–$638 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $84.75 | $113 | 3.6× |
| Sella turcica (70240) | $102 | $136 | 1.2× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$23.25–$826.50 | $31–$1,102 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$36.75–$433.50 | $49–$578 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$102–$139.50 | $136–$186 | varies |
| Testicular Imaging W/Flow (78761) | $885 | $1,180 | 2.3× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$34.50–$456 | $46–$608 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$41.25–$597.75 | $55–$797 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$65.25–$354.75 | $87–$473 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $762 | $1,016 | 2.0× |
| Thyroid Met Imaging Body (78018) | $995.25 | $1,327 | 1.9× |
| Thyroid Uptake Measurement (78012) | $762 | $1,016 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $762 | $1,016 | 2.0× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$187.50–$419.25 | $250–$559 | varies |
| Ultrasound elastography first target lesion (76982) | $231 | $308 | 2.3× |
| Ultrasound Elastography Parenchyma (76981) | $231 | $308 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $295.50 | $394 | 2.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $414 | $552 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$757.50–$780 | $1,010–$1,040 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $170.25 | $227 | 2.0× |
| Unlisted us procedure (76999) | $209.25 | $279 | 2.5× |
| Upper gi w/o kub (74240) | $231.75 | $309 | 1.4× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$272.25–$803.25 | $363–$1,071 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$17.25–$440.25 | $23–$587 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$211.50–$420.75 | $282–$561 | varies |
| Us chest (76604) | $438.75 | $585 | 4.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$118.50–$650.25 | $158–$867 | varies |
| Us exam, pelvic, limited (76857) | $707.25 | $943 | 7.0× |
| Us head (76506) | $564.75 | $753 | 5.6× |
| Us kidney transplant (76776) | $352.50 | $470 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $421.50 | $562 | 4.2× |
| Us ob detailed single fetus (76811) | $290.25 | $387 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $655.50 | $874 | 6.5× |
| Us ob transvaginal (76817) | $513.75 | $685 | 5.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$118.50–$1,082.25 | $158–$1,443 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $677.25 | $903 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $375.75 | $501 | 3.7× |
| Us retroperitoneal complete (76770) | $964.50 | $1,286 | 9.5× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$82.50–$747.75 | $110–$997 | varies |
| Us scrotum and contents (76870) | $684.75 | $913 | 6.8× |
| Us spinal canal and contents (76800) | $485.25 | $647 | 4.8× |
| Us thyroid (76536) | $650.25 | $867 | 6.4× |
| Us transrectal (76872) range across 3 matching MRF lines |
$96.75–$252.75 | $129–$337 | varies |
| Vein X-Ray Chest (75827) | $2,913 | $3,884 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $6,425.25 | $8,567 | 2.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$150.75–$3,416.25 | $201–$4,555 | varies |
| Venography extremity unilateral rs&i (75820) | $1,707.75 | $2,277 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $139.50 | $186 | 1.7× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$35.25–$911.25 | $47–$1,215 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$65.25–$447.75 | $87–$597 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$461.25–$947.25 | $615–$1,263 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$175.50–$6,874.50 | $234–$9,166 | varies |
| X-Ray Bend Only L-S Spine (72120) | $139.50 | $186 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$30.75–$867.75 | $41–$1,157 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,122 | $1,496 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$65.25–$207.75 | $87–$277 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$73.50–$231.75 | $98–$309 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$33.75–$139.50 | $45–$186 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$48.75–$139.50 | $65–$186 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$61.50–$231.75 | $82–$309 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$43.50–$462 | $58–$616 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 5 matching MRF lines |
$56.25–$231 | $75–$308 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$63.75–$440.25 | $85–$587 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$65.25–$547.50 | $87–$730 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$42–$486 | $56–$648 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$65.25–$609.75 | $87–$813 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$45–$510 | $60–$680 | varies |
| X-ray humerus (73060) range across 7 matching MRF lines |
$33.75–$900.75 | $45–$1,201 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$272.25–$716.25 | $363–$955 | varies |
| X-ray IV pyelogram+tomography (74415) | $272.25 | $363 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$32.25–$447.75 | $43–$597 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$42.75–$339.75 | $57–$453 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$42–$447.75 | $56–$597 | varies |
| X-ray nose-rectum child f.b. (76010) | $95.25 | $127 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$55.50–$541.50 | $74–$722 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$41.25–$231.75 | $55–$309 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$118.50–$149.25 | $158–$199 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$33.75–$456 | $45–$608 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$25.50–$473.25 | $34–$631 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$47.25–$510 | $63–$680 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$118.50–$597.75 | $158–$797 | varies |
| X-Ray Tmj Unilat (70328) | $102 | $136 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 5 matching MRF lines |
$18–$1,606.50 | $24–$2,142 | varies |
| X-Rays Bone Length Studies (77073) | $249.75 | $333 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $512.25 | $683 | 5.1× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$55.50–$527.25 | $74–$703 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$33.75–$478.50 | $45–$638 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$118.50–$495 | $158–$660 | varies |
| Xr Tomogram Single Plane (76100) | $118.50 | $158 | 1.2× |
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.