Imaging prices at UMass Memorial Medical Center
Worcester, MA · every code in this section with a posted price and a Medicare benchmark.
388 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) | $11,073 | $11,073 | 6.7× |
| Abdomen 1 View (74018) | $606 | $606 | 5.8× |
| Abdomen 2 views (74019) | $770 | $770 | 6.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,577 | $2,577 | 5.4× |
| Angio internal mammary (75756) | $3,934 | $3,934 | 1.0× |
| Angio pulmonary bilat (75743) | $7,699 | $7,699 | 2.0× |
| Angiography extremity bilateral rs&i (75716) | $7,078 | $7,078 | 1.9× |
| Angiography extremity unilateral rs&i (75710) | $6,891 | $6,891 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,366 | $2,366 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,628 | $2,628 | 0.7× |
| Ankle 2 views (73600) | $651 | $651 | 6.2× |
| Aortography thoracic serialography rs&i (75605) | $7,777 | $7,777 | 1.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,935 | $8,935 | 2.4× |
| Artery X-Rays Abdomen (75726) | $17,659 | $17,659 | 2.6× |
| Artery X-Rays Adrenal Gland (75731) | $7,892 | $7,892 | 2.1× |
| Artery X-Rays Pelvis (75736) | $11,026 | $11,026 | 1.7× |
| Artery X-Rays Spine (75705) | $13,847 | $13,847 | 2.1× |
| Arthrogram hip (73525) | $1,115 | $1,115 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $839 | $839 | 5.2× |
| Bone age studies (77072) | $1,089 | $1,089 | 8.7× |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$2,945–$3,239 | $2,945–$3,239 | varies |
| Bone Imaging Limited Area (78300) | $1,542 | $1,542 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,610 | $1,610 | 3.4× |
| Bone Imaging Whole Body (78306) | $3,861 | $3,861 | 8.1× |
| Bone marrow imaging limited area (78102) | $610 | $610 | 1.3× |
| Bone marrow imaging; multiple areas (78103) | $1,539 | $1,539 | 3.2× |
| Bone marrow imaging; whole body (78104) | $1,841 | $1,841 | 3.8× |
| Bone survey infant (77076) | $1,645 | $1,645 | 13.1× |
| Brachytx isodose intermed (77317) | $4,423 | $4,423 | 9.9× |
| Brain Flow Imaging Only (78610) | $1,612 | $1,612 | 2.5× |
| Brain Image W/Flow < 4 Views (78601) | $1,367 | $1,367 | 2.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,484 | $7,484 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,662 | $4,662 | 11.2× |
| Cat Scan Follow-Up Study (76380) | $865 | $865 | 8.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,866 | $1,866 | 2.9× |
| Cerebrospinal Fluid Scan (78630) | $1,624 | $1,624 | 2.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$35,774.04–$50,064.46 | $35,774.04–$50,064.46 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$651–$7,807 | $651–$7,807 | varies |
| Chest 3 views (71047) | $954 | $954 | 9.1× |
| Chest 4 or more views (71048) | $1,103 | $1,103 | 8.8× |
| Clavicle complete (73000) | $558 | $558 | 5.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $894 | $894 | 7.1× |
| Continuing medical physics consltj pr wk (77336) | $939 | $939 | 5.8× |
| Contrast Exam Abdominl Aorta (75625) | $4,640 | $4,640 | 1.2× |
| Contrast X-Ray Bladder (74430) | $831 | $831 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,096 | $5,096 | 12.2× |
| CT abdomen and pelvis without contrast (74176) | $5,243 | $5,243 | 18.3× |
| CT abdomen w contrast (74160) | $3,625 | $3,625 | 17.2× |
| CT abdomen w wo contrast (74170) | $3,761 | $3,761 | 17.9× |
| CT abdomen w/o contrast (74150) | $2,668 | $2,668 | 21.3× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$8,870.36–$8,979.56 | $8,870.36–$8,979.56 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,818.57–$8,870.36 | $4,818.57–$8,870.36 | varies |
| CT Angio Head (70496) | $3,413 | $3,413 | 16.2× |
| CT angio hrt w/3d image (75574) | $2,187 | $2,187 | 5.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 8 matching MRF lines |
$2,969–$3,266 | $2,969–$3,266 | varies |
| CT Angio Neck (70498) | $3,284 | $3,284 | 15.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,737 | $3,737 | 17.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,284 | $3,284 | 15.6× |
| CT cervical spine w/ contrast (72126) | $3,253 | $3,253 | 7.8× |
| CT cervical spine w/o contrast (72125) | $3,127 | $3,127 | 25.0× |
| CT cervical spine w/wo cont (72127) | $3,804 | $3,804 | 18.1× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$3,880.29–$10,720.24 | $3,880.29–$10,720.24 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,499–$3,849 | $3,499–$3,849 | varies |
| CT colonography screening (74263) | $615 | $615 | 2.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,750 | $2,750 | 21.9× |
| CT head/brain with contrast (70460) | $3,020 | $3,020 | 14.4× |
| CT head/brain without and with contrast (70470) | $3,198 | $3,198 | 15.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,187 | $2,187 | 5.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $61 | $61 | 0.6× |
| CT hrt w/3d image congen (75573) | $534 | $534 | 1.3× |
| CT iac w contrast (70481) | $3,395 | $3,395 | 16.2× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$4,229–$4,652 | $4,229–$4,652 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,482–$2,705 | $2,482–$2,705 | varies |
| CT lower extremity w/contrast material (73701) | $3,127 | $3,127 | 14.9× |
| CT lumbar spine w contrast (72132) | $3,642 | $3,642 | 8.7× |
| CT lumbar spine w/o contrast (72131) | $3,127 | $3,127 | 25.0× |
| CT maxillofacial w contrast (70487) | $3,127 | $3,127 | 14.9× |
| CT maxillofacial wo contrast (70486) | $2,651 | $2,651 | 21.2× |
| CT neck tissue combo (70492) | $3,301 | $3,301 | 15.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,508 | $3,508 | 16.7× |
| CT orbits w/o contrast (70480) | $3,198 | $3,198 | 25.5× |
| CT pelvis w&w/o contrast (72194) | $3,648 | $3,648 | 17.4× |
| CT pelvis w/o contrast (72192) | $2,685 | $2,685 | 21.4× |
| CT scan of leg combo (73702) | $3,287 | $3,287 | 15.6× |
| CT scans face/jaw combo (70488) | $3,777 | $3,777 | 18.0× |
| CT soft tissue neck w contrast (70491) | $3,197 | $3,197 | 15.2× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,495–$2,745 | $2,495–$2,745 | varies |
| CT thoracic spine w contrast (72129) | $3,253 | $3,253 | 15.5× |
| CT thoracic spine w/o contrast (72128) | $3,127 | $3,127 | 25.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$3,501–$3,851 | $3,501–$3,851 | varies |
| CT thorax w/o contrast (71250) | $3,165 | $3,165 | 25.3× |
| CT unlisted procedure (76497) | $410 | $410 | 3.9× |
| CT upper ext wo (73200) | $2,705 | $2,705 | 21.6× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,648–$4,013 | $3,648–$4,013 | varies |
| CT upper extremity with contrast (73201) | $2,853 | $2,853 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,548 | $2,548 | 12.1× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,379–$3,717 | $3,379–$3,717 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,284 | $3,284 | 7.9× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,409–$1,550 | $1,409–$1,550 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,534 | $1,534 | 0.6× |
| Diskography lumbar (72295) | $4,128 | $4,128 | 1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,222 | $1,222 | 9.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,222 | $1,222 | 9.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $668 | $668 | 5.3× |
| Dxa Bone Density Axial (77080) | $1,182 | $1,182 | 9.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $924 | $924 | 8.9× |
| Echo exam of fetal heart (76825) | $1,950 | $1,950 | 3.0× |
| Echo exam uterus (76831) | $1,267 | $1,267 | 4.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,063 | $1,063 | 3.7× |
| Echograp Trans R Pros Study (76873) | $1,233 | $1,233 | 9.8× |
| Esophagram (74220) | $676 | $676 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $1,412 | $1,412 | 11.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $969 | $969 | 7.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $4,187 | $4,187 | 14.6× |
| Fluoroscopy up to 1 hr (76000) | $772 | $772 | 2.7× |
| Follow-Up Angiography (75898) | $3,477 | $3,477 | 0.9× |
| Foot 2 views (73620) | $671 | $671 | 6.4× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$1,241–$41,778.43 | $1,241–$41,778.43 | varies |
| Gastric emptying imaging study (78264) | $2,083 | $2,083 | 4.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,243 | $1,243 | 2.6× |
| Gated Heart Planar Single (78472) | $2,832 | $2,832 | 5.9× |
| Gated Heart, Multiple (78473) | $2,668 | $2,668 | 5.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,608 | $1,608 | 2.5× |
| Hand 2 views (73120) | $511 | $511 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,864 | $4,864 | 5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,270 | $5,270 | 6.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $11,194 | $11,194 | 3.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,504 | $7,504 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,291 | $2,291 | 3.5× |
| Hepatobiliary System Imaging (78226) | $2,083 | $2,083 | 4.3× |
| Ht Muscle Image Spect Sing (78451) | $5,993 | $5,993 | 3.9× |
| Hysterosalpingogram (74740) | $1,527 | $1,527 | 5.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,536 | $1,536 | 14.7× |
| Infant hip ultrasound, limited static exam (76886) | $1,410 | $1,410 | 13.5× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$6,478–$7,125 | $6,478–$7,125 | varies |
| K Flow/Funct Image Multiple (78709) | $4,222 | $4,222 | 6.5× |
| K Flow/Funct Image W/Drug (78708) | $4,222 | $4,222 | 6.5× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,893–$2,083 | $1,893–$2,083 | varies |
| Kidney Imaging Morphol (78700) | $1,483 | $1,483 | 3.1× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$562–$4,120.35 | $562–$4,120.35 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,297 | $1,297 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $3,837 | $3,837 | 5.9× |
| Lung perfusion differential (78597) | $3,398 | $3,398 | 7.1× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,363–$1,499 | $1,363–$1,499 | varies |
| Lung Ventilation Imaging (78579) | $385 | $385 | 0.8× |
| Lymph System Imaging (78195) | $2,548.84 | $2,548.84 | 3.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,797 | $1,797 | 1.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,156 | $1,156 | 1.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,977 | $1,977 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,156 | $1,156 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $3,934 | $3,934 | 13.8× |
| Magnetic Resonance Elastography (76391) | $1,225 | $1,225 | 4.3× |
| Meckels Divert Exam (78290) | $2,083 | $2,083 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $5,567 | $5,567 | 12.4× |
| Mr safety determination physician/other qhp (76016) | $675 | $675 | 6.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $146 | $146 | 4.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$562–$1,635 | $562–$1,635 | varies |
| Mr safety implt pos&/immoblj (76019) | $226 | $226 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $5,423 | $5,423 | 13.0× |
| MRA head w/o contrast (70544) | $3,763 | $3,763 | 13.2× |
| MRA head with contrast (70545) | $4,011 | $4,011 | 9.6× |
| MRA neck w contrast (70548) | $3,798 | $3,798 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,463 | $5,463 | 13.1× |
| MRA neck w/o contrast (70547) | $2,838 | $2,838 | 9.9× |
| MRI abdomen w/o contrast (74181) | $3,732 | $3,732 | 13.1× |
| MRI any jt lower extrem w/contrast material (73722) | $4,452 | $4,452 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,423 | $5,423 | 13.0× |
| MRI brain functional w/physician admnistration (70555) | $3,756 | $3,756 | 13.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,855 | $3,855 | 13.5× |
| MRI cardiac w/o contrast (75557) | $3,162 | $3,162 | 11.1× |
| MRI cervical spine w contrast (72142) | $1,178 | $1,178 | 2.8× |
| MRI cervical spine w/o cont (72141) | $3,763 | $3,763 | 13.2× |
| MRI chest w/o contrast (71550) | $3,763 | $3,763 | 13.2× |
| MRI chest wo w contrast (71552) | $4,528 | $4,528 | 10.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,047 | $4,047 | 9.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,189 | $5,189 | 12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,763 | $3,763 | 13.2× |
| MRI lumbar spine w contrast (72149) | $4,069 | $4,069 | 9.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,423 | $5,423 | 13.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,727 | $3,727 | 13.0× |
| MRI orbit face neck w contrast (70542) | $3,949 | $3,949 | 9.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,423 | $5,423 | 13.0× |
| MRI pelvis w contrast (72196) | $4,047 | $4,047 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $4,551 | $4,551 | 10.9× |
| MRI pelvis w/o contrast (72195) | $3,763 | $3,763 | 13.2× |
| MRI spectroscopy (76390) | $2,596 | $2,596 | 24.9× |
| MRI thoracic spine w/o contrast (72146) | $3,763 | $3,763 | 13.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,732 | $3,732 | 13.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,306 | $5,306 | 12.7× |
| MRI, abdomen, combo (74183) | $4,551 | $4,551 | 10.9× |
| MRI, dorsal spine combo (72157) | $5,423 | $5,423 | 13.0× |
| MRI, dorsal spine contrast (72147) | $3,661 | $3,661 | 8.8× |
| MRI, joint upper extrem (73221) | $3,763 | $3,763 | 13.2× |
| MRI, joint upper extrem combo (73223) | $5,423 | $5,423 | 13.0× |
| MRI, lumbar spine combo (72158) | $5,423 | $5,423 | 13.0× |
| Musculoskeletal Nuclear Exam (78399) | $1,074 | $1,074 | 2.2× |
| Myocardial Spect Multiple Studies (78452) | $7,424 | $7,424 | 4.8× |
| N-invas est c ffr sw aly CTA (75580) | $3,768 | $3,768 | 3.7× |
| Neck soft tissue (70360) | $560 | $560 | 5.4× |
| Nervous system nuclear exam (78699) | $1,059 | $1,059 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,236 | $1,236 | 2.6× |
| Nm csf leak detection (78650) | $3,646 | $3,646 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $364 | $364 | 2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,970 | $6,970 | 4.2× |
| Nuclear Rx Intra-Arterial (79445) | $788 | $788 | 2.8× |
| Nuclear Rx Oral Admin (79005) | $2,276 | $2,276 | 8.1× |
| Ob us nuchal meas 1 gest (76813) | $1,891 | $1,891 | 15.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $956 | $956 | 7.6× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $655 | $655 | 4.1× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $882 | $882 | 7.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,213 | $1,213 | 9.7× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $109 | $109 | 3.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $486 | $486 | 3.9× |
| Panoramic X-ray of jaws (70355) | $603 | $603 | 5.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,549 | $3,549 | 5.5× |
| Parathyroid Planar Imaging (78070) | $1,431 | $1,431 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,206 | $2,206 | 4.6× |
| Pelvis 1 or 2 views (72170) | $580 | $580 | 4.6× |
| PET image w/CT, full body (78816) | $7,722 | $7,722 | 4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,367 | $8,367 | 4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,699 | $7,699 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,083 | $2,083 | 4.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,561 | $1,561 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$875–$962 | $875–$962 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,137 | $1,137 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $663 | $663 | 6.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $671 | $671 | 6.4× |
| Radex elbow complete minimum 3 views (73080) | $703 | $703 | 6.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,208 | $1,208 | 9.6× |
| Radex fingr minimum 2 views (73140) | $565 | $565 | 5.4× |
| Radex foot complete minimum 3 views (73630) | $675 | $675 | 6.5× |
| Radex Hand Minimum 3 Views (73130) | $529 | $529 | 5.1× |
| Radex lower extremity infant minimum 2 views (73592) | $254 | $254 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $903 | $903 | 7.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $654 | $654 | 6.3× |
| Radex Ribs Unilateral 2 Views (71100) | $571 | $571 | 5.5× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$634–$3,552 | $634–$3,552 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $762 | $762 | 7.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,119 | $2,119 | 10.1× |
| Radex Spine 1 View Specify Level (72020) | $355 | $355 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $887 | $887 | 8.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $940 | $940 | 9.0× |
| Radex Toe Minimum 2 Views (73660) | $632 | $632 | 6.1× |
| Radex upper extremity infant minimum 2 views (73092) | $348 | $348 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$927–$40,457.42 | $927–$40,457.42 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,231 | $1,231 | 9.8× |
| Radiation treatment delivery level 1 (77402) | $5,470 | $5,470 | 44.7× |
| Radiation treatment delivery level 2 (77407) | $6,860 | $6,860 | 14.8× |
| Radiation treatment delivery level 3 (77412) | $6,927 | $6,927 | 10.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $819 | $819 | 6.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $954 | $954 | 7.6× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$2,030–$2,205 | $2,030–$2,205 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$2,005–$2,205 | $2,005–$2,205 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $707 | $707 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $743 | $743 | 5.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $798 | $798 | 6.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$1,089–$1,198 | $1,089–$1,198 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$746–$820 | $746–$820 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,275–$1,403 | $1,275–$1,403 | varies |
| Radiologic examination femur 1 view (73551) | $814 | $814 | 7.8× |
| Radiologic examination femur minimum 2 views (73552) | $846 | $846 | 8.1× |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$1,392–$2,738.57 | $1,392–$2,738.57 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,009 | $1,009 | 8.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$1,372–$17,470.04 | $1,372–$17,470.04 | varies |
| Ribs bilateral 3 views (71110) | $1,078 | $1,078 | 8.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,359 | $1,359 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,543 | $1,543 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,738–$4,111 | $3,738–$4,111 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,594–$3,953 | $3,594–$3,953 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$3,732–$4,105 | $3,732–$4,105 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,539 | $3,539 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,823 | $3,823 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,115 | $3,115 | 2.0× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,107 | $2,107 | 7.5× |
| Rp Therapy Intravenous Administration (79101) | $1,021 | $1,021 | 3.7× |
| Salivary Gland Function Study (78232) | $1,141 | $1,141 | 2.4× |
| Scapula (73010) | $780 | $780 | 6.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $400 | $400 | 17.1× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$772–$1,406 | $772–$1,406 | varies |
| Shoulder Arthrography (73040) | $1,327 | $1,327 | 3.2× |
| Sialogram (70390) | $417 | $417 | 1.5× |
| Skull less than 4 views (70250) | $740 | $740 | 5.9× |
| Special Physics Consult (77370) | $1,402 | $1,402 | 8.7× |
| Special teletherapy port plan (77321) | $1,050 | $1,050 | 2.3× |
| Special treatment procedure (77470) | $2,852 | $2,852 | 4.3× |
| Sternoclavicular joints (71130) | $993 | $993 | 9.5× |
| Superior sagittal sinus venogram (75870) | $3,157 | $3,157 | 0.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $303 | $303 | 2.9× |
| Tbs technical calculation only (77091) | $334 | $334 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $7,812 | $7,812 | 17.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,776 | $2,776 | 6.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,540 | $2,540 | 5.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,881 | $1,881 | 4.2× |
| Ther rad simulaj-aided field setting simple (77280) | $985 | $985 | 6.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,802 | $2,802 | 13.3× |
| Thoracic spine 2 views (72070) | $671 | $671 | 5.4× |
| Thoracic spine 3 views (72072) | $711 | $711 | 5.7× |
| Thoracolumbar 2 views (72080) | $1,227 | $1,227 | 11.8× |
| Thyroid Imaging With Vascular Flow (78013) | $945 | $945 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,820 | $1,820 | 2.8× |
| Thyroid Uptake Measurement (78012) | $719 | $719 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,466 | $1,466 | 3.1× |
| Tx Devices Design & Construction Complex (77334) | $1,650 | $1,650 | 3.7× |
| Tx devices design & construction intermediate (77333) | $972 | $972 | 6.0× |
| Tx devices design & construction simple (77332) | $850 | $850 | 5.3× |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$668–$767 | $668–$767 | varies |
| Ultrasound Elastography Parenchyma (76981) | $378 | $378 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $1,022 | $1,022 | 8.2× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$1,012–$2,815 | $1,012–$2,815 | varies |
| Umbilical-artery Doppler (OB) (76820) | $668 | $668 | 5.3× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$588–$1,412 | $588–$1,412 | varies |
| Unlisted fluoroscopic procedure (76496) | $1,149 | $1,149 | 11.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,341 | $1,341 | 2.8× |
| Unlisted us procedure (76999) | $343 | $343 | 3.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$643–$1,687 | $643–$1,687 | varies |
| Urethrocystogram voiding (74455) | $1,345 | $1,345 | 4.7× |
| Urethrocystography retrograde (74450) | $730 | $730 | 2.6× |
| Us breast unilateral complete (76641) | $836 | $836 | 6.7× |
| Us chest (76604) range across 2 matching MRF lines |
$1,341–$1,569 | $1,341–$1,569 | varies |
| Us complete joint (76881) | $2,087 | $2,087 | 16.7× |
| Us exam, pelvic, limited (76857) | $1,406 | $1,406 | 11.2× |
| Us head (76506) | $1,710 | $1,710 | 13.6× |
| Us kidney transplant (76776) | $1,773 | $1,773 | 14.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 15 matching MRF lines |
$706–$2,740 | $706–$2,740 | varies |
| Us ob detailed single fetus (76811) | $2,429 | $2,429 | 8.5× |
| Us ob limited 1 or more fetuses (76815) | $1,298 | $1,298 | 10.4× |
| Us ob transvaginal (76817) | $1,259 | $1,259 | 10.0× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$1,440–$3,920 | $1,440–$3,920 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,491 | $1,491 | 11.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,123 | $1,123 | 9.0× |
| Us retroperitoneal complete (76770) | $1,664 | $1,664 | 13.3× |
| Us retroperitoneal limited (76775) | $1,130 | $1,130 | 9.0× |
| Us scrotum and contents (76870) | $1,644 | $1,644 | 13.1× |
| Us spinal canal and contents (76800) | $1,760 | $1,760 | 14.0× |
| Us thyroid (76536) | $884 | $884 | 7.1× |
| Us transrectal (76872) | $935 | $935 | 7.5× |
| Vein X-Ray Chest (75827) | $3,189 | $3,189 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,976 | $2,976 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,664 | $2,664 | 0.7× |
| Venography Adrenal Unilateral (75840) | $2,745 | $2,745 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $3,189 | $3,189 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $3,030 | $3,030 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $3,002 | $3,002 | 1.6× |
| Venography Renal Bilateral (75833) | $3,516 | $3,516 | 0.9× |
| Venography Renal Unilateral (75831) | $3,558 | $3,558 | 0.9× |
| Venous sampling by catheter (75893) | $10,201 | $10,201 | 1.5× |
| Wrist 2 views (73100) | $602 | $602 | 5.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $823 | $823 | 7.9× |
| X-ray antegrade pyelogram tube (74425) | $739 | $739 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $7,777 | $7,777 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $424 | $424 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $681 | $681 | 6.5× |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$18,680.33–$39,067.42 | $18,680.33–$39,067.42 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $484 | $484 | 4.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $796 | $796 | 6.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,026 | $1,026 | 8.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$1,262–$74,667.44 | $1,262–$74,667.44 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$871–$4,668.07 | $871–$4,668.07 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $796 | $796 | 6.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,098 | $1,098 | 8.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,269 | $1,269 | 10.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,514 | $1,514 | 12.1× |
| X-Ray Exam L-S Spine Bending (72114) | $986 | $986 | 7.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $819 | $819 | 7.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $981 | $981 | 7.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,058 | $1,058 | 8.4× |
| X-ray eye for foreign body (70030) | $891 | $891 | 8.5× |
| X-ray humerus (73060) | $657 | $657 | 6.3× |
| X-ray IV pyelogram (ivp) (74400) | $983 | $983 | 4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $638 | $638 | 6.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $639 | $639 | 6.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $727 | $727 | 5.8× |
| X-ray nose-rectum child f.b. (76010) | $726 | $726 | 7.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,437 | $1,437 | 11.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $954 | $954 | 7.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $482 | $482 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $610 | $610 | 5.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $822 | $822 | 7.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $867 | $867 | 6.9× |
| X-Ray Stress View (77071) | $147 | $147 | 1.4× |
| X-ray thoracic spine 4 vw (72074) | $1,095 | $1,095 | 8.7× |
| X-Ray Tmj Unilat (70328) | $254 | $254 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,243 | $1,243 | 3.0× |
| X-Rays Bone Length Studies (77073) | $728 | $728 | 5.8× |
| X-Rays Bone Survey Complete (77075) | $1,401 | $1,401 | 11.2× |
| Xr c-spine 4 or 5 views (72050) | $970 | $970 | 7.7× |
| Xr facial bones less than 3 views (70140) | $706 | $706 | 6.8× |
| Xr orbits complete 4 views (70200) | $858 | $858 | 6.8× |
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.