Imaging prices at UNC Rex Hospital
Raleigh, NC · every code in this section with a posted price and a Medicare benchmark.
391 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) range across 3 matching MRF lines |
$3,745.20–$4,148.40 | $6,242–$6,914 | varies |
| Abdomen 1 View (74018) | $255.60 | $426 | 2.9× |
| Abdomen 2 views (74019) | $330 | $550 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $625.20 | $1,042 | 1.5× |
| Angio internal mammary (75756) | $1,831.80 | $3,053 | 0.6× |
| Angio pulmonary bilat (75743) | $2,708.40 | $4,514 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $2,423.40 | $4,039 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $1,405.80 | $2,343 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,708.40 | $4,514 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,708.40 | $4,514 | 0.8× |
| Ankle 2 views (73600) | $267 | $445 | 3.0× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,252.80 | $2,088 | 0.2× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,002.80 | $3,338 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $2,158.80 | $3,598 | 0.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,111.80–$1,221 | $1,853–$2,035 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$472.80 | $788 | 0.1× |
| Arthrogram ankle (73615) | $228 | $380 | 0.6× |
| Arthrogram hip (73525) | $504.60 | $841 | 1.4× |
| Arthrogram Wrist (73115) | $391.80 | $653 | 1.1× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$381–$510.60 | $635–$851 | varies |
| Bone age studies (77072) | $207.60 | $346 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,498.20 | $2,497 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,070.40 | $1,784 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,581.60 | $2,636 | 3.9× |
| Bone Imaging Whole Body (78306) | $1,581.60 | $2,636 | 3.9× |
| Bone marrow imaging; multiple areas (78103) | $856.80 | $1,428 | 2.1× |
| Bone marrow imaging; whole body (78104) | $1,119.60 | $1,866 | 2.8× |
| Bone survey infant (77076) | $183.60 | $306 | 1.7× |
| Brachytx isodose complex (77318) | $1,573.20 | $2,622 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $1,099.80 | $1,833 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $814.20 | $1,357 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$558.60–$2,792.40 | $931–$4,654 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,511 | $4,185 | 7.1× |
| Cat Scan Follow-Up Study (76380) | $785.40 | $1,309 | 8.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $654 | $1,090 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $518.40 | $864 | 0.9× |
| Chest 1 view (71045) | $160.80 | $268 | 1.8× |
| Chest 2 views (71046) | $224.40 | $374 | 2.5× |
| Chest 3 views (71047) | $252 | $420 | 2.9× |
| Chest 4 or more views (71048) | $199.20 | $332 | 1.9× |
| Clavicle complete (73000) | $255 | $425 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $162 | $270 | 1.5× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$270–$722.40 | $450–$1,204 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,787 | $4,645 | 0.9× |
| Contrast X-Ray Bladder (74430) | $58.80 | $98 | 0.2× |
| Contrast X-Ray Of Elbow (73085) | $292.20 | $487 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $228 | $380 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $4,449 | $7,415 | 12.6× |
| CT abdomen and pelvis without contrast (74176) | $3,213 | $5,355 | 13.3× |
| CT abdomen w contrast (74160) | $1,904.40 | $3,174 | 10.7× |
| CT abdomen w wo contrast (74170) | $2,254.80 | $3,758 | 12.7× |
| CT abdomen w/o contrast (74150) | $1,496.40 | $2,494 | 14.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,416.60 | $7,361 | 12.5× |
| CT Angio Chest (71275) | $2,324.40 | $3,874 | 13.1× |
| CT Angio Head (70496) | $2,512.80 | $4,188 | 14.1× |
| CT angio hrt w/3d image (75574) | $2,485.20 | $4,142 | 7.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,956.20 | $4,927 | 16.6× |
| CT Angio Neck (70498) | $2,382.60 | $3,971 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,384.40 | $3,974 | 13.4× |
| CT cervical spine w/ contrast (72126) | $2,170.80 | $3,618 | 6.1× |
| CT cervical spine w/o contrast (72125) | $1,723.20 | $2,872 | 16.3× |
| CT cervical spine w/wo cont (72127) | $2,222.40 | $3,704 | 12.5× |
| CT chest w contrast (71260) | $1,755 | $2,925 | 9.9× |
| CT chest w/wo contrast (71270) | $2,064 | $3,440 | 11.6× |
| CT head/brain with contrast (70460) | $1,600.80 | $2,668 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,958.40 | $3,264 | 11.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,986 | $3,310 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,410.80 | $4,018 | 27.3× |
| CT hrt w/3d image congen (75573) | $2,485.20 | $4,142 | 7.0× |
| CT iac w contrast (70481) | $1,765.20 | $2,942 | 9.9× |
| CT l-spine w&w/o contrast (72133) | $2,233.80 | $3,723 | 12.6× |
| CT lower ext w/o (73700) | $1,506.60 | $2,511 | 14.2× |
| CT lower extremity w/contrast material (73701) | $1,938.60 | $3,231 | 10.9× |
| CT lumbar spine w contrast (72132) | $1,913.40 | $3,189 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,573.20 | $2,622 | 14.8× |
| CT maxillofacial w contrast (70487) | $1,857.60 | $3,096 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,521.60 | $2,536 | 14.4× |
| CT neck tissue combo (70492) | $2,107.20 | $3,512 | 11.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,969.20 | $3,282 | 11.1× |
| CT orbits w/o contrast (70480) | $1,470 | $2,450 | 13.9× |
| CT pelvis w&w/o contrast (72194) | $1,842.60 | $3,071 | 10.4× |
| CT pelvis w/o contrast (72192) | $1,375.20 | $2,292 | 13.0× |
| CT scan of leg combo (73702) | $2,541 | $4,235 | 14.3× |
| CT scans face/jaw combo (70488) | $2,101.20 | $3,502 | 11.8× |
| CT soft tissue neck w contrast (70491) | $1,849.20 | $3,082 | 10.4× |
| CT soft tissue neck w/o contrast (70490) | $1,550.40 | $2,584 | 14.6× |
| CT thoracic spine w contrast (72129) | $1,637.40 | $2,729 | 9.2× |
| CT thoracic spine w/o contrast (72128) | $1,345.20 | $2,242 | 12.7× |
| CT thoracic spine w/wo cont (72130) | $1,910.40 | $3,184 | 10.7× |
| CT thorax w/o contrast (71250) | $1,398.60 | $2,331 | 13.2× |
| CT unlisted procedure (76497) | $194.40 | $324 | 2.2× |
| CT upper ext wo (73200) | $1,760.40 | $2,934 | 16.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,605.80 | $4,343 | 14.7× |
| CT upper extremity with contrast (73201) | $2,413.20 | $4,022 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,437.20 | $4,062 | 13.7× |
| Cta Abdomen (74175) | $2,435.40 | $4,059 | 13.7× |
| CTA pelvis (72191) | $1,810.80 | $3,018 | 10.2× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $265.20 | $442 | 1.1× |
| Dilation ureters/urethra rs&i (74485) | $399.60 | $666 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $1,248.60 | $2,081 | 0.6× |
| Diskography lumbar (72295) | $1,248.60 | $2,081 | 0.6× |
| Dxa Bone Density Axial (77080) | $546.60 | $911 | 5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $174.60 | $291 | 2.0× |
| Echo exam uterus (76831) | $394.80 | $658 | 1.6× |
| Esophageal Motility Study (78258) | $940.20 | $1,567 | 2.3× |
| Esophagram (74220) | $469.20 | $782 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $400.80 | $668 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $323.40 | $539 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $571.80 | $953 | 2.4× |
| Follow-Up Angiography (75898) | $825.60 | $1,376 | 0.3× |
| Foot 2 views (73620) | $318 | $530 | 3.6× |
| Forearm 2 views (73090) | $227.40 | $379 | 2.6× |
| Gastric emptying imaging study (78264) | $1,347 | $2,245 | 3.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,209.60 | $2,016 | 3.0× |
| Gastroesophageal Reflux Exam (78262) | $738 | $1,230 | 1.8× |
| Gated Heart Planar Single (78472) | $863.40 | $1,439 | 2.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,209.60 | $2,016 | 2.2× |
| Hand 2 views (73120) | $258.60 | $431 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,589.60 | $4,316 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,589.60 | $4,316 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,251.80 | $3,753 | 3.2× |
| Heart Image (Pet) Multiple (78492) | $1,836.60 | $3,061 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $580.20 | $967 | 0.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $479.40 | $799 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,639.80 | $2,733 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,426.80 | $2,378 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $2,325.60 | $3,876 | 1.8× |
| Hysterosalpingogram (74740) | $486 | $810 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $150 | $250 | 1.7× |
| Infant hip ultrasound, limited static exam (76886) | $138.60 | $231 | 1.6× |
| Interstitial radiation source applic complex (77778) | $1,799.40 | $2,999 | 2.5× |
| Intracavitary radiation source applic simple (77761) | $1,474.80 | $2,458 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $966.60 | $1,611 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $696 | $1,160 | 1.3× |
| Kidney Imaging Morphol (78700) | $696 | $1,160 | 1.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $792.60 | $1,321 | 2.0× |
| Knee 3 Views (73562) | $222.60 | $371 | 2.5× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $608.40 | $1,014 | 1.5× |
| Leveen/Shunt Patency Exam (78291) | $753 | $1,255 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $961.20 | $1,602 | 2.4× |
| Liver imaging static only (78201) | $961.20 | $1,602 | 1.7× |
| Liver imaging w/vascular flow (78202) | $1,374 | $2,290 | 2.5× |
| Lung Perf&Ventilat Diferentl (78598) | $878.40 | $1,464 | 1.6× |
| Lung perfusion differential (78597) | $466.80 | $778 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,491.60 | $2,486 | 2.7× |
| Lung Ventilation Imaging (78579) | $776.40 | $1,294 | 1.9× |
| Lymph System Imaging (78195) | $1,247.40 | $2,079 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $1,687.80 | $2,813 | 7.0× |
| Mammary ductogram or galactogram multiple (77054) | $387.60 | $646 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $193.80 | $323 | 0.8× |
| Meckels Divert Exam (78290) | $688.80 | $1,148 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$4,472.40–$4,898.40 | $7,454–$8,164 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $3,204 | $5,340 | 9.1× |
| MRA head w/o contrast (70544) | $2,080.80 | $3,468 | 8.6× |
| MRA head with contrast (70545) | $2,202.60 | $3,671 | 6.2× |
| MRA neck w contrast (70548) | $2,159.40 | $3,599 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,999.40 | $4,999 | 8.5× |
| MRA neck w/o contrast (70547) | $1,947 | $3,245 | 8.1× |
| MRI abdomen w contrast (74182) | $2,700.60 | $4,501 | 7.6× |
| MRI abdomen w/o contrast (74181) | $2,553.60 | $4,256 | 10.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,227.20 | $3,712 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,094.80 | $5,158 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,445.60 | $4,076 | 3.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,431 | $2,385 | 5.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,440 | $2,400 | 6.0× |
| MRI cardiac w/o contrast (75557) | $1,751.40 | $2,919 | 7.2× |
| MRI cervical spine w contrast (72142) | $2,481 | $4,135 | 7.0× |
| MRI cervical spine w/o cont (72141) | $2,414.40 | $4,024 | 10.0× |
| MRI chest w/o contrast (71550) | $1,975.20 | $3,292 | 8.2× |
| MRI chest with contrast (71551) | $3,041.40 | $5,069 | 3.8× |
| MRI chest wo w contrast (71552) | $3,676.20 | $6,127 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,335.20 | $3,892 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,199.20 | $5,332 | 9.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,224.80 | $3,708 | 9.2× |
| MRI lumbar spine w contrast (72149) | $2,430.60 | $4,051 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,062.40 | $5,104 | 8.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,514 | $4,190 | 10.4× |
| MRI orbit face neck w contrast (70542) | $2,782.20 | $4,637 | 7.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,351.60 | $5,586 | 9.5× |
| MRI pelvis w contrast (72196) | $3,103.80 | $5,173 | 8.8× |
| MRI pelvis w/o & w contrast (72197) | $3,232.80 | $5,388 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,075.40 | $3,459 | 8.6× |
| MRI spectroscopy (76390) | $1,903.20 | $3,172 | 21.6× |
| MRI thoracic spine w/o contrast (72146) | $2,109.60 | $3,516 | 8.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,259 | $3,765 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,162.40 | $3,604 | 8.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,094.80 | $5,158 | 8.8× |
| MRI, abdomen, combo (74183) | $3,140.40 | $5,234 | 8.9× |
| MRI, dorsal spine combo (72157) | $2,947.20 | $4,912 | 8.3× |
| MRI, dorsal spine contrast (72147) | $2,564.40 | $4,274 | 7.3× |
| MRI, joint upper extrem (73221) | $2,083.20 | $3,472 | 8.6× |
| MRI, joint upper extrem combo (73223) | $2,819.40 | $4,699 | 8.0× |
| MRI, lumbar spine combo (72158) | $3,272.40 | $5,454 | 9.3× |
| Myelogram cervical (72240) | $726.60 | $1,211 | 0.9× |
| Myelogram Lumbar (72265) | $801.60 | $1,336 | 1.0× |
| Myelography thoracic (72255) | $451.20 | $752 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,135.20 | $1,892 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $498.60 | $831 | 1.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,831.60 | $6,386 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $2,906.40 | $4,844 | 2.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,796 | $4,660 | 1.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,505.60 | $4,176 | 1.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,631.20 | $6,052 | 1.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $5,337.60 | $8,896 | 2.4× |
| N-invas est c ffr sw aly CTA (75580) | $2,434.80 | $4,058 | 2.8× |
| Neck soft tissue (70360) | $217.20 | $362 | 2.5× |
| Nm csf leak detection (78650) | $479.40 | $799 | 0.4× |
| Nonvascular Shunt X-Ray (75809) | $111 | $185 | 1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 5 matching MRF lines |
$3,640.20–$4,281 | $6,067–$7,135 | varies |
| Nuclear medicine study of endocrine organs (78099) | $430.20 | $717 | 1.1× |
| Nuclear Rx Intra-Arterial (79445) | $282 | $470 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $985.80 | $1,643 | 4.2× |
| Panoramic X-ray of jaws (70355) | $181.20 | $302 | 2.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $585.60 | $976 | 1.1× |
| Parathyroid Planar Imaging (78070) | $896.40 | $1,494 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $655.80 | $1,093 | 1.6× |
| Pelvis 1 or 2 views (72170) | $204.60 | $341 | 1.9× |
| Peritoneogram Rs&I (74190) | $297 | $495 | 0.5× |
| Pet Image W/Ct Lmtd (78814) | $2,509.20 | $4,182 | 1.7× |
| PET image w/CT, full body (78816) | $3,690 | $6,150 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,894.60 | $6,491 | 2.7× |
| Pet Myocardial Sngl Study (78491) | $918.60 | $1,531 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $955.20 | $1,592 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $451.20 | $752 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $561.60 | $936 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $277.80 | $463 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $240.60 | $401 | 2.7× |
| Radex elbow complete minimum 3 views (73080) | $265.20 | $442 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $360.60 | $601 | 3.4× |
| Radex fingr minimum 2 views (73140) | $165.60 | $276 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $277.80 | $463 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $236.40 | $394 | 2.7× |
| Radex lower extremity infant minimum 2 views (73592) | $130.80 | $218 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $211.20 | $352 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $236.40 | $394 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $289.80 | $483 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $277.20 | $462 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $91.20 | $152 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $348.60 | $581 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $265.20 | $442 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $231 | $385 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $107.40 | $179 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $194.40 | $324 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $178.80 | $298 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $208.20 | $347 | 2.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$1,705.20–$16,379.40 | $2,842–$27,299 | varies |
| Radiation treatment delivery level 1 (77402) | $533.40 | $889 | 5.2× |
| Radiation treatment delivery level 2 (77407) | $697.80 | $1,163 | 1.8× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$630.60–$843.60 | $1,051–$1,406 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $327 | $545 | 3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $324 | $540 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $829.20 | $1,382 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $556.80 | $928 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $471 | $785 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $289.20 | $482 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $324.60 | $541 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $298.20 | $497 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $240.60 | $401 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $357.60 | $596 | 2.0× |
| Radiologic examination femur 1 view (73551) | $137.40 | $229 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $259.20 | $432 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $256.20 | $427 | 2.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $160.80 | $268 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $212.40 | $354 | 2.4× |
| Ribs bilateral 3 views (71110) | $647.40 | $1,079 | 6.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $261 | $435 | 0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,344 | $2,240 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,765.80 | $2,943 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,404.60 | $2,341 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $963 | $1,605 | 1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,006.40 | $3,344 | 1.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,006.40 | $3,344 | 1.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,006.40 | $3,344 | 1.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,219.80 | $2,033 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $311.40 | $519 | 1.3× |
| Salivary Gland Imaging (78230) | $513.60 | $856 | 1.3× |
| Scapula (73010) | $229.20 | $382 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $83.40 | $139 | 3.6× |
| Sella turcica (70240) | $72 | $120 | 0.8× |
| Shoulder 1 view (73020) | $275.40 | $459 | 3.1× |
| Shoulder Arthrography (73040) | $762.60 | $1,271 | 2.2× |
| Sialogram (70390) | $498.60 | $831 | 2.1× |
| Skull less than 4 views (70250) | $300.60 | $501 | 2.8× |
| Special dosimetry (77331) range across 3 matching MRF lines |
$440.40–$657.60 | $734–$1,096 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,047.60–$1,438.80 | $1,746–$2,398 | varies |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$1,018.80–$1,661.40 | $1,698–$2,769 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$1,255.20–$2,781 | $2,092–$4,635 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$1,860–$5,053.80 | $3,100–$8,423 | varies |
| Sternoclavicular joints (71130) | $183 | $305 | 2.1× |
| Superior sagittal sinus venogram (75870) | $482.40 | $804 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $189.60 | $316 | 1.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 3 matching MRF lines |
$1,429.80–$1,702.20 | $2,383–$2,837 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 3 matching MRF lines |
$1,220.40–$1,356.60 | $2,034–$2,261 | varies |
| Testicular Imaging W/Flow (78761) | $553.80 | $923 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$1,258.80–$2,111.40 | $2,098–$3,519 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 3 matching MRF lines |
$876–$1,034.40 | $1,460–$1,724 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$559.20–$844.20 | $932–$1,407 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $148.20 | $247 | 0.8× |
| Thoracic spine 2 views (72070) | $262.20 | $437 | 2.5× |
| Thoracic spine 3 views (72072) | $196.20 | $327 | 1.9× |
| Thoracolumbar 2 views (72080) | $338.40 | $564 | 3.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $349.80 | $583 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $411 | $685 | 1.0× |
| Thyroid Met Imaging Body (78018) | $1,750.20 | $2,917 | 3.2× |
| Thyroid Uptake Measurement (78012) | $406.20 | $677 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $662.40 | $1,104 | 1.6× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$642.60–$1,117.20 | $1,071–$1,862 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$412.20–$927 | $687–$1,545 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$281.40–$580.80 | $469–$968 | varies |
| Ultrasound Breast Limited (76642) | $295.20 | $492 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $277.80 | $463 | 2.6× |
| Ultrasound, abdomen limited (76705) | $561.60 | $936 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $345 | $575 | 3.3× |
| Unlisted fluoroscopic procedure (76496) | $85.80 | $143 | 1.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,612.80 | $2,688 | 4.0× |
| Unlisted us procedure (76999) | $253.20 | $422 | 2.9× |
| Upper gi w/o kub (74240) | $369 | $615 | 2.1× |
| Ureteral Reflux Study (78740) | $762.60 | $1,271 | 1.9× |
| Urethrocystogram voiding (74455) | $490.80 | $818 | 2.0× |
| Urethrocystography retrograde (74450) | $385.80 | $643 | 1.6× |
| Us bone density measurement (76977) | $30.60 | $51 | 0.3× |
| Us breast unilateral complete (76641) | $275.40 | $459 | 2.6× |
| Us chest (76604) | $344.40 | $574 | 3.3× |
| Us complete joint (76881) | $706.80 | $1,178 | 6.7× |
| Us exam, pelvic, limited (76857) | $493.80 | $823 | 4.7× |
| Us head (76506) | $192 | $320 | 1.8× |
| Us kidney transplant (76776) | $502.20 | $837 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $458.40 | $764 | 4.3× |
| Us ob detailed single fetus (76811) | $576.60 | $961 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $382.20 | $637 | 3.6× |
| Us ob transvaginal (76817) | $501 | $835 | 4.7× |
| Us pelvic non ob complete (76856) | $622.20 | $1,037 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $454.80 | $758 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $256.20 | $427 | 2.4× |
| Us retroperitoneal complete (76770) | $634.80 | $1,058 | 6.0× |
| Us retroperitoneal limited (76775) | $462.60 | $771 | 4.4× |
| Us scrotum and contents (76870) | $551.40 | $919 | 5.2× |
| Us spinal canal and contents (76800) | $189 | $315 | 1.8× |
| Us thyroid (76536) | $536.40 | $894 | 5.1× |
| Us transrectal (76872) | $180.60 | $301 | 1.7× |
| Vascular Flow Imaging (78445) | $645 | $1,075 | 1.6× |
| Vasogram (74440) | $348 | $580 | 1.4× |
| Vein X-Ray Chest (75827) | $3,447.60 | $5,746 | 2.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $969.60 | $1,616 | 0.3× |
| Venogram Sinus/Jugular (75860) | $964.80 | $1,608 | 0.3× |
| Venography Adrenal Unilateral (75840) | $618.60 | $1,031 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $2,428.20 | $4,047 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $837 | $1,395 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $820.80 | $1,368 | 0.5× |
| Venography Renal Bilateral (75833) | $1,543.20 | $2,572 | 0.5× |
| Venography Renal Unilateral (75831) | $795.60 | $1,326 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$663.60 | $1,106 | 0.1× |
| Wrist 2 views (73100) | $225 | $375 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $313.20 | $522 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $322.20 | $537 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,146.20 | $3,577 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $349.20 | $582 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $243.60 | $406 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $183.60 | $306 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $370.20 | $617 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $487.20 | $812 | 4.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $516.60 | $861 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $280.20 | $467 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $296.40 | $494 | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $313.80 | $523 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $454.80 | $758 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $441.60 | $736 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $647.40 | $1,079 | 6.1× |
| X-Ray Exam L-S Spine Bending (72114) | $525 | $875 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $297.60 | $496 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $557.40 | $929 | 5.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $350.40 | $584 | 3.3× |
| X-ray eye for foreign body (70030) | $194.40 | $324 | 2.2× |
| X-ray humerus (73060) | $264 | $440 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $592.80 | $988 | 3.3× |
| X-ray IV pyelogram+tomography (74415) | $624.60 | $1,041 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $189.60 | $316 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $295.20 | $492 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $101.40 | $169 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $351 | $585 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $221.40 | $369 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $220.80 | $368 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $162 | $270 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $402.60 | $671 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $644.40 | $1,074 | 1.8× |
| X-Rays Bone Length Studies (77073) | $145.80 | $243 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $556.20 | $927 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $396 | $660 | 3.7× |
| Xr facial bones less than 3 views (70140) | $288.60 | $481 | 3.3× |
| Xr orbits complete 4 views (70200) | $300 | $500 | 2.8× |
| Xr Tomogram Single Plane (76100) | $204.60 | $341 | 1.9× |
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.