Imaging prices at United Hospital Center
Bridgeport, WV · every code in this section with a posted price and a Medicare benchmark.
395 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) | $4,437 | $8,874 | 3.3× |
| Abdomen 1 View (74018) | $168.50 | $337 | 2.0× |
| Abdomen 2 views (74019) | $229.50 | $459 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,045 | $2,090 | 2.7× |
| Angio internal mammary (75756) | $2,870 | $5,740 | 0.9× |
| Angio pulmonary bilat (75743) | $2,870 | $5,740 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,870 | $5,740 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,129.50 | $6,259 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,762.50 | $7,525 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,878 | $7,756 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,870 | $5,740 | 0.9× |
| Ankle 2 views (73600) | $166.50 | $333 | 2.0× |
| Aortography thoracic serialography rs&i (75605) | $5,039.50 | $10,079 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,870 | $5,740 | 0.9× |
| Artery X-Rays Abdomen (75726) | $6,792.50 | $13,585 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $2,870 | $5,740 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,039.50 | $10,079 | 0.9× |
| Artery X-Rays Spine (75705) | $5,039.50 | $10,079 | 0.9× |
| Arthrogram ankle (73615) | $942 | $1,884 | 2.8× |
| Arthrogram hip (73525) | $532 | $1,064 | 1.6× |
| Arthrogram Wrist (73115) | $1,077 | $2,154 | 3.2× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$325.50–$361 | $651–$722 | varies |
| Bone age studies (77072) | $209.50 | $419 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,138.50 | $2,277 | 2.9× |
| Bone Imaging Limited Area (78300) | $718 | $1,436 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $1,054.50 | $2,109 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,138.50 | $2,277 | 2.9× |
| Bone marrow imaging limited area (78102) | $677 | $1,354 | 1.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$205.50–$226.50 | $411–$453 | varies |
| Brachytx isodose complex (77318) | $1,292.50 | $2,585 | 3.6× |
| Brachytx isodose intermed (77317) | $907.50 | $1,815 | 2.5× |
| Brachytx Isodose Plan Simple (77316) | $619 | $1,238 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,113.50 | $2,227 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $978.50 | $1,957 | 1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,541.50 | $3,083 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $948.50 | $1,897 | 2.8× |
| Cat Scan Follow-Up Study (76380) | $374.50 | $749 | 4.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $988.50 | $1,977 | 1.9× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $729.50 | $1,459 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,447 | $2,894 | 2.8× |
| Chest 1 view (71045) | $100.50 | $201 | 1.2× |
| Chest 2 views (71046) | $188.50 | $377 | 2.2× |
| Chest 3 views (71047) | $143.50 | $287 | 1.7× |
| Chest 4 or more views (71048) | $232.50 | $465 | 2.3× |
| Clavicle complete (73000) | $167.50 | $335 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| Continuing medical physics consltj pr wk (77336) | $468.50 | $937 | 3.6× |
| Contrast Exam Abdominl Aorta (75625) | $3,129.50 | $6,259 | 1.0× |
| Contrast X-Ray Bladder (74430) | $487.50 | $975 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,894 | $5,788 | 8.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,415.50 | $2,831 | 4.2× |
| CT abdomen and pelvis without contrast (74176) | $849 | $1,698 | 3.7× |
| CT abdomen w contrast (74160) | $1,097 | $2,194 | 6.5× |
| CT abdomen w wo contrast (74170) | $1,235.50 | $2,471 | 7.3× |
| CT abdomen w/o contrast (74150) | $560 | $1,120 | 5.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,716 | $3,432 | 5.1× |
| CT Angio Chest (71275) | $1,259.50 | $2,519 | 7.4× |
| CT Angio Head (70496) | $1,259.50 | $2,519 | 7.4× |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$875–$997.50 | $1,750–$1,995 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,188–$1,354 | $2,376–$2,708 | varies |
| CT Angio Neck (70498) | $1,099 | $2,198 | 6.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,354 | $2,708 | 8.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,259.50 | $2,519 | 7.4× |
| CT cervical spine w/ contrast (72126) | $1,085.50 | $2,171 | 3.2× |
| CT cervical spine w/o contrast (72125) | $560 | $1,120 | 5.5× |
| CT cervical spine w/wo cont (72127) | $1,085.50 | $2,171 | 6.4× |
| CT chest w contrast (71260) | $1,099 | $2,198 | 6.5× |
| CT chest w/wo contrast (71270) | $1,235.50 | $2,471 | 7.3× |
| CT head/brain with contrast (70460) | $1,179.50 | $2,359 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,235.50 | $2,471 | 7.3× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$875–$997.50 | $1,750–$1,995 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $99 | $198 | 1.2× |
| CT hrt w/3d image congen (75573) | $1,754 | $3,508 | 5.2× |
| CT iac w contrast (70481) | $1,097 | $2,194 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,085.50 | $2,171 | 6.4× |
| CT lower ext w/o (73700) | $560 | $1,120 | 5.5× |
| CT lower extremity w/contrast material (73701) | $1,097 | $2,194 | 6.5× |
| CT lumbar spine w contrast (72132) | $1,085.50 | $2,171 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $560 | $1,120 | 5.5× |
| CT maxillofacial w contrast (70487) | $1,097 | $2,194 | 6.5× |
| CT maxillofacial wo contrast (70486) | $560 | $1,120 | 5.5× |
| CT neck tissue combo (70492) | $1,235.50 | $2,471 | 7.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,235.50 | $2,471 | 7.3× |
| CT orbits w/o contrast (70480) | $560 | $1,120 | 5.5× |
| CT pelvis w&w/o contrast (72194) | $1,328.50 | $2,657 | 7.8× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$560–$1,119 | $1,120–$2,238 | varies |
| CT scan of leg combo (73702) | $1,085.50 | $2,171 | 6.4× |
| CT scans face/jaw combo (70488) | $1,328.50 | $2,657 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,097 | $2,194 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $560 | $1,120 | 5.5× |
| CT thoracic spine w contrast (72129) | $1,085.50 | $2,171 | 6.4× |
| CT thoracic spine w/o contrast (72128) | $560 | $1,120 | 5.5× |
| CT thoracic spine w/wo cont (72130) | $1,085.50 | $2,171 | 6.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$559.50–$560 | $1,119–$1,120 | varies |
| CT unlisted procedure (76497) | $414 | $828 | 4.9× |
| CT upper ext wo (73200) | $560 | $1,120 | 5.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,167 | $2,334 | 6.9× |
| CT upper extremity with contrast (73201) | $1,097 | $2,194 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,136.50–$1,259.50 | $2,273–$2,519 | varies |
| Cta Abdomen (74175) | $1,259.50 | $2,519 | 7.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,259.50 | $2,519 | 3.7× |
| CTA pelvis (72191) | $1,259.50 | $2,519 | 7.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $460 | $920 | 2.0× |
| Dilation ureters/urethra rs&i (74485) | $1,891.50 | $3,783 | 0.9× |
| Discography Cerv/Thor Spine (72285) | $3,343.50 | $6,687 | 1.8× |
| Diskography lumbar (72295) | $3,610.50 | $7,221 | 1.9× |
| Dxa Bone Density Axial (77080) | $338 | $676 | 3.3× |
| Echo exam uterus (76831) | $365 | $730 | 1.6× |
| Echo Guide For Artery Repair (76936) | $365.50 | $731 | 1.7× |
| Echograp Trans R Pros Study (76873) | $369.50 | $739 | 3.7× |
| Esophagram (74220) | $360 | $720 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$214–$215 | $428–$430 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $477.50 | $955 | 4.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $366.50 | $733 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $446.50 | $893 | 1.9× |
| Follow-Up Angiography (75898) | $2,870 | $5,740 | 0.9× |
| Foot 2 views (73620) | $160.50 | $321 | 1.9× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$160.50–$161 | $321–$322 | varies |
| Gastric emptying imaging study (78264) | $1,138.50 | $2,277 | 2.9× |
| Gastroesophageal Reflux Exam (78262) | $1,102 | $2,204 | 2.8× |
| Gated Heart Planar Single (78472) | $1,238.50 | $2,477 | 3.2× |
| Hand 2 views (73120) | $229.50 | $459 | 2.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,331 | $8,662 | 6.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,893.50 | $7,787 | 5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,718.50 | $3,437 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,047 | $2,094 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,047 | $2,094 | 2.7× |
| Ht Musc Image Planar Mult (78454) | $2,688.50 | $5,377 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,688.50 | $5,377 | 2.1× |
| Hysterosalpingogram (74740) | $880 | $1,760 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $224.50 | $449 | 2.7× |
| Infusion Ivp (74410) | $670 | $1,340 | 3.9× |
| Interstitial radiation source applic complex (77778) | $4,807 | $9,614 | 7.1× |
| K Flow/Funct Image Multiple (78709) | $2,375 | $4,750 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $1,287.50 | $2,575 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,287.50 | $2,575 | 2.5× |
| Kidney Imaging Morphol (78700) | $873 | $1,746 | 2.3× |
| Knee 3 Views (73562) | $188 | $376 | 2.2× |
| Leveen/Shunt Patency Exam (78291) | $692.50 | $1,385 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $794 | $1,588 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,134 | $2,268 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,134 | $2,268 | 2.2× |
| Lymph System Imaging (78195) | $907.50 | $1,815 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,381 | $2,762 | 6.0× |
| Mammary ductogram or galactogram multiple (77054) | $345.50 | $691 | 1.5× |
| Mammary ductogram or galactogram single (77053) | $567.50 | $1,135 | 2.5× |
| Meckels Divert Exam (78290) | $873 | $1,746 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) | $2,490 | $4,980 | 6.9× |
| Mr safety determination physician/other qhp (76016) | $292.50 | $585 | 3.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30 | $60 | 1.1× |
| Mr safety implt pos&/immoblj (76019) | $72.50 | $145 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $111.50 | $223 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,455.50 | $4,911 | 7.3× |
| MRA head w/o contrast (70544) | $1,467.50 | $2,935 | 6.4× |
| MRA head with contrast (70545) | $2,005 | $4,010 | 5.9× |
| MRA neck w contrast (70548) | $2,005 | $4,010 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,974 | $3,948 | 5.8× |
| MRA neck w/o contrast (70547) | $1,467.50 | $2,935 | 6.4× |
| MRI abdomen w contrast (74182) | $1,886 | $3,772 | 5.6× |
| MRI abdomen w/o contrast (74181) | $1,381 | $2,762 | 6.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,886 | $3,772 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,974 | $3,948 | 5.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,886 | $3,772 | 2.5× |
| MRI bone marrow blood supply (77084) | $1,232.50 | $2,465 | 5.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,035 | $2,070 | 4.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,035 | $2,070 | 4.5× |
| MRI cardiac w/o contrast (75557) | $358 | $716 | 1.6× |
| MRI cervical spine w contrast (72142) | $2,042.50 | $4,085 | 6.1× |
| MRI cervical spine w/o cont (72141) | $1,467.50 | $2,935 | 6.4× |
| MRI chest w/o contrast (71550) | $1,381 | $2,762 | 6.0× |
| MRI chest with contrast (71551) | $1,886 | $3,772 | 2.5× |
| MRI chest wo w contrast (71552) | $1,974 | $3,948 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,886 | $3,772 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,309.50 | $4,619 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,381 | $2,762 | 6.0× |
| MRI lumbar spine w contrast (72149) | $1,886 | $3,772 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,005 | $4,010 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,467.50 | $2,935 | 6.4× |
| MRI orbit face neck w contrast (70542) | $2,005 | $4,010 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,455.50 | $4,911 | 7.3× |
| MRI pelvis w contrast (72196) | $1,886 | $3,772 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $1,974 | $3,948 | 5.8× |
| MRI pelvis w/o contrast (72195) | $1,381 | $2,762 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,381 | $2,762 | 6.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,886 | $3,772 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,381 | $2,762 | 6.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,626 | $3,252 | 4.8× |
| MRI, abdomen, combo (74183) | $1,974 | $3,948 | 5.8× |
| MRI, dorsal spine combo (72157) | $1,886 | $3,772 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,886 | $3,772 | 5.6× |
| MRI, joint upper extrem (73221) | $1,381 | $2,762 | 6.0× |
| MRI, joint upper extrem combo (73223) | $2,309.50 | $4,619 | 6.8× |
| MRI, lumbar spine combo (72158) | $1,886 | $3,772 | 5.6× |
| Myelogram cervical (72240) | $1,394.50 | $2,789 | 1.8× |
| Myelogram Lumbar (72265) | $1,216 | $2,432 | 1.6× |
| Myelography thoracic (72255) | $1,305.50 | $2,611 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,847 | $3,694 | 2.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $754.50 | $1,509 | 2.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,366.50 | $8,733 | 3.5× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,054.50 | $2,109 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $2,812 | $5,624 | 2.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,104.50 | $6,209 | 2.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,104.50 | $6,209 | 2.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,840.50 | $9,681 | 2.3× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $4,840.50 | $9,681 | 2.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,073 | $4,146 | 2.5× |
| Neck soft tissue (70360) | $100.50 | $201 | 1.2× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $739.50 | $1,479 | 2.0× |
| Nm csf leak detection (78650) | $2,137 | $4,274 | 1.7× |
| Nm myocard infarct spect (78469) | $1,507 | $3,014 | 2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,437 | $8,874 | 3.3× |
| Nuclear Rx Oral Admin (79005) | $1,292.50 | $2,585 | 5.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $493 | $986 | 4.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $204.50 | $409 | 2.0× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $51 | $102 | 1.8× |
| Optic foramina (70190) | $193.50 | $387 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,134 | $2,268 | 2.2× |
| Parathyroid Planar Imaging (78070) | $787 | $1,574 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,651.50 | $3,303 | 4.3× |
| Pelvis 1 or 2 views (72170) | $149.50 | $299 | 1.5× |
| Perineogram (74775) | $537 | $1,074 | 2.3× |
| Peritoneogram Rs&I (74190) | $1,114.50 | $2,229 | 2.1× |
| Pet Image Skull-Thigh (78812) | $2,772.50 | $5,545 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $4,366.50 | $8,733 | 3.2× |
| PET image w/CT, full body (78816) | $4,102 | $8,204 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,320.50 | $8,641 | 3.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,448.50 | $4,897 | 2.0× |
| PET whole body (78813) | $2,772.50 | $5,545 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $988.50 | $1,977 | 2.6× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,069.50 | $2,139 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $329 | $658 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $685 | $1,370 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $168.50 | $337 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $160.50 | $321 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $179 | $358 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $241.50 | $483 | 2.4× |
| Radex fingr minimum 2 views (73140) | $160.50 | $321 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $168.50 | $337 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $198.50 | $397 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$138.50–$153.50 | $277–$307 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $283 | $566 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $161 | $322 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $220.50 | $441 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $179 | $358 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $200 | $400 | 2.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $499.50 | $999 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $134 | $268 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $210 | $420 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $224.50 | $449 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $160.50 | $321 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$138.50–$153.50 | $277–$307 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $168.50 | $337 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $263 | $526 | 2.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,175.50 | $14,351 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $989 | $1,978 | 10.0× |
| Radiation treatment delivery level 2 (77407) | $1,572.50 | $3,145 | 4.2× |
| Radiation treatment delivery level 3 (77412) | $1,747 | $3,494 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $235 | $470 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $224 | $448 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $603 | $1,206 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $445.50 | $891 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $354 | $708 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) | $241 | $482 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$210–$231.50 | $420–$463 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $400.50 | $801 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $303 | $606 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$410–$498 | $820–$996 | varies |
| Radiologic examination femur 1 view (73551) | $194 | $388 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $160.50 | $321 | 1.9× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$175–$194.50 | $350–$389 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $164.50 | $329 | 2.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $283 | $566 | 0.5× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $1,292.50 | $2,585 | 5.7× |
| Renal Cyst Study (74470) | $678.50 | $1,357 | 1.3× |
| Ribs bilateral 3 views (71110) | $329 | $658 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$772.50–$852.50 | $1,545–$1,705 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$772.50–$1,702.50 | $1,545–$3,405 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,681.50 | $5,363 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,590.50–$2,681.50 | $3,181–$5,363 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,681.50–$2,868 | $5,363–$5,736 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,681.50 | $5,363 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,104.50 | $6,209 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,736 | $5,472 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $952.50 | $1,905 | 4.2× |
| Scapula (73010) range across 2 matching MRF lines |
$201.50–$209.50 | $403–$419 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$54.50–$66.50 | $109–$133 | varies |
| Sella turcica (70240) | $130.50 | $261 | 1.6× |
| Shoulder 1 view (73020) | $220.50 | $441 | 2.6× |
| Shoulder Arthrography (73040) | $1,002.50 | $2,005 | 3.0× |
| Sialogram (70390) | $698 | $1,396 | 3.0× |
| Skull less than 4 views (70250) | $167.50 | $335 | 1.7× |
| Special dosimetry (77331) | $414 | $828 | 3.2× |
| Special Physics Consult (77370) | $336 | $672 | 2.6× |
| Special teletherapy port plan (77321) | $978.50 | $1,957 | 2.7× |
| Special treatment procedure (77470) | $1,688.50 | $3,377 | 3.2× |
| Srs Multisource (77371) | $8,973.50 | $17,947 | 1.3× |
| Stereotactic Body Radiation Delivery (77373) | $2,077.50 | $4,155 | 1.2× |
| Sternoclavicular joints (71130) | $216 | $432 | 2.6× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $130.50 | $261 | 1.3× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $130.50 | $261 | 1.3× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $47.50 | $95 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $973.50 | $1,947 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $484 | $968 | 1.3× |
| Testicular Imaging W/Flow (78761) | $918.50 | $1,837 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,578 | $3,156 | 4.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,456 | $2,912 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $580 | $1,160 | 4.5× |
| Thoracic spine 2 views (72070) | $229.50 | $459 | 2.3× |
| Thoracic spine 3 views (72072) | $234.50 | $469 | 2.3× |
| Thoracolumbar 2 views (72080) | $173.50 | $347 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $546 | $1,092 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,560.50 | $3,121 | 3.0× |
| Thyroid Uptake Measurement (78012) | $406 | $812 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $763.50 | $1,527 | 2.0× |
| Tx Devices Design & Construction Complex (77334) | $787.50 | $1,575 | 2.2× |
| Tx devices design & construction intermediate (77333) | $665.50 | $1,331 | 5.1× |
| Tx devices design & construction simple (77332) | $715.50 | $1,431 | 5.5× |
| Ultrasound Breast Limited (76642) | $262 | $524 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $438 | $876 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$232–$344 | $464–$688 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$432–$438.50 | $864–$877 | varies |
| Ureteral Reflux Study (78740) | $609 | $1,218 | 1.6× |
| Urethrocystogram voiding (74455) | $649.50 | $1,299 | 2.8× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$499–$595.50 | $998–$1,191 | varies |
| Us breast unilateral complete (76641) | $291 | $582 | 2.9× |
| Us chest (76604) range across 3 matching MRF lines |
$345–$384 | $690–$768 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$235–$528 | $470–$1,056 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$279–$309.50 | $558–$619 | varies |
| Us head (76506) range across 2 matching MRF lines |
$375.50–$415.50 | $751–$831 | varies |
| Us kidney transplant (76776) | $470.50 | $941 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$121–$329 | $242–$658 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$375.50–$415.50 | $751–$831 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$120.50–$511 | $241–$1,022 | varies |
| Us pelvic non ob complete (76856) | $381.50 | $763 | 3.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $331 | $662 | 3.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $251 | $502 | 2.5× |
| Us retroperitoneal complete (76770) | $455.50 | $911 | 4.5× |
| Us retroperitoneal limited (76775) | $329 | $658 | 3.3× |
| Us scrotum and contents (76870) | $356.50 | $713 | 3.5× |
| Us thyroid (76536) | $349 | $698 | 3.5× |
| Us transrectal (76872) | $479.50 | $959 | 4.7× |
| Vein X-Ray Chest (75827) | $3,492 | $6,984 | 2.3× |
| Vein X-Ray Spleen/Liver (75810) | $2,870 | $5,740 | 0.9× |
| Venogram Sinus/Jugular (75860) | $1,698 | $3,396 | 0.6× |
| Venography Adrenal Unilateral (75840) | $2,870 | $5,740 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $3,762.50 | $7,525 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,802.50 | $3,605 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,802.50 | $3,605 | 1.2× |
| Venography Renal Bilateral (75833) | $3,621.50 | $7,243 | 1.2× |
| Venography Renal Unilateral (75831) | $2,870 | $5,740 | 0.9× |
| Venous sampling by catheter (75893) | $5,039.50 | $10,079 | 0.9× |
| Venous thrombosis imaging (78457) | $762.50 | $1,525 | 1.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,153 | $2,306 | 3.0× |
| Vertebral fracture assessment via dxa (77086) | $172 | $344 | 2.0× |
| Wrist 2 views (73100) | $159.50 | $319 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $209 | $418 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $1,141.50 | $2,283 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $2,006 | $4,012 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $359 | $718 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $169.50 | $339 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $773.50 | $1,547 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $138.50 | $277 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $258 | $516 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $244.50 | $489 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $160.50 | $321 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $231 | $462 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $229.50 | $459 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $230 | $460 | 2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $225.50 | $451 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $338 | $676 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $193.50 | $387 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $321 | $642 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $219 | $438 | 2.2× |
| X-ray eye for foreign body (70030) | $160.50 | $321 | 1.9× |
| X-ray humerus (73060) | $179 | $358 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $877.50 | $1,755 | 5.2× |
| X-ray IV pyelogram+tomography (74415) | $715 | $1,430 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.50 | $417 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $316.50 | $633 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $203.50 | $407 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $285 | $570 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $200 | $400 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $179 | $358 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $224.50 | $449 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $274.50 | $549 | 2.7× |
| X-Ray Stress View (77071) | $117 | $234 | 1.4× |
| X-ray thoracic spine 4 vw (72074) | $293.50 | $587 | 2.9× |
| X-Ray Tmj Unilat (70328) | $220.50 | $441 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $838 | $1,676 | 2.5× |
| X-Rays Bone Length Studies (77073) | $235 | $470 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $359.50 | $719 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $274.50 | $549 | 2.7× |
| Xr facial bones less than 3 views (70140) | $193.50 | $387 | 2.3× |
| Xr orbits complete 4 views (70200) | $241.50 | $483 | 2.4× |
| Xr Tomogram Single Plane (76100) | $385 | $770 | 3.8× |
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.