Imaging prices at Unity Health - Jacksonville
Jacksonville, AR · every code in this section with a posted price and a Medicare benchmark.
327 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 3 matching MRF lines |
$16.50–$63 | $66–$252 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$31–$89.75 | $124–$359 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $420 | $1,680 | 1.1× |
| Angio internal mammary (75756) | $32.50 | $130 | 0.0× |
| Angio pulmonary bilat (75743) | $1,397.50 | $5,590 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $37.25 | $149 | 0.0× |
| Angiography extremity bilateral rs&i (75716) | $919 | $3,676 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $874.25 | $3,497 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $35.25 | $141 | 0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $30.50 | $122 | 0.0× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$20.50–$87.25 | $82–$349 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,562.25 | $6,249 | 0.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $14.50 | $58 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$30.50 | $122 | 0.0× |
| Artery X-Rays Adrenal Gland (75731) | $31.75 | $127 | 0.0× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$31 | $124 | 0.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$59 | $236 | 0.0× |
| Arthrogram ankle (73615) | $277 | $1,108 | 0.8× |
| Arthrogram hip (73525) | $220 | $880 | 0.7× |
| Arthrogram Wrist (73115) | $131.50 | $526 | 0.4× |
| Bone age studies (77072) | $12.50 | $50 | 0.1× |
| Bone Imaging 3 Phase (78315) | $584.75 | $2,339 | 1.6× |
| Bone Imaging Limited Area (78300) | $209.75 | $839 | 0.6× |
| Bone Imaging Whole Body (78306) | $486 | $1,944 | 1.3× |
| Bone survey infant (77076) | $49.50 | $198 | 0.5× |
| Brain imaging < 4 static views (78600) | $125.75 | $503 | 0.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,389.75–$1,930.75 | $5,559–$7,723 | varies |
| Chest 1 view (71045) | $92.50 | $370 | 1.1× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$22.25–$97.50 | $89–$390 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$16.25–$68.75 | $65–$275 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $10.50 | $42 | 0.1× |
| Clavicle complete (73000) | $91 | $364 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $82.75 | $331 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) | $782.25 | $3,129 | 0.3× |
| Contrast X-Ray Bladder (74430) | $189.75 | $759 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $103.75 | $415 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $241 | $964 | 0.7× |
| Corpora cavernosography (74445) | $31.25 | $125 | 0.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,772.50 | $7,090 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,340.75 | $5,363 | 6.0× |
| CT abdomen w contrast (74160) | $966.25 | $3,865 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,283 | $5,132 | 7.8× |
| CT abdomen w/o contrast (74150) | $936 | $3,744 | 9.5× |
| CT Angio Abdomen and Pelvis (74174) | $979 | $3,916 | 3.0× |
| CT Angio Chest (71275) | $638.75 | $2,555 | 3.9× |
| CT Angio Head (70496) | $1,116.50 | $4,466 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$621.50–$1,242.75 | $2,486–$4,971 | varies |
| CT Angio Neck (70498) | $702 | $2,808 | 4.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$621.50–$979 | $2,486–$3,916 | varies |
| CT cervical spine w/ contrast (72126) | $695.25 | $2,781 | 2.1× |
| CT cervical spine w/o contrast (72125) | $632.25 | $2,529 | 6.4× |
| CT cervical spine w/wo cont (72127) | $737.25 | $2,949 | 4.5× |
| CT chest w contrast (71260) | $739 | $2,956 | 4.5× |
| CT chest w/wo contrast (71270) | $765.25 | $3,061 | 4.6× |
| CT head/brain with contrast (70460) | $694.50 | $2,778 | 4.2× |
| CT head/brain without and with contrast (70470) | $968.75 | $3,875 | 5.9× |
| CT iac w contrast (70481) | $875 | $3,500 | 5.3× |
| CT l-spine w&w/o contrast (72133) | $827.50 | $3,310 | 5.0× |
| CT lower ext w/o (73700) | $463 | $1,852 | 4.7× |
| CT lower extremity w/contrast material (73701) | $513.25 | $2,053 | 3.1× |
| CT lumbar spine w contrast (72132) | $812 | $3,248 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $734.25 | $2,937 | 7.5× |
| CT maxillofacial w contrast (70487) | $737.25 | $2,949 | 4.5× |
| CT maxillofacial wo contrast (70486) | $688.75 | $2,755 | 7.0× |
| CT neck tissue combo (70492) | $889.25 | $3,557 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $728.75 | $2,915 | 4.4× |
| CT orbits w/o contrast (70480) | $671.25 | $2,685 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $736 | $2,944 | 4.5× |
| CT pelvis w/o contrast (72192) | $606.25 | $2,425 | 6.2× |
| CT scan of leg combo (73702) | $573.50 | $2,294 | 3.5× |
| CT scans face/jaw combo (70488) | $793 | $3,172 | 4.8× |
| CT soft tissue neck w contrast (70491) | $813.50 | $3,254 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $620 | $2,480 | 6.3× |
| CT thoracic spine w contrast (72129) | $585.50 | $2,342 | 3.6× |
| CT thoracic spine w/o contrast (72128) | $508.25 | $2,033 | 5.2× |
| CT thoracic spine w/wo cont (72130) | $620 | $2,480 | 3.8× |
| CT thorax w/o contrast (71250) | $637.75 | $2,551 | 6.5× |
| CT upper ext wo (73200) | $577.75 | $2,311 | 5.9× |
| CT upper extremity w/o & w/contrast material (73202) | $731.50 | $2,926 | 4.4× |
| CT upper extremity with contrast (73201) | $689.25 | $2,757 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $717 | $2,868 | 4.4× |
| Cta Abdomen (74175) | $712.50 | $2,850 | 4.3× |
| CTA pelvis (72191) | $448.25 | $1,793 | 2.7× |
| Dilation ureters/urethra rs&i (74485) | $15 | $60 | 0.0× |
| Diskography lumbar (72295) | $142.50 | $570 | 0.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $15.25 | $61 | 0.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$36–$74.75 | $144–$299 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $17.50 | $70 | 0.2× |
| Echo exam of fetal heart (76825) | $44.25 | $177 | 0.1× |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$20–$82.25 | $80–$329 | varies |
| Echo Guide For Artery Repair (76936) | $54 | $216 | 0.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $29.75 | $119 | 0.1× |
| Echograp Trans R Pros Study (76873) | $42.25 | $169 | 0.4× |
| Esophagram (74220) | $103.25 | $413 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $142.25 | $569 | 1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $52 | $208 | 0.5× |
| Fluoroscopy up to 1 hr (76000) | $169.50 | $678 | 0.8× |
| Follow-Up Angiography (75898) | $44.50 | $178 | 0.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$11.75–$89 | $47–$356 | varies |
| Forearm 2 views (73090) | $104.75 | $419 | 1.3× |
| Gastric emptying imaging study (78264) | $516.25 | $2,065 | 1.4× |
| Gated Heart Planar Single (78472) | $259.50 | $1,038 | 0.7× |
| GI Endoscopic US S&I (76975) | $22.25 | $89 | 0.1× |
| Hand 2 views (73120) | $87 | $348 | 0.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $30.50 | $122 | 0.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $30.50 | $122 | 0.0× |
| Hepatobil Syst Image W/Drug (78227) | $474.50 | $1,898 | 0.9× |
| Hepatobiliary System Imaging (78226) | $933.50 | $3,734 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $906.25 | $3,625 | 0.7× |
| Hyperthermia external generated superficial (77600) | $200 | $800 | 0.6× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $329 | $1,316 | 0.6× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $219.50 | $878 | 0.4× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $401.25 | $1,605 | 0.6× |
| Hysterosalpingogram (74740) | $135.50 | $542 | 0.6× |
| Joint Survey Single View (77077) | $24 | $96 | 0.2× |
| K Flow/Funct Image Multiple (78709) | $318.50 | $1,274 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $101.25 | $405 | 0.2× |
| K Flow/Funct Image W/O Drug (78707) | $255.25 | $1,021 | 0.5× |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$13–$68.50 | $52–$274 | varies |
| Liver & Spleen Imaging Static Only (78215) | $312.25 | $1,249 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $363.50 | $1,454 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $450.50 | $1,802 | 0.9× |
| Lymph System Imaging (78195) | $353.25 | $1,413 | 0.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $31 | $124 | 0.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $22.25 | $89 | 0.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $31 | $124 | 0.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $22 | $88 | 0.0× |
| Mammary ductogram or galactogram multiple (77054) | $60 | $240 | 0.3× |
| Mammary ductogram or galactogram single (77053) | $42 | $168 | 0.2× |
| Meckels Divert Exam (78290) | $242.50 | $970 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,003.75 | $4,015 | 3.1× |
| MRA head w/o contrast (70544) | $791.25 | $3,165 | 3.5× |
| MRA head with contrast (70545) | $899.25 | $3,597 | 2.7× |
| MRA neck w contrast (70548) | $512 | $2,048 | 1.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $596.50 | $2,386 | 1.8× |
| MRA neck w/o contrast (70547) | $429.25 | $1,717 | 1.9× |
| MRI abdomen w contrast (74182) | $910.75 | $3,643 | 2.8× |
| MRI abdomen w/o contrast (74181) | $876.75 | $3,507 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) | $958.25 | $3,833 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $990.25 | $3,961 | 3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $953 | $3,812 | 1.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $745 | $2,980 | 3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $611 | $2,444 | 2.7× |
| MRI cervical spine w contrast (72142) | $874 | $3,496 | 2.7× |
| MRI cervical spine w/o cont (72141) | $845.25 | $3,381 | 3.8× |
| MRI chest w/o contrast (71550) | $603.25 | $2,413 | 2.7× |
| MRI chest wo w contrast (71552) | $696 | $2,784 | 2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $949 | $3,796 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $981.50 | $3,926 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $912.50 | $3,650 | 4.1× |
| MRI lumbar spine w contrast (72149) | $851.75 | $3,407 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,313 | $5,252 | 4.0× |
| MRI orbit face &/neck w/o contrast (70540) | $494 | $1,976 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,154.25 | $4,617 | 3.5× |
| MRI pelvis w contrast (72196) | $930 | $3,720 | 2.8× |
| MRI pelvis w/o & w contrast (72197) | $1,012.50 | $4,050 | 3.1× |
| MRI pelvis w/o contrast (72195) | $791 | $3,164 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $850.50 | $3,402 | 3.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$702.75–$953 | $2,811–$3,812 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $611 | $2,444 | 2.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $794.75 | $3,179 | 2.4× |
| MRI, abdomen, combo (74183) | $1,062 | $4,248 | 3.2× |
| MRI, dorsal spine combo (72157) | $1,317.50 | $5,270 | 4.0× |
| MRI, dorsal spine contrast (72147) | $877.25 | $3,509 | 2.7× |
| MRI, joint upper extrem (73221) | $897.75 | $3,591 | 4.0× |
| MRI, joint upper extrem combo (73223) | $1,014 | $4,056 | 3.1× |
| MRI, lumbar spine combo (72158) | $1,313 | $5,252 | 4.0× |
| Myelogram cervical (72240) | $281 | $1,124 | 0.4× |
| Myelogram Lumbar (72265) | $238.25 | $953 | 0.3× |
| Myelography thoracic (72255) | $397.25 | $1,589 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $1,345.75 | $5,383 | 1.1× |
| Neck soft tissue (70360) | $83 | $332 | 1.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $183.75 | $735 | 0.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $23.25 | $93 | 0.1× |
| Nonvascular Shunt X-Ray (75809) | $12.50 | $50 | 0.1× |
| Nuclear Rx Oral Admin (79005) | $65.25 | $261 | 0.3× |
| Ob us nuchal meas 1 gest (76813) | $65.25 | $261 | 0.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $15 | $60 | 0.2× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $18.50 | $74 | 0.2× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $42.25 | $169 | 0.3× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $15 | $60 | 0.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $15.75 | $63 | 0.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $25.50 | $102 | 0.3× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $5 | $20 | 0.2× |
| Ophthalmic us dx quantitative a-scan only (76511) | $25.50 | $102 | 0.3× |
| Optic foramina (70190) | $68 | $272 | 0.8× |
| Parathyroid Planar Imaging (78070) | $136.50 | $546 | 0.4× |
| Pelvis 1 or 2 views (72170) | $69.50 | $278 | 0.7× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,847.75–$1,930.75 | $7,391–$7,723 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$1,365.75–$1,473 | $5,463–$5,892 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,365.75–$1,473 | $5,463–$5,892 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $38.50 | $154 | 0.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $300 | $1,200 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$26.50–$127 | $106–$508 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $40.25 | $161 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$8.25–$131.50 | $33–$526 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$5–$65.50 | $20–$262 | varies |
| Radex elbow complete minimum 3 views (73080) | $108 | $432 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $80.50 | $322 | 0.8× |
| Radex fingr minimum 2 views (73140) | $72.75 | $291 | 0.9× |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$6–$117 | $24–$468 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$121.25–$242.50 | $485–$970 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $67.75 | $271 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $104.50 | $418 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$5.25–$192 | $21–$768 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $54.50 | $218 | 0.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$11.25–$75.50 | $45–$302 | varies |
| Radex Sternum Minimum 2 Views (71120) | $95 | $380 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $89.25 | $357 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$21.25–$228.50 | $85–$914 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$21.75–$30.75 | $87–$123 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$426.75 | $1,707 | 0.1× |
| Radiation treatment delivery level 1 (77402) | $72.25 | $289 | 0.8× |
| Radiation treatment delivery level 2 (77407) | $117.25 | $469 | 0.3× |
| Radiation treatment delivery level 3 (77412) | $111.50 | $446 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $75 | $300 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $253.75 | $1,015 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $181.50 | $726 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$16.25–$75.50 | $65–$302 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$15–$20.50 | $60–$82 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $174.25 | $697 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $90.50 | $362 | 0.5× |
| Radiologic examination femur 1 view (73551) | $35.25 | $141 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$13–$44.25 | $52–$177 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$11–$58.50 | $44–$234 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $134.50 | $538 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$11.75–$74.25 | $47–$297 | varies |
| Renal Cyst Study (74470) | $14.50 | $58 | 0.0× |
| Ribs bilateral 3 views (71110) | $115 | $460 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $516.50 | $2,066 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $695.25 | $2,781 | 1.4× |
| Scapula (73010) range across 2 matching MRF lines |
$35.50–$70.25 | $142–$281 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $28.25 | $113 | 1.2× |
| Sella turcica (70240) | $46.50 | $186 | 0.6× |
| Shoulder 1 view (73020) | $64.75 | $259 | 0.8× |
| Shoulder Arthrography (73040) | $270 | $1,080 | 0.8× |
| Skull less than 4 views (70250) | $74.50 | $298 | 0.8× |
| Srs Multisource (77371) likely a partial charge, not the full procedure |
$578.50 | $2,314 | 0.1× |
| Stereotactic Body Radiation Delivery (77373) | $791.75 | $3,167 | 0.5× |
| Sternoclavicular joints (71130) | $106.25 | $425 | 1.3× |
| Superior sagittal sinus venogram (75870) | $30.75 | $123 | 0.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$30–$115.50 | $120–$462 | varies |
| Thoracic spine 3 views (72072) | $129.75 | $519 | 1.3× |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$6.50–$19.25 | $26–$77 | varies |
| Thyroid Uptake Measurement (78012) | $322.50 | $1,290 | 0.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$61.50–$72.75 | $246–$291 | varies |
| Ultrasound Elastography Parenchyma (76981) | $55 | $220 | 0.6× |
| Ultrasound Exam Aaa Screen (76706) | $62.50 | $250 | 0.6× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$22.75–$156.25 | $91–$625 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$13.50–$38.25 | $54–$153 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $28.25 | $113 | 0.3× |
| Unlisted us procedure (76999) | $48.25 | $193 | 0.6× |
| Upper gi w/o kub (74240) | $222.50 | $890 | 1.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $5.50 | $22 | 0.5× |
| Urea breath test c-14 isotopic analysis (78268) | $34.75 | $139 | 0.4× |
| Urethrocystogram voiding (74455) | $144.25 | $577 | 0.6× |
| Urethrocystography retrograde (74450) | $9.25 | $37 | 0.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$63.25–$126.50 | $253–$506 | varies |
| Us chest (76604) | $146.25 | $585 | 1.5× |
| Us complete joint (76881) | $214.75 | $859 | 2.2× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$21–$99 | $84–$396 | varies |
| Us head (76506) | $17.75 | $71 | 0.2× |
| Us kidney transplant (76776) | $75.50 | $302 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$6.75–$24.25 | $27–$97 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$50.25–$106 | $201–$424 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$16.50–$136 | $66–$544 | varies |
| Us ob transvaginal (76817) | $117.25 | $469 | 1.2× |
| Us pelvic non ob complete (76856) | $213.75 | $855 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $125 | $500 | 1.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$26.50–$58.50 | $106–$234 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$123.50–$194 | $494–$776 | varies |
| Us scrotum and contents (76870) | $179.25 | $717 | 1.8× |
| Us thyroid (76536) | $210.75 | $843 | 2.1× |
| Us transrectal (76872) | $124.25 | $497 | 1.3× |
| Vasogram (74440) | $10.50 | $42 | 0.0× |
| Vein X-Ray Chest (75827) | $30 | $120 | 0.0× |
| Vein X-Ray Skull Epidural (75872) | $32.50 | $130 | 0.1× |
| Vein X-Ray Spleen/Liver (75810) | $30.50 | $122 | 0.0× |
| Venogram Sinus/Jugular (75860) | $31.25 | $125 | 0.0× |
| Venography Adrenal Unilateral (75840) | $30.50 | $122 | 0.0× |
| Venography caval inferior serialography rs&i (75825) | $1,356.50 | $5,426 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $489.75 | $1,959 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $371.50 | $1,486 | 0.3× |
| Venography Orbital Rs&I (75880) | $19 | $76 | 0.0× |
| Venography Renal Bilateral (75833) | $40 | $160 | 0.0× |
| Venography Renal Unilateral (75831) | $30.50 | $122 | 0.0× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$14.75 | $59 | 0.0× |
| Wrist 2 views (73100) | $97.75 | $391 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $43.50 | $174 | 0.5× |
| X-ray antegrade pyelogram tube (74425) | $169 | $676 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,356.50 | $5,426 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$18.75–$110.75 | $75–$443 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $91.25 | $365 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $62.25 | $249 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$16.25–$23.75 | $65–$95 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$17.50–$25.25 | $70–$101 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$39.75–$79.50 | $159–$318 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$6.75–$57.50 | $27–$230 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$16.25–$24.25 | $65–$97 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$14.25–$66 | $57–$264 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $66 | $264 | 0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $88.50 | $354 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) | $149 | $596 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$23.75–$119.75 | $95–$479 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $177 | $708 | 1.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$14–$21 | $56–$84 | varies |
| X-ray humerus (73060) | $75 | $300 | 0.9× |
| X-ray IV pyelogram (ivp) (74400) | $212.50 | $850 | 1.3× |
| X-ray IV pyelogram+tomography (74415) | $13.25 | $53 | 0.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$4.75–$16.25 | $19–$65 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $45.50 | $182 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$23–$124.75 | $92–$499 | varies |
| X-ray nose-rectum child f.b. (76010) | $81 | $324 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$8.75–$28.50 | $35–$114 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$59.75–$119.50 | $239–$478 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$12.25–$17.50 | $49–$70 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $99.50 | $398 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $84 | $336 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $87.25 | $349 | 0.9× |
| X-Ray Stress View (77071) | $22.50 | $90 | 0.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$18.50–$24.25 | $74–$97 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$37.75–$51 | $151–$204 | varies |
| X-Rays Bone Length Studies (77073) | $20 | $80 | 0.2× |
| Xr c-spine 4 or 5 views (72050) | $154.50 | $618 | 1.6× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$5–$15.50 | $20–$62 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$7.25–$23.75 | $29–$95 | varies |
| Xr Tomogram Single Plane (76100) | $15.75 | $63 | 0.2× |
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.