Imaging prices at Unity Specialty Hospital
Rochester, NY · every code in this section with a posted price and a Medicare benchmark.
357 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) | $4,242.90 | $5,303.62 | 2.5× |
| Abdomen 1 View (74018) | $248.30 | $310.38 | 2.3× |
| Abdomen 2 views (74019) | $338.66 | $423.33 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,146.14 | $1,432.67 | 2.3× |
| Adrenal Cortex & Medulla Img (78075) | $3,363.86 | $4,204.83 | 2.1× |
| Angio internal mammary (75756) | $6,314.05 | $7,892.56 | 1.6× |
| Angio pulmonary bilat (75743) | $6,758.34 | $8,447.92 | 1.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,758.34 | $8,447.92 | 1.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,758.34–$7,191.15 | $8,447.92–$8,988.94 | varies |
| Angiography extremity unilateral rs&i (75710) | $6,758.34 | $8,447.92 | 1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,758.34 | $8,447.92 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,901.04 | $8,626.30 | 1.8× |
| Ankle 2 views (73600) | $248.30 | $310.38 | 2.3× |
| Aortography thoracic serialography rs&i (75605) | $11,025.51 | $13,781.89 | 1.6× |
| Artery X-Rays Abdomen (75726) | $11,737.34 | $14,671.68 | 1.7× |
| Artery X-Rays Pelvis (75736) | $11,737.34 | $14,671.68 | 1.7× |
| Artery X-Rays Spine (75705) | $11,737.34 | $14,671.68 | 1.7× |
| Arthrogram hip (73525) | $901.26 | $1,126.58 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $434.81 | $543.51 | 2.6× |
| Bone age studies (77072) | $338.66 | $423.33 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,146.14 | $1,432.67 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,146.14 | $1,432.67 | 2.3× |
| Bone marrow imaging limited area (78102) | $1,146.14 | $1,432.67 | 2.3× |
| Bone survey infant (77076) | $271.78 | $339.72 | 2.1× |
| Brachytx Isodose Plan Simple (77316) | $1,145.92 | $1,432.40 | 2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,652.32 | $2,065.40 | 3.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,371.58 | $4,214.48 | 3.4× |
| Cat Scan Follow-Up Study (76380) | $348.22 | $435.27 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,212.86 | $1,516.07 | 1.8× |
| Chest 1 view (71045) | $248.30 | $310.38 | 2.3× |
| Chest 2 views (71046) | $248.30 | $310.38 | 2.3× |
| Chest 3 views (71047) | $248.30 | $310.38 | 2.3× |
| Chest 4 or more views (71048) | $338.66 | $423.33 | 2.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $309.01 | $386.26 | 2.4× |
| Cisternography Positive Contrast Rs&I (70015) | $1,878.18 | $2,347.73 | 1.9× |
| Clavicle complete (73000) | $248.30 | $310.38 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $264.73 | $330.91 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $434.81 | $543.51 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) | $6,758.34 | $8,447.92 | 1.7× |
| Contrast X-Ray Bladder (74430) | $901.26 | $1,126.58 | 2.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $387.34 | $484.18 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $960.11 | $1,200.14 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $852.69 | $1,065.86 | 2.9× |
| CT abdomen w contrast (74160) | $795.04 | $993.80 | 3.6× |
| CT abdomen w wo contrast (74170) | $795.04 | $993.80 | 3.6× |
| CT abdomen w/o contrast (74150) | $489.02 | $611.28 | 3.7× |
| CT Angio Abdomen and Pelvis (74174) | $856.32 | $1,070.40 | 2.0× |
| CT Angio Chest (71275) | $795.04 | $993.80 | 3.6× |
| CT Angio Head (70496) | $795.04 | $993.80 | 3.6× |
| CT angio hrt w/3d image (75574) | $446.09 | $557.61 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $795.04 | $993.80 | 3.6× |
| CT Angio Neck (70498) | $795.04 | $993.80 | 3.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $795.04 | $993.80 | 3.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $328.78 | $410.97 | 1.5× |
| CT cervical spine w/ contrast (72126) | $1,666.04 | $2,082.55 | 3.8× |
| CT cervical spine w/o contrast (72125) | $489.02 | $611.28 | 3.7× |
| CT cervical spine w/wo cont (72127) | $795.04 | $993.80 | 3.6× |
| CT chest w contrast (71260) | $795.04 | $993.80 | 3.6× |
| CT chest w/wo contrast (71270) | $795.04 | $993.80 | 3.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $795.04 | $993.80 | 3.6× |
| CT head/brain with contrast (70460) | $795.04 | $993.80 | 3.6× |
| CT head/brain without and with contrast (70470) | $795.04 | $993.80 | 3.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $446.09 | $557.61 | 1.0× |
| CT iac w contrast (70481) | $795.04 | $993.80 | 3.6× |
| CT l-spine w&w/o contrast (72133) | $1,666.04 | $2,082.55 | 7.6× |
| CT lower ext w/o (73700) | $489.02 | $611.28 | 3.7× |
| CT lower extremity w/contrast material (73701) | $795.04 | $993.80 | 3.6× |
| CT lumbar spine w contrast (72132) | $1,666.04 | $2,082.55 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $489.02 | $611.28 | 3.7× |
| CT maxillofacial w contrast (70487) | $795.04 | $993.80 | 3.6× |
| CT maxillofacial wo contrast (70486) | $489.02 | $611.28 | 3.7× |
| CT neck tissue combo (70492) | $795.04 | $993.80 | 3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $795.04 | $993.80 | 3.6× |
| CT orbits w/o contrast (70480) | $489.02 | $611.28 | 3.7× |
| CT pelvis w&w/o contrast (72194) | $795.04 | $993.80 | 3.6× |
| CT pelvis w/o contrast (72192) | $489.02 | $611.28 | 3.7× |
| CT scan of leg combo (73702) | $795.04 | $993.80 | 3.6× |
| CT scans face/jaw combo (70488) | $795.04 | $993.80 | 3.6× |
| CT soft tissue neck w contrast (70491) | $795.04 | $993.80 | 3.6× |
| CT soft tissue neck w/o contrast (70490) | $489.02 | $611.28 | 3.7× |
| CT thoracic spine w contrast (72129) | $795.04 | $993.80 | 3.6× |
| CT thoracic spine w/o contrast (72128) | $489.02 | $611.28 | 3.7× |
| CT thorax w/o contrast (71250) | $489.02 | $611.28 | 3.7× |
| CT upper ext wo (73200) | $456.76 | $570.95 | 3.5× |
| CT upper extremity w/o & w/contrast material (73202) | $795.04 | $993.80 | 3.6× |
| CT upper extremity with contrast (73201) | $1,666.04 | $2,082.55 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $795.04 | $993.80 | 3.6× |
| Cta Abdomen (74175) | $795.04 | $993.80 | 3.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $681.84 | $852.30 | 1.6× |
| CTA pelvis (72191) | $795.04 | $993.80 | 3.6× |
| Dilation ureters/urethra rs&i (74485) | $4,742.40 | $5,928 | 1.8× |
| Diskography lumbar (72295) | $5,194.72 | $6,493.40 | 2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $456.76 | $570.95 | 3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $456.76 | $570.95 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$338.66–$456.76 | $423.33–$570.95 | varies |
| Dxa Bone Density Axial (77080) | $338.66 | $423.33 | 2.6× |
| Echo exam of fetal heart (76825) | $1,862.10 | $2,327.63 | 2.7× |
| Echo exam uterus (76831) | $940.07 | $1,175.09 | 3.2× |
| Echo Guide For Artery Repair (76936) | $785.02 | $981.28 | 2.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $940.07 | $1,175.09 | 3.2× |
| Esophagram (74220) | $414.21 | $517.76 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $456.76 | $570.95 | 3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $456.76 | $570.95 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $713.03 | $891.29 | 2.4× |
| Follow-Up Angiography (75898) | $6,758.34 | $8,447.92 | 1.7× |
| Foot 2 views (73620) | $248.30 | $310.38 | 2.3× |
| Forearm 2 views (73090) | $248.30 | $310.38 | 2.3× |
| Gastric emptying imaging study (78264) | $1,146.14 | $1,432.67 | 2.3× |
| Gated Heart Planar Single (78472) | $1,146.14 | $1,432.67 | 2.3× |
| Hand 2 views (73120) | $338.66 | $423.33 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,754.82 | $3,443.53 | 3.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,541.56 | $3,176.95 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,643.85 | $8,304.81 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,643.85 | $8,304.81 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,212.86 | $1,516.07 | 1.8× |
| Hepatobiliary System Imaging (78226) | $1,146.14 | $1,432.67 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $3,363.86 | $4,204.83 | 2.1× |
| Hysterosalpingogram (74740) | $713.03 | $891.29 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $223.54 | $279.42 | 2.1× |
| Interstitial radiation source applic complex (77778) | $2,540.93 | $3,176.16 | 2.9× |
| Intraop radiaj tx deliver xray single tx session (77424) | $26,549.84 | $33,187.30 | 2.9× |
| Joint Survey Single View (77077) | $338.66 | $423.33 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $1,212.86 | $1,516.07 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $1,212.86 | $1,516.07 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,212.86 | $1,516.07 | 1.8× |
| Knee 3 Views (73562) | $248.30 | $310.38 | 2.3× |
| Leveen/Shunt Patency Exam (78291) | $1,072.46 | $1,340.58 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) | $843.77 | $1,054.71 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,212.86 | $1,516.07 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,212.86 | $1,516.07 | 1.8× |
| Lymph System Imaging (78195) | $1,212.86 | $1,516.07 | 1.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,643.85 | $8,304.81 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,307.22 | $1,634.02 | 4.4× |
| Meckels Divert Exam (78290) | $1,146.14 | $1,432.67 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,145.92 | $1,432.40 | 2.5× |
| Mr safety determination physician/other qhp (76016) | $223.54 | $279.42 | 2.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $62.41 | $78.01 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $234.32 | $292.90 | 2.0× |
| Mr safety implt pos&/immoblj (76019) | $148.86 | $186.07 | 2.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $615.93 | $769.91 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,652.32 | $2,065.40 | 3.8× |
| MRA head w/o contrast (70544) | $1,307.22 | $1,634.02 | 4.4× |
| MRA head with contrast (70545) | $1,652.32 | $2,065.40 | 3.8× |
| MRA neck w contrast (70548) | $1,652.32 | $2,065.40 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,652.32 | $2,065.40 | 3.8× |
| MRA neck w/o contrast (70547) | $1,307.22 | $1,634.02 | 4.4× |
| MRI abdomen w contrast (74182) | $1,652.32 | $2,065.40 | 3.8× |
| MRI abdomen w/o contrast (74181) | $1,307.22 | $1,634.02 | 4.4× |
| MRI any jt lower extrem w/contrast material (73722) | $3,371.58 | $4,214.48 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,652.32 | $2,065.40 | 3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,371.58 | $4,214.48 | 3.4× |
| MRI bone marrow blood supply (77084) | $1,307.22 | $1,634.02 | 4.4× |
| MRI brain functional w/o physician admnistration (70554) | $1,307.22 | $1,634.02 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,307.22 | $1,634.02 | 4.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,307.22 | $1,634.02 | 4.4× |
| MRI cardiac w/o cont stress (75559) | $2,733.43 | $3,416.79 | 4.0× |
| MRI cardiac w/o contrast (75557) | $1,307.22 | $1,634.02 | 4.4× |
| MRI cervical spine w contrast (72142) | $1,652.32 | $2,065.40 | 3.8× |
| MRI cervical spine w/o cont (72141) | $1,307.22 | $1,634.02 | 4.4× |
| MRI chest w/o contrast (71550) | $1,307.22 | $1,634.02 | 4.4× |
| MRI chest with contrast (71551) | $3,371.58 | $4,214.48 | 3.4× |
| MRI chest wo w contrast (71552) | $1,652.32 | $2,065.40 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,652.32 | $2,065.40 | 3.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,652.32 | $2,065.40 | 3.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,307.22 | $1,634.02 | 4.4× |
| MRI lumbar spine w contrast (72149) | $1,652.32 | $2,065.40 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,652.32 | $2,065.40 | 3.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,307.22 | $1,634.02 | 4.4× |
| MRI orbit face neck w contrast (70542) | $1,652.32 | $2,065.40 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,652.32 | $2,065.40 | 3.8× |
| MRI pelvis w contrast (72196) | $1,652.32 | $2,065.40 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $1,652.32 | $2,065.40 | 3.8× |
| MRI pelvis w/o contrast (72195) | $1,307.22 | $1,634.02 | 4.4× |
| MRI thoracic spine w/o contrast (72146) | $1,307.22 | $1,634.02 | 4.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,652.32 | $2,065.40 | 3.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,307.22 | $1,634.02 | 4.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,652.32 | $2,065.40 | 3.8× |
| MRI, abdomen, combo (74183) | $1,652.32 | $2,065.40 | 3.8× |
| MRI, dorsal spine combo (72157) | $1,652.32 | $2,065.40 | 3.8× |
| MRI, dorsal spine contrast (72147) | $1,652.32 | $2,065.40 | 3.8× |
| MRI, joint upper extrem (73221) | $1,307.22 | $1,634.02 | 4.4× |
| MRI, joint upper extrem combo (73223) | $1,652.32 | $2,065.40 | 3.8× |
| MRI, lumbar spine combo (72158) | $1,652.32 | $2,065.40 | 3.8× |
| Myelogram cervical (72240) | $1,839.04 | $2,298.80 | 1.9× |
| Myelogram Lumbar (72265) | $1,839.04 | $2,298.80 | 1.9× |
| Myelography thoracic (72255) | $1,683.67 | $2,104.59 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,839.04 | $2,298.80 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,363.86 | $4,204.83 | 2.1× |
| N-invas est c ffr sw aly CTA (75580) | $2,719.03 | $3,398.79 | 2.5× |
| Neck soft tissue (70360) | $238.91 | $298.64 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,091.56 | $1,364.45 | 2.2× |
| Nm myocard infarct spect (78469) | $3,363.86 | $4,204.83 | 5.0× |
| Nonvascular Shunt X-Ray (75809) | $338.66 | $423.33 | 2.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,242.90 | $5,303.62 | 2.5× |
| Nuclear Rx Intra-Arterial (79445) | $832.98 | $1,041.23 | 2.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$783.99–$832.98 | $979.99–$1,041.23 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$338.66–$456.76 | $423.33–$570.95 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $238.91 | $298.64 | 2.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,212.86 | $1,516.07 | 1.8× |
| Parathyroid Planar Imaging (78070) | $843.77 | $1,054.71 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $843.77 | $1,054.71 | 1.7× |
| Pelvis 1 or 2 views (72170) | $338.66 | $423.33 | 2.6× |
| Peritoneogram Rs&I (74190) | $1,490.95 | $1,863.69 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,299.63 | $5,374.54 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,072.46 | $1,340.58 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $338.66 | $423.33 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,490.95 | $1,863.69 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $248.30 | $310.38 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $248.30 | $310.38 | 2.3× |
| Radex elbow complete minimum 3 views (73080) | $248.30 | $310.38 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $338.66 | $423.33 | 2.6× |
| Radex fingr minimum 2 views (73140) | $248.30 | $310.38 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $248.30 | $310.38 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $248.30 | $310.38 | 2.3× |
| Radex lower extremity infant minimum 2 views (73592) | $248.30 | $310.38 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248.30 | $310.38 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $248.30 | $310.38 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $248.30 | $310.38 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $248.30 | $310.38 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $414.21 | $517.76 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $248.30 | $310.38 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $248.30 | $310.38 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $238.91 | $298.64 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $248.30 | $310.38 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $338.66 | $423.33 | 2.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $248.30 | $310.38 | 2.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $338.66 | $423.33 | 2.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $19,217 | $24,021.25 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $418.64 | $523.30 | 3.3× |
| Radiation treatment delivery level 2 (77407) | $670.94 | $838.67 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $807.62 | $1,009.52 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $338.66 | $423.33 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $338.66 | $423.33 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $414.21 | $517.76 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $414.21 | $517.76 | 1.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $414.21 | $517.76 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $338.66 | $423.33 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $338.66 | $423.33 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $414.21 | $517.76 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $414.21 | $517.76 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $414.21 | $517.76 | 1.9× |
| Radiologic examination femur 1 view (73551) | $248.30 | $310.38 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $248.30 | $310.38 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $248.30 | $310.38 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $338.66 | $423.33 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $248.30 | $310.38 | 2.3× |
| Ribs bilateral 3 views (71110) | $338.66 | $423.33 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,313.93 | $1,642.41 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,962.57 | $4,953.21 | 5.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,363.86 | $4,204.83 | 5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,641.72 | $3,302.15 | 3.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,962.57 | $4,953.21 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,962.57 | $4,953.21 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,641.72 | $3,302.15 | 1.6× |
| Rp Therapy Intravenous Administration (79101) | $815.70 | $1,019.62 | 2.8× |
| Salivary Gland Function Study (78232) | $1,146.14 | $1,432.67 | 2.3× |
| Scapula (73010) | $338.66 | $423.33 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $98.67 | $123.34 | 4.2× |
| Shoulder 1 view (73020) | $248.30 | $310.38 | 2.3× |
| Shoulder Arthrography (73040) | $901.26 | $1,126.58 | 2.1× |
| Skull less than 4 views (70250) | $456.76 | $570.95 | 3.5× |
| Special dosimetry (77331) | $340.10 | $425.13 | 2.0× |
| Special Physics Consult (77370) | $352.99 | $441.24 | 2.1× |
| Special teletherapy port plan (77321) | $1,145.92 | $1,432.40 | 2.5× |
| Special treatment procedure (77470) | $1,839.70 | $2,299.62 | 2.7× |
| Stereotactic Body Radiation Delivery (77373) | $6,013.64 | $7,517.05 | 2.7× |
| Sternoclavicular joints (71130) | $248.30 | $310.38 | 2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,145.92 | $1,432.40 | 2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $929.44 | $1,161.80 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,145.92 | $1,432.40 | 2.5× |
| Ther rad simulaj-aided field setting simple (77280) | $434.81 | $543.51 | 2.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $414.21 | $517.76 | 1.9× |
| Thoracic spine 2 views (72070) | $338.66 | $423.33 | 2.6× |
| Thoracic spine 3 views (72072) | $338.66 | $423.33 | 2.6× |
| Thoracolumbar 2 views (72080) | $248.30 | $310.38 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,146.14 | $1,432.67 | 2.3× |
| Thyroid Met Imaging Body (78018) | $1,212.86 | $1,516.07 | 1.8× |
| Thyroid Uptake Measurement (78012) | $1,146.14 | $1,432.67 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,146.14 | $1,432.67 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $1,145.92 | $1,432.40 | 2.5× |
| Tx devices design & construction simple (77332) | $434.81 | $543.51 | 2.6× |
| Ultrasound Breast Limited (76642) | $238.91 | $298.64 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $355.60 | $444.50 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $456.76 | $570.95 | 3.5× |
| Ultrasound, abdomen limited (76705) | $456.76 | $570.95 | 3.5× |
| Umbilical-artery Doppler (OB) (76820) | $456.76 | $570.95 | 3.5× |
| Unlisted Dx Radiographic Procedure (76499) | $248.30 | $310.38 | 2.3× |
| Unlisted magnetic resonance procedure (76498) | $455.20 | $569 | 4.2× |
| Unlisted respiratory px dx nuclear medicine (78599) | $1,146.14 | $1,432.67 | 2.3× |
| Unlisted us procedure (76999) | $238.91 | $298.64 | 2.2× |
| Upper gi w/o kub (74240) | $414.21 | $517.76 | 1.9× |
| Urethrocystogram voiding (74455) | $713.03 | $891.29 | 2.4× |
| Urethrocystography retrograde (74450) | $713.03 | $891.29 | 2.4× |
| Us breast unilateral complete (76641) | $456.76 | $570.95 | 3.5× |
| Us chest (76604) | $456.76 | $570.95 | 3.5× |
| Us complete joint (76881) | $456.76 | $570.95 | 3.5× |
| Us exam, pelvic, limited (76857) | $456.76 | $570.95 | 3.5× |
| Us head (76506) | $456.76 | $570.95 | 3.5× |
| Us kidney transplant (76776) | $355.60 | $444.50 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $456.76 | $570.95 | 3.5× |
| Us ob detailed single fetus (76811) | $796.06 | $995.08 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $456.76 | $570.95 | 3.5× |
| Us ob transvaginal (76817) | $456.76 | $570.95 | 3.5× |
| Us pelvic non ob complete (76856) | $456.76 | $570.95 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $456.76 | $570.95 | 3.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $456.76 | $570.95 | 3.5× |
| Us retroperitoneal complete (76770) | $456.76 | $570.95 | 3.5× |
| Us retroperitoneal limited (76775) | $456.76 | $570.95 | 3.5× |
| Us scrotum and contents (76870) | $456.76 | $570.95 | 3.5× |
| Us spinal canal and contents (76800) | $345.59 | $431.99 | 2.6× |
| Us thyroid (76536) | $456.76 | $570.95 | 3.5× |
| Us transrectal (76872) | $355.60 | $444.50 | 2.7× |
| Vein X-Ray Chest (75827) | $3,265.22 | $4,081.52 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,643.85 | $8,304.81 | 1.7× |
| Venogram Sinus/Jugular (75860) | $6,758.34 | $8,447.92 | 1.7× |
| Venography caval inferior serialography rs&i (75825) | $6,758.34 | $8,447.92 | 1.7× |
| Venography extremity bilateral rs&i (75822) | $3,265.22 | $4,081.52 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $3,265.22 | $4,081.52 | 1.7× |
| Venography Renal Unilateral (75831) | $6,758.34 | $8,447.92 | 1.7× |
| Wrist 2 views (73100) | $248.30 | $310.38 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $248.30 | $310.38 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $901.26 | $1,126.58 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $6,758.34 | $8,447.92 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $338.66 | $423.33 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $248.30 | $310.38 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $1,392.39 | $1,740.49 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $248.30 | $310.38 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $248.30 | $310.38 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $248.30 | $310.38 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$230.98–$248.30 | $288.72–$310.38 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $338.66 | $423.33 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $338.66 | $423.33 | 2.6× |
| X-ray eye for foreign body (70030) | $248.30 | $310.38 | 2.3× |
| X-ray humerus (73060) | $248.30 | $310.38 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.30 | $310.38 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $248.30 | $310.38 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $338.66 | $423.33 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $248.30 | $310.38 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $338.66 | $423.33 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $338.66 | $423.33 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $338.66 | $423.33 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $248.30 | $310.38 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $248.30 | $310.38 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $456.76 | $570.95 | 3.5× |
| X-ray thoracic spine 4 vw (72074) | $338.66 | $423.33 | 2.6× |
| X-Ray Tmj Unilat (70328) | $238.91 | $298.64 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $901.26 | $1,126.58 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $338.66 | $423.33 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $338.66 | $423.33 | 2.6× |
| Xr facial bones less than 3 views (70140) | $248.30 | $310.38 | 2.3× |
| Xr orbits complete 4 views (70200) | $338.66 | $423.33 | 2.6× |
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.