Imaging prices at UnityPoint Health - Meriter
Madison, WI · every code in this section with a posted price and a Medicare benchmark.
337 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) | $6,309.44 | $7,886.79 | 4.7× |
| Abdomen 1 View (74018) | $533.66 | $667.07 | 6.3× |
| Abdomen 2 views (74019) | $545.16 | $681.44 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,380.91 | $2,976.13 | 6.1× |
| Angio internal mammary (75756) | $8,981.68 | $11,227.09 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $7,481.22 | $9,351.52 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $7,481.22 | $9,351.52 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,718.96 | $8,398.70 | 2.2× |
| Ankle 2 views (73600) | $601.04 | $751.29 | 7.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,981.68 | $11,227.10 | 2.9× |
| Artery X-Rays Abdomen (75726) | $6,489.91 | $8,112.38 | 1.2× |
| Artery X-Rays Pelvis (75736) | $6,718.96 | $8,398.70 | 1.2× |
| Artery X-Rays Spine (75705) | $11,597.16 | $14,496.45 | 2.1× |
| Arthrogram ankle (73615) | $1,312.72 | $1,640.90 | 3.9× |
| Arthrogram hip (73525) | $1,531.88 | $1,914.85 | 4.5× |
| Arthrogram Wrist (73115) | $1,312.72 | $1,640.90 | 3.9× |
| Bone age studies (77072) | $665.09 | $831.36 | 6.5× |
| Bone Imaging 3 Phase (78315) | $2,435.61 | $3,044.51 | 6.3× |
| Bone Imaging Limited Area (78300) | $1,288.10 | $1,610.12 | 3.3× |
| Bone Imaging Whole Body (78306) | $2,435.61 | $3,044.51 | 6.3× |
| Bone marrow imaging limited area (78102) | $1,504.28 | $1,880.35 | 3.9× |
| Bone survey infant (77076) | $925.86 | $1,157.32 | 9.1× |
| Brain Flow Imaging Only (78610) | $2,268 | $2,835 | 4.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,362.46 | $5,453.07 | 3.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,097.03 | $8,871.28 | 20.9× |
| Cardiovasc nucl exam unlisted (78499) | $1,482.88 | $1,853.59 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $2,322.88 | $2,903.60 | 27.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,389.83 | $2,987.28 | 4.5× |
| Cerebrospinal Fluid Scan (78630) | $2,159.99 | $2,699.98 | 4.1× |
| Chest 1 view (71045) | $516.45 | $645.56 | 6.1× |
| Chest 2 views (71046) | $527.92 | $659.90 | 6.2× |
| Chest 3 views (71047) | $545.16 | $681.44 | 6.4× |
| Chest 4 or more views (71048) | $573.84 | $717.29 | 5.7× |
| Clavicle complete (73000) | $601.04 | $751.29 | 7.1× |
| Contrast Exam Abdominl Aorta (75625) | $6,489.91 | $8,112.38 | 2.1× |
| Contrast X-Ray Bladder (74430) | $2,192.59 | $2,740.73 | 6.5× |
| Contrast X-Ray Of Elbow (73085) | $1,312.72 | $1,640.90 | 3.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,312.72 | $1,640.90 | 3.9× |
| CT abdomen and pelvis without and with contrast (74178) | $5,468.16 | $6,835.19 | 16.1× |
| CT abdomen and pelvis without contrast (74176) | $3,174.60 | $3,968.25 | 13.7× |
| CT abdomen w contrast (74160) | $4,905.25 | $6,131.56 | 28.8× |
| CT abdomen w wo contrast (74170) | $5,468.16 | $6,835.19 | 32.1× |
| CT abdomen w/o contrast (74150) | $3,174.60 | $3,968.25 | 31.3× |
| CT Angio Abdomen and Pelvis (74174) | $5,890.88 | $7,363.60 | 17.4× |
| CT Angio Chest (71275) | $5,539.32 | $6,924.14 | 32.5× |
| CT Angio Head (70496) | $3,368.37 | $4,210.46 | 19.8× |
| CT angio hrt w/3d image (75574) | $4,396.71 | $5,495.88 | 13.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,539.32 | $6,924.14 | 32.5× |
| CT Angio Neck (70498) | $3,368.37 | $4,210.46 | 19.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,539.32 | $6,924.14 | 32.5× |
| CT cervical spine w/ contrast (72126) | $5,324.68 | $6,655.84 | 15.7× |
| CT cervical spine w/o contrast (72125) | $3,186.26 | $3,982.82 | 31.4× |
| CT cervical spine w/wo cont (72127) | $5,324.68 | $6,655.84 | 31.3× |
| CT chest w contrast (71260) | $4,905.25 | $6,131.56 | 28.8× |
| CT chest w/wo contrast (71270) | $5,468.16 | $6,835.19 | 32.1× |
| CT colonography screening (74263) | $3,035.39 | $3,794.23 | 13.1× |
| CT head/brain with contrast (70460) | $2,982.82 | $3,728.52 | 17.5× |
| CT head/brain without and with contrast (70470) | $3,325.12 | $4,156.39 | 19.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $837.08 | $1,046.35 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $171.60 | $214.50 | 2.0× |
| CT hrt w/3d image congen (75573) | $1,395.79 | $1,744.73 | 4.1× |
| CT iac w contrast (70481) | $2,982.82 | $3,728.52 | 17.5× |
| CT l-spine w&w/o contrast (72133) | $4,905.25 | $6,131.56 | 28.8× |
| CT lower ext w/o (73700) | $3,077.92 | $3,847.40 | 30.3× |
| CT lower extremity w/contrast material (73701) | $5,043.37 | $6,304.21 | 29.6× |
| CT lumbar spine w contrast (72132) | $4,905.25 | $6,131.56 | 14.5× |
| CT lumbar spine w/o contrast (72131) | $3,187.15 | $3,983.93 | 31.4× |
| CT maxillofacial w contrast (70487) | $2,982.82 | $3,728.52 | 17.5× |
| CT maxillofacial wo contrast (70486) | $1,930.44 | $2,413.04 | 19.0× |
| CT neck tissue combo (70492) | $3,325.12 | $4,156.39 | 19.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,166.80 | $3,958.49 | 18.6× |
| CT orbits w/o contrast (70480) | $1,930.44 | $2,413.04 | 19.0× |
| CT pelvis w&w/o contrast (72194) | $5,468.16 | $6,835.19 | 32.1× |
| CT pelvis w/o contrast (72192) | $3,174.60 | $3,968.25 | 31.3× |
| CT scan of leg combo (73702) | $5,043.37 | $6,304.21 | 29.6× |
| CT scans face/jaw combo (70488) | $3,325.12 | $4,156.39 | 19.5× |
| CT soft tissue neck w contrast (70491) | $2,982.82 | $3,728.52 | 17.5× |
| CT soft tissue neck w/o contrast (70490) | $1,930.44 | $2,413.04 | 19.0× |
| CT thoracic spine w contrast (72129) | $5,086.29 | $6,357.86 | 29.9× |
| CT thoracic spine w/o contrast (72128) | $3,104.12 | $3,880.15 | 30.6× |
| CT thoracic spine w/wo cont (72130) | $5,086.29 | $6,357.86 | 29.9× |
| CT thorax w/o contrast (71250) | $3,174.60 | $3,968.25 | 31.3× |
| CT unlisted procedure (76497) | $747.40 | $934.25 | 8.8× |
| CT upper ext wo (73200) | $3,187.15 | $3,983.93 | 31.4× |
| CT upper extremity w/o & w/contrast material (73202) | $5,207.77 | $6,509.71 | 30.6× |
| CT upper extremity with contrast (73201) | $4,905.25 | $6,131.56 | 14.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,539.32 | $6,924.14 | 32.5× |
| Cta Abdomen (74175) | $5,539.32 | $6,924.14 | 32.5× |
| CTA pelvis (72191) | $5,539.32 | $6,924.14 | 32.5× |
| Dilation ureters/urethra rs&i (74485) | $3,963.30 | $4,954.12 | 2.0× |
| Discography Cerv/Thor Spine (72285) | $2,440.84 | $3,051.04 | 1.3× |
| Diskography lumbar (72295) | $5,545.69 | $6,932.11 | 2.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $919.47 | $1,149.33 | 9.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $919.47 | $1,149.33 | 9.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $749.52 | $936.90 | 7.4× |
| Dxa Bone Density Axial (77080) | $859.38 | $1,074.22 | 8.5× |
| Dxa bone density study (77085) | $859.38 | $1,074.22 | 8.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $536.92 | $671.14 | 6.4× |
| Echo exam of fetal heart (76825) | $1,191.08 | $1,488.84 | 2.2× |
| Echo exam uterus (76831) | $1,225.04 | $1,531.29 | 5.3× |
| Echo Guide For Artery Repair (76936) | $1,248.29 | $1,560.36 | 6.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,191.08 | $1,488.84 | 5.1× |
| Esophagram (74220) | $1,079.10 | $1,348.87 | 6.3× |
| Fetal Biophys Profile W/Nst (76818) | $1,415.87 | $1,769.83 | 13.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,415.87 | $1,769.83 | 13.9× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,990 | $2,487.49 | 8.6× |
| Fluoroscopy up to 1 hr (76000) | $758.44 | $948.04 | 3.3× |
| Follow-Up Angiography (75898) | $901.68 | $1,127.10 | 0.3× |
| Foot 2 views (73620) | $601.04 | $751.29 | 7.1× |
| Forearm 2 views (73090) | $601.04 | $751.29 | 7.1× |
| Gastric emptying imaging study (78264) | $2,380.91 | $2,976.13 | 6.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,419.04 | $3,023.79 | 6.2× |
| Gated Heart Planar Single (78472) | $2,761.99 | $3,452.48 | 7.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,210.42 | $4,013.02 | 6.1× |
| Hand 2 views (73120) | $601.04 | $751.29 | 5.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,001.50 | $7,501.87 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,715.59 | $3,394.48 | 5.1× |
| Hepatobiliary System Imaging (78226) | $2,024.44 | $2,530.55 | 5.2× |
| Ht Musc Image Planar Mult (78454) | $5,040.51 | $6,300.63 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $5,040.51 | $6,300.63 | 4.0× |
| Hysterosalpingogram (74740) | $2,289.28 | $2,861.60 | 9.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $919.47 | $1,149.33 | 10.9× |
| Joint Survey Single View (77077) | $859.38 | $1,074.22 | 8.5× |
| K Flow/Funct Image W/Drug (78708) | $3,199.13 | $3,998.91 | 6.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,046.80 | $3,808.49 | 7.8× |
| Knee 3 Views (73562) | $601.04 | $751.29 | 7.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,446.03 | $1,807.53 | 3.7× |
| Liver imaging static only (78201) | $1,446.03 | $1,807.53 | 2.7× |
| Lung perfusion differential (78597) | $1,285.66 | $1,607.07 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) | $2,753.76 | $3,442.19 | 5.2× |
| Lung Ventilation Imaging (78579) | $1,224.44 | $1,530.54 | 3.2× |
| Lymph System Imaging (78195) | $2,559.07 | $3,198.83 | 4.9× |
| Magnetic Image Jaw Joint (70336) | $1,901.54 | $2,376.92 | 8.2× |
| Meckels Divert Exam (78290) | $2,380.91 | $2,976.13 | 6.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,405.36 | $4,256.69 | 10.0× |
| MRA head w/o contrast (70544) | $2,169.75 | $2,712.18 | 9.4× |
| MRA head with contrast (70545) | $3,405.36 | $4,256.69 | 10.0× |
| MRA neck w contrast (70548) | $3,045.93 | $3,807.41 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,546.62 | $4,433.27 | 10.5× |
| MRA neck w/o contrast (70547) | $2,347.28 | $2,934.09 | 10.1× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,552.32–$4,033.69 | $4,440.40–$5,042.11 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,313.01–$3,082.92 | $2,891.26–$3,853.65 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,306.07 | $4,132.58 | 4.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,306.07 | $4,132.58 | 9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,415.28 | $8,019.09 | 8.4× |
| MRI brain functional w/o physician admnistration (70554) | $1,756.85 | $2,196.06 | 7.6× |
| MRI cardiac w/o contrast (75557) | $5,197.68 | $6,497.09 | 22.4× |
| MRI cervical spine w/o cont (72141) | $2,118.84 | $2,648.54 | 9.1× |
| MRI chest w/o contrast (71550) | $2,066.16 | $2,582.70 | 8.9× |
| MRI chest wo w contrast (71552) | $3,540.91 | $4,426.13 | 10.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,261.05 | $4,076.31 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,255.89 | $2,819.86 | 9.7× |
| MRI lumbar spine w contrast (72149) | $3,141.13 | $3,926.41 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,141.13 | $3,926.41 | 9.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,230.54 | $1,538.17 | 5.3× |
| MRI orbit face neck w contrast (70542) | $1,815.06 | $2,268.82 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,634.18 | $5,792.72 | 13.7× |
| MRI pelvis w contrast (72196) | $3,392.42 | $4,240.52 | 10.0× |
| MRI pelvis w/o & w contrast (72197) | $3,392.42 | $4,240.52 | 10.0× |
| MRI pelvis w/o contrast (72195) | $2,273.04 | $2,841.30 | 9.8× |
| MRI spectroscopy (76390) | $1,473.59 | $1,841.98 | 17.4× |
| MRI thoracic spine w/o contrast (72146) | $2,025.63 | $2,532.03 | 8.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,255.89 | $2,819.86 | 9.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,025.24 | $8,781.54 | 20.7× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,552.32–$5,167.22 | $4,440.40–$6,459.02 | varies |
| MRI, dorsal spine combo (72157) | $3,179.18 | $3,973.97 | 9.4× |
| MRI, dorsal spine contrast (72147) | $3,179.18 | $3,973.97 | 9.4× |
| MRI, joint upper extrem (73221) | $2,064.30 | $2,580.37 | 8.9× |
| MRI, joint upper extrem combo (73223) | $3,302.12 | $4,127.65 | 9.7× |
| MRI, lumbar spine combo (72158) | $3,141.13 | $3,926.41 | 9.3× |
| Myelogram cervical (72240) | $4,964.16 | $6,205.19 | 6.5× |
| Myelogram Lumbar (72265) | $4,964.16 | $6,205.19 | 6.5× |
| Myelography thoracic (72255) | $4,964.16 | $6,205.19 | 6.5× |
| Myelograpy 2/more regions rs&i (72270) | $4,727.77 | $5,909.71 | 6.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,154.73 | $5,193.41 | 3.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,868.38 | $4,835.47 | 3.1× |
| Myocardial Spect Multiple Studies (78452) | $5,040.51 | $6,300.63 | 4.0× |
| N-invas est c ffr sw aly CTA (75580) | $2,946.12 | $3,682.65 | 3.5× |
| Neck soft tissue (70360) | $534.47 | $668.08 | 6.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $801.10 | $1,001.37 | 2.1× |
| Nm csf leak detection (78650) | $5,646.39 | $7,057.98 | 4.5× |
| Nm unlisted gi procedure (78299) | $1,482.88 | $1,853.59 | 3.8× |
| Nonvascular Shunt X-Ray (75809) | $814.43 | $1,018.03 | 8.0× |
| Nuclear medicine study of endocrine organs (78099) | $1,226.96 | $1,533.69 | 3.2× |
| Nuclear Rx Oral Admin (79005) | $2,563.90 | $3,204.87 | 11.3× |
| Ob us nuchal meas 1 gest (76813) | $698.93 | $873.66 | 6.9× |
| Panoramic X-ray of jaws (70355) | $530.92 | $663.64 | 6.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,557.80 | $3,197.25 | 4.8× |
| Parathyroid Planar Imaging (78070) | $2,183.68 | $2,729.59 | 5.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,950.15 | $2,437.68 | 5.0× |
| Pelvis 1 or 2 views (72170) | $601.04 | $751.29 | 5.9× |
| Peritoneogram Rs&I (74190) | $1,127 | $1,408.75 | 2.1× |
| Pet Image W/Ct Lmtd (78814) | $7,894.53 | $9,868.16 | 5.7× |
| PET image w/CT, full body (78816) | $3,775.21 | $4,719.01 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,775.21 | $4,719.01 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,959.71 | $2,449.63 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $823.33 | $1,029.16 | 8.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,289.28 | $2,861.60 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $601.04 | $751.29 | 7.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $601.04 | $751.29 | 7.1× |
| Radex elbow complete minimum 3 views (73080) | $601.04 | $751.29 | 7.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $675.44 | $844.30 | 6.7× |
| Radex fingr minimum 2 views (73140) | $601.04 | $751.29 | 7.1× |
| Radex foot complete minimum 3 views (73630) | $601.04 | $751.29 | 7.1× |
| Radex Hand Minimum 3 Views (73130) | $601.04 | $751.29 | 7.1× |
| Radex lower extremity infant minimum 2 views (73592) | $601.04 | $751.29 | 7.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $601.04 | $751.29 | 7.1× |
| Radex Ribs Unilateral 2 Views (71100) | $601.04 | $751.29 | 7.1× |
| Radex shoulder complete minimum 2 views (73030) | $601.04 | $751.29 | 7.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $601.04 | $751.29 | 7.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,365.60 | $1,707 | 8.0× |
| Radex Spine 1 View Specify Level (72020) | $601.04 | $751.29 | 7.1× |
| Radex Sternum Minimum 2 Views (71120) | $601.04 | $751.29 | 7.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $583.31 | $729.13 | 6.9× |
| Radex Toe Minimum 2 Views (73660) | $601.04 | $751.29 | 7.1× |
| Radex upper extremity infant minimum 2 views (73092) | $601.04 | $751.29 | 5.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $601.04 | $751.29 | 7.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $612.48 | $765.60 | 6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $556.63 | $695.78 | 5.5× |
| Radiologic exam colon double contrast study (74280) | $1,433.88 | $1,792.35 | 8.4× |
| Radiologic exam colon single contrast study (74270) | $1,079.10 | $1,348.87 | 6.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $962.20 | $1,202.75 | 5.6× |
| Radiologic exam knee complete 4/more views (73564) | $675.44 | $844.30 | 6.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $601.04 | $751.29 | 5.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,079.10 | $1,348.87 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $1,079.10 | $1,348.87 | 6.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,079.10 | $1,348.87 | 6.3× |
| Radiologic examination femur 1 view (73551) | $542.11 | $677.63 | 6.4× |
| Radiologic examination femur minimum 2 views (73552) | $542.11 | $677.63 | 6.4× |
| Radiologic examination knee 1/2 views (73560) | $601.04 | $751.29 | 7.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $881.77 | $1,102.21 | 8.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $601.04 | $751.29 | 7.1× |
| Ribs bilateral 3 views (71110) | $675.44 | $844.30 | 6.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,462.61 | $1,828.26 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,462.61 | $1,828.26 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,031.86 | $5,039.82 | 7.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,739.44 | $3,424.29 | 5.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,723.64 | $5,904.54 | 9.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,701.69 | $5,877.11 | 3.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,333.97 | $6,667.46 | 3.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,701.69 | $5,877.11 | 3.7× |
| Rp Therapy Intravenous Administration (79101) | $1,789.08 | $2,236.34 | 7.9× |
| Salivary Gland Function Study (78232) | $1,267.38 | $1,584.22 | 3.3× |
| Scapula (73010) | $601.04 | $751.29 | 5.9× |
| Shoulder 1 view (73020) | $601.04 | $751.29 | 7.1× |
| Shoulder Arthrography (73040) | $2,735.96 | $3,419.94 | 8.1× |
| Sialogram (70390) | $1,306.43 | $1,633.03 | 5.6× |
| Skull less than 4 views (70250) | $601.04 | $751.29 | 5.9× |
| Spleen Imaging (78185) | $1,432.65 | $1,790.81 | 3.7× |
| Sternoclavicular joints (71130) | $601.04 | $751.29 | 7.1× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $388.39 | $485.48 | 4.6× |
| Tbs technical calculation only (77091) | $388.39 | $485.48 | 4.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,312.72 | $1,640.90 | 5.7× |
| Testicular Imaging W/Flow (78761) | $1,630.56 | $2,038.19 | 4.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,066.89 | $2,583.61 | 5.7× |
| Thoracic spine 2 views (72070) | $601.04 | $751.29 | 5.9× |
| Thoracic spine 3 views (72072) | $675.44 | $844.30 | 6.7× |
| Thoracolumbar 2 views (72080) | $601.04 | $751.29 | 7.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,782.76 | $2,228.45 | 4.6× |
| Thyroid Met Imaging Body (78018) | $1,462.61 | $1,828.26 | 2.8× |
| Thyroid Uptake Measurement (78012) | $1,222 | $1,527.49 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,037.33 | $2,546.66 | 5.2× |
| Tx Devices Design & Construction Complex (77334) | $1,769.75 | $2,212.18 | 4.9× |
| Tx devices design & construction intermediate (77333) | $701.66 | $877.07 | 5.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,006.17–$2,012.34 | $1,257.71–$2,515.42 | varies |
| Ultrasound Exam Aaa Screen (76706) | $430.24 | $537.80 | 4.2× |
| Ultrasound, abdomen limited (76705) | $1,414.32 | $1,767.90 | 13.9× |
| Umbilical-artery Doppler (OB) (76820) | $749.52 | $936.90 | 7.4× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,482.88 | $1,853.59 | 3.8× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $1,482.88 | $1,853.59 | 3.8× |
| Upper gi w/o kub (74240) | $1,079.10 | $1,348.87 | 6.3× |
| Ureteral Reflux Study (78740) | $1,630.56 | $2,038.19 | 4.2× |
| Urethrocystogram voiding (74455) | $2,192.59 | $2,740.73 | 9.5× |
| Urethrocystography retrograde (74450) | $1,799.30 | $2,249.12 | 7.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$1,217.30–$2,434.60 | $1,521.62–$3,043.24 | varies |
| Us chest (76604) | $919.47 | $1,149.33 | 9.1× |
| Us complete joint (76881) | $1,415.87 | $1,769.83 | 13.9× |
| Us exam, pelvic, limited (76857) | $919.47 | $1,149.33 | 9.1× |
| Us head (76506) | $919.47 | $1,149.33 | 9.1× |
| Us kidney transplant (76776) | $717.46 | $896.82 | 7.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $919.47 | $1,149.33 | 9.1× |
| Us ob detailed single fetus (76811) | $2,205.77 | $2,757.21 | 9.5× |
| Us ob limited 1 or more fetuses (76815) | $919.47 | $1,149.33 | 9.1× |
| Us ob transvaginal (76817) | $919.47 | $1,149.33 | 9.1× |
| Us pelvic non ob complete (76856) | $1,415.87 | $1,769.83 | 13.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,047.83 | $1,309.78 | 10.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $919.47 | $1,149.33 | 9.1× |
| Us retroperitoneal complete (76770) | $1,415.87 | $1,769.83 | 13.9× |
| Us retroperitoneal limited (76775) | $1,415.87 | $1,769.83 | 13.9× |
| Us scrotum and contents (76870) | $1,415.87 | $1,769.83 | 13.9× |
| Us spinal canal and contents (76800) | $1,415.87 | $1,769.83 | 13.9× |
| Us thyroid (76536) | $1,415.87 | $1,769.83 | 13.9× |
| Vein X-Ray Chest (75827) | $2,238.39 | $2,797.98 | 1.5× |
| Venogram Sinus/Jugular (75860) | $4,564.26 | $5,705.32 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $6,442.64 | $8,053.30 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $4,786 | $5,982.49 | 3.1× |
| Venography extremity unilateral rs&i (75820) | $4,786 | $5,982.49 | 3.1× |
| Venography Renal Bilateral (75833) | $6,616.32 | $8,270.39 | 2.2× |
| Venography Renal Unilateral (75831) | $5,209.75 | $6,512.18 | 1.7× |
| Wrist 2 views (73100) | $601.04 | $751.29 | 7.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $601.04 | $751.29 | 7.1× |
| X-ray antegrade pyelogram tube (74425) | $2,192.59 | $2,740.73 | 6.5× |
| X-Ray Aorta Leg Arteries (75630) | $6,442.64 | $8,053.30 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $859.38 | $1,074.22 | 8.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $601.04 | $751.29 | 7.1× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$3,570.83–$3,905.40 | $4,463.53–$4,881.74 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $398.90 | $498.62 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $487.21 | $609.01 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $542.11 | $677.63 | 6.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $542.11 | $677.63 | 6.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $501.89 | $627.36 | 4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $501.89 | $627.36 | 4.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,628.84 | $2,036.05 | 16.0× |
| X-Ray Exam L-S Spine Bending (72114) | $859.38 | $1,074.22 | 8.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $601.04 | $751.29 | 7.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $925.86 | $1,157.32 | 9.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $675.44 | $844.30 | 6.7× |
| X-ray eye for foreign body (70030) | $534.47 | $668.08 | 6.3× |
| X-ray humerus (73060) | $601.04 | $751.29 | 7.1× |
| X-ray IV pyelogram (ivp) (74400) | $2,220.25 | $2,775.31 | 13.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $612.48 | $765.60 | 7.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $548.09 | $685.11 | 6.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $601.04 | $751.29 | 5.9× |
| X-ray nose-rectum child f.b. (76010) | $534.47 | $668.08 | 6.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $925.86 | $1,157.32 | 9.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $601.04 | $751.29 | 5.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $346.18 | $432.72 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $601.04 | $751.29 | 7.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $675.44 | $844.30 | 8.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $902.36 | $1,127.95 | 8.9× |
| X-ray thoracic spine 4 vw (72074) | $756.50 | $945.62 | 7.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,142.95 | $2,678.68 | 6.3× |
| X-Rays Bone Length Studies (77073) | $859.38 | $1,074.22 | 8.5× |
| X-Rays Bone Survey Complete (77075) | $925.86 | $1,157.32 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $925.86 | $1,157.32 | 9.1× |
| Xr facial bones less than 3 views (70140) | $601.04 | $751.29 | 7.1× |
| Xr orbits complete 4 views (70200) | $583.31 | $729.13 | 5.7× |
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.