Imaging prices at University Hospital
Columbia, MO · every code in this section with a posted price and a Medicare benchmark.
417 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) | $5,317.20 | $8,862 | 3.8× |
| Abdomen 1 View (74018) range across 18 matching MRF lines |
$259.20–$311.40 | $432–$519 | varies |
| Abdomen 2 views (74019) range across 13 matching MRF lines |
$336.60–$403.80 | $561–$673 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,083.60 | $1,806 | 2.7× |
| Angio internal mammary (75756) | $2,634.60 | $4,391 | 0.8× |
| Angio pulmonary bilat (75743) | $3,548.40 | $5,914 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $4,011 | $6,685 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $2,923.20 | $4,872 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,376.80 | $5,628 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,919 | $4,865 | 0.9× |
| Ankle 2 views (73600) range across 24 matching MRF lines |
$250.20–$300.60 | $417–$501 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,724.60 | $9,541 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,042.40 | $8,404 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $2,743.20 | $4,572 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,896.20 | $9,827 | 1.1× |
| Artery X-Rays Spine (75705) | $5,724.60 | $9,541 | 1.0× |
| Arthrogram ankle (73615) | $1,326.60 | $2,211 | 3.8× |
| Arthrogram hip (73525) | $1,214.40 | $2,024 | 3.5× |
| Arthrogram Wrist (73115) | $1,214.40 | $2,024 | 3.5× |
| Basic radiation dosimetry calculation (77300) | $568.80 | $948 | 4.2× |
| Bone age studies (77072) range across 11 matching MRF lines |
$220.20–$264.60 | $367–$441 | varies |
| Bone Imaging 3 Phase (78315) | $1,461 | $2,435 | 3.6× |
| Bone Imaging Limited Area (78300) | $898.20 | $1,497 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $982.80 | $1,638 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,452 | $2,420 | 3.6× |
| Bone marrow imaging limited area (78102) | $661.80 | $1,103 | 1.7× |
| Bone marrow imaging; whole body (78104) | $1,037.40 | $1,729 | 2.6× |
| Bone survey infant (77076) | $368.40 | $614 | 3.5× |
| Brachytx isodose complex (77318) | $1,879.20 | $3,132 | 5.0× |
| Brachytx isodose intermed (77317) | $1,665.60 | $2,776 | 4.4× |
| Brachytx Isodose Plan Simple (77316) | $1,476.60 | $2,461 | 3.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,087.80 | $1,813 | 2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,390.80 | $2,318 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,964.80 | $6,608 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,917 | $3,195 | 5.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,539.20 | $4,232 | 3.2× |
| Cardiac Shunt Detection (78428) | $1,363.20 | $2,272 | 3.4× |
| Cat Scan Follow-Up Study (76380) | $648 | $1,080 | 7.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,287.60 | $2,146 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $1,511.40 | $2,519 | 2.8× |
| Chest 1 view (71045) range across 15 matching MRF lines |
$226.80–$271.80 | $378–$453 | varies |
| Chest 2 views (71046) range across 18 matching MRF lines |
$284.40–$341.40 | $474–$569 | varies |
| Chest 3 views (71047) range across 6 matching MRF lines |
$291–$349.20 | $485–$582 | varies |
| Chest 4 or more views (71048) | $378.60 | $631 | 3.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $369 | $615 | 3.5× |
| Clavicle complete (73000) range across 16 matching MRF lines |
$261–$313.20 | $435–$522 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $335.40 | $559 | 3.2× |
| Continuing medical physics consltj pr wk (77336) | $642 | $1,070 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,156.60 | $5,261 | 1.0× |
| Contrast X-Ray Bladder (74430) | $686.40 | $1,144 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $1,214.40 | $2,024 | 3.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,477.80 | $2,463 | 4.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,416.80 | $4,028 | 6.9× |
| CT abdomen and pelvis without contrast (74176) | $1,357.20 | $2,262 | 5.7× |
| CT abdomen w contrast (74160) | $1,446 | $2,410 | 8.2× |
| CT abdomen w wo contrast (74170) | $1,650 | $2,750 | 9.4× |
| CT abdomen w/o contrast (74150) | $1,018.80 | $1,698 | 9.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,301 | $3,835 | 6.6× |
| CT Angio Chest (71275) | $1,468.80 | $2,448 | 8.4× |
| CT Angio Head (70496) | $1,764 | $2,940 | 10.0× |
| CT angio hrt w/3d image (75574) | $1,233.60 | $2,056 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,789.20 | $2,982 | 10.2× |
| CT Angio Neck (70498) | $1,521 | $2,535 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,603.20 | $2,672 | 9.1× |
| CT bone density (77078) | $470.40 | $784 | 5.4× |
| CT cervical spine w/ contrast (72126) | $1,825.80 | $3,043 | 5.2× |
| CT cervical spine w/o contrast (72125) | $874.20 | $1,457 | 8.3× |
| CT cervical spine w/wo cont (72127) | $1,860 | $3,100 | 10.6× |
| CT chest w contrast (71260) | $1,192.20 | $1,987 | 6.8× |
| CT chest w/wo contrast (71270) | $1,358.40 | $2,264 | 7.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $769.80 | $1,283 | 7.4× |
| CT head/brain with contrast (70460) | $1,106.40 | $1,844 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,205.40 | $2,009 | 6.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,074 | $1,790 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $229.20 | $382 | 2.6× |
| CT hrt w/3d image congen (75573) | $1,333.20 | $2,222 | 3.8× |
| CT iac w contrast (70481) | $1,686.60 | $2,811 | 9.6× |
| CT l-spine w&w/o contrast (72133) | $1,685.40 | $2,809 | 9.6× |
| CT lower ext w/o (73700) | $855 | $1,425 | 8.2× |
| CT lower extremity w/contrast material (73701) | $1,360.80 | $2,268 | 7.7× |
| CT lumbar spine w contrast (72132) | $1,621.80 | $2,703 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,096.80 | $1,828 | 10.5× |
| CT maxillofacial w contrast (70487) | $1,507.20 | $2,512 | 8.6× |
| CT maxillofacial wo contrast (70486) | $674.40 | $1,124 | 6.4× |
| CT neck tissue combo (70492) | $1,609.20 | $2,682 | 9.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,744.20 | $2,907 | 9.9× |
| CT orbits w/o contrast (70480) | $701.40 | $1,169 | 6.7× |
| CT pelvis w&w/o contrast (72194) | $1,470.60 | $2,451 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,018.80 | $1,698 | 9.7× |
| CT scan of leg combo (73702) | $1,383.60 | $2,306 | 7.9× |
| CT scans face/jaw combo (70488) | $1,923 | $3,205 | 10.9× |
| CT soft tissue neck w contrast (70491) | $1,226.40 | $2,044 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $969 | $1,615 | 9.3× |
| CT thoracic spine w contrast (72129) | $1,536 | $2,560 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $765.60 | $1,276 | 7.3× |
| CT thoracic spine w/wo cont (72130) | $1,651.20 | $2,752 | 9.4× |
| CT thorax w/o contrast (71250) | $782.40 | $1,304 | 7.5× |
| CT unlisted procedure (76497) | $4,567.80 | $7,613 | 52.4× |
| CT upper ext wo (73200) | $949.80 | $1,583 | 9.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,424.40 | $2,374 | 8.1× |
| CT upper extremity with contrast (73201) | $1,343.40 | $2,239 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,480.80 | $2,468 | 8.4× |
| Cta Abdomen (74175) | $1,855.80 | $3,093 | 10.6× |
| CTA pelvis (72191) | $1,753.80 | $2,923 | 10.0× |
| Dilation ureters/urethra rs&i (74485) | $4,574.40 | $7,624 | 2.2× |
| Diskography lumbar (72295) | $4,221.60 | $7,036 | 2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $367.80 | $613 | 3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $426 | $710 | 4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $271.20 | $452 | 2.6× |
| Dxa Bone Density Axial (77080) | $296.40 | $494 | 2.8× |
| Dxa bone density study (77085) | $253.20 | $422 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $196.20 | $327 | 2.3× |
| Echo exam of fetal heart (76825) | $1,014.60 | $1,691 | 1.9× |
| Echo exam uterus (76831) | $628.80 | $1,048 | 2.6× |
| Echo Guide For Artery Repair (76936) | $734.40 | $1,224 | 3.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,014.60 | $1,691 | 4.2× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$504–$806.40 | $840–$1,344 | varies |
| Esophageal Motility Study (78258) | $999.60 | $1,666 | 2.5× |
| Esophagram (74220) | $435.60 | $726 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $534 | $890 | 5.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $385.80 | $643 | 3.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,663.80 | $2,773 | 7.0× |
| Fluoroscopy up to 1 hr (76000) range across 11 matching MRF lines |
$549–$658.80 | $915–$1,098 | varies |
| Follow-Up Angiography (75898) | $3,162.60 | $5,271 | 1.0× |
| Foot 2 views (73620) range across 25 matching MRF lines |
$231–$277.20 | $385–$462 | varies |
| Forearm 2 views (73090) range across 17 matching MRF lines |
$273.60–$328.20 | $456–$547 | varies |
| Gastric emptying imaging study (78264) | $1,367.40 | $2,279 | 3.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,445.40 | $2,409 | 3.6× |
| Gastric Mucosa Imaging (78261) | $1,363.20 | $2,272 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $1,363.20 | $2,272 | 3.4× |
| Gated Heart Planar Single (78472) | $1,150.80 | $1,918 | 2.9× |
| GI Endoscopic US S&I (76975) | $766.80 | $1,278 | 3.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,767.60 | $2,946 | 3.3× |
| Hand 2 views (73120) range across 25 matching MRF lines |
$323.40–$388.20 | $539–$647 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,634.20 | $6,057 | 5.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,043.80 | $5,073 | 4.4× |
| Heart first pass single,planar (78481) | $2,185.20 | $3,642 | 4.0× |
| Heart Image (Pet) Multiple (78492) | $3,792.60 | $6,321 | 2.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,611.40 | $6,019 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,517.40 | $2,529 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,258.20 | $2,097 | 3.1× |
| Ht Musc Image Planar Mult (78454) | $3,731.40 | $6,219 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $3,519.60 | $5,866 | 2.7× |
| Hysterosalpingogram (74740) | $673.20 | $1,122 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $378.60 | $631 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $300.60 | $501 | 3.4× |
| Infusion Ivp (74410) | $834.60 | $1,391 | 4.8× |
| Interstitial radiation source applic complex (77778) | $3,569.40 | $5,949 | 5.1× |
| Intraop radiaj tx deliver xray single tx session (77424) | $11,893.20 | $19,822 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $1,407.60 | $2,346 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,365 | $2,275 | 2.5× |
| Kidney Imaging Morphol (78700) | $999.60 | $1,666 | 2.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,123.20 | $1,872 | 2.8× |
| Knee 3 Views (73562) range across 17 matching MRF lines |
$270–$323.40 | $450–$539 | varies |
| Leveen/Shunt Patency Exam (78291) | $999.60 | $1,666 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,031.40 | $1,719 | 2.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,158 | $1,930 | 2.9× |
| Liver imaging w/vascular flow (78202) | $3,417 | $5,695 | 6.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,352.40 | $2,254 | 2.5× |
| Lung perfusion differential (78597) | $1,110.60 | $1,851 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,332.60 | $2,221 | 2.5× |
| Lung Ventilation Imaging (78579) | $999.60 | $1,666 | 2.5× |
| Lymph System Imaging (78195) | $1,365 | $2,275 | 2.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,468.20 | $2,447 | 2.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,587.20 | $4,312 | 0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,511.60 | $4,186 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,611 | $2,685 | 6.7× |
| Magnetic Resonance Elastography (76391) | $1,320 | $2,200 | 5.5× |
| Meckels Divert Exam (78290) | $999.60 | $1,666 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,049 | $3,415 | 5.5× |
| Mr safety determination physician/other qhp (76016) | $393.60 | $656 | 4.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $109.80 | $183 | 3.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $410.40 | $684 | 4.3× |
| Mr safety implt pos&/immoblj (76019) | $265.80 | $443 | 4.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,080.60 | $1,801 | 4.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,318.40 | $3,864 | 6.6× |
| MRA head w/o contrast (70544) | $1,459.20 | $2,432 | 6.1× |
| MRA head with contrast (70545) | $2,005.80 | $3,343 | 5.7× |
| MRA neck w contrast (70548) | $2,182.80 | $3,638 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,266.80 | $3,778 | 6.5× |
| MRA neck w/o contrast (70547) | $1,464 | $2,440 | 6.1× |
| MRI abdomen w contrast (74182) | $1,953 | $3,255 | 5.6× |
| MRI abdomen w/o contrast (74181) | $1,659 | $2,765 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,053.80 | $3,423 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,240.40 | $3,734 | 6.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,256 | $3,760 | 2.9× |
| MRI bone marrow blood supply (77084) | $886.80 | $1,478 | 3.7× |
| MRI brain functional w/o physician admnistration (70554) | $1,701 | $2,835 | 7.1× |
| MRI brain functional w/physician admnistration (70555) | $1,195.80 | $1,993 | 5.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,835.40 | $3,059 | 7.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,390.80 | $2,318 | 5.8× |
| MRI cardiac w/o cont stress (75559) | $2,080.80 | $3,468 | 3.8× |
| MRI cardiac w/o contrast (75557) | $1,155 | $1,925 | 4.8× |
| MRI cervical spine w contrast (72142) | $2,310 | $3,850 | 6.6× |
| MRI cervical spine w/o cont (72141) | $1,437.60 | $2,396 | 6.0× |
| MRI chest w/o contrast (71550) | $1,443 | $2,405 | 6.0× |
| MRI chest with contrast (71551) | $2,009.40 | $3,349 | 2.6× |
| MRI chest wo w contrast (71552) | $2,745 | $4,575 | 7.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,779.60 | $2,966 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,201.40 | $3,669 | 6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,603.80 | $2,673 | 6.7× |
| MRI lumbar spine w contrast (72149) | $2,044.80 | $3,408 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,368.80 | $3,948 | 6.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,518.60 | $2,531 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,875.60 | $3,126 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,449.80 | $4,083 | 7.0× |
| MRI pelvis w contrast (72196) | $2,086.80 | $3,478 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $2,773.20 | $4,622 | 7.9× |
| MRI pelvis w/o contrast (72195) | $1,553.40 | $2,589 | 6.5× |
| MRI spectroscopy (76390) | $1,962.60 | $3,271 | 22.5× |
| MRI thoracic spine w/o contrast (72146) | $1,464 | $2,440 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,735.80 | $2,893 | 7.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,507.40 | $4,179 | 7.2× |
| MRI, abdomen, combo (74183) | $2,971.80 | $4,953 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,680.20 | $4,467 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,347.80 | $3,913 | 6.7× |
| MRI, joint upper extrem (73221) | $1,464 | $2,440 | 6.1× |
| MRI, joint upper extrem combo (73223) | $2,571 | $4,285 | 7.4× |
| MRI, lumbar spine combo (72158) | $2,716.80 | $4,528 | 7.8× |
| Musculoskeletal Nuclear Exam (78399) | $999.60 | $1,666 | 2.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $739.80 | $1,233 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,710.40 | $6,184 | 2.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,622.20 | $6,037 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $3,840 | $6,400 | 3.0× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,329.60 | $7,216 | 3.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,329.60 | $7,216 | 3.0× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,751.80 | $11,253 | 3.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,251.80 | $13,753 | 3.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $8,251.80 | $13,753 | 5.4× |
| Neck soft tissue (70360) range across 11 matching MRF lines |
$235.80–$282.60 | $393–$471 | varies |
| Nm csf leak detection (78650) | $3,417 | $5,695 | 2.6× |
| Nm myocard infarct spect (78469) | $1,143 | $1,905 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $228 | $380 | 2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,838.20 | $11,397 | 4.9× |
| Nuclear Rx Intra-Arterial (79445) | $753.60 | $1,256 | 3.2× |
| Nuclear Rx Oral Admin (79005) | $1,054.80 | $1,758 | 4.5× |
| Ob us nuchal meas 1 gest (76813) | $388.20 | $647 | 3.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $267.60 | $446 | 2.6× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 4 matching MRF lines |
$338.40–$406.20 | $564–$677 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $225 | $375 | 2.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 14 matching MRF lines |
$338.40–$406.20 | $564–$677 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $87.60 | $146 | 3.0× |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$234.60–$281.40 | $391–$469 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,362.60 | $2,271 | 2.5× |
| Parathyroid Planar Imaging (78070) | $1,029 | $1,715 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,155 | $1,925 | 2.9× |
| Pelvis 1 or 2 views (72170) range across 17 matching MRF lines |
$333.60–$400.20 | $556–$667 | varies |
| Peritoneogram Rs&I (74190) | $1,251 | $2,085 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $3,964.80 | $6,608 | 2.8× |
| PET image w/CT, full body (78816) | $4,879.80 | $8,133 | 3.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,592.40 | $7,654 | 3.2× |
| Pet Myocardial Sngl Study (78491) | $2,820 | $4,700 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,006.60 | $5,011 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,059.60 | $1,766 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 9 matching MRF lines |
$407.40–$488.40 | $679–$814 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,011 | $1,685 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 17 matching MRF lines |
$314.40–$378 | $524–$630 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 18 matching MRF lines |
$205.80–$246.60 | $343–$411 | varies |
| Radex elbow complete minimum 3 views (73080) range across 16 matching MRF lines |
$303.60–$364.20 | $506–$607 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 10 matching MRF lines |
$335.40–$402.60 | $559–$671 | varies |
| Radex fingr minimum 2 views (73140) range across 17 matching MRF lines |
$213.60–$256.80 | $356–$428 | varies |
| Radex foot complete minimum 3 views (73630) range across 18 matching MRF lines |
$280.20–$336.60 | $467–$561 | varies |
| Radex Hand Minimum 3 Views (73130) range across 17 matching MRF lines |
$285.60–$343.20 | $476–$572 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 9 matching MRF lines |
$525.60–$630.60 | $876–$1,051 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 12 matching MRF lines |
$243–$292.20 | $405–$487 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $292.20 | $487 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 16 matching MRF lines |
$246–$295.20 | $410–$492 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 17 matching MRF lines |
$297.60–$357.60 | $496–$596 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 10 matching MRF lines |
$204–$245.40 | $340–$409 | varies |
| Radex Spine 1 View Specify Level (72020) range across 14 matching MRF lines |
$240.60–$289.20 | $401–$482 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 14 matching MRF lines |
$247.80–$297.60 | $413–$496 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 9 matching MRF lines |
$315–$378 | $525–$630 | varies |
| Radex Toe Minimum 2 Views (73660) range across 17 matching MRF lines |
$219.60–$263.40 | $366–$439 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$324–$388.80 | $540–$648 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 17 matching MRF lines |
$298.80–$358.80 | $498–$598 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 7 matching MRF lines |
$712.20–$855 | $1,187–$1,425 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,127.20 | $25,212 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $453 | $755 | 4.4× |
| Radiation treatment delivery level 2 (77407) | $556.20 | $927 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $982.20 | $1,637 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 11 matching MRF lines |
$323.40–$388.20 | $539–$647 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 8 matching MRF lines |
$349.20–$419.40 | $582–$699 | varies |
| Radiologic exam colon double contrast study (74280) | $799.80 | $1,333 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $537 | $895 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $546.60 | $911 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 14 matching MRF lines |
$335.40–$402 | $559–$670 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 13 matching MRF lines |
$364.80–$437.40 | $608–$729 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $548.40 | $914 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $471.60 | $786 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $581.40 | $969 | 3.3× |
| Radiologic examination femur 1 view (73551) range across 13 matching MRF lines |
$212.40–$255 | $354–$425 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 16 matching MRF lines |
$297–$356.40 | $495–$594 | varies |
| Radiologic examination knee 1/2 views (73560) range across 18 matching MRF lines |
$238.20–$285.60 | $397–$476 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $421.20 | $702 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 25 matching MRF lines |
$275.40–$331.20 | $459–$552 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,141.80 | $1,903 | 3.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $849.60 | $1,416 | 2.2× |
| Ribs bilateral 3 views (71110) range across 14 matching MRF lines |
$364.80–$437.40 | $608–$729 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,000.80 | $1,668 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,060.80 | $1,768 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,519.60 | $5,866 | 6.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,417 | $5,695 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,824 | $3,040 | 3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,816.60 | $6,361 | 2.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,329 | $7,215 | 3.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,359.20 | $3,932 | 1.8× |
| Rp Therapy Intravenous Administration (79101) | $807.60 | $1,346 | 3.5× |
| Salivary Gland Imaging Serial Images (78231) | $1,363.20 | $2,272 | 3.4× |
| Scapula (73010) range across 12 matching MRF lines |
$291.60–$350.40 | $486–$584 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $51 | $85 | 2.2× |
| Shoulder 1 view (73020) range across 13 matching MRF lines |
$194.40–$234 | $324–$390 | varies |
| Shoulder Arthrography (73040) | $799.20 | $1,332 | 2.3× |
| Skull less than 4 views (70250) range across 12 matching MRF lines |
$314.40–$377.40 | $524–$629 | varies |
| Special dosimetry (77331) | $423.60 | $706 | 3.1× |
| Special Physics Consult (77370) | $852.60 | $1,421 | 6.3× |
| Special teletherapy port plan (77321) | $868.80 | $1,448 | 2.3× |
| Special treatment procedure (77470) | $2,171.40 | $3,619 | 3.9× |
| Spleen Imaging (78185) | $1,363.20 | $2,272 | 3.4× |
| Stereotactic Body Radiation Delivery (77373) | $11,059.80 | $18,433 | 6.2× |
| Sternoclavicular joints (71130) range across 9 matching MRF lines |
$254.40–$305.40 | $424–$509 | varies |
| Superior sagittal sinus venogram (75870) | $2,491.20 | $4,152 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,260.80 | $3,768 | 6.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $857.40 | $1,429 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,153.40 | $3,589 | 5.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,246.80 | $2,078 | 3.3× |
| Ther rad simulaj-aided field setting simple (77280) | $670.20 | $1,117 | 5.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $758.40 | $1,264 | 4.3× |
| Thoracic spine 2 views (72070) range across 17 matching MRF lines |
$324–$388.80 | $540–$648 | varies |
| Thoracic spine 3 views (72072) range across 10 matching MRF lines |
$355.80–$427.20 | $593–$712 | varies |
| Thoracolumbar 2 views (72080) range across 14 matching MRF lines |
$265.20–$318.60 | $442–$531 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $999.60 | $1,666 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,699.80 | $2,833 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,162.80 | $1,938 | 2.9× |
| Tx Devices Design & Construction Complex (77334) | $1,221.60 | $2,036 | 3.3× |
| Tx devices design & construction intermediate (77333) | $658.20 | $1,097 | 4.9× |
| Tx devices design & construction simple (77332) | $529.80 | $883 | 3.9× |
| Ultrasound Breast Limited (76642) range across 18 matching MRF lines |
$345–$414.60 | $575–$691 | varies |
| Ultrasound Elastography Parenchyma (76981) | $371.40 | $619 | 3.5× |
| Ultrasound Exam Aaa Screen (76706) range across 16 matching MRF lines |
$284.40–$341.40 | $474–$569 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $666 | $1,110 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 23 matching MRF lines |
$559.20–$670.80 | $932–$1,118 | varies |
| Umbilical-artery Doppler (OB) (76820) | $264.60 | $441 | 2.5× |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$2,543.40–$7,714.20 | $4,239–$12,857 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$480.60–$577.20 | $801–$962 | varies |
| Upper gi w/o kub (74240) | $563.40 | $939 | 3.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $220.80 | $368 | 20.0× |
| Ureteral Reflux Study (78740) | $1,080 | $1,800 | 2.7× |
| Urethrocystogram voiding (74455) | $679.20 | $1,132 | 2.8× |
| Urethrocystography retrograde (74450) | $610.20 | $1,017 | 2.6× |
| Us breast unilateral complete (76641) | $527.40 | $879 | 5.0× |
| Us chest (76604) range across 19 matching MRF lines |
$436.80–$524.40 | $728–$874 | varies |
| Us complete joint (76881) range across 10 matching MRF lines |
$477.60–$573 | $796–$955 | varies |
| Us exam, pelvic, limited (76857) range across 23 matching MRF lines |
$415.20–$498 | $692–$830 | varies |
| Us head (76506) | $438.60 | $731 | 4.2× |
| Us kidney transplant (76776) | $638.40 | $1,064 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 26 matching MRF lines |
$452.40–$543.60 | $754–$906 | varies |
| Us ob detailed single fetus (76811) | $672.60 | $1,121 | 2.8× |
| Us ob limited 1 or more fetuses (76815) range across 25 matching MRF lines |
$388.20–$466.20 | $647–$777 | varies |
| Us ob transvaginal (76817) range across 14 matching MRF lines |
$407.40–$489 | $679–$815 | varies |
| Us pelvic non ob complete (76856) | $706.20 | $1,177 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $538.20 | $897 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $348.60 | $581 | 3.3× |
| Us retroperitoneal complete (76770) | $621 | $1,035 | 5.9× |
| Us retroperitoneal limited (76775) range across 16 matching MRF lines |
$495–$594.60 | $825–$991 | varies |
| Us scrotum and contents (76870) range across 8 matching MRF lines |
$648–$777.60 | $1,080–$1,296 | varies |
| Us spinal canal and contents (76800) | $477.60 | $796 | 4.6× |
| Us thyroid (76536) range across 20 matching MRF lines |
$598.80–$718.80 | $998–$1,198 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$456.60–$548.40 | $761–$914 | varies |
| Vein X-Ray Chest (75827) | $1,839.60 | $3,066 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,919 | $4,865 | 0.9× |
| Vein X-Ray Spleen/Liver (75810) | $7,236 | $12,060 | 2.3× |
| Venogram Sinus/Jugular (75860) | $2,491.20 | $4,152 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $3,426 | $5,710 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,650.60 | $2,751 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,567.20 | $2,612 | 1.0× |
| Venography Renal Bilateral (75833) | $2,829 | $4,715 | 0.9× |
| Venography Renal Unilateral (75831) | $2,730 | $4,550 | 0.9× |
| Venous sampling by catheter (75893) | $5,724 | $9,540 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $162 | $270 | 1.9× |
| Wrist 2 views (73100) range across 17 matching MRF lines |
$231–$277.20 | $385–$462 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 12 matching MRF lines |
$288–$345 | $480–$575 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,214.40 | $2,024 | 3.5× |
| X-Ray Aorta Leg Arteries (75630) | $4,006.20 | $6,677 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) range across 11 matching MRF lines |
$354.60–$425.40 | $591–$709 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 25 matching MRF lines |
$243–$291.60 | $405–$486 | varies |
| X-Ray Exam Breast Specimen (76098) | $478.80 | $798 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 10 matching MRF lines |
$241.80–$290.40 | $403–$484 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 10 matching MRF lines |
$407.40–$489 | $679–$815 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 8 matching MRF lines |
$659.40–$791.40 | $1,099–$1,319 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 15 matching MRF lines |
$216–$258.60 | $360–$431 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 16 matching MRF lines |
$287.40–$344.40 | $479–$574 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 9 matching MRF lines |
$413.40–$496.20 | $689–$827 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 16 matching MRF lines |
$328.20–$394.80 | $547–$658 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 10 matching MRF lines |
$438–$525.60 | $730–$876 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 9 matching MRF lines |
$610.20–$732.60 | $1,017–$1,221 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 8 matching MRF lines |
$489–$587.40 | $815–$979 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 17 matching MRF lines |
$294.60–$354 | $491–$590 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 9 matching MRF lines |
$555–$666 | $925–$1,110 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 16 matching MRF lines |
$372.60–$448.20 | $621–$747 | varies |
| X-ray humerus (73060) range across 17 matching MRF lines |
$273.60–$328.20 | $456–$547 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 10 matching MRF lines |
$243–$291.60 | $405–$486 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $220.80 | $368 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 17 matching MRF lines |
$354.60–$425.40 | $591–$709 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 11 matching MRF lines |
$432–$518.40 | $720–$864 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 11 matching MRF lines |
$324–$388.80 | $540–$648 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 11 matching MRF lines |
$304.80–$366 | $508–$610 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 15 matching MRF lines |
$279–$334.80 | $465–$558 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 8 matching MRF lines |
$387–$464.40 | $645–$774 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 10 matching MRF lines |
$349.80–$420.60 | $583–$701 | varies |
| X-Ray Stress View (77071) | $289.20 | $482 | 3.3× |
| X-ray thoracic spine 4 vw (72074) range across 7 matching MRF lines |
$368.40–$442.80 | $614–$738 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,214.40 | $2,024 | 3.5× |
| X-Rays Bone Length Studies (77073) | $311.40 | $519 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $673.20 | $1,122 | 6.4× |
| Xr c-spine 4 or 5 views (72050) range across 12 matching MRF lines |
$463.80–$556.80 | $773–$928 | varies |
| Xr facial bones less than 3 views (70140) range across 8 matching MRF lines |
$250.80–$301.20 | $418–$502 | varies |
| Xr orbits complete 4 views (70200) range across 9 matching MRF lines |
$326.40–$392.40 | $544–$654 | varies |
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.