Imaging prices at University of Kansas Hospital
Kansas City, KS · every code in this section with a posted price and a Medicare benchmark.
418 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) range across 4 matching MRF lines |
$2,922.60–$3,006 | $14,613–$15,030 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$46.40–$203.20 | $232–$1,016 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$57.20–$244.80 | $286–$1,224 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $439.80 | $2,199 | 1.2× |
| Angio internal mammary (75756) | $1,184.60 | $5,923 | 0.4× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$170.20–$2,337.20 | $851–$11,686 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,264.40 | $6,322 | 0.4× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$3,032.40–$3,447.20 | $15,162–$17,236 | varies |
| Angiography extremity unilateral rs&i (75710) | $1,723.60 | $8,618 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,168.60 | $5,843 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $864.40 | $4,322 | 0.3× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$46.40–$226.40 | $232–$1,132 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,473.80 | $12,369 | 0.5× |
| Artery X-Rays Abdomen (75726) | $2,702.20 | $13,511 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $1,580.40 | $7,902 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,325.20 | $11,626 | 0.4× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,554.80 | $7,774 | 0.3× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$326.40–$652.80 | $1,632–$3,264 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$309.60–$619.20 | $1,548–$3,096 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$310.60–$621.20 | $1,553–$3,106 | varies |
| Basic radiation dosimetry calculation (77300) | $356.20 | $1,781 | 2.8× |
| Bone age studies (77072) | $60 | $300 | 0.6× |
| Bone Imaging 3 Phase (78315) | $728.20 | $3,641 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $277.20 | $1,386 | 0.7× |
| Bone Imaging Whole Body (78306) | $759.40 | $3,797 | 2.0× |
| Bone marrow imaging; whole body (78104) | $302.40 | $1,512 | 0.8× |
| Brachytx isodose complex (77318) | $957 | $4,785 | 2.7× |
| Brachytx isodose intermed (77317) | $358.20 | $1,791 | 1.0× |
| Brachytx Isodose Plan Simple (77316) | $225 | $1,125 | 0.6× |
| Brain imaging < 4 static views (78600) | $231.60 | $1,158 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $821.20 | $4,106 | 0.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $543.60 | $2,718 | 1.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $543.60 | $2,718 | 0.7× |
| Cardiac Shunt Detection (78428) | $244.20 | $1,221 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $720.20 | $3,601 | 8.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $322.20 | $1,611 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $518.80 | $2,594 | 1.0× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$46.40–$159 | $232–$795 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$46.40–$262 | $232–$1,310 | varies |
| Chest 3 views (71047) | $320.60 | $1,603 | 3.9× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$29.80–$307.60 | $149–$1,538 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$70.60–$336 | $336–$353 | varies |
| Continuing medical physics consltj pr wk (77336) | $520.20 | $2,601 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,322.80 | $11,614 | 0.8× |
| Contrast X-Ray Bladder (74430) | $505.72 | $2,528.60 | 1.6× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$268.80–$537.60 | $1,344–$2,688 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$325.60–$651.20 | $1,628–$3,256 | varies |
| Corpora cavernosography (74445) | $136.40 | $682 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,090.60 | $10,453 | 6.4× |
| CT abdomen and pelvis without contrast (74176) | $1,742.20 | $8,711 | 7.8× |
| CT abdomen w contrast (74160) | $963.20 | $4,816 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,155.80 | $5,779 | 7.1× |
| CT abdomen w/o contrast (74150) | $963.20 | $4,816 | 9.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,702.80 | $13,514 | 8.3× |
| CT Angio Chest (71275) | $1,463.40 | $7,317 | 8.9× |
| CT Angio Head (70496) | $1,642.20 | $8,211 | 10.0× |
| CT angio hrt w/3d image (75574) | $486.40 | $2,432 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$821–$1,642 | $4,105–$8,210 | varies |
| CT Angio Neck (70498) | $1,485.20 | $7,426 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $875.40 | $4,377 | 5.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $780.80 | $3,904 | 4.8× |
| CT cervical spine w/ contrast (72126) | $1,202.20 | $6,011 | 3.7× |
| CT cervical spine w/o contrast (72125) | $1,202.20 | $6,011 | 12.3× |
| CT cervical spine w/wo cont (72127) | $1,442.60 | $7,213 | 8.8× |
| CT chest w contrast (71260) | $1,014.60 | $5,073 | 6.2× |
| CT chest w/wo contrast (71270) | $1,217.60 | $6,088 | 7.4× |
| CT colonography screening (74263) | $247.80 | $1,239 | 1.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $405.40 | $2,027 | 2.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $356.60 | $1,783 | 3.7× |
| CT head/brain with contrast (70460) | $911.60 | $4,558 | 5.6× |
| CT head/brain without and with contrast (70470) | $1,094 | $5,470 | 6.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $391.20 | $1,956 | 1.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$7–$35 | $35 | varies |
| CT hrt w/3d image congen (75573) | $268.80 | $1,344 | 0.8× |
| CT iac w contrast (70481) | $831.20 | $4,156 | 5.1× |
| CT l-spine w&w/o contrast (72133) | $1,433.60 | $7,168 | 8.8× |
| CT lower ext w/o (73700) | $942.40 | $4,712 | 9.7× |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$942.40–$1,769.60 | $4,712–$8,848 | varies |
| CT lumbar spine w contrast (72132) | $1,194.60 | $5,973 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,194.60 | $5,973 | 12.2× |
| CT maxillofacial w contrast (70487) | $1,023.80 | $5,119 | 6.3× |
| CT maxillofacial wo contrast (70486) | $1,023.80 | $5,119 | 10.5× |
| CT neck tissue combo (70492) | $1,058 | $5,290 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $997.40 | $4,987 | 6.1× |
| CT orbits w/o contrast (70480) | $831.20 | $4,156 | 8.5× |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$188.40–$956.40 | $942–$4,782 | varies |
| CT pelvis w/o contrast (72192) | $797 | $3,985 | 8.2× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$1,130.80–$2,123.60 | $5,654–$10,618 | varies |
| CT scans face/jaw combo (70488) | $1,228.60 | $6,143 | 7.5× |
| CT soft tissue neck w contrast (70491) | $881.60 | $4,408 | 5.4× |
| CT soft tissue neck w/o contrast (70490) | $881.60 | $4,408 | 9.0× |
| CT thoracic spine w contrast (72129) | $1,249.40 | $6,247 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,249.40 | $6,247 | 12.8× |
| CT thoracic spine w/wo cont (72130) | $1,499.20 | $7,496 | 9.2× |
| CT thorax w/o contrast (71250) | $1,014.60 | $5,073 | 10.4× |
| CT upper ext wo (73200) range across 7 matching MRF lines |
$663–$1,326 | $3,315–$6,630 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$795.60–$1,501.60 | $3,978–$7,508 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$663–$1,251.40 | $3,315–$6,257 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,329.40 | $6,647 | 8.1× |
| Cta Abdomen (74175) | $1,058.80 | $5,294 | 6.5× |
| CTA pelvis (72191) | $955.80 | $4,779 | 5.8× |
| Dilation ureters/urethra rs&i (74485) | $1,084.80 | $5,424 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,158.60 | $5,793 | 0.6× |
| Diskography lumbar (72295) | $1,014.60 | $5,073 | 0.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$57.20–$119.20 | $286–$596 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$57.20–$137.80 | $286–$689 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$57.20–$80 | $286–$400 | varies |
| Dxa Bone Density Axial (77080) range across 5 matching MRF lines |
$39.80–$270 | $199–$1,350 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$30.40–$42.60 | $152–$213 | varies |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$269.20–$412.80 | $1,346–$2,064 | varies |
| Echo exam uterus (76831) | $182 | $910 | 0.8× |
| Echo Guide For Artery Repair (76936) | $234.40 | $1,172 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines |
$125–$304 | $625–$1,520 | varies |
| Echograp Trans R Pros Study (76873) | $206.80 | $1,034 | 2.1× |
| Esophageal Motility Study (78258) | $219 | $1,095 | 0.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$135.80–$226.40 | $679–$1,132 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$57.20–$270.20 | $286–$1,351 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$57.20–$189.60 | $286–$948 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $605 | $3,025 | 2.7× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$81.80–$226.80 | $409–$1,134 | varies |
| Follow-Up Angiography (75898) | $707.60 | $3,538 | 0.2× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$46.40–$314.40 | $232–$1,572 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$29.80–$381.60 | $149–$1,908 | varies |
| Gastric emptying imaging study (78264) | $681.40 | $3,407 | 1.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $574.40 | $2,872 | 1.5× |
| Gated Heart Planar Single (78472) | $521.80 | $2,609 | 1.4× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$57.20–$220.80 | $286–$1,104 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $884.80 | $4,424 | 1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $981.60 | $4,908 | 1.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $946.60 | $4,733 | 1.5× |
| Heart Image (Pet) Multiple (78492) | $1,145.40 | $5,727 | 0.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$170.20–$1,657 | $851–$8,285 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,649 | $8,245 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $666.40 | $3,332 | 1.3× |
| Hepatobiliary System Imaging (78226) | $500 | $2,500 | 1.3× |
| Ht Musc Image Planar Mult (78454) | $842.80 | $4,214 | 0.7× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$771.20–$1,461 | $3,856–$7,305 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$184.80–$191 | $924–$955 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $99.80 | $499 | 1.2× |
| Infant hip ultrasound, limited static exam (76886) | $66.20 | $331 | 0.8× |
| Interstitial radiation source applic complex (77778) | $857.60 | $4,288 | 1.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $522.20 | $2,611 | 0.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $3,967.20 | $19,836 | 0.6× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$57.20–$86.60 | $286–$433 | varies |
| K Flow/Funct Image Multiple (78709) | $568.60 | $2,843 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $483.20 | $2,416 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $304 | $1,520 | 0.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$30.20–$446 | $151–$2,230 | varies |
| Leveen/Shunt Patency Exam (78291) | $232.40 | $1,162 | 0.6× |
| Liver & Spleen Imaging Static Only (78215) | $328.60 | $1,643 | 0.9× |
| Liver imaging static only (78201) | $405.20 | $2,026 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $618.40 | $3,092 | 1.2× |
| Lung perfusion differential (78597) | $440.40 | $2,202 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $616 | $3,080 | 1.2× |
| Lung Ventilation Imaging (78579) | $225.20 | $1,126 | 0.6× |
| Lymph System Imaging (78195) | $625 | $3,125 | 1.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $832.60 | $4,163 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $183.80 | $919 | 0.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $534.40 | $2,672 | 0.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $267.20 | $1,336 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $306.20 | $1,531 | 1.4× |
| Magnetic Resonance Elastography (76391) | $698.80 | $3,494 | 3.1× |
| Mammary ductogram or galactogram multiple (77054) | $433.60 | $2,168 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $301.40 | $1,507 | 1.4× |
| Meckels Divert Exam (78290) | $274.20 | $1,371 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) | $480.20 | $2,401 | 1.4× |
| Mr safety determination physician/other qhp (76016) | $71.20 | $356 | 0.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $195.60 | $978 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,072 | $5,360 | 3.3× |
| MRA head w/o contrast (70544) | $893.40 | $4,467 | 4.0× |
| MRA head with contrast (70545) | $893.40 | $4,467 | 2.7× |
| MRA neck w contrast (70548) | $468.80 | $2,344 | 1.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $562.60 | $2,813 | 1.7× |
| MRA neck w/o contrast (70547) | $468.80 | $2,344 | 2.1× |
| MRI abdomen w contrast (74182) | $1,005 | $5,025 | 3.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$552.40–$1,005 | $2,762–$5,025 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,011–$2,022.20 | $5,055–$10,111 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,213.20–$2,426.60 | $6,066–$12,133 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,041.20–$2,082.40 | $5,206–$10,412 | varies |
| MRI brain functional w/o physician admnistration (70554) | $515.20 | $2,576 | 2.3× |
| MRI brain functional w/physician admnistration (70555) | $515.20 | $2,576 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $572 | $2,860 | 2.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $286 | $1,430 | 1.3× |
| MRI cardiac w/o cont stress (75559) | $453 | $2,265 | 0.9× |
| MRI cardiac w/o contrast (75557) | $453 | $2,265 | 2.0× |
| MRI cervical spine w contrast (72142) | $1,258.40 | $6,292 | 3.9× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$755–$1,258.40 | $3,775–$6,292 | varies |
| MRI chest w/o contrast (71550) | $539.40 | $2,697 | 2.4× |
| MRI chest with contrast (71551) | $539.40 | $2,697 | 0.7× |
| MRI chest wo w contrast (71552) | $647.20 | $3,236 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$805.60–$1,611.20 | $4,028–$8,056 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$966.80–$1,700.60 | $4,834–$8,503 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$805.60–$1,611.20 | $4,028–$8,056 | varies |
| MRI lumbar spine w contrast (72149) | $1,305.20 | $6,526 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,510 | $7,550 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $762.20 | $3,811 | 3.4× |
| MRI orbit face neck w contrast (70542) | $762.20 | $3,811 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $914.60 | $4,573 | 2.8× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$441.40–$735.40 | $2,207–$3,677 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$529.80–$882.40 | $2,649–$4,412 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$441.20–$735.40 | $2,206–$3,677 | varies |
| MRI spectroscopy (76390) | $309.80 | $1,549 | 3.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$807.40–$1,345.60 | $4,037–$6,728 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$805.60–$1,611.20 | $4,028–$8,056 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$805.60–$1,611.20 | $4,028–$8,056 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$966.80–$1,933.60 | $4,834–$9,668 | varies |
| MRI, abdomen, combo (74183) | $1,206 | $6,030 | 3.7× |
| MRI, dorsal spine combo (72157) | $1,614.80 | $8,074 | 5.0× |
| MRI, dorsal spine contrast (72147) | $1,345.60 | $6,728 | 4.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,041.20–$2,082.40 | $5,206–$10,412 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,249.40–$2,498.80 | $6,247–$12,494 | varies |
| MRI, lumbar spine combo (72158) | $1,566.20 | $7,831 | 4.8× |
| Myelogram cervical (72240) | $552.80 | $2,764 | 0.8× |
| Myelogram Lumbar (72265) | $552.80 | $2,764 | 0.8× |
| Myelography thoracic (72255) | $542.40 | $2,712 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $597.20 | $2,986 | 0.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$982.60–$1,957 | $4,913–$9,785 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $998.20 | $4,991 | 0.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,032 | $5,160 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,354.60 | $6,773 | 0.7× |
| N-invas est c ffr sw aly CTA (75580) | $1,120.40 | $5,602 | 1.4× |
| Neck soft tissue (70360) | $110.20 | $551 | 1.4× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $256 | $1,280 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $94 | $470 | 1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,093.40 | $25,467 | 3.9× |
| Nuclear Rx Intra-Arterial (79445) | $124.80 | $624 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $163.60 | $818 | 0.8× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$57.20–$106.80 | $286–$534 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $46.40 | $232 | 0.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$57.20–$70.40 | $286–$352 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $10.80 | $54 | 0.4× |
| Ophthalmic us dx quantitative a-scan only (76511) | $57.20 | $286 | 0.6× |
| Panoramic X-ray of jaws (70355) | $218.40 | $1,092 | 2.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $602.20 | $3,011 | 1.2× |
| Parathyroid Planar Imaging (78070) | $471.60 | $2,358 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $513.40 | $2,567 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$39.40–$202.60 | $197–$1,013 | varies |
| Peritoneogram Rs&I (74190) | $357.20 | $1,786 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $821.20 | $4,106 | 0.6× |
| PET image w/CT, full body (78816) | $2,948.40 | $14,742 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,797.80 | $13,989 | 2.1× |
| Pet Myocardial Sngl Study (78491) | $1,098 | $5,490 | 0.8× |
| Platelet survival study Non-Facility (78191) | $218.80 | $1,094 | 0.6× |
| Proton trmt simple w/comp (77522) | $960.20 | $4,801 | 0.8× |
| Proton tx delivery complex (77525) | $1,094 | $5,470 | 0.9× |
| Proton tx delivery intermediate (77523) | $960.20 | $4,801 | 0.8× |
| Proton tx delivery simple w/o compensation (77520) | $491.20 | $2,456 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,565.40 | $7,827 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $316.80 | $1,584 | 0.8× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $760 | $3,800 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $472 | $2,360 | 4.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$302.80–$329 | $1,514–$1,645 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$29.80–$440.40 | $149–$2,202 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$46.40–$209.60 | $232–$1,048 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$46.40–$389.20 | $232–$1,946 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$57.20–$207.20 | $286–$1,036 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$29.20–$159.40 | $146–$797 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$46.40–$442.40 | $232–$2,212 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$46.40–$438 | $232–$2,190 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$31.40–$104.80 | $157–$524 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$46.40–$135.60 | $232–$678 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$46.40–$153.20 | $232–$766 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$30.20–$524.40 | $151–$2,622 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $86.60 | $433 | 1.1× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$127.20–$131.20 | $636–$656 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$46.40–$125 | $232–$625 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $84.20 | $421 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$46.40–$111.60 | $232–$558 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$48–$160 | $240–$800 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$29.80–$457.20 | $149–$2,286 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $5,416 | $27,080 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $131.40 | $657 | 1.4× |
| Radiation treatment delivery level 2 (77407) | $205.60 | $1,028 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $520.60 | $2,603 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $143.60 | $718 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $260.20 | $1,301 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $267.60 | $1,338 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $356.20 | $1,781 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$40–$646.40 | $200–$3,232 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $215.80 | $1,079 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$307.60–$323.80 | $1,538–$1,619 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$261.60–$354.80 | $1,308–$1,774 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $322.60 | $1,613 | 2.0× |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$114.60–$229.20 | $573–$1,146 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$30–$364 | $150–$1,820 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$29.80–$371.20 | $149–$1,856 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $89.20 | $446 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$46.40–$366.80 | $232–$1,834 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $88.60 | $443 | 0.2× |
| Radiopharm Dacryocystography (78660) | $218.80 | $1,094 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $720.20 | $3,601 | 2.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $643.60 | $3,218 | 1.8× |
| Renal Cyst Study (74470) | $306.20 | $1,531 | 0.6× |
| Ribs bilateral 3 views (71110) | $306.40 | $1,532 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $302.40 | $1,512 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $302.40 | $1,512 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $890.60 | $4,453 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $795 | $3,975 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 19 matching MRF lines |
$251.20–$861.80 | $1,256–$4,309 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $943.20 | $4,716 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,035.80 | $5,179 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $884.80 | $4,424 | 0.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $272.80 | $1,364 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $168.80 | $844 | 0.8× |
| Scapula (73010) range across 4 matching MRF lines |
$57.20–$250.40 | $286–$1,252 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$8.60–$14.20 | $43–$71 | varies |
| Sella turcica (70240) | $40.80 | $204 | 0.5× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$46.40–$130.40 | $232–$652 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$466.40–$932.80 | $2,332–$4,664 | varies |
| Sialogram (70390) | $189.80 | $949 | 0.9× |
| Skull less than 4 views (70250) | $156 | $780 | 1.6× |
| Special dosimetry (77331) | $186.20 | $931 | 1.5× |
| Special Physics Consult (77370) | $474.60 | $2,373 | 3.8× |
| Special teletherapy port plan (77321) | $351.80 | $1,759 | 1.0× |
| Special treatment procedure (77470) | $784.20 | $3,921 | 1.5× |
| Spleen Imaging (78185) | $252.60 | $1,263 | 0.7× |
| Stereotactic Body Radiation Delivery (77373) | $2,319 | $11,595 | 1.4× |
| Sternoclavicular joints (71130) | $74.20 | $371 | 0.9× |
| Superior sagittal sinus venogram (75870) | $789 | $3,945 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $984.40 | $4,922 | 2.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $275.60 | $1,378 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $939.80 | $4,699 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $374 | $1,870 | 1.1× |
| Ther rad simulaj-aided field setting simple (77280) | $410 | $2,050 | 3.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $182.40 | $912 | 1.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$57.20–$221.40 | $286–$1,107 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$57.20–$210.60 | $286–$1,053 | varies |
| Thoracolumbar 2 views (72080) | $258.60 | $1,293 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $302.40 | $1,512 | 0.8× |
| Thyroid Met Imaging Body (78018) | $750 | $3,750 | 1.5× |
| Thyroid Uptake Measurement (78012) | $202.20 | $1,011 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $464.60 | $2,323 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $657.80 | $3,289 | 1.9× |
| Tx devices design & construction intermediate (77333) | $166.80 | $834 | 1.3× |
| Tx devices design & construction simple (77332) | $200.80 | $1,004 | 1.6× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$123.60–$263.20 | $618–$1,316 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$46.40–$93.20 | $232–$466 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$21–$166.60 | $21–$833 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $349.80 | $1,749 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$45.80–$316.80 | $229–$1,584 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$46.60–$111 | $233–$555 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$100–$127.40 | $100–$637 | varies |
| Unlisted fluoroscopic procedure (76496) range across 6 matching MRF lines |
$317–$2,117.80 | $1,585–$10,589 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$244.80–$1,551.20 | $1,224–$7,756 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $130.20 | $651 | 0.3× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$52.20–$154.20 | $261–$771 | varies |
| Upper gi w/o kub (74240) | $357 | $1,785 | 2.2× |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$82–$235.60 | $410–$1,178 | varies |
| Urethrocystography retrograde (74450) | $301.26 | $1,506.28 | 1.4× |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
$50.80–$393.60 | $254–$1,968 | varies |
| Us chest (76604) range across 7 matching MRF lines |
$57.20–$147.20 | $286–$736 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$46.40–$300.20 | $232–$1,501 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$44.20–$123.60 | $221–$618 | varies |
| Us head (76506) | $80 | $400 | 0.8× |
| Us kidney transplant (76776) | $437.20 | $2,186 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $298.20 | $1,491 | 3.1× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$125–$337 | $625–$1,685 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$46.60–$102.60 | $233–$513 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$57.20–$200.60 | $286–$1,003 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$57.20–$507 | $286–$2,535 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$52.20–$247.20 | $261–$1,236 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$57.20–$232 | $286–$1,160 | varies |
| Us retroperitoneal complete (76770) | $448.40 | $2,242 | 4.6× |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$57.20–$224.20 | $286–$1,121 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$381.40–$401.40 | $1,907–$2,007 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$57.20–$80 | $286–$400 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$57.20–$549.60 | $286–$2,748 | varies |
| Us transrectal (76872) | $2,832 | $14,160.02 | 29.0× |
| Vascular Flow Imaging (78445) | $254.20 | $1,271 | 0.7× |
| Vasogram (74440) | $14,705.22 | $73,526.09 | 66.0× |
| Vein X-Ray Chest (75827) | $1,623 | $8,115 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $866.60 | $4,333 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $862.40 | $4,312 | 0.3× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,268.40–$1,369.80 | $6,342–$6,849 | varies |
| Venography Adrenal Unilateral (75840) | $1,649.60 | $8,248 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,117.80 | $10,589 | 0.7× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,310.60–$1,490 | $6,553–$7,450 | varies |
| Venography extremity unilateral rs&i (75820) | $745 | $3,725 | 0.5× |
| Venography Orbital Rs&I (75880) | $465.40 | $2,327 | 0.8× |
| Venography Renal Bilateral (75833) | $3,261.60 | $16,308 | 1.1× |
| Venography Renal Unilateral (75831) | $1,630.80 | $8,154 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,572.40 | $12,862 | 0.5× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$46.40–$264.40 | $232–$1,322 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $93 | $465 | 1.1× |
| X-ray antegrade pyelogram tube (74425) | $446.88 | $2,234.40 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $1,939.60 | $9,698 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $186 | $930 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$46.40–$314.80 | $232–$1,574 | varies |
| X-Ray Exam Breast Specimen (76098) | $8,562.44 | $42,812.19 | 16.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $66.20 | $331 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$250.20–$307.20 | $1,251–$1,536 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $256.60 | $1,283 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$46–$46.40 | $230–$232 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$30.60–$195 | $153–$975 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $199.60 | $998 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $390 | $1,950 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$40–$226.20 | $200–$1,131 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$227.40–$239.40 | $1,137–$1,197 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$57.20–$417.40 | $286–$2,087 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$46.40–$214.20 | $232–$1,071 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $399 | $1,995 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$57.20–$238.80 | $286–$1,194 | varies |
| X-ray eye for foreign body (70030) | $66.20 | $331 | 0.8× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$46.40–$362.40 | $232–$1,812 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $66.20 | $331 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $125.80 | $629 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$57.20–$264.40 | $286–$1,322 | varies |
| X-ray nose-rectum child f.b. (76010) | $127.40 | $637 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$57.20–$477.60 | $286–$2,388 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$57.20–$140.20 | $286–$701 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$46.40–$175.60 | $232–$878 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $200.40 | $1,002 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $160 | $800 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $5,129.60 | $25,647.98 | 15.7× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$80–$161.60 | $400–$808 | varies |
| X-Rays Bone Survey Complete (77075) | $605.20 | $3,026 | 6.2× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$57.20–$413 | $286–$2,065 | varies |
| Xr orbits complete 4 views (70200) | $133 | $665 | 1.4× |
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.