Imaging prices at UofL Health – Jewish Hospital
Louisville, KY · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $300.60 | $668 | 3.6× |
| Abdomen 2 views (74019) | $126.45 | $281 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $590.85 | $1,313 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $2,979.90 | $6,622 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,232.35 | $7,183 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,313.55 | $2,919 | 0.4× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$139.95–$225.90 | $311–$502 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,291.50–$1,937.70 | $2,870–$4,306 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $2,971.80 | $6,604 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,525.85–$2,650.05 | $5,613–$5,889 | varies |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,657.25 | $5,905 | 0.5× |
| Arthrogram ankle (73615) | $973.35 | $2,163 | 2.9× |
| Arthrogram hip (73525) | $669.15 | $1,487 | 2.0× |
| Arthrogram Wrist (73115) | $665.10 | $1,478 | 2.0× |
| Bone age studies (77072) | $175.95 | $391 | 1.8× |
| Bone Imaging 3 Phase (78315) | $2,198.25 | $4,885 | 5.7× |
| Bone Imaging Limited Area (78300) | $908.55 | $2,019 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,111.05 | $2,469 | 2.9× |
| Bone marrow imaging limited area (78102) | $507.60 | $1,128 | 1.3× |
| Brain Flow Imaging Only (78610) | $1,608.30 | $3,574 | 3.1× |
| Brain imaging < 4 static views (78600) | $394.65 | $877 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $804.60 | $1,788 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,172.05 | $7,049 | 2.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $506.70 | $1,126 | 1.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,517.74 | $3,372.75 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $672.30 | $1,494 | 8.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $291.15 | $647 | 0.6× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $729.45 | $1,621 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,007.55 | $2,239 | 1.9× |
| Chest 1 view (71045) | $202.50 | $450 | 2.4× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$165.60–$309.60 | $368–$688 | varies |
| Chest 3 views (71047) | $192.60 | $428 | 2.3× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$128.70–$138.60 | $286–$308 | varies |
| Cholecystography Oral Contrast (74290) | $254.70 | $566 | 1.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$251.55–$282.15 | $559–$627 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $528.30 | $1,174 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) | $1,555.65 | $3,457 | 0.5× |
| Contrast X-Ray Bladder (74430) | $547.65 | $1,217 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $382.05 | $849 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $691.65 | $1,537 | 2.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $235.35 | $523 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,990.80 | $4,424 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $965.70 | $2,146 | 4.2× |
| CT abdomen w contrast (74160) | $670.05 | $1,489 | 4.0× |
| CT abdomen w wo contrast (74170) | $853.20 | $1,896 | 5.1× |
| CT abdomen w/o contrast (74150) | $495 | $1,100 | 4.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,476.90 | $3,282 | 4.4× |
| CT Angio Chest (71275) | $1,150.65 | $2,557 | 6.8× |
| CT Angio Head (70496) | $1,196.10 | $2,658 | 7.1× |
| CT angio hrt w/3d image (75574) | $747.45 | $1,661 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,597.50 | $3,550 | 9.5× |
| CT Angio Neck (70498) | $1,168.20 | $2,596 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$895.95–$923.40 | $1,991–$2,052 | varies |
| CT cervical spine w/ contrast (72126) | $998.10 | $2,218 | 3.0× |
| CT cervical spine w/o contrast (72125) | $956.25 | $2,125 | 9.5× |
| CT cervical spine w/wo cont (72127) | $1,355.85 | $3,013 | 8.0× |
| CT chest w contrast (71260) | $990 | $2,200 | 5.9× |
| CT chest w/wo contrast (71270) | $1,057.50 | $2,350 | 6.3× |
| CT colonography screening (74263) | $915.30 | $2,034 | 4.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $166.50 | $370 | 1.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $915.30 | $2,034 | 9.1× |
| CT head/brain with contrast (70460) | $835.65 | $1,857 | 5.0× |
| CT head/brain without and with contrast (70470) | $1,031.85 | $2,293 | 6.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$44.55–$257.85 | $99–$573 | varies |
| CT hrt w/3d image congen (75573) | $2,481.72 | $5,514.94 | 7.4× |
| CT iac w contrast (70481) | $966.15 | $2,147 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,814.40 | $4,032 | 10.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$142.28–$858.15 | $316.18–$1,907 | varies |
| CT lower extremity w/contrast material (73701) | $1,021.50 | $2,270 | 6.1× |
| CT lumbar spine w contrast (72132) | $998.10 | $2,218 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $916.20 | $2,036 | 9.1× |
| CT maxillofacial w contrast (70487) | $885.60 | $1,968 | 5.3× |
| CT maxillofacial wo contrast (70486) | $801.45 | $1,781 | 8.0× |
| CT neck tissue combo (70492) | $1,651.95 | $3,671 | 9.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $975.60 | $2,168 | 5.8× |
| CT orbits w/o contrast (70480) | $899.10 | $1,998 | 8.9× |
| CT pelvis w&w/o contrast (72194) | $1,337.40 | $2,972 | 7.9× |
| CT pelvis w/o contrast (72192) | $629.10 | $1,398 | 6.3× |
| CT scan of leg combo (73702) | $1,689.30 | $3,754 | 10.0× |
| CT scans face/jaw combo (70488) | $1,246.95 | $2,771 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,105.65 | $2,457 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $818.10 | $1,818 | 8.1× |
| CT thoracic spine w contrast (72129) | $1,276.65 | $2,837 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,060.65 | $2,357 | 10.6× |
| CT thoracic spine w/wo cont (72130) | $1,753.65 | $3,897 | 10.4× |
| CT thorax w/o contrast (71250) | $692.10 | $1,538 | 6.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$142.28–$858.15 | $316.18–$1,907 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $858.15 | $1,907 | 5.1× |
| CT upper extremity with contrast (73201) | $1,057.50 | $2,350 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,834.65 | $4,077 | 10.9× |
| Cta Abdomen (74175) | $1,401.75 | $3,115 | 8.3× |
| CTA pelvis (72191) | $1,604.25 | $3,565 | 9.5× |
| Discography Cerv/Thor Spine (72285) | $1,913.85 | $4,253 | 1.0× |
| Diskography lumbar (72295) | $1,625.40 | $3,612 | 0.9× |
| Dxa Bone Density Axial (77080) | $238.50 | $530 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $182.25 | $405 | 2.2× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$205.65–$396.45 | $457–$881 | varies |
| Esophagram (74220) | $410.40 | $912 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $265.50 | $590 | 1.2× |
| Follow-Up Angiography (75898) | $483.75 | $1,075 | 0.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$82.35–$181.35 | $183–$403 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$165.60–$313.20 | $368–$696 | varies |
| Gastric emptying imaging study (78264) | $1,257.30 | $2,794 | 3.3× |
| Gated Heart Planar Single (78472) | $871.20 | $1,936 | 2.3× |
| Hand 2 views (73120) | $247.95 | $551 | 2.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,443.95 | $5,431 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,336.85 | $5,193 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,190.70 | $2,646 | 2.3× |
| Hepatobiliary System Imaging (78226) | $727.65 | $1,617 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $2,149.65 | $4,777 | 1.7× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$159.75–$1,021.50 | $355–$2,270 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $181.80 | $404 | 2.2× |
| Infant hip ultrasound, limited static exam (76886) | $122.85 | $273 | 1.5× |
| Infusion Ivp (74410) | $354.60 | $788 | 2.1× |
| Interstitial radiation source applic complex (77778) | $2,321.10 | $5,158 | 3.5× |
| Joint Survey Single View (77077) | $143.10 | $318 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $777.60 | $1,728 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $807.30 | $1,794 | 1.5× |
| Kidney Imaging Morphol (78700) | $684 | $1,520 | 1.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $607.50 | $1,350 | 1.6× |
| Knee 3 Views (73562) | $435.15 | $967 | 5.2× |
| Leveen/Shunt Patency Exam (78291) | $346.05 | $769 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $585.45 | $1,301 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $654.30 | $1,454 | 1.7× |
| Liver imaging static only (78201) | $1,096.65 | $2,437 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $589.05 | $1,309 | 1.1× |
| Lung perfusion differential (78597) | $832.05 | $1,849 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $769.05 | $1,709 | 1.5× |
| Lung Ventilation Imaging (78579) | $839.25 | $1,865 | 2.2× |
| Lymph System Imaging (78195) | $637.20 | $1,416 | 1.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,171.35 | $2,603 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $488.89 | $1,086.42 | 2.1× |
| Mammary ductogram or galactogram multiple (77054) | $238.50 | $530 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $439.65 | $977 | 1.9× |
| Meckels Divert Exam (78290) | $374.85 | $833 | 1.0× |
| Mr safety determination physician/other qhp (76016) | $166.95 | $371 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $46.35 | $103 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $174.15 | $387 | 1.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $459 | $1,020 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,716.75 | $3,815 | 5.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,062.90–$2,302.65 | $2,362–$5,117 | varies |
| MRA head with contrast (70545) | $2,430 | $5,400 | 7.2× |
| MRA neck w contrast (70548) | $1,319.40 | $2,932 | 3.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,422.90 | $3,162 | 4.2× |
| MRA neck w/o contrast (70547) | $836.10 | $1,858 | 3.6× |
| MRI abdomen w contrast (74182) | $1,485.45 | $3,301 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,247.85 | $2,773 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,695.15 | $3,767 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,981.35 | $4,403 | 5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,560.15–$1,695.15 | $3,467–$3,767 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,293.75 | $2,875 | 5.6× |
| MRI brain functional w/physician admnistration (70555) | $1,399.95 | $3,111 | 6.1× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$576.45–$2,250 | $1,281–$5,000 | varies |
| MRI cardiac w/o cont stress (75559) | $2,308.76 | $5,130.58 | 4.4× |
| MRI cardiac w/o contrast (75557) | $1,143.90 | $2,542 | 5.0× |
| MRI cervical spine w contrast (72142) | $1,530 | $3,400 | 4.6× |
| MRI cervical spine w/o cont (72141) | $1,485.45 | $3,301 | 6.5× |
| MRI chest w/o contrast (71550) | $1,479.60 | $3,288 | 6.4× |
| MRI chest with contrast (71551) | $1,692.90 | $3,762 | 2.2× |
| MRI chest wo w contrast (71552) | $2,006.55 | $4,459 | 6.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,137.60 | $2,528 | 3.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,981.35 | $4,403 | 5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,542.60 | $3,428 | 6.7× |
| MRI lumbar spine w contrast (72149) | $1,530 | $3,400 | 4.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,019.15 | $4,487 | 6.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,716.30 | $3,814 | 7.5× |
| MRI orbit face neck w contrast (70542) | $2,615.85 | $5,813 | 7.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,759.50 | $3,910 | 5.2× |
| MRI pelvis w contrast (72196) | $2,303.10 | $5,118 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $1,044.45 | $2,321 | 3.1× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,454.85–$2,763.67 | $3,233–$6,141.48 | varies |
| MRI spectroscopy (76390) | $1,696.50 | $3,770 | 20.3× |
| MRI thoracic spine w/o contrast (72146) | $1,485.45 | $3,301 | 6.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,632.60–$1,914.30 | $3,628–$4,254 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,542.60 | $3,428 | 6.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,981.35 | $4,403 | 5.9× |
| MRI, abdomen, combo (74183) | $1,688.40 | $3,752 | 5.0× |
| MRI, dorsal spine combo (72157) | $2,019.15 | $4,487 | 6.0× |
| MRI, dorsal spine contrast (72147) | $1,530 | $3,400 | 4.6× |
| MRI, joint upper extrem (73221) | $1,542.60 | $3,428 | 6.7× |
| MRI, joint upper extrem combo (73223) | $1,981.35 | $4,403 | 5.9× |
| MRI, lumbar spine combo (72158) | $2,019.15 | $4,487 | 6.0× |
| Musculoskeletal Nuclear Exam (78399) | $3,312.73 | $7,361.62 | 8.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $886.50 | $1,970 | 2.3× |
| Myocardial Spect Multiple Studies (78452) | $2,561.85 | $5,693 | 2.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,030.05 | $2,289 | 1.2× |
| Neck soft tissue (70360) | $276.30 | $614 | 3.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $440.55 | $979 | 1.1× |
| Nm csf leak detection (78650) | $1,392.92 | $3,095.37 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $370.80 | $824 | 3.7× |
| Nuclear Rx Intra-Arterial (79445) | $888.75 | $1,975 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $1,288.80 | $2,864 | 5.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $247.05 | $549 | 2.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $619.20 | $1,376 | 1.2× |
| Parathyroid Planar Imaging (78070) | $681.30 | $1,514 | 1.8× |
| Pelvis 1 or 2 views (72170) | $179.10 | $398 | 1.8× |
| Perineogram (74775) | $348.75 | $775 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $3,345.30 | $7,434 | 2.4× |
| PET image w/CT, full body (78816) | $4,190.85 | $9,313 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,190.85 | $9,313 | 3.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,162.25 | $4,805 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $905.40 | $2,012 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $176.40 | $392 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $660.60 | $1,468 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $466.65 | $1,037 | 5.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $152.55 | $339 | 1.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$327.15–$334.80 | $727–$744 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $435.60 | $968 | 4.3× |
| Radex fingr minimum 2 views (73140) | $137.70 | $306 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$473.85–$538.20 | $1,053–$1,196 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$230.40–$490.05 | $512–$1,089 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $269.55 | $599 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $357.75 | $795 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $158.85 | $353 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$146.70–$212.85 | $326–$473 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $197.55 | $439 | 2.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $976.50 | $2,170 | 5.8× |
| Radex Spine 1 View Specify Level (72020) | $196.20 | $436 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $191.25 | $425 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $182.70 | $406 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $202.05 | $449 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$171–$239.40 | $380–$532 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $163.80 | $364 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $472.50 | $1,050 | 4.7× |
| Radiologic exam colon double contrast study (74280) | $943.20 | $2,096 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $567.45 | $1,261 | 3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $411.30 | $914 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $351 | $780 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $164.25 | $365 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $640.35 | $1,423 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $591.30 | $1,314 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$895.05–$1,151.10 | $1,989–$2,558 | varies |
| Radiologic examination femur 1 view (73551) | $186.75 | $415 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$186.75–$196.20 | $415–$436 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$462.60–$506.25 | $1,028–$1,125 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $406.80 | $904 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $181.80 | $404 | 2.2× |
| Ribs bilateral 3 views (71110) | $359.10 | $798 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$573.75–$868.95 | $1,275–$1,931 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $723.60 | $1,608 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,569.50 | $5,710 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,559.25–$1,594.80 | $3,465–$3,544 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,472.40 | $3,272 | 2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,043.10–$1,335.15 | $2,318–$2,967 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,514.70 | $3,366 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,335.15 | $2,967 | 1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$243.90–$1,651.50 | $542–$3,670 | varies |
| Rp Therapy Intravenous Administration (79101) | $784.35 | $1,743 | 3.5× |
| Rp Therapy Unlisted Procedure (79999) | $6,562.54 | $14,583.42 | 29.3× |
| Scapula (73010) range across 3 matching MRF lines |
$314.10–$346.95 | $698–$771 | varies |
| Sella turcica (70240) | $53.55 | $119 | 0.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$144–$156.15 | $320–$347 | varies |
| Shoulder Arthrography (73040) | $692.55 | $1,539 | 2.1× |
| Sialogram (70390) | $210.15 | $467 | 0.9× |
| Skull less than 4 views (70250) | $265.95 | $591 | 2.6× |
| Speech evaluation, complex (70371) | $132.30 | $294 | 0.6× |
| Sternoclavicular joints (71130) | $230.40 | $512 | 2.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $158.40 | $352 | 0.9× |
| Thoracic spine 2 views (72070) | $153 | $340 | 1.5× |
| Thoracic spine 3 views (72072) | $279 | $620 | 2.8× |
| Thoracolumbar 2 views (72080) | $301.05 | $669 | 3.6× |
| Thyroid Imaging With Vascular Flow (78013) | $548.55 | $1,219 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,730.70 | $3,846 | 3.3× |
| Thyroid Uptake Measurement (78012) | $292.50 | $650 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $948.15 | $2,107 | 2.5× |
| Ultrasound Breast Limited (76642) | $304.20 | $676 | 3.6× |
| Ultrasound elastography first target lesion (76982) | $312.30 | $694 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $312.30 | $694 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $326.25 | $725 | 3.2× |
| Ultrasound, abdomen limited (76705) | $525.15 | $1,167 | 5.2× |
| Unlisted fluoroscopic procedure (76496) | $135.45 | $301 | 1.6× |
| Unlisted magnetic resonance procedure (76498) range across 6 matching MRF lines |
$763.65–$2,053.35 | $1,697–$4,563 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $360 | $800 | 0.9× |
| Unlisted us procedure (76999) | $297.45 | $661 | 3.6× |
| Upper gi w/o kub (74240) | $494.55 | $1,099 | 2.9× |
| Urethrocystogram voiding (74455) | $416.70 | $926 | 1.8× |
| Urethrocystography retrograde (74450) | $324 | $720 | 1.4× |
| Us breast unilateral complete (76641) | $404.10 | $898 | 4.0× |
| Us chest (76604) range across 2 matching MRF lines |
$512.10–$555.75 | $1,138–$1,235 | varies |
| Us complete joint (76881) | $460.35 | $1,023 | 4.6× |
| Us exam, pelvic, limited (76857) | $352.35 | $783 | 3.5× |
| Us head (76506) | $301.95 | $671 | 3.0× |
| Us kidney transplant (76776) | $428.85 | $953 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $324 | $720 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $360 | $800 | 3.6× |
| Us ob transvaginal (76817) | $421.20 | $936 | 4.2× |
| Us pelvic non ob complete (76856) | $566.10 | $1,258 | 5.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $482.40 | $1,072 | 4.8× |
| Us retroperitoneal complete (76770) | $557.55 | $1,239 | 5.5× |
| Us retroperitoneal limited (76775) | $449.10 | $998 | 4.5× |
| Us scrotum and contents (76870) | $530.55 | $1,179 | 5.3× |
| Us spinal canal and contents (76800) | $658.80 | $1,464 | 6.6× |
| Us thyroid (76536) | $487.35 | $1,083 | 4.8× |
| Us transrectal (76872) | $1,485 | $3,300 | 14.8× |
| Vein X-Ray Chest (75827) | $2,218.50 | $4,930 | 1.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,178.90 | $4,842 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $1,712.25 | $3,805 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,453.05 | $3,229 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,821.95 | $6,271 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $2,020.50 | $4,490 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,665 | $3,700 | 1.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,599.65 | $5,777 | 0.5× |
| Wrist 2 views (73100) | $146.70 | $326 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $306 | $680 | 3.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$423.45–$666.45 | $941–$1,481 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,831.95 | $4,071 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $137.25 | $305 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $191.25 | $425 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $306.45 | $681 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$130.50–$516.60 | $290–$1,148 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$98.55–$158.40 | $219–$352 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $185.85 | $413 | 2.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $153.90 | $342 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $248.40 | $552 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $352.80 | $784 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $244.35 | $543 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $697.50 | $1,550 | 6.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $550.80 | $1,224 | 6.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $544.95 | $1,211 | 5.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $236.25 | $525 | 2.4× |
| X-ray eye for foreign body (70030) | $136.35 | $303 | 1.6× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$173.70–$202.05 | $386–$449 | varies |
| X-ray IV pyelogram (ivp) (74400) | $449.55 | $999 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $339.75 | $755 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $220.05 | $489 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $189.90 | $422 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $185.40 | $412 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $498.60 | $1,108 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $276.30 | $614 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $295.65 | $657 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $287.55 | $639 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $414 | $920 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $495.45 | $1,101 | 4.9× |
| X-Ray Stress View (77071) | $77.40 | $172 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $372.60 | $828 | 3.7× |
| X-Ray Tmj Unilat (70328) | $120.15 | $267 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $466.20 | $1,036 | 1.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$151.20–$274.95 | $336–$611 | varies |
| X-Rays Bone Survey Complete (77075) | $692.10 | $1,538 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $576.45 | $1,281 | 5.7× |
| Xr facial bones less than 3 views (70140) | $236.70 | $526 | 2.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $227.70 | $506 | 2.3× |
| Xr myelogram posterior fossa (70010) | $1,457.55 | $3,239 | 4.3× |
| Xr orbits complete 4 views (70200) | $295.65 | $657 | 2.9× |
| Xr Tomogram Single Plane (76100) | $359.55 | $799 | 3.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.