Imaging prices at UofL Health – UofL Hospital
Louisville, KY · every code in this section with a posted price and a Medicare benchmark.
416 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) | $2,347.92 | $9,783 | 1.8× |
| Abdomen 1 View (74018) | $99.60 | $415 | 1.2× |
| Abdomen 2 views (74019) | $120.96 | $504 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $511.92 | $2,133 | 1.3× |
| Adrenal Cortex & Medulla Img (78075) | $658.80 | $2,745 | 0.5× |
| Angio internal mammary (75756) | $1,221.60 | $5,090 | 0.4× |
| Angio pulmonary bilat (75743) | $3,201.60 | $13,340 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $624 | $2,600 | 0.2× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,442.72–$3,240 | $10,178–$13,500 | varies |
| Angiography extremity unilateral rs&i (75710) range across 24 matching MRF lines |
$1,237.92–$1,723.92 | $5,158–$7,183 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,792.32 | $7,468 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $624.72 | $2,603 | 0.2× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$71.04–$99.60 | $296–$415 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,354.57 | $9,810.70 | 0.4× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$1,110.72–$3,685.92 | $4,628–$15,358 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,832.64 | $7,636 | 0.6× |
| Artery X-Rays Pelvis (75736) | $4,704 | $19,600 | 0.9× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,114.88 | $8,812 | 0.4× |
| Arthrogram ankle (73615) | $519.12 | $2,163 | 1.5× |
| Arthrogram hip (73525) | $356.88 | $1,487 | 1.1× |
| Arthrogram Wrist (73115) | $354.72 | $1,478 | 1.1× |
| Basic radiation dosimetry calculation (77300) | $230.88 | $962 | 1.8× |
| Bone age studies (77072) | $93.84 | $391 | 0.9× |
| Bone Imaging 3 Phase (78315) | $821.76 | $3,424 | 2.1× |
| Bone Imaging Limited Area (78300) | $198 | $825 | 0.5× |
| Bone Imaging Whole Body (78306) | $951.36 | $3,964 | 2.5× |
| Bone marrow imaging limited area (78102) | $270.72 | $1,128 | 0.7× |
| Bone survey infant (77076) | $198.48 | $827 | 2.0× |
| Brachytx isodose complex (77318) | $810.96 | $3,379 | 2.3× |
| Brachytx isodose intermed (77317) | $578.88 | $2,412 | 1.6× |
| Brachytx Isodose Plan Simple (77316) | $405.60 | $1,690 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $536.64 | $2,236 | 1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,691.76 | $7,049 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $955.20 | $3,980 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $809.46 | $3,372.75 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $358.56 | $1,494 | 4.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $155.28 | $647 | 0.3× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $389.04 | $1,621 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $537.36 | $2,239 | 1.0× |
| Chest 1 view (71045) | $99.60 | $415 | 1.2× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$108.96–$252.72 | $454–$1,053 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$102.72–$252.72 | $428–$1,053 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$68.64–$73.92 | $286–$308 | varies |
| Cholecystography Oral Contrast (74290) | $111.84 | $466 | 0.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$94.80–$150.48 | $395–$627 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $281.76 | $1,174 | 2.8× |
| Continuing medical physics consltj pr wk (77336) | $309.12 | $1,288 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,680.24 | $7,001 | 0.6× |
| Contrast X-Ray Bladder (74430) | $292.08 | $1,217 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $203.76 | $849 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $368.88 | $1,537 | 1.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $125.52 | $523 | 0.7× |
| Corpora cavernosography (74445) | $1,442.40 | $6,010 | 14.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,293.60 | $5,390 | 3.9× |
| CT abdomen and pelvis without contrast (74176) | $901.92 | $3,758 | 3.9× |
| CT abdomen w contrast (74160) | $521.76 | $2,174 | 3.1× |
| CT abdomen w wo contrast (74170) | $674.88 | $2,812 | 4.0× |
| CT abdomen w/o contrast (74150) | $452.16 | $1,884 | 4.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,128.48 | $4,702 | 3.4× |
| CT Angio Chest (71275) | $849.12 | $3,538 | 5.0× |
| CT Angio Head (70496) | $774.24 | $3,226 | 4.6× |
| CT angio hrt w/3d image (75574) | $1,323.59 | $5,514.94 | 3.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $852 | $3,550 | 5.1× |
| CT Angio Neck (70498) | $749.28 | $3,122 | 4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$710.40–$1,014.78 | $2,960–$4,228.24 | varies |
| CT bone density (77078) | $151.99 | $633.31 | 1.8× |
| CT cervical spine w/ contrast (72126) | $532.32 | $2,218 | 1.6× |
| CT cervical spine w/o contrast (72125) | $521.76 | $2,174 | 5.2× |
| CT cervical spine w/wo cont (72127) | $723.12 | $3,013 | 4.3× |
| CT chest w contrast (71260) | $677.28 | $2,822 | 4.0× |
| CT chest w/wo contrast (71270) | $764.40 | $3,185 | 4.5× |
| CT colonography screening (74263) | $1,284 | $5,350 | 5.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,245.84 | $5,191 | 7.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $488.16 | $2,034 | 4.9× |
| CT head/brain with contrast (70460) | $487.20 | $2,030 | 2.9× |
| CT head/brain without and with contrast (70470) | $613.44 | $2,556 | 3.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,323.59 | $5,514.94 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$23.76–$137.52 | $99–$573 | varies |
| CT hrt w/3d image congen (75573) | $1,323.59 | $5,514.94 | 3.9× |
| CT iac w contrast (70481) | $515.28 | $2,147 | 3.1× |
| CT l-spine w&w/o contrast (72133) | $967.68 | $4,032 | 5.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$534–$556.92 | $2,225–$2,320.51 | varies |
| CT lower extremity w/contrast material (73701) | $544.80 | $2,270 | 3.2× |
| CT lumbar spine w contrast (72132) | $719.76 | $2,999 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $488.64 | $2,036 | 4.9× |
| CT maxillofacial w contrast (70487) | $596.88 | $2,487 | 3.5× |
| CT maxillofacial wo contrast (70486) | $452.16 | $1,884 | 4.5× |
| CT neck tissue combo (70492) | $881.04 | $3,671 | 5.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,071.36 | $4,464 | 6.4× |
| CT orbits w/o contrast (70480) | $479.52 | $1,998 | 4.8× |
| CT pelvis w&w/o contrast (72194) | $709.20 | $2,955 | 4.2× |
| CT pelvis w/o contrast (72192) | $453.60 | $1,890 | 4.5× |
| CT scan of leg combo (73702) | $900.96 | $3,754 | 5.3× |
| CT scans face/jaw combo (70488) | $615.36 | $2,564 | 3.6× |
| CT soft tissue neck w contrast (70491) | $631.20 | $2,630 | 3.7× |
| CT soft tissue neck w/o contrast (70490) | $555.60 | $2,315 | 5.5× |
| CT thoracic spine w contrast (72129) | $680.88 | $2,837 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $565.68 | $2,357 | 5.6× |
| CT thoracic spine w/wo cont (72130) | $891.60 | $3,715 | 5.3× |
| CT thorax w/o contrast (71250) | $705.60 | $2,940 | 7.0× |
| CT unlisted procedure (76497) | $410.64 | $1,711 | 4.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$528.96–$556.92 | $2,204–$2,320.51 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$927.36–$927.41 | $3,864–$3,864.21 | varies |
| CT upper extremity with contrast (73201) | $564 | $2,350 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $978.48 | $4,077 | 5.8× |
| Cta Abdomen (74175) | $897.60 | $3,740 | 5.3× |
| CTA pelvis (72191) | $855.60 | $3,565 | 5.1× |
| Dilation ureters/urethra rs&i (74485) | $3,131.52 | $13,048 | 1.6× |
| Discography Cerv/Thor Spine (72285) | $1,020.72 | $4,253 | 0.5× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$866.88–$2,200.80 | $3,612–$9,170 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $96.48 | $402 | 1.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $96.24 | $401 | 1.0× |
| Dxa Bone Density Axial (77080) | $155.76 | $649 | 1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $97.20 | $405 | 1.2× |
| Echo exam uterus (76831) | $600.72 | $2,503 | 2.6× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$109.68–$211.44 | $457–$881 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $166.32 | $693 | 0.7× |
| Echograp Trans R Pros Study (76873) | $283.20 | $1,180 | 2.8× |
| Esophagram (74220) | $218.88 | $912 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $116.88 | $487 | 1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $134.40 | $560 | 1.3× |
| Fluoroscopy up to 1 hr (76000) | $151.20 | $630 | 0.7× |
| Follow-Up Angiography (75898) | $2,398.80 | $9,995 | 0.8× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$43.92–$155.04 | $183–$646 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$108.48–$167.04 | $452–$696 | varies |
| Gastric emptying imaging study (78264) | $653.52 | $2,723 | 1.7× |
| Gated Heart Planar Single (78472) | $464.64 | $1,936 | 1.2× |
| Hand 2 views (73120) | $132.24 | $551 | 1.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,587.36 | $6,614 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,302.48 | $5,427 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $807.60 | $3,365 | 1.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,506 | $6,275 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,483.44 | $6,181 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $599.76 | $2,499 | 1.1× |
| Hepatobiliary System Imaging (78226) | $557.04 | $2,321 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $1,146.48 | $4,777 | 0.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$85.20–$282.24 | $355–$1,176 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $96.96 | $404 | 1.2× |
| Interstitial radiation source applic complex (77778) | $1,237.92 | $5,158 | 1.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $948.24 | $3,951 | 1.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $306 | $1,275 | 0.6× |
| Intracavitary radiation source applic simple (77761) | $306 | $1,275 | 0.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $5,078.88 | $21,162 | 0.7× |
| Joint Survey Single View (77077) | $114.48 | $477 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $536.88 | $2,237 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $430.56 | $1,794 | 0.8× |
| Kidney Imaging Morphol (78700) | $364.80 | $1,520 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $324 | $1,350 | 0.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$166.08–$232.08 | $692–$967 | varies |
| Leveen/Shunt Patency Exam (78291) | $309.84 | $1,291 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) | $331.92 | $1,383 | 0.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $348.96 | $1,454 | 0.9× |
| Liver imaging static only (78201) | $584.88 | $2,437 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $314.16 | $1,309 | 0.6× |
| Lung perfusion differential (78597) | $311.28 | $1,297 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $494.64 | $2,061 | 0.9× |
| Lung Ventilation Imaging (78579) | $447.60 | $1,865 | 1.2× |
| Lymph System Imaging (78195) | $443.76 | $1,849 | 0.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $153.60 | $640 | 0.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $284.16 | $1,184 | 0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $624.72 | $2,603 | 0.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $308.88 | $1,287 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $1,228.32 | $5,118 | 5.4× |
| Mammary ductogram or galactogram multiple (77054) | $127.20 | $530 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $234.48 | $977 | 1.0× |
| Meckels Divert Exam (78290) | $313.68 | $1,307 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $444.24 | $1,851 | 1.2× |
| Mr safety determination physician/other qhp (76016) | $89.04 | $371 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $24.72 | $103 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $92.88 | $387 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $244.80 | $1,020 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,364.64 | $5,686 | 4.1× |
| MRA head w/o contrast (70544) | $1,228.08 | $5,117 | 5.4× |
| MRA head with contrast (70545) | $1,296 | $5,400 | 3.9× |
| MRA neck w contrast (70548) | $1,166.88 | $4,862 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,473.84 | $6,141 | 4.4× |
| MRA neck w/o contrast (70547) | $884.40 | $3,685 | 3.9× |
| MRI abdomen w contrast (74182) | $1,395.12 | $5,813 | 4.2× |
| MRI abdomen w/o contrast (74181) | $884.40 | $3,685 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,094.64–$1,228.26 | $4,561–$5,117.73 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,192.32 | $4,968 | 3.6× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,020.96–$1,228.26 | $4,254–$5,117.73 | varies |
| MRI brain functional w/o physician admnistration (70554) | $690 | $2,875 | 3.0× |
| MRI brain functional w/physician admnistration (70555) | $746.64 | $3,111 | 3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$307.44–$1,200 | $1,281–$5,000 | varies |
| MRI cardiac w/o cont stress (75559) | $1,231.34 | $5,130.58 | 2.3× |
| MRI cardiac w/o contrast (75557) | $610.08 | $2,542 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,008.96 | $4,204 | 3.0× |
| MRI cervical spine w/o cont (72141) | $884.40 | $3,685 | 3.9× |
| MRI chest w/o contrast (71550) | $835.20 | $3,480 | 3.6× |
| MRI chest with contrast (71551) | $902.88 | $3,762 | 1.2× |
| MRI chest wo w contrast (71552) | $1,070.16 | $4,459 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $606.72 | $2,528 | 1.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,081.20 | $4,505 | 3.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$835.20–$982.60 | $3,480–$4,094.17 | varies |
| MRI lumbar spine w contrast (72149) | $1,008.96 | $4,204 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,172.16 | $4,884 | 3.5× |
| MRI orbit face &/neck w/o contrast (70540) | $915.36 | $3,814 | 4.0× |
| MRI orbit face neck w contrast (70542) | $1,395.12 | $5,813 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,400.16 | $5,834 | 4.2× |
| MRI pelvis w contrast (72196) | $1,228.32 | $5,118 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,473.84 | $6,141 | 4.4× |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$982.56–$1,473.96 | $4,094–$6,141.48 | varies |
| MRI spectroscopy (76390) | $904.80 | $3,770 | 10.8× |
| MRI thoracic spine w/o contrast (72146) | $933.36 | $3,889 | 4.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,020.96 | $4,254 | 3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$640.80–$909.82 | $2,670–$3,790.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$1,046.88–$1,364.73 | $4,362–$5,686.36 | varies |
| MRI, abdomen, combo (74183) | $1,473.84 | $6,141 | 4.4× |
| MRI, dorsal spine combo (72157) | $1,172.16 | $4,884 | 3.5× |
| MRI, dorsal spine contrast (72147) | $816 | $3,400 | 2.4× |
| MRI, joint upper extrem (73221) | $933.36 | $3,889 | 4.1× |
| MRI, joint upper extrem combo (73223) | $1,141.92 | $4,758 | 3.4× |
| MRI, lumbar spine combo (72158) | $1,172.16 | $4,884 | 3.5× |
| Musculoskeletal Nuclear Exam (78399) | $1,766.79 | $7,361.62 | 4.6× |
| Myelogram cervical (72240) | $474.24 | $1,976 | 0.6× |
| Myelogram Lumbar (72265) | $439.44 | $1,831 | 0.6× |
| Myelography thoracic (72255) | $265.44 | $1,106 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $534.48 | $2,227 | 0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $472.80 | $1,970 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,366.32–$1,616.43 | $5,693–$6,735.12 | varies |
| N-invas est c ffr sw aly CTA (75580) | $549.36 | $2,289 | 0.7× |
| Neck soft tissue (70360) | $182.40 | $760 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $234.96 | $979 | 0.6× |
| Nm csf leak detection (78650) | $742.89 | $3,095.37 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $197.76 | $824 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,306 | $13,775 | 2.5× |
| Nuclear Rx Intra-Arterial (79445) | $474 | $1,975 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $687.36 | $2,864 | 3.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $79.20 | $330 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $330.24 | $1,376 | 0.6× |
| Parathyroid Planar Imaging (78070) | $363.36 | $1,514 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,215.84 | $5,066 | 3.2× |
| Pelvis 1 or 2 views (72170) | $183.60 | $765 | 1.8× |
| Perineogram (74775) | $186 | $775 | 0.8× |
| Pet Image W/Ct Lmtd (78814) | $1,784.16 | $7,434 | 1.3× |
| PET image w/CT, full body (78816) | $2,235.12 | $9,313 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,235.12 | $9,313 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,399.52 | $9,998 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $482.88 | $2,012 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $174.24 | $726 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $352.32 | $1,468 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$112.32–$248.88 | $468–$1,037 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $94.56 | $394 | 1.1× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$147.60–$178.56 | $615–$744 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $265.68 | $1,107 | 2.6× |
| Radex fingr minimum 2 views (73140) | $73.44 | $306 | 0.9× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$156.48–$287.04 | $652–$1,196 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$124.80–$261.36 | $520–$1,089 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $94.56 | $394 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $143.76 | $599 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $81.12 | $338 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $106.32 | $443 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$113.52–$194.16 | $473–$809 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $105.36 | $439 | 1.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $360.24 | $1,501 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $104.64 | $436 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $123.12 | $513 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $97.44 | $406 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $107.76 | $449 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $60.24 | $251 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $110.40 | $460 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$76.80–$87.36 | $320–$364 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$9,175.20–$20,850.96 | $38,230–$86,879 | varies |
| Radiation treatment delivery level 1 (77402) | $144 | $600 | 1.5× |
| Radiation treatment delivery level 2 (77407) | $254.88 | $1,062 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $211.92 | $883 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $182.40 | $760 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $327.12 | $1,363 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $302.64 | $1,261 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) | $187.20 | $780 | 1.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $240 | $1,000 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $264.72 | $1,103 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $158.16 | $659 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$277.20–$613.92 | $1,155–$2,558 | varies |
| Radiologic examination femur 1 view (73551) | $104.16 | $434 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$99.60–$180 | $415–$750 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$93.84–$156.72 | $391–$653 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $216.96 | $904 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$96.96–$131.04 | $404–$546 | varies |
| Ribs bilateral 3 views (71110) | $200.64 | $836 | 2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$306–$463.44 | $1,275–$1,931 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $557.28 | $2,321.99 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,419.84 | $5,916 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $831.60 | $3,465 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $785.28 | $3,272 | 1.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$556.32–$712.08 | $2,318–$2,967 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $807.84 | $3,366 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $712.08 | $2,967 | 0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$130.08–$880.80 | $542–$3,670 | varies |
| Rp Therapy Intravenous Administration (79101) | $418.32 | $1,743 | 1.9× |
| Rp Therapy Unlisted Procedure (79999) | $3,500.02 | $14,583.42 | 15.6× |
| Scapula (73010) range across 4 matching MRF lines |
$117.12–$185.04 | $488–$771 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $35.04 | $146 | 1.5× |
| Sella turcica (70240) | $28.56 | $119 | 0.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$83.28–$85.92 | $347–$358 | varies |
| Shoulder Arthrography (73040) | $369.36 | $1,539 | 1.1× |
| Sialogram (70390) | $112.08 | $467 | 0.5× |
| Skull less than 4 views (70250) | $141.84 | $591 | 1.4× |
| Special dosimetry (77331) | $218.16 | $909 | 1.7× |
| Special Physics Consult (77370) | $269.28 | $1,122 | 2.1× |
| Special teletherapy port plan (77321) | $356.40 | $1,485 | 1.0× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$286.56–$478.56 | $1,194–$1,994 | varies |
| Speech evaluation, complex (70371) | $70.56 | $294 | 0.3× |
| Stereotactic Body Radiation Delivery (77373) | $2,326.08 | $9,692 | 1.4× |
| Sternoclavicular joints (71130) | $122.88 | $512 | 1.5× |
| Superior sagittal sinus venogram (75870) | $723.84 | $3,016 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $67.68 | $282 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $797.76 | $3,324 | 2.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $423.36 | $1,764 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $486 | $2,025 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $398.88 | $1,662 | 1.1× |
| Ther rad simulaj-aided field setting simple (77280) | $293.76 | $1,224 | 2.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $84.48 | $352 | 0.5× |
| Thoracic spine 2 views (72070) | $171.36 | $714 | 1.7× |
| Thoracic spine 3 views (72072) | $148.80 | $620 | 1.5× |
| Thoracolumbar 2 views (72080) | $142.08 | $592 | 1.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $368.29 | $1,534.55 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $292.56 | $1,219 | 0.8× |
| Thyroid Met Imaging Body (78018) | $635.04 | $2,646 | 1.2× |
| Thyroid Uptake Measurement (78012) | $156 | $650 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $842.16 | $3,509 | 2.2× |
| Tx Devices Design & Construction Complex (77334) | $296.16 | $1,234 | 0.8× |
| Tx devices design & construction intermediate (77333) | $170.88 | $712 | 1.3× |
| Tx devices design & construction simple (77332) | $116.40 | $485 | 0.9× |
| Ultrasound Breast Limited (76642) | $162.24 | $676 | 1.9× |
| Ultrasound elastography first target lesion (76982) | $166.56 | $694 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $166.56 | $694 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $174 | $725 | 1.7× |
| Ultrasound, abdomen limited (76705) | $280.08 | $1,167 | 2.8× |
| Unlisted Dx Radiographic Procedure (76499) | $198.24 | $826 | 2.4× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$72.24–$474.24 | $301–$1,976 | varies |
| Unlisted magnetic resonance procedure (76498) range across 8 matching MRF lines |
$407.28–$1,473.84 | $1,697–$6,141 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $192 | $800 | 0.5× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $120 | $500 | 1.2× |
| Unlisted us procedure (76999) | $158.64 | $661 | 1.9× |
| Upper gi w/o kub (74240) | $263.76 | $1,099 | 1.6× |
| Urethrocystogram voiding (74455) | $222.24 | $926 | 1.0× |
| Urethrocystography retrograde (74450) | $172.80 | $720 | 0.8× |
| Us breast unilateral complete (76641) | $215.52 | $898 | 2.1× |
| Us chest (76604) | $273.12 | $1,138 | 2.7× |
| Us complete joint (76881) | $245.52 | $1,023 | 2.4× |
| Us exam, pelvic, limited (76857) | $187.92 | $783 | 1.9× |
| Us head (76506) | $161.04 | $671 | 1.6× |
| Us kidney transplant (76776) range across 5 matching MRF lines |
$228.72–$282.24 | $953–$1,176 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $172.80 | $720 | 1.7× |
| Us ob detailed single fetus (76811) | $216.24 | $901 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $192 | $800 | 1.9× |
| Us ob transvaginal (76817) | $224.64 | $936 | 2.2× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$96.24–$316.08 | $401–$1,317 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $257.28 | $1,072 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $96.24 | $401 | 1.0× |
| Us retroperitoneal complete (76770) | $297.36 | $1,239 | 3.0× |
| Us retroperitoneal limited (76775) | $239.52 | $998 | 2.4× |
| Us scrotum and contents (76870) | $282.96 | $1,179 | 2.8× |
| Us spinal canal and contents (76800) | $351.36 | $1,464 | 3.5× |
| Us thyroid (76536) | $259.92 | $1,083 | 2.6× |
| Us transrectal (76872) | $792 | $3,300 | 7.9× |
| Vascular Flow Imaging (78445) | $275.05 | $1,146.03 | 0.7× |
| Vein X-Ray Chest (75827) | $1,183.20 | $4,930 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,954.64 | $12,311 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $2,873.76 | $11,974 | 4.8× |
| Vein X-Ray Spleen/Liver (75810) | $913.20 | $3,805 | 0.3× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$967.92–$2,291.28 | $4,033–$9,547 | varies |
| Venography Adrenal Unilateral (75840) | $1,995.36 | $8,314 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $1,505.04 | $6,271 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,077.60 | $4,490 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $888 | $3,700 | 0.6× |
| Venography Renal Bilateral (75833) | $2,873.76 | $11,974 | 0.9× |
| Venography Renal Unilateral (75831) | $1,995.36 | $8,314 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,354.57 | $9,810.70 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $147.36 | $614 | 1.8× |
| Wrist 2 views (73100) | $78.24 | $326 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $114 | $475 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $355.44 | $1,481 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $977.04 | $4,071 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $174.72 | $728 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $102 | $425 | 1.2× |
| X-Ray Exam Breast Specimen (76098) | $163.44 | $681 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$273.84–$448.80 | $1,141–$1,870 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines |
$75.84–$114 | $316–$475 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $112.08 | $467 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $82.17 | $342.39 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $133.68 | $557 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $188.16 | $784 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$130.32–$134.28 | $543–$559.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $195.84 | $816 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $153.12 | $638 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $290.64 | $1,211 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $148.32 | $618 | 1.5× |
| X-ray eye for foreign body (70030) | $75.12 | $313 | 0.9× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$102.72–$154.80 | $428–$645 | varies |
| X-ray IV pyelogram (ivp) (74400) | $94.80 | $395 | 0.6× |
| X-ray IV pyelogram+tomography (74415) | $181.20 | $755 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $117.36 | $489 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $101.28 | $422 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $174.72 | $728 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $117.12 | $488 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $288.48 | $1,202 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $147.36 | $614 | 1.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $157.68 | $657 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $102.24 | $426 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $218.88 | $912 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $237.12 | $988 | 2.4× |
| X-Ray Stress View (77071) | $41.28 | $172 | 0.5× |
| X-ray thoracic spine 4 vw (72074) | $198.72 | $828 | 2.0× |
| X-Ray Tmj Unilat (70328) | $64.08 | $267 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $248.64 | $1,036 | 0.7× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$80.64–$146.64 | $336–$611 | varies |
| X-Rays Bone Survey Complete (77075) | $361.92 | $1,508 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $199.20 | $830 | 2.0× |
| Xr facial bones less than 3 views (70140) | $126.24 | $526 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $121.44 | $506 | 1.2× |
| Xr myelogram posterior fossa (70010) | $777.36 | $3,239 | 2.3× |
| Xr orbits complete 4 views (70200) | $127.44 | $531 | 1.3× |
| Xr Tomogram Single Plane (76100) | $191.76 | $799 | 1.9× |
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.