Imaging prices at USA Health Children's & Women's Hospital
Mobile, AL · every code in this section with a posted price and a Medicare benchmark.
382 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 2 matching MRF lines |
$2,173–$2,226 | $2,173–$2,226 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$142–$432 | $142–$432 | varies |
| Abdomen 2 views (74019) | $225 | $225 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $584 | $584 | 1.6× |
| Angio internal mammary (75756) | $3,950 | $3,950 | 1.4× |
| Angio pulmonary bilat (75743) | $4,078 | $4,078 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$3,219–$4,888 | $3,219–$4,888 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$2,680–$4,078 | $2,680–$4,078 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,078 | $4,078 | 1.4× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$270–$540 | $270–$540 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,798 | $6,798 | 1.4× |
| Artery X-Rays Abdomen (75726) | $8,561 | $8,561 | 1.7× |
| Artery X-Rays Pelvis (75736) | $6,551 | $6,551 | 1.3× |
| Artery X-Rays Spine (75705) | $8,561 | $8,561 | 1.7× |
| Arthrogram ankle (73615) | $910 | $910 | 2.9× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$554–$1,108 | $554–$1,108 | varies |
| Arthrogram Wrist (73115) | $910 | $910 | 2.9× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$172–$299 | $172–$299 | varies |
| Bone age studies (77072) | $270 | $270 | 2.9× |
| Bone Imaging 3 Phase (78315) | $1,088 | $1,088 | 3.0× |
| Bone Imaging Limited Area (78300) | $584 | $584 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $707 | $707 | 2.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$806–$2,770 | $806–$2,770 | varies |
| Bone marrow imaging limited area (78102) | $478 | $478 | 1.3× |
| Bone marrow imaging; whole body (78104) | $806 | $806 | 2.2× |
| Bone survey infant (77076) | $364 | $364 | 3.9× |
| Brachytx isodose complex (77318) | $479 | $479 | 1.4× |
| Brachytx isodose intermed (77317) | $479 | $479 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $479 | $479 | 1.4× |
| Brain Flow Imaging Only (78610) | $1,088 | $1,088 | 2.2× |
| Brain Image W/Flow < 4 Views (78601) | $804 | $804 | 2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,772–$1,865 | $1,772–$1,865 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,469 | $2,469 | 7.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,536 | $2,536 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $649 | $649 | 8.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $961 | $961 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $830 | $830 | 1.7× |
| Chest 1 view (71045) range across 8 matching MRF lines |
$174–$371 | $174–$371 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$166.50–$433 | $166.50–$433 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$126.50–$284 | $126.50–$284 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$150–$284 | $150–$284 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$120–$240 | $120–$240 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,188 | $1,188 | 12.6× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$353–$469 | $353–$469 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$3,170–$4,078 | $3,170–$4,078 | varies |
| Contrast X-Ray Bladder (74430) | $636 | $636 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $554 | $554 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,057 | $1,057 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$2,413–$7,994 | $2,413–$7,994 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,773–$5,128 | $1,773–$5,128 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,084–$3,356 | $1,084–$3,356 | varies |
| CT abdomen w wo contrast (74170) range across 6 matching MRF lines |
$1,207–$3,711 | $1,207–$3,711 | varies |
| CT abdomen w/o contrast (74150) | $926 | $926 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$3,107–$6,422 | $3,107–$6,422 | varies |
| CT Angio Chest (71275) range across 7 matching MRF lines |
$1,538–$2,963 | $1,538–$2,963 | varies |
| CT Angio Head (70496) range across 8 matching MRF lines |
$1,538–$3,410 | $1,538–$3,410 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$1,601–$1,864 | $1,601–$1,864 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,538 | $1,538 | 9.7× |
| CT Angio Neck (70498) range across 6 matching MRF lines |
$1,538–$3,281 | $1,538–$3,281 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,538 | $1,538 | 9.7× |
| CT cervical spine w/ contrast (72126) | $1,084 | $1,084 | 3.4× |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$926–$2,387 | $926–$2,387 | varies |
| CT cervical spine w/wo cont (72127) | $1,283 | $1,283 | 8.1× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,378–$3,060 | $1,378–$3,060 | varies |
| CT chest w/wo contrast (71270) | $1,520 | $1,520 | 9.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,773 | $1,773 | 18.8× |
| CT head/brain with contrast (70460) | $1,010 | $1,010 | 6.4× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,294–$3,268 | $1,294–$3,268 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,601 | $1,601 | 5.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $634 | $634 | 8.1× |
| CT hrt w/3d image congen (75573) | $1,601 | $1,601 | 5.1× |
| CT iac w contrast (70481) | $1,084 | $1,084 | 6.8× |
| CT l-spine w&w/o contrast (72133) | $1,283 | $1,283 | 8.1× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$502–$1,969 | $502–$1,969 | varies |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$1,084–$2,169 | $1,084–$2,169 | varies |
| CT lumbar spine w contrast (72132) | $1,000 | $1,000 | 3.2× |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$860–$2,646 | $860–$2,646 | varies |
| CT maxillofacial w contrast (70487) | $1,084 | $1,084 | 6.8× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$213–$2,426 | $213–$2,426 | varies |
| CT neck tissue combo (70492) | $1,289 | $1,289 | 8.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,207 | $1,207 | 7.6× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$213–$979 | $213–$979 | varies |
| CT pelvis w&w/o contrast (72194) | $1,207 | $1,207 | 7.6× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$832–$2,611 | $832–$2,611 | varies |
| CT scan of leg combo (73702) range across 13 matching MRF lines |
$1,207–$2,413 | $1,207–$2,413 | varies |
| CT scans face/jaw combo (70488) | $1,207 | $1,207 | 7.6× |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,081–$2,897 | $1,081–$2,897 | varies |
| CT soft tissue neck w/o contrast (70490) | $933 | $933 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,000 | $1,000 | 6.3× |
| CT thoracic spine w/o contrast (72128) range across 5 matching MRF lines |
$860–$2,508 | $860–$2,508 | varies |
| CT thoracic spine w/wo cont (72130) | $1,283 | $1,283 | 8.1× |
| CT thorax w/o contrast (71250) range across 6 matching MRF lines |
$619.75–$2,778 | $619.75–$2,778 | varies |
| CT unlisted procedure (76497) | $13,237 | $13,237 | 168.5× |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$926–$2,438 | $926–$2,438 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 12 matching MRF lines |
$1,207–$2,413 | $1,207–$2,413 | varies |
| CT upper extremity with contrast (73201) range across 13 matching MRF lines |
$1,170–$2,343 | $1,170–$2,343 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,899–$3,850 | $1,899–$3,850 | varies |
| Cta Abdomen (74175) | $1,538 | $1,538 | 9.7× |
| CTA pelvis (72191) | $1,538 | $1,538 | 9.7× |
| Discography Cerv/Thor Spine (72285) | $7,819 | $7,819 | 4.4× |
| Diskography lumbar (72295) | $7,819 | $7,819 | 4.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $236 | $236 | 2.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $362 | $362 | 3.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $181 | $181 | 1.9× |
| Dxa Bone Density Axial (77080) | $724 | $724 | 7.7× |
| Echo exam of fetal heart (76825) | $1,170 | $1,170 | 2.4× |
| Echo exam uterus (76831) | $432 | $432 | 2.0× |
| Echo Guide For Artery Repair (76936) | $828 | $828 | 4.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,170 | $1,170 | 5.4× |
| Esophageal Motility Study (78258) | $584 | $584 | 1.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$252–$807 | $252–$807 | varies |
| Fetal Biophys Profile W/Nst (76818) | $436 | $436 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $386 | $386 | 4.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,697 | $1,697 | 7.9× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$314–$715 | $314–$715 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,364.50–$1,569 | $1,364.50–$1,569 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$144–$287 | $144–$287 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$146–$292 | $146–$292 | varies |
| Gastric emptying imaging study (78264) | $584 | $584 | 1.6× |
| Gastroesophageal Reflux Exam (78262) | $433 | $433 | 1.2× |
| Gated Heart Planar Single (78472) | $758 | $758 | 2.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$140–$289 | $140–$289 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,056 | $1,056 | 1.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $903 | $903 | 1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $780 | $780 | 1.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,414 | $4,414 | 1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,078 | $4,078 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $672 | $672 | 1.4× |
| Hepatobiliary System Imaging (78226) | $672 | $672 | 1.9× |
| Ht Musc Image Planar Mult (78454) | $2,532 | $2,532 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,535 | $1,535 | 1.3× |
| Hysterosalpingogram (74740) | $542 | $542 | 2.5× |
| Infant hip ultrasound, limited static exam (76886) | $312 | $312 | 4.0× |
| Interstitial radiation source applic complex (77778) | $763 | $763 | 1.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,056 | $1,056 | 1.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $769 | $769 | 1.5× |
| Intracavitary radiation source applic simple (77761) | $769 | $769 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $1,077 | $1,077 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $767 | $767 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $767 | $767 | 1.6× |
| Kidney Imaging Morphol (78700) | $653 | $653 | 1.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$227–$531 | $227–$531 | varies |
| Liver & Spleen Imaging Static Only (78215) | $672 | $672 | 1.9× |
| Liver imaging static only (78201) | $1,722 | $1,722 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $777 | $777 | 1.6× |
| Lung perfusion differential (78597) | $552 | $552 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$677–$2,518 | $677–$2,518 | varies |
| Lung Ventilation Imaging (78579) | $552 | $552 | 1.5× |
| Lymph System Imaging (78195) | $429 | $429 | 0.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
$1,305.25–$2,326 | $1,305.25–$2,326 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) range across 2 matching MRF lines |
$832–$957 | $832–$957 | varies |
| Magnetic Image Jaw Joint (70336) | $1,697 | $1,697 | 7.9× |
| Mammary ductogram or galactogram multiple (77054) | $599 | $599 | 2.8× |
| Mammary ductogram or galactogram single (77053) | $599 | $599 | 2.8× |
| Meckels Divert Exam (78290) | $460 | $460 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) | $529 | $529 | 1.6× |
| Mr safety determination physician/other qhp (76016) | $177 | $177 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $50 | $50 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $184 | $184 | 2.1× |
| Mr safety implt pos&/immoblj (76019) | $119 | $119 | 2.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $484 | $484 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,894 | $2,894 | 9.2× |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,738–$2,756 | $1,738–$2,756 | varies |
| MRA head with contrast (70545) | $1,919 | $1,919 | 6.1× |
| MRA neck w contrast (70548) | $1,917 | $1,917 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,894 | $2,894 | 9.2× |
| MRA neck w/o contrast (70547) | $1,737 | $1,737 | 8.1× |
| MRI abdomen w contrast (74182) | $1,888 | $1,888 | 6.0× |
| MRI abdomen w/o contrast (74181) range across 10 matching MRF lines |
$1,878–$2,676 | $1,878–$2,676 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,878–$3,757 | $1,878–$3,757 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$3,075–$6,150 | $3,075–$6,150 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,878 | $1,878 | 2.7× |
| MRI brain functional w/o physician admnistration (70554) | $712 | $712 | 3.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,737 | $1,737 | 8.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,737 | $1,737 | 8.1× |
| MRI cardiac w/o cont stress (75559) | $2,536 | $2,536 | 5.1× |
| MRI cardiac w/o contrast (75557) | $2,434 | $2,434 | 11.3× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,838–$1,878 | $1,838–$1,878 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,697–$3,848 | $1,697–$3,848 | varies |
| MRI chest w/o contrast (71550) | $1,697 | $1,697 | 7.9× |
| MRI chest with contrast (71551) | $1,878 | $1,878 | 2.7× |
| MRI chest wo w contrast (71552) | $2,894 | $2,894 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$1,256.25–$1,878 | $1,256.25–$1,878 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$1,936–$2,894 | $1,936–$2,894 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$1,135.25–$3,365 | $1,135.25–$3,365 | varies |
| MRI lumbar spine w contrast (72149) | $1,878 | $1,878 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,119–$5,368 | $3,119–$5,368 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,697 | $1,697 | 7.9× |
| MRI orbit face neck w contrast (70542) | $1,899 | $1,899 | 6.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 6 matching MRF lines |
$2,894–$4,587 | $2,894–$4,587 | varies |
| MRI pelvis w contrast (72196) | $2,296 | $2,296 | 7.3× |
| MRI pelvis w/o & w contrast (72197) range across 9 matching MRF lines |
$2,894–$4,096 | $2,894–$4,096 | varies |
| MRI pelvis w/o contrast (72195) range across 5 matching MRF lines |
$1,697–$3,389 | $1,697–$3,389 | varies |
| MRI spectroscopy (76390) | $168 | $168 | 2.1× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,697–$3,576 | $1,697–$3,576 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,878 | $1,878 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$1,697–$3,393 | $1,697–$3,393 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,894 | $2,894 | 9.2× |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$3,088–$4,617 | $3,088–$4,617 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$3,119–$5,444 | $3,119–$5,444 | varies |
| MRI, dorsal spine contrast (72147) | $1,878 | $1,878 | 6.0× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,697–$3,377 | $1,697–$3,377 | varies |
| MRI, joint upper extrem combo (73223) | $2,894 | $2,894 | 9.2× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,075–$5,777 | $3,075–$5,777 | varies |
| Myelogram cervical (72240) | $992 | $992 | 1.4× |
| Myelogram Lumbar (72265) | $986 | $986 | 1.4× |
| Myelography thoracic (72255) | $992 | $992 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,133 | $1,133 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$1,967–$4,878 | $1,967–$4,878 | varies |
| Neck soft tissue (70360) | $142 | $142 | 1.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $338 | $338 | 1.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $465 | $465 | 1.3× |
| Nm csf leak detection (78650) | $1,724 | $1,724 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,155–$5,185 | $2,155–$5,185 | varies |
| Nuclear Rx Intra-Arterial (79445) | $409 | $409 | 1.9× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$449–$580 | $449–$580 | varies |
| Ob us nuchal meas 1 gest (76813) | $209 | $209 | 2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $155 | $155 | 1.6× |
| Parathyroid Planar Imaging (78070) | $389 | $389 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$180–$478 | $180–$478 | varies |
| Peritoneogram Rs&I (74190) | $1,714 | $1,714 | 3.5× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$2,362–$2,486 | $2,362–$2,486 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,813–$2,961 | $2,813–$2,961 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$2,486–$3,588 | $2,486–$3,588 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,078 | $4,078 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $457 | $457 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $251 | $251 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $893 | $893 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$287–$574 | $287–$574 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$125–$248 | $125–$248 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$180–$926 | $180–$926 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $284 | $284 | 3.0× |
| Radex fingr minimum 2 views (73140) | $180 | $180 | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$144–$574 | $144–$574 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$172–$430 | $172–$430 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$270–$540 | $270–$540 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $298 | $298 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $245 | $245 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $259 | $259 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$270–$993 | $270–$993 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $180 | $180 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $180 | $180 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $192 | $192 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $229 | $229 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $180 | $180 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$270–$540 | $270–$540 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$180–$515 | $180–$515 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $10,748 | $10,748 | 1.6× |
| Radiation treatment delivery level 1 (77402) | $235 | $235 | 2.6× |
| Radiation treatment delivery level 2 (77407) | $248 | $248 | 0.7× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$365–$631 | $365–$631 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $284 | $284 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $243 | $243 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $620 | $620 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $373 | $373 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $338 | $338 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$234–$598 | $234–$598 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $186 | $186 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $252 | $252 | 1.6× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$252–$801 | $252–$801 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $440.50 | $440.50 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $374 | $374 | 2.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$166–$331 | $166–$331 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$166–$536 | $166–$536 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$144–$404 | $144–$404 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $504 | $504 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$150–$891 | $150–$891 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $94.25 | $94.25 | 1.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $437 | $437 | 1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $338 | $338 | 1.0× |
| Ribs bilateral 3 views (71110) | $284 | $284 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$726–$804 | $726–$804 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,118 | $1,118 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,724 | $1,724 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,184 | $1,184 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,086 | $2,086 | 4.3× |
| Rp Therapy Intravenous Administration (79101) | $435 | $435 | 2.1× |
| Scapula (73010) range across 2 matching MRF lines |
$125–$248 | $125–$248 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$31–$251 | $31–$251 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$270–$540 | $270–$540 | varies |
| Shoulder Arthrography (73040) | $644 | $644 | 2.0× |
| Sialogram (70390) | $542 | $542 | 2.5× |
| Skull less than 4 views (70250) | $223 | $223 | 2.4× |
| Special dosimetry (77331) | $181 | $181 | 1.5× |
| Special teletherapy port plan (77321) | $479 | $479 | 1.4× |
| Special treatment procedure (77470) | $769 | $769 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $8,219 | $8,219 | 5.1× |
| Sternoclavicular joints (71130) | $180 | $180 | 2.3× |
| Superior sagittal sinus venogram (75870) | $4,078 | $4,078 | 1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $530 | $530 | 1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $479 | $479 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $832 | $832 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $618 | $618 | 1.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,983 | $1,983 | 16.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $474 | $474 | 3.0× |
| Thoracic spine 2 views (72070) | $180 | $180 | 1.9× |
| Thoracic spine 3 views (72072) | $180 | $180 | 1.9× |
| Thoracolumbar 2 views (72080) | $180 | $180 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $549 | $549 | 1.5× |
| Thyroid Met Imaging Body (78018) | $1,000 | $1,000 | 2.0× |
| Thyroid Uptake Measurement (78012) | $555 | $555 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $555 | $555 | 1.5× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$529–$1,164 | $529–$1,164 | varies |
| Tx devices design & construction intermediate (77333) | $431 | $431 | 3.6× |
| Tx devices design & construction simple (77332) | $384 | $384 | 3.2× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$271–$750 | $271–$750 | varies |
| Ultrasound Exam Aaa Screen (76706) | $332 | $332 | 3.5× |
| Ultrasound, abdomen limited (76705) range across 29 matching MRF lines |
$378–$784 | $378–$784 | varies |
| Umbilical-artery Doppler (OB) (76820) | $181 | $181 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $1,738 | $1,738 | 22.1× |
| Unlisted us procedure (76999) | $124 | $124 | 1.6× |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$302–$373 | $302–$373 | varies |
| Ureteral Reflux Study (78740) | $561 | $561 | 1.6× |
| Urethrocystogram voiding (74455) | $472 | $472 | 2.2× |
| Urethrocystography retrograde (74450) | $636 | $636 | 3.0× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$271–$750 | $271–$750 | varies |
| Us chest (76604) | $332 | $332 | 3.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$359–$580 | $359–$580 | varies |
| Us exam, pelvic, limited (76857) | $222 | $222 | 2.4× |
| Us head (76506) | $332 | $332 | 3.5× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$349–$696 | $349–$696 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 11 matching MRF lines |
$213–$359 | $213–$359 | varies |
| Us ob detailed single fetus (76811) | $431 | $431 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $371 | $371 | 3.9× |
| Us ob transvaginal (76817) | $332 | $332 | 3.5× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$332–$839 | $332–$839 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $408 | $408 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $509 | $509 | 5.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$701–$831 | $701–$831 | varies |
| Us retroperitoneal limited (76775) range across 8 matching MRF lines |
$332–$831 | $332–$831 | varies |
| Us scrotum and contents (76870) | $396 | $396 | 4.2× |
| Us spinal canal and contents (76800) | $370 | $370 | 3.9× |
| Us thyroid (76536) range across 6 matching MRF lines |
$332–$851 | $332–$851 | varies |
| Us transrectal (76872) | $428 | $428 | 4.5× |
| Vascular Flow Imaging (78445) | $804 | $804 | 2.2× |
| Vein X-Ray Chest (75827) | $1,569 | $1,569 | 1.1× |
| Vein X-Ray Spleen/Liver (75810) | $4,078 | $4,078 | 1.4× |
| Venogram Sinus/Jugular (75860) | $4,078 | $4,078 | 1.4× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$4,078–$14,937 | $4,078–$14,937 | varies |
| Venography extremity bilateral rs&i (75822) | $2,326 | $2,326 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $1,425 | $1,425 | 1.0× |
| Venography Renal Bilateral (75833) | $4,078 | $4,078 | 1.4× |
| Venography Renal Unilateral (75831) | $4,078 | $4,078 | 1.4× |
| Venous sampling by catheter (75893) | $6,767 | $6,767 | 1.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$258–$515 | $258–$515 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $180 | $180 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $4,416 | $4,416 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $270 | $270 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$136–$271 | $136–$271 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,170 | $1,170 | 2.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $180 | $180 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $292 | $292 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $252 | $252 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $180 | $180 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$180–$536 | $180–$536 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $338 | $338 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $378 | $378 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$197–$394 | $197–$394 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $284 | $284 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$284–$535 | $284–$535 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$142–$285 | $142–$285 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$161–$643 | $161–$643 | varies |
| X-ray IV pyelogram (ivp) (74400) | $636 | $636 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $284 | $284 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $180 | $180 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$213–$563 | $213–$563 | varies |
| X-ray nose-rectum child f.b. (76010) | $142 | $142 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $354 | $354 | 3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $180 | $180 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $279 | $279 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $180 | $180 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $260 | $260 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306 | $306 | 3.2× |
| X-Ray Stress View (77071) | $227 | $227 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $378 | $378 | 4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $636 | $636 | 2.0× |
| X-Rays Bone Length Studies (77073) | $328 | $328 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $1,727 | $1,727 | 18.3× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$213–$805 | $213–$805 | varies |
| Xr facial bones less than 3 views (70140) | $180 | $180 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $298 | $298 | 3.2× |
| Xr orbits complete 4 views (70200) | $256 | $256 | 2.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.