Imaging prices at USA Health Providence Hospital
Mobile, AL · every code in this section with a posted price and a Medicare benchmark.
300 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) | $2,173 | $2,173 | 1.7× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$142–$432 | $142–$432 | varies |
| Abdomen 2 views (74019) | $503 | $503 | 5.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,015 | $2,015 | 5.6× |
| Angio pulmonary bilat (75743) | $4,873 | $4,873 | 1.7× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$278–$3,219 | $278–$3,219 | varies |
| Angiography extremity unilateral rs&i (75710) | $2,680 | $2,680 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,220 | $4,220 | 1.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$270–$423 | $270–$423 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,590 | $3,590 | 0.7× |
| Artery X-Rays Abdomen (75726) | $6,798 | $6,798 | 1.4× |
| 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) | $758 | $758 | 2.4× |
| Arthrogram hip (73525) | $781 | $781 | 2.5× |
| Arthrogram Wrist (73115) | $855 | $855 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $172 | $172 | 1.4× |
| Bone age studies (77072) | $386 | $386 | 4.1× |
| Bone Imaging 3 Phase (78315) | $2,804 | $2,804 | 7.8× |
| Bone Imaging Limited Area (78300) | $2,059 | $2,059 | 5.7× |
| Bone Imaging Whole Body (78306) | $2,770 | $2,770 | 7.7× |
| Bone survey infant (77076) | $825 | $825 | 8.7× |
| Brain Image W/Flow < 4 Views (78601) | $804 | $804 | 2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,777 | $3,777 | 12.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$649–$695 | $649–$695 | varies |
| Cerebrospinal Fluid Scan (78630) | $2,685.21 | $2,685.21 | 5.5× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$227–$371 | $227–$371 | varies |
| Chest 2 views (71046) | $433 | $433 | 5.5× |
| Chest 3 views (71047) | $397 | $397 | 5.1× |
| Chest 4 or more views (71048) | $410 | $410 | 4.3× |
| Clavicle complete (73000) | $844 | $844 | 10.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $278 | $278 | 2.9× |
| Continuing medical physics consltj pr wk (77336) | $469 | $469 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$160–$3,170 | $160–$3,170 | varies |
| Contrast X-Ray Bladder (74430) | $825 | $825 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $690.90 | $690.90 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $899 | $899 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$2,413–$7,994 | $2,413–$7,994 | varies |
| CT abdomen and pelvis without contrast (74176) | $4,872 | $4,872 | 22.6× |
| CT abdomen w contrast (74160) | $3,356 | $3,356 | 21.2× |
| CT abdomen w wo contrast (74170) | $3,711 | $3,711 | 23.4× |
| CT abdomen w/o contrast (74150) | $2,664 | $2,664 | 28.2× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$3,107–$6,422 | $3,107–$6,422 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$267–$2,963 | $267–$2,963 | varies |
| CT Angio Head (70496) range across 5 matching MRF lines |
$1,538–$3,410 | $1,538–$3,410 | varies |
| CT angio hrt w/3d image (75574) | $1,864 | $1,864 | 5.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,538–$2,382 | $1,538–$2,382 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,538–$3,281 | $1,538–$3,281 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,538–$1,539 | $1,538–$1,539 | varies |
| CT cervical spine w/ contrast (72126) | $2,912 | $2,912 | 9.2× |
| CT cervical spine w/o contrast (72125) | $2,387 | $2,387 | 25.3× |
| CT cervical spine w/wo cont (72127) | $2,347 | $2,347 | 14.8× |
| CT chest w contrast (71260) | $3,060 | $3,060 | 19.3× |
| CT chest w/wo contrast (71270) | $3,540 | $3,540 | 22.4× |
| CT head/brain with contrast (70460) | $2,182 | $2,182 | 13.8× |
| CT head/brain without and with contrast (70470) | $3,268 | $3,268 | 20.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,145 | $2,145 | 6.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $177 | $177 | 2.3× |
| CT hrt w/3d image congen (75573) | $1,864 | $1,864 | 5.9× |
| CT iac w contrast (70481) | $2,699 | $2,699 | 17.0× |
| CT l-spine w&w/o contrast (72133) | $2,497 | $2,497 | 15.8× |
| CT lower ext w/o (73700) | $1,969 | $1,969 | 20.9× |
| CT lower extremity w/contrast material (73701) | $2,647 | $2,647 | 16.7× |
| CT lumbar spine w contrast (72132) | $3,255 | $3,255 | 10.3× |
| CT lumbar spine w/o contrast (72131) | $2,646 | $2,646 | 28.0× |
| CT maxillofacial w contrast (70487) | $2,826 | $2,826 | 17.8× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$213–$2,426 | $213–$2,426 | varies |
| CT neck tissue combo (70492) | $3,272 | $3,272 | 20.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,096 | $3,096 | 19.6× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$213–$2,288 | $213–$2,288 | varies |
| CT pelvis w&w/o contrast (72194) | $3,175 | $3,175 | 20.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$832–$2,611 | $832–$2,611 | varies |
| CT scan of leg combo (73702) range across 8 matching MRF lines |
$329–$2,014 | $329–$2,014 | varies |
| CT scans face/jaw combo (70488) | $2,756 | $2,756 | 17.4× |
| CT soft tissue neck w contrast (70491) | $2,897 | $2,897 | 18.3× |
| CT soft tissue neck w/o contrast (70490) | $2,555 | $2,555 | 27.1× |
| CT thoracic spine w contrast (72129) | $2,933 | $2,933 | 18.5× |
| CT thoracic spine w/o contrast (72128) | $2,508 | $2,508 | 26.6× |
| CT thoracic spine w/wo cont (72130) | $2,378 | $2,378 | 15.0× |
| CT thorax w/o contrast (71250) range across 6 matching MRF lines |
$441–$2,778 | $441–$2,778 | varies |
| CT unlisted procedure (76497) | $13,237 | $13,237 | 168.5× |
| CT upper ext wo (73200) | $2,407 | $2,407 | 25.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,868 | $1,868 | 11.8× |
| CT upper extremity with contrast (73201) | $2,461 | $2,461 | 7.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,899–$3,850 | $1,899–$3,850 | varies |
| Cta Abdomen (74175) | $4,512 | $4,512 | 28.5× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,538–$3,145 | $1,538–$3,145 | varies |
| Diskography lumbar (72295) | $2,660.27 | $2,660.27 | 1.5× |
| Dxa Bone Density Axial (77080) | $724 | $724 | 7.7× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$828–$1,750 | $828–$1,750 | varies |
| Esophagram (74220) | $807 | $807 | 5.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$45–$715 | $45–$715 | varies |
| Follow-Up Angiography (75898) | $2,578 | $2,578 | 0.9× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$144–$410 | $144–$410 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$146–$439 | $146–$439 | varies |
| Gastric emptying imaging study (78264) | $2,448 | $2,448 | 6.8× |
| Gated Heart Planar Single (78472) | $2,192 | $2,192 | 6.1× |
| Hand 2 views (73120) | $430 | $430 | 4.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,914 | $2,914 | 5.9× |
| Hepatobiliary System Imaging (78226) | $2,914 | $2,914 | 8.1× |
| Ht Muscle Image Spect Sing (78451) | $4,512 | $4,512 | 3.9× |
| Hysterosalpingogram (74740) | $1,020 | $1,020 | 4.7× |
| K Flow/Funct Image Multiple (78709) | $1,077 | $1,077 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $2,637 | $2,637 | 5.4× |
| K Flow/Funct Image W/O Drug (78707) | $2,595 | $2,595 | 5.3× |
| Kidney Imaging Morphol (78700) | $1,128 | $1,128 | 3.1× |
| Knee 3 Views (73562) | $531 | $531 | 6.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,812 | $1,812 | 5.0× |
| Lung perfusion differential (78597) | $2,688 | $2,688 | 7.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,518 | $2,518 | 5.1× |
| Lung Ventilation Imaging (78579) | $552 | $552 | 1.5× |
| Lymph System Imaging (78195) | $1,746 | $1,746 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $2,578 | $2,578 | 12.0× |
| Magnetic Resonance Elastography (76391) | $618 | $618 | 2.9× |
| Mammary ductogram or galactogram single (77053) | $870 | $870 | 4.0× |
| Meckels Divert Exam (78290) | $1,420 | $1,420 | 3.9× |
| Mlc imrt design & construction per imrt plan (77338) | $505 | $505 | 1.5× |
| 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) range across 2 matching MRF lines |
$465–$3,046 | $465–$3,046 | varies |
| MRA head w/o contrast (70544) | $2,756 | $2,756 | 12.8× |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$465–$2,020 | $465–$2,020 | varies |
| MRA neck w contrast (70548) | $3,333 | $3,333 | 10.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,476 | $3,476 | 11.0× |
| MRA neck w/o contrast (70547) | $2,755 | $2,755 | 12.8× |
| MRI abdomen w contrast (74182) | $410 | $410 | 1.3× |
| MRI abdomen w/o contrast (74181) | $2,676 | $2,676 | 12.4× |
| MRI any jt lower extrem w/contrast material (73722) | $4,304 | $4,304 | 6.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,217 | $4,217 | 13.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,383 | $3,383 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,335 | $2,335 | 10.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,828 | $1,828 | 8.5× |
| MRI cardiac w/o contrast (75557) | $3,183 | $3,183 | 14.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,838–$3,620 | $1,838–$3,620 | varies |
| MRI cervical spine w/o cont (72141) | $3,848 | $3,848 | 17.9× |
| MRI chest w/o contrast (71550) | $3,284 | $3,284 | 15.2× |
| MRI chest with contrast (71551) | $850 | $850 | 1.2× |
| MRI chest wo w contrast (71552) | $3,280 | $3,280 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,977 | $1,977 | 6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,894–$3,958 | $2,894–$3,958 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,365 | $3,365 | 15.6× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$5,174–$5,194 | $5,174–$5,194 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $5,368 | $5,368 | 17.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,806 | $3,806 | 17.7× |
| MRI orbit face neck w contrast (70542) | $430 | $430 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 5 matching MRF lines |
$2,894–$4,587 | $2,894–$4,587 | varies |
| MRI pelvis w contrast (72196) | $703 | $703 | 2.2× |
| MRI pelvis w/o & w contrast (72197) range across 6 matching MRF lines |
$2,894–$4,096 | $2,894–$4,096 | varies |
| MRI pelvis w/o contrast (72195) | $3,389 | $3,389 | 15.7× |
| MRI spectroscopy (76390) | $453 | $453 | 5.8× |
| MRI thoracic spine w/o contrast (72146) | $3,576 | $3,576 | 16.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,977 | $1,977 | 6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,408 | $3,408 | 15.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,242 | $3,242 | 10.3× |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$3,088–$4,617 | $3,088–$4,617 | varies |
| MRI, dorsal spine combo (72157) | $5,444 | $5,444 | 17.3× |
| MRI, dorsal spine contrast (72147) | $5,596 | $5,596 | 17.8× |
| MRI, joint upper extrem (73221) | $3,377 | $3,377 | 15.7× |
| MRI, joint upper extrem combo (73223) | $3,136 | $3,136 | 10.0× |
| MRI, lumbar spine combo (72158) | $5,777 | $5,777 | 18.3× |
| Myocardial Spect Multiple Studies (78452) | $4,878 | $4,878 | 4.2× |
| Neck soft tissue (70360) | $385 | $385 | 4.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $465 | $465 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,185 | $5,185 | 4.1× |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$449–$1,582 | $449–$1,582 | varies |
| Ob us nuchal meas 1 gest (76813) | $342 | $342 | 3.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $155 | $155 | 1.6× |
| Parathyroid Planar Imaging (78070) | $2,389 | $2,389 | 6.6× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$180–$478 | $180–$478 | varies |
| PET image w/CT, full body (78816) | $2,960 | $2,960 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,111 | $1,111 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $690 | $690 | 7.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $740 | $740 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$465–$574 | $465–$574 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$125–$425 | $125–$425 | varies |
| Radex elbow complete minimum 3 views (73080) | $926 | $926 | 11.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $488 | $488 | 5.2× |
| Radex fingr minimum 2 views (73140) | $423 | $423 | 5.4× |
| Radex foot complete minimum 3 views (73630) | $460 | $460 | 5.9× |
| Radex Hand Minimum 3 Views (73130) | $430 | $430 | 5.5× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$253–$270 | $253–$270 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $559 | $559 | 5.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $542 | $542 | 6.9× |
| Radex Ribs Unilateral 2 Views (71100) | $496 | $496 | 6.3× |
| Radex shoulder complete minimum 2 views (73030) | $993 | $993 | 12.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $234 | $234 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $424 | $424 | 5.4× |
| Radex Sternum Minimum 2 Views (71120) | $485 | $485 | 6.2× |
| Radex Toe Minimum 2 Views (73660) | $371 | $371 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $257 | $257 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $475 | $475 | 6.0× |
| Radiation treatment delivery level 3 (77412) | $631 | $631 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $575 | $575 | 6.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $243 | $243 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $1,454 | $1,454 | 9.2× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$373–$1,137 | $373–$1,137 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $338 | $338 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) | $598 | $598 | 6.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $254 | $254 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $944 | $944 | 6.0× |
| Radiologic exam swallow function contrast study (74230) | $801 | $801 | 5.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,132 | $1,132 | 7.1× |
| Radiologic examination femur 1 view (73551) | $384 | $384 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) | $536 | $536 | 6.8× |
| Radiologic examination knee 1/2 views (73560) | $404 | $404 | 5.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $679 | $679 | 7.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$300–$446 | $300–$446 | varies |
| Renal Cyst Study (74470) | $1,133 | $1,133 | 2.3× |
| Ribs bilateral 3 views (71110) | $673 | $673 | 7.1× |
| 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 Whole Body Single Day Imaging (78802) | $2,720 | $2,720 | 5.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,153 | $3,153 | 6.4× |
| Scapula (73010) | $887 | $887 | 9.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31 | $31 | 1.3× |
| Shoulder 1 view (73020) | $694 | $694 | 8.8× |
| Shoulder Arthrography (73040) | $1,090 | $1,090 | 3.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$223–$373 | $223–$373 | varies |
| Sternoclavicular joints (71130) | $241 | $241 | 3.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $837 | $837 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $868 | $868 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $443 | $443 | 3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $965 | $965 | 6.1× |
| Thoracic spine 2 views (72070) | $530 | $530 | 5.6× |
| Thoracic spine 3 views (72072) | $769 | $769 | 8.1× |
| Thoracolumbar 2 views (72080) | $648 | $648 | 8.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,284 | $1,284 | 3.6× |
| Thyroid Met Imaging Body (78018) | $2,935 | $2,935 | 6.0× |
| Thyroid Uptake Measurement (78012) | $536 | $536 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,926 | $1,926 | 5.3× |
| Tx Devices Design & Construction Complex (77334) | $1,164 | $1,164 | 3.4× |
| Ultrasound Breast Limited (76642) | $750 | $750 | 9.5× |
| Ultrasound Exam Aaa Screen (76706) | $332 | $332 | 3.5× |
| Ultrasound, abdomen limited (76705) range across 20 matching MRF lines |
$254–$784 | $254–$784 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,738 | $1,738 | 22.1× |
| Upper gi w/o kub (74240) | $1,056 | $1,056 | 6.7× |
| Urethrocystogram voiding (74455) | $862 | $862 | 4.0× |
| Urethrocystography retrograde (74450) | $712 | $712 | 3.3× |
| Us breast unilateral complete (76641) | $750 | $750 | 7.9× |
| Us chest (76604) range across 7 matching MRF lines |
$82–$497 | $82–$497 | varies |
| Us complete joint (76881) | $359 | $359 | 3.8× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$222–$314 | $222–$314 | varies |
| Us head (76506) | $93 | $93 | 1.0× |
| Us kidney transplant (76776) | $634 | $634 | 6.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$359–$554 | $359–$554 | varies |
| Us ob detailed single fetus (76811) | $431 | $431 | 2.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$371–$409 | $371–$409 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$332–$669 | $332–$669 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$332–$839 | $332–$839 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$408–$676 | $408–$676 | varies |
| Us retroperitoneal complete (76770) | $831 | $831 | 8.8× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$332–$831 | $332–$831 | varies |
| Us scrotum and contents (76870) | $746 | $746 | 7.9× |
| Us spinal canal and contents (76800) | $569 | $569 | 6.0× |
| Us thyroid (76536) | $851 | $851 | 9.0× |
| Vascular Flow Imaging (78445) | $804 | $804 | 2.2× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,569–$2,782 | $1,569–$2,782 | varies |
| Venogram Sinus/Jugular (75860) | $1,343 | $1,343 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,578 | $2,578 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,343 | $1,343 | 0.9× |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$1,303–$1,425 | $1,303–$1,425 | varies |
| Venography Renal Unilateral (75831) | $4,293 | $4,293 | 1.5× |
| Wrist 2 views (73100) | $397 | $397 | 5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $348 | $348 | 4.4× |
| 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 3 matching MRF lines |
$136–$331 | $136–$331 | varies |
| X-Ray Exam Breast Specimen (76098) | $758 | $758 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $644.70 | $644.70 | 8.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$292–$715 | $292–$715 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $703 | $703 | 7.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$180–$460 | $180–$460 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $536 | $536 | 6.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$338–$612 | $338–$612 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $809 | $809 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$197–$394 | $197–$394 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $820 | $820 | 8.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $535 | $535 | 5.7× |
| X-ray eye for foreign body (70030) | $93 | $93 | 1.2× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$161–$462 | $161–$462 | varies |
| X-ray IV pyelogram (ivp) (74400) | $683 | $683 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $382 | $382 | 4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $195 | $195 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $563 | $563 | 6.0× |
| X-ray nose-rectum child f.b. (76010) | $450 | $450 | 5.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $877 | $877 | 9.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $478 | $478 | 5.1× |
| 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) | $505 | $505 | 6.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $687 | $687 | 8.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $754 | $754 | 8.0× |
| X-Ray Stress View (77071) | $197 | $197 | 2.5× |
| X-ray thoracic spine 4 vw (72074) | $795 | $795 | 8.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $970 | $970 | 3.1× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,220–$1,727 | $1,220–$1,727 | varies |
| Xr c-spine 4 or 5 views (72050) | $805 | $805 | 8.5× |
| Xr facial bones less than 3 views (70140) | $374 | $374 | 4.8× |
| Xr orbits complete 4 views (70200) | $539 | $539 | 5.7× |
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.