Imaging prices at UT Medical Center
Knoxville, TN · every code in this section with a posted price and a Medicare benchmark.
406 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) | $1,456.75 | $5,827 | 1.2× |
| Abdomen 1 View (74018) | $86.88 | $347.50 | 1.1× |
| Abdomen 2 views (74019) | $142 | $568 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $473.62 | $1,894.50 | 1.3× |
| Angio internal mammary (75756) | $389.75 | $1,559 | 0.1× |
| Angio pulmonary bilat (75743) | $617.38 | $2,469.50 | 0.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $617.75 | $2,471 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $658.50 | $2,634 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $658.38 | $2,633.50 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $352.62 | $1,410.50 | 0.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $617.38 | $2,469.50 | 0.2× |
| Ankle 2 views (73600) range across 32 matching MRF lines |
$45.75–$75 | $183–$300 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$627.38 | $2,509.50 | 0.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $590.75 | $2,363 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$621.25 | $2,485 | 0.1× |
| Artery X-Rays Adrenal Gland (75731) | $590.75 | $2,363 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$792.62 | $3,170.50 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$352.62 | $1,410.50 | 0.1× |
| Arthrogram ankle (73615) | $111.38 | $445.50 | 0.4× |
| Arthrogram hip (73525) | $198 | $792 | 0.6× |
| Arthrogram Wrist (73115) | $204.38 | $817.50 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $120.75 | $483 | 1.0× |
| Bone age studies (77072) | $69.38 | $277.50 | 0.7× |
| Bone Imaging 3 Phase (78315) | $698.75 | $2,795 | 1.9× |
| Bone Imaging Limited Area (78300) | $532.75 | $2,131 | 1.5× |
| Bone Imaging Multiple Areas (78305) | $668.75 | $2,675 | 1.8× |
| Bone Imaging Whole Body (78306) | $586.75 | $2,347 | 1.6× |
| Bone survey infant (77076) | $221.50 | $886 | 2.3× |
| Brachytx isodose complex (77318) | $1,084.50 | $4,338 | 3.2× |
| Brachytx isodose intermed (77317) | $991 | $3,964 | 2.9× |
| Brachytx Isodose Plan Simple (77316) | $413.88 | $1,655.50 | 1.2× |
| Brain Flow Imaging Only (78610) | $196.12 | $784.50 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $266.12 | $1,064.50 | 0.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $229.62 | $918.50 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,163.25 | $4,653 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $959.25 | $3,837 | 3.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $959.25 | $3,837 | 1.3× |
| Cardiac Shunt Detection (78428) | $242.75 | $971 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $302.12 | $1,208.50 | 3.8× |
| Cerebrospinal Fluid Scan (78630) | $428 | $1,712 | 0.9× |
| Chest 1 view (71045) | $63.62 | $254.50 | 0.8× |
| Chest 2 views (71046) | $79.12 | $316.50 | 1.0× |
| Chest 3 views (71047) | $52.12 | $208.50 | 0.7× |
| Chest 4 or more views (71048) | $124.25 | $497 | 1.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $209 | $836 | 2.2× |
| Cisternography Positive Contrast Rs&I (70015) | $72.62 | $290.50 | 0.1× |
| Clavicle complete (73000) | $86.75 | $347 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $200 | $800 | 2.1× |
| Continuing medical physics consltj pr wk (77336) | $125.12 | $500.50 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $656.25 | $2,625 | 0.2× |
| Contrast X-Ray Bladder (74430) | $97.88 | $391.50 | 0.3× |
| Contrast X-Ray Of Elbow (73085) | $211.75 | $847 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $179.88 | $719.50 | 0.6× |
| Corpora cavernosography (74445) range across 3 matching MRF lines |
$191.38–$191.50 | $765.50–$766 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,323.62 | $5,294.50 | 4.2× |
| CT abdomen and pelvis without contrast (74176) | $1,066.25 | $4,265 | 4.9× |
| CT abdomen w contrast (74160) | $738.38 | $2,953.50 | 4.6× |
| CT abdomen w wo contrast (74170) | $886.88 | $3,547.50 | 5.6× |
| CT abdomen w/o contrast (74150) | $648.88 | $2,595.50 | 6.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,376.50 | $5,506 | 4.3× |
| CT Angio Chest (71275) | $473 | $1,892 | 3.0× |
| CT Angio Head (70496) | $858.25 | $3,433 | 5.4× |
| CT angio hrt w/3d image (75574) | $473 | $1,892 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $426 | $1,704 | 2.7× |
| CT Angio Neck (70498) range across 19 matching MRF lines |
$858.25–$956.62 | $3,433–$3,826.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $473 | $1,892 | 3.0× |
| CT cervical spine w/ contrast (72126) | $354.75 | $1,419 | 1.1× |
| CT cervical spine w/o contrast (72125) | $311.50 | $1,246 | 3.3× |
| CT cervical spine w/wo cont (72127) | $426 | $1,704 | 2.7× |
| CT chest w contrast (71260) | $393.38 | $1,573.50 | 2.5× |
| CT chest w/wo contrast (71270) | $473 | $1,892 | 3.0× |
| CT colonography screening (74263) | $954.38 | $3,817.50 | 4.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $954.38 | $3,817.50 | 10.1× |
| CT head/brain with contrast (70460) | $397.12 | $1,588.50 | 2.5× |
| CT head/brain without and with contrast (70470) | $477.25 | $1,909 | 3.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $289.50 | $1,158 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $473 | $1,892 | 6.0× |
| CT hrt w/3d image congen (75573) | $473 | $1,892 | 1.5× |
| CT iac w contrast (70481) | $665 | $2,660 | 4.2× |
| CT l-spine w&w/o contrast (72133) | $830.50 | $3,322 | 5.2× |
| CT lower ext w/o (73700) | $311.50 | $1,246 | 3.3× |
| CT lower extremity w/contrast material (73701) | $354.75 | $1,419 | 2.2× |
| CT lumbar spine w contrast (72132) | $829.50 | $3,318 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $684.75 | $2,739 | 7.2× |
| CT maxillofacial w contrast (70487) | $587.50 | $2,350 | 3.7× |
| CT maxillofacial wo contrast (70486) | $584 | $2,336 | 6.2× |
| CT neck tissue combo (70492) | $878.50 | $3,514 | 5.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $708.25 | $2,833 | 4.5× |
| CT orbits w/o contrast (70480) | $584 | $2,336 | 6.2× |
| CT pelvis w&w/o contrast (72194) | $571 | $2,284 | 3.6× |
| CT pelvis w/o contrast (72192) | $417.75 | $1,671 | 4.4× |
| CT scans face/jaw combo (70488) | $798.12 | $3,192.50 | 5.0× |
| CT soft tissue neck w contrast (70491) | $597 | $2,388 | 3.8× |
| CT soft tissue neck w/o contrast (70490) | $581.75 | $2,327 | 6.1× |
| CT thoracic spine w contrast (72129) | $354.75 | $1,419 | 2.2× |
| CT thoracic spine w/o contrast (72128) | $311.50 | $1,246 | 3.3× |
| CT thoracic spine w/wo cont (72130) | $473 | $1,892 | 3.0× |
| CT thorax w/o contrast (71250) | $345.88 | $1,383.50 | 3.6× |
| CT upper ext wo (73200) | $500 | $2,000 | 5.3× |
| CT upper extremity with contrast (73201) | $569.75 | $2,279 | 1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $908 | $3,632 | 5.7× |
| Cta Abdomen (74175) | $836.25 | $3,345 | 5.3× |
| CTA pelvis (72191) | $976.25 | $3,905 | 6.1× |
| Dilation ureters/urethra rs&i (74485) | $357.75 | $1,431 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $224.38 | $897.50 | 0.1× |
| Diskography lumbar (72295) | $427.62 | $1,710.50 | 0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $151.25 | $605 | 1.6× |
| Dxa Bone Density Axial (77080) | $139.25 | $557 | 1.5× |
| Dxa bone density study (77085) | $139.25 | $557 | 1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $139.25 | $557 | 1.8× |
| Echo exam of fetal heart (76825) | $520.75 | $2,083 | 1.1× |
| Echo exam uterus (76831) | $169.62 | $678.50 | 0.8× |
| Echo Guide For Artery Repair (76936) | $186 | $744 | 0.9× |
| Echograp Trans R Pros Study (76873) | $225.75 | $903 | 2.4× |
| Esophageal Motility Study (78258) | $223.12 | $892.50 | 0.6× |
| Esophagram (74220) | $95.75 | $383 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $235.38 | $941.50 | 2.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $791.25 | $3,165 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $51.25 | $205 | 0.2× |
| Follow-Up Angiography (75898) | $370.25 | $1,481 | 0.1× |
| Foot 2 views (73620) | $73.62 | $294.50 | 0.9× |
| Forearm 2 views (73090) range across 32 matching MRF lines |
$59.75–$82.25 | $239–$329 | varies |
| Gastric emptying imaging study (78264) | $910.62 | $3,642.50 | 2.5× |
| Gastric Mucosa Imaging (78261) | $273.38 | $1,093.50 | 0.8× |
| Gastroesophageal Reflux Exam (78262) | $651.25 | $2,605 | 1.8× |
| Gated Heart Planar Single (78472) | $676.25 | $2,705 | 1.9× |
| Gated Heart, Multiple (78473) | $1,264.50 | $5,058 | 3.5× |
| GI Endoscopic US S&I (76975) | $73.75 | $295 | 0.3× |
| Hand 2 views (73120) | $63.50 | $254 | 0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,809 | $7,236 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,717.50 | $6,870 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,717.50 | $6,870 | 2.7× |
| Heart Image (Pet) Multiple (78492) | $815.75 | $3,263 | 0.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $627.88 | $2,511.50 | 0.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $720 | $2,880 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $864.38 | $3,457.50 | 1.8× |
| Hepatobiliary System Imaging (78226) | $864.38 | $3,457.50 | 2.4× |
| Ht Musc Image Planar Mult (78454) | $294.12 | $1,176.50 | 0.3× |
| Ht Muscle Image Spect Sing (78451) | $294.12 | $1,176.50 | 0.3× |
| Hysterosalpingogram (74740) | $235.38 | $941.50 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $200.38 | $801.50 | 2.5× |
| Interstitial radiation source applic complex (77778) | $1,269 | $5,076 | 2.0× |
| Joint Survey Single View (77077) | $74.38 | $297.50 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $728.12 | $2,912.50 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,043.12 | $4,172.50 | 2.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $266.62 | $1,066.50 | 0.7× |
| Kidney Imaging Morphol (78700) | $853.12 | $3,412.50 | 2.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $203.38 | $813.50 | 0.6× |
| Knee 3 Views (73562) | $101.75 | $407 | 1.3× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $476.12 | $1,904.50 | 1.3× |
| Leveen/Shunt Patency Exam (78291) | $236.38 | $945.50 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $359.75 | $1,439 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $530.50 | $2,122 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $510.62 | $2,042.50 | 1.0× |
| Lung Ventilation Imaging (78579) | $295.88 | $1,183.50 | 0.8× |
| Lymph System Imaging (78195) | $555.38 | $2,221.50 | 1.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$574.25–$892.25 | $2,297–$3,569 | varies |
| Mammary ductogram or galactogram multiple (77054) | $255.12 | $1,020.50 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $212.25 | $849 | 1.0× |
| Meckels Divert Exam (78290) | $279.38 | $1,117.50 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $286 | $1,144 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,066.12 | $4,264.50 | 3.4× |
| MRA head w/o contrast (70544) | $815.75 | $3,263 | 3.8× |
| MRA head with contrast (70545) | $937.62 | $3,750.50 | 3.0× |
| MRA neck w contrast (70548) | $937.62 | $3,750.50 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,066.12 | $4,264.50 | 3.4× |
| MRA neck w/o contrast (70547) | $815.75 | $3,263 | 3.8× |
| MRI abdomen w contrast (74182) | $920.12 | $3,680.50 | 2.9× |
| MRI abdomen w/o contrast (74181) | $800.50 | $3,202 | 3.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$845.12–$1,690.12 | $3,380.50–$6,760.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$960.50–$1,921.12 | $3,842–$7,684.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $895.12 | $3,580.50 | 1.3× |
| MRI bone marrow blood supply (77084) | $497.75 | $1,991 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $743.75 | $2,975 | 3.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $743.75 | $2,975 | 3.4× |
| MRI cardiac w/o cont stress (75559) | $734.50 | $2,938 | 1.5× |
| MRI cardiac w/o contrast (75557) | $734.50 | $2,938 | 3.4× |
| MRI cervical spine w contrast (72142) | $845.12 | $3,380.50 | 2.7× |
| MRI cervical spine w/o cont (72141) | $734.50 | $2,938 | 3.4× |
| MRI chest w/o contrast (71550) | $612.38 | $2,449.50 | 2.8× |
| MRI chest with contrast (71551) | $735.38 | $2,941.50 | 1.0× |
| MRI chest wo w contrast (71552) | $960 | $3,840 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $845.12 | $3,380.50 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $960.50 | $3,842 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $735.25 | $2,941 | 3.4× |
| MRI lumbar spine w contrast (72149) | $850.88 | $3,403.50 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $959.25 | $3,837 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $815.75 | $3,263 | 3.8× |
| MRI orbit face neck w contrast (70542) | $937.62 | $3,750.50 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,066 | $4,264 | 3.4× |
| MRI pelvis w contrast (72196) | $910.12 | $3,640.50 | 2.9× |
| MRI pelvis w/o & w contrast (72197) | $1,033 | $4,132 | 3.3× |
| MRI pelvis w/o contrast (72195) | $791.25 | $3,165 | 3.7× |
| MRI spectroscopy (76390) | $604.25 | $2,417 | 7.7× |
| MRI thoracic spine w/o contrast (72146) | $850.75 | $3,403 | 3.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $895.12 | $3,580.50 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $777.75 | $3,111 | 3.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,015.50 | $4,062 | 3.2× |
| MRI, abdomen, combo (74183) | $1,045 | $4,180 | 3.3× |
| MRI, dorsal spine combo (72157) | $959.25 | $3,837 | 3.0× |
| MRI, dorsal spine contrast (72147) | $903.88 | $3,615.50 | 2.9× |
| MRI, joint upper extrem (73221) | $777.75 | $3,111 | 3.6× |
| MRI, joint upper extrem combo (73223) | $1,015.50 | $4,062 | 3.2× |
| MRI, lumbar spine combo (72158) | $959.25 | $3,837 | 3.0× |
| Myelogram cervical (72240) | $379.50 | $1,518 | 0.5× |
| Myelogram Lumbar (72265) | $371.88 | $1,487.50 | 0.5× |
| Myelography thoracic (72255) | $371.88 | $1,487.50 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $224.75 | $899 | 0.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $248.12 | $992.50 | 0.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $294.25 | $1,177 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $362.50 | $1,450 | 0.3× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,163.25 | $4,653 | 0.6× |
| N-invas est c ffr sw aly CTA (75580) | $622.75 | $2,491 | 0.8× |
| Neck soft tissue (70360) | $87 | $348 | 1.1× |
| Nm myocard infarct spect (78469) | $407.50 | $1,630 | 0.8× |
| Nm red cell survival study (78130) | $553.50 | $2,214 | 1.5× |
| Nm whole blood volume (78122) | $502.38 | $2,009.50 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $188.50 | $754 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,117.88 | $4,471.50 | 0.9× |
| Nuclear Rx Intra-Arterial (79445) | $257.38 | $1,029.50 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $616.88 | $2,467.50 | 2.9× |
| Optic foramina (70190) | $66.25 | $265 | 0.8× |
| Panoramic X-ray of jaws (70355) | $100.38 | $401.50 | 1.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $322.62 | $1,290.50 | 0.7× |
| Parathyroid Planar Imaging (78070) | $708.88 | $2,835.50 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $242.25 | $969 | 0.7× |
| Pelvis 1 or 2 views (72170) | $91 | $364 | 1.0× |
| Perineogram (74775) | $131.75 | $527 | 0.6× |
| Peritoneogram Rs&I (74190) | $71.25 | $285 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $1,250.75 | $5,003 | 1.0× |
| PET image w/CT, full body (78816) | $1,250.75 | $5,003 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,250.75 | $5,003 | 1.0× |
| Pet Myocardial Sngl Study (78491) | $815.75 | $3,263 | 0.6× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $293.62 | $1,174.50 | 0.2× |
| Platelet survival study Non-Facility (78191) | $650.75 | $2,603 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $276.12 | $1,104.50 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $266.12 | $1,064.50 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $138.50 | $554 | 1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $144.75 | $579 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $90.25 | $361 | 1.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $76.62 | $306.50 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $89.12 | $356.50 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $77 | $308 | 0.8× |
| Radex fingr minimum 2 views (73140) range across 32 matching MRF lines |
$57–$76.62 | $228–$306.50 | varies |
| Radex foot complete minimum 3 views (73630) | $91.25 | $365 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $83.75 | $335 | 1.1× |
| Radex lower extremity infant minimum 2 views (73592) | $44.62 | $178.50 | 0.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $84.62 | $338.50 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 16 matching MRF lines |
$25.50–$95.50 | $102–$382 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $91 | $364 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $85.62 | $342.50 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $50.75 | $203 | 0.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$131.75–$221.62 | $527–$886.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $70.25 | $281 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $92.75 | $371 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $80.38 | $321.50 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $64.88 | $259.50 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) | $53 | $212 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $89.62 | $358.50 | 1.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $5,591.62 | $22,366.50 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $118 | $472 | 1.3× |
| Radiation treatment delivery level 2 (77407) | $135.88 | $543.50 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $178 | $712 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $69.38 | $277.50 | 0.7× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$256–$335.38 | $1,024–$1,341.50 | varies |
| Radiologic exam colon single contrast study (74270) | $213.75 | $855 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $109.88 | $439.50 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $114.12 | $456.50 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$165.75–$221.50 | $663–$886 | varies |
| Radiologic exam swallow function contrast study (74230) | $166.12 | $664.50 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$255.12–$336.12 | $1,020.50–$1,344.50 | varies |
| Radiologic examination femur 1 view (73551) | $34 | $136 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) | $69.38 | $277.50 | 0.9× |
| Radiologic examination knee 1/2 views (73560) range across 32 matching MRF lines |
$46.38–$81.25 | $185.50–$325 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $197.38 | $789.50 | 2.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $51 | $204 | 0.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 32 matching MRF lines |
$38.12–$51.12 | $152.50–$204.50 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $360.88 | $1,443.50 | 1.7× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $293.88 | $1,175.50 | 0.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,717.50 | $6,870 | 4.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,717.50 | $6,870 | 4.9× |
| Renal Cyst Study (74470) | $174.75 | $699 | 0.4× |
| Ribs bilateral 3 views (71110) | $125.88 | $503.50 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $226.25 | $905 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,044.12 | $4,176.50 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $692.38 | $2,769.50 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $968.75 | $3,875 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $968.75 | $3,875 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $968.75 | $3,875 | 0.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $630.75 | $2,523 | 3.0× |
| Rp Therapy Intravenous Administration (79101) | $473 | $1,892 | 2.2× |
| Salivary Gland Imaging (78230) | $203.38 | $813.50 | 0.6× |
| Salivary Gland Imaging Serial Images (78231) | $203.38 | $813.50 | 0.6× |
| Scapula (73010) | $74.38 | $297.50 | 0.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$5.75–$12.50 | $23–$50 | varies |
| Sella turcica (70240) | $66.25 | $265 | 0.8× |
| Shoulder 1 view (73020) | $60.62 | $242.50 | 0.8× |
| Shoulder Arthrography (73040) | $197.75 | $791 | 0.6× |
| Sialogram (70390) | $202.62 | $810.50 | 0.9× |
| Skull less than 4 views (70250) | $95 | $380 | 1.0× |
| Special dosimetry (77331) | $142 | $568 | 1.2× |
| Special Physics Consult (77370) | $285.50 | $1,142 | 2.3× |
| Special teletherapy port plan (77321) | $288.75 | $1,155 | 0.8× |
| Special treatment procedure (77470) | $361.12 | $1,444.50 | 0.7× |
| Spleen Imaging (78185) | $295.88 | $1,183.50 | 0.8× |
| Stereotactic Body Radiation Delivery (77373) | $5,591.62 | $22,366.50 | 3.4× |
| Sternoclavicular joints (71130) | $68.25 | $273 | 0.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $605.88 | $2,423.50 | 1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $351 | $1,404 | 1.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $100.62 | $402.50 | 0.5× |
| Testicular Imaging W/Flow (78761) | $234.75 | $939 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $389.12 | $1,556.50 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $305.88 | $1,223.50 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) | $182.62 | $730.50 | 1.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $172.25 | $689 | 1.1× |
| Thoracic spine 2 views (72070) | $117.25 | $469 | 1.2× |
| Thoracic spine 3 views (72072) | $129 | $516 | 1.4× |
| Thoracolumbar 2 views (72080) | $128.75 | $515 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $122.25 | $489 | 0.3× |
| Thyroid Met Imaging Body (78018) | $762 | $3,048 | 1.5× |
| Thyroid Uptake Measurement (78012) | $94.62 | $378.50 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $189.75 | $759 | 0.5× |
| Tx Devices Design & Construction Complex (77334) | $286 | $1,144 | 0.8× |
| Tx devices design & construction intermediate (77333) | $215.88 | $863.50 | 1.8× |
| Tx devices design & construction simple (77332) | $210.75 | $843 | 1.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$68.75–$131.25 | $275–$525 | varies |
| Ultrasound elastography first target lesion (76982) | $87.50 | $350 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $112.50 | $450 | 1.2× |
| Ultrasound, abdomen limited (76705) | $179.12 | $716.50 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$69.62–$80.38 | $278.50–$321.50 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,066 | $4,264 | 13.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $978.88 | $3,915.50 | 2.7× |
| Upper gi w/o kub (74240) | $189.50 | $758 | 1.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $15.88 | $63.50 | 1.4× |
| Urea breath test c-14 isotopic analysis (78268) | $98.75 | $395 | 1.0× |
| Ureteral Reflux Study (78740) | $539 | $2,156 | 1.5× |
| Urethrocystogram voiding (74455) | $191.38 | $765.50 | 0.9× |
| Urethrocystography retrograde (74450) | $195.88 | $783.50 | 0.9× |
| Us bone density measurement (76977) | $44.88 | $179.50 | 0.5× |
| Us breast unilateral complete (76641) range across 13 matching MRF lines |
$68.75–$131.25 | $275–$525 | varies |
| Us chest (76604) | $87 | $348 | 0.9× |
| Us complete joint (76881) | $209 | $836 | 2.2× |
| Us exam, pelvic, limited (76857) | $87.75 | $351 | 0.9× |
| Us head (76506) | $87 | $348 | 0.9× |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$111.62–$116.62 | $446.50–$466.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $209 | $836 | 2.2× |
| Us ob detailed single fetus (76811) | $125 | $500 | 0.6× |
| Us ob limited 1 or more fetuses (76815) | $82.75 | $331 | 0.9× |
| Us ob transvaginal (76817) | $112.50 | $450 | 1.2× |
| Us pelvic non ob complete (76856) | $139.75 | $559 | 1.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $82.75 | $331 | 0.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $125.12 | $500.50 | 1.3× |
| Us retroperitoneal complete (76770) | $173.62 | $694.50 | 1.8× |
| Us retroperitoneal limited (76775) | $173.62 | $694.50 | 1.8× |
| Us scrotum and contents (76870) | $171.38 | $685.50 | 1.8× |
| Us spinal canal and contents (76800) | $70.12 | $280.50 | 0.7× |
| Us thyroid (76536) | $151.50 | $606 | 1.6× |
| Us transrectal (76872) | $161.25 | $645 | 1.7× |
| Vascular Flow Imaging (78445) | $203.38 | $813.50 | 0.6× |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$302.25–$425.25 | $1,209–$1,701 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $506.38 | $2,025.50 | 0.2× |
| Vein X-Ray Skull Epidural (75872) | $327 | $1,308 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $337.25 | $1,349 | 0.1× |
| Venogram Sinus/Jugular (75860) | $606.38 | $2,425.50 | 0.2× |
| Venography Adrenal Unilateral (75840) | $317.12 | $1,268.50 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $473 | $1,892 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $263.75 | $1,055 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $201.88 | $807.50 | 0.1× |
| Venography Renal Bilateral (75833) | $568.50 | $2,274 | 0.2× |
| Venography Renal Unilateral (75831) | $431 | $1,724 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$633.62 | $2,534.50 | 0.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $540.25 | $2,161 | 1.5× |
| Vertebral fracture assessment via dxa (77086) | $87.50 | $350 | 1.1× |
| Wrist 2 views (73100) range across 32 matching MRF lines |
$54.50–$73.25 | $218–$293 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $89 | $356 | 1.1× |
| X-ray antegrade pyelogram tube (74425) | $104.25 | $417 | 0.3× |
| X-Ray Aorta Leg Arteries (75630) | $656.38 | $2,625.50 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) | $87.38 | $349.50 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 32 matching MRF lines |
$47.75–$68.25 | $191–$273 | varies |
| X-Ray Exam Breast Specimen (76098) | $88 | $352 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $194 | $776 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $61.25 | $245 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $93.25 | $373 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $72.25 | $289 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $133.50 | $534 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $103.62 | $414.50 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $81.50 | $326 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $172.88 | $691.50 | 1.8× |
| X-ray humerus (73060) range across 32 matching MRF lines |
$54.50–$89.12 | $218–$356.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $302.50 | $1,210 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $58.38 | $233.50 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $58.62 | $234.50 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $110.50 | $442 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $98.38 | $393.50 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $93 | $372 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $139.62 | $558.50 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $158.88 | $635.50 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $154.88 | $619.50 | 1.6× |
| X-Ray Tmj Unilat (70328) | $82.62 | $330.50 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $111.12 | $444.50 | 0.4× |
| X-Rays Bone Length Studies (77073) | $68.88 | $275.50 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $221.50 | $886 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $137.50 | $550 | 1.4× |
| Xr facial bones less than 3 views (70140) | $55 | $220 | 0.7× |
| Xr orbits complete 4 views (70200) | $116 | $464 | 1.2× |
| Xr Tomogram Single Plane (76100) | $165.62 | $662.50 | 1.7× |
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.