Imaging prices at Uvalde Memorial Hospital
Uvalde, TX · every code in this section with a posted price and a Medicare benchmark.
322 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 |
— | $560–$2,065.43 | — |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
— | $31.75–$605.29 | — |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
— | $40.32–$647.62 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) | — | $184 | — |
| Angiography extremity unilateral rs&i (75710) | — | $509 | — |
| Ankle 2 views (73600) range across 3 matching MRF lines |
— | $31–$585.47 | — |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
— | $319.83–$1,847.09 | — |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
— | $100–$283.33 | — |
| Bone age studies (77072) range across 3 matching MRF lines |
— | $36–$481.62 | — |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
— | $189–$3,738.70 | — |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
— | $117–$1,990.03 | — |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
— | $161–$3,179.01 | — |
| Bone survey infant (77076) range across 3 matching MRF lines |
— | $114–$972.35 | — |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
— | $242–$4,471.01 | — |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | — | $248 | — |
| Cerebrospinal Fluid Scan (78630) | — | $119 | — |
| Chest 1 view (71045) range across 3 matching MRF lines |
— | $31.75–$524.45 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $78.15–$624.48 | — |
| Chest 3 views (71047) range across 3 matching MRF lines |
— | $48.86–$699.57 | — |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
— | $56.21–$735.49 | — |
| Clavicle complete (73000) range across 3 matching MRF lines |
— | $31–$763.17 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
— | $181–$2,107.78 | — |
| Continuing medical physics consltj pr wk (77336) | — | $340.86 | — |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
— | $96.15–$1,088.96 | — |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
— | $96.38–$2,198.75 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
— | $795.18–$4,694.19 | — |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
— | $299.23–$3,326.51 | — |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
— | $236–$2,167.68 | — |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
— | $261–$2,408.54 | — |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
— | $221–$1,642.16 | — |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
— | $369–$2,037.96 | — |
| CT Angio Chest (71275) range across 3 matching MRF lines |
— | $315–$4,883.26 | — |
| CT Angio Head (70496) range across 3 matching MRF lines |
— | $289–$2,384.75 | — |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
— | $398–$4,997 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
— | $759.53–$1,081.68 | — |
| CT Angio Neck (70498) range across 3 matching MRF lines |
— | $289–$2,308.92 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
— | $199–$2,621.32 | — |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
— | $203.80–$2,669.90 | — |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
— | $215–$2,466.18 | — |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
— | $255–$2,911.29 | — |
| CT chest w contrast (71260) range across 3 matching MRF lines |
— | $230–$3,631.22 | — |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
— | $256–$4,185.55 | — |
| CT colonography screening (74263) | — | $50 | — |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 3 matching MRF lines |
— | $433.86–$692.51 | — |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 3 matching MRF lines |
— | $411.12–$595.68 | — |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
— | $210–$2,117.37 | — |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
— | $236–$2,467.53 | — |
| CT heart contrast eval cardiac structure&morph (75572) | — | $287 | — |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
— | $97.45–$350.39 | — |
| CT hrt w/3d image congen (75573) | — | $438 | — |
| CT iac w contrast (70481) range across 3 matching MRF lines |
— | $242–$2,102.40 | — |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
— | $221–$3,549.47 | — |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
— | $314.53–$2,345.18 | — |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
— | $392.55–$2,790.68 | — |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
— | $227–$2,857.07 | — |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
— | $215–$2,345.18 | — |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
— | $241–$2,318.88 | — |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
— | $212–$1,992.19 | — |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
— | $269–$2,067.05 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
— | $269–$2,110.91 | — |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
— | $238–$1,972.39 | — |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
— | $226–$3,223.22 | — |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
— | $202–$2,345.18 | — |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
— | $459.30–$2,857.07 | — |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
— | $238–$2,478.15 | — |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
— | $256–$1,868.73 | — |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
— | $238–$1,781.22 | — |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
— | $224.25–$3,649.28 | — |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
— | $215–$3,406.73 | — |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
— | $220–$3,986.15 | — |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
— | $215–$3,079.66 | — |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
— | $300–$3,426.58 | — |
| CT upper ext wo (73200) range across 3 matching MRF lines |
— | $202–$2,345.18 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
— | $221–$2,790.68 | — |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
— | $215–$2,473.65 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
— | $396–$4,646.99 | — |
| Cta Abdomen (74175) range across 3 matching MRF lines |
— | $310–$4,986.36 | — |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
— | $908.33–$2,400 | — |
| CTA pelvis (72191) range across 3 matching MRF lines |
— | $335–$3,530.94 | — |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | — | $665.41 | — |
| Doppler Echo Fetal Spectral Display Complete (76827) | — | $1,433.64 | — |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
— | $216.55–$984.85 | — |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
— | $54–$725.19 | — |
| Dxa bone density study (77085) | — | $52 | — |
| Dxa bone density study 1/>sites appendiclr skel (77081) | — | $34.99 | — |
| Echo exam of fetal heart (76825) | — | $1,433.64 | — |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | — | $665.41 | — |
| Esophagram (74220) range across 3 matching MRF lines |
— | $86–$814.28 | — |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
— | $193.07–$1,155.74 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
— | $125–$636.65 | — |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 3 matching MRF lines |
— | $523–$2,353.68 | — |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
— | $28.05–$464.93 | — |
| Foot 2 views (73620) range across 3 matching MRF lines |
— | $69.10–$500.52 | — |
| Forearm 2 views (73090) range across 3 matching MRF lines |
— | $31–$575.04 | — |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
— | $716.03–$3,039.11 | — |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | — | $167 | — |
| Gastroesophageal Reflux Exam (78262) | — | $120 | — |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
— | $184–$2,009.40 | — |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | — | $185 | — |
| Hand 2 views (73120) range across 3 matching MRF lines |
— | $31–$438.46 | — |
| Heart Image (Pet) Multiple (78492) | — | $206.38 | — |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
— | $147.78–$3,959.37 | — |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
— | $157–$3,454.30 | — |
| Ht Musc Image Planar Mult (78454) | — | $217 | — |
| Ht Muscle Image Spect Sing (78451) | — | $230 | — |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
— | $71–$1,374.37 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) | — | $134 | — |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
— | $103.43–$1,591.80 | — |
| K Flow/Funct Image Multiple (78709) | — | $2,281.35 | — |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
— | $220–$2,281.35 | — |
| K Flow/Funct Image W/O Drug (78707) | — | $179 | — |
| Kidney Imaging Morphol (78700) | — | $76.97 | — |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
— | $94–$1,435.65 | — |
| Knee 3 Views (73562) range across 3 matching MRF lines |
— | $36–$676.95 | — |
| Leveen/Shunt Patency Exam (78291) | — | $160 | — |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
— | $92–$2,676.38 | — |
| Liver & Spleen Imaging W/Vascular Flow (78216) | — | $89 | — |
| Liver imaging static only (78201) | — | $79 | — |
| Lung Ventilat&Perfus Imaging (78582) | — | $175 | — |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
— | $209–$2,634.13 | — |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
— | $637.05–$3,336.88 | — |
| Magnetic Resonance Elastography (76391) range across 3 matching MRF lines |
— | $197–$1,136.08 | — |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
— | $127–$1,205.91 | — |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
— | $555–$2,032.20 | — |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
— | $328–$1,701.86 | — |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
— | $196–$1,429.13 | — |
| MRA head with contrast (70545) range across 3 matching MRF lines |
— | $228–$1,604.15 | — |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
— | $196–$4,216.38 | — |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
— | $290–$4,483.80 | — |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
— | $196–$3,666.26 | — |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
— | $283–$4,652.01 | — |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
— | $265–$4,335.84 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
— | $294–$4,206.65 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
— | $351–$4,601.60 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
— | $288.46–$3,827.05 | — |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
— | $285–$1,398.79 | — |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
— | $257–$1,211.07 | — |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
— | $334–$4,327.24 | — |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
— | $297–$4,317.40 | — |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
— | $276–$4,104.75 | — |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
— | $892.35–$4,399.90 | — |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
— | $423–$5,081.88 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
— | $282–$4,431.48 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
— | $350–$5,203.03 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
— | $220–$4,190.46 | — |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
— | $299.06–$4,681.58 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
— | $478–$5,469.55 | — |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
— | $259–$3,789.62 | — |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
— | $265–$3,921.62 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
— | $350–$4,759.83 | — |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
— | $283–$3,953.93 | — |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
— | $368–$4,488.66 | — |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
— | $238–$3,654.74 | — |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
— | $297–$4,630.32 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
— | $283–$4,097.53 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
— | $705.93–$3,898.55 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
— | $351–$4,610.37 | — |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
— | $368–$5,574.55 | — |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
— | $478–$5,730.60 | — |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
— | $351–$4,644.08 | — |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
— | $242–$3,784.78 | — |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
— | $350–$4,403.57 | — |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
— | $440–$6,151.10 | — |
| Myelogram cervical (72240) range across 3 matching MRF lines |
— | $270.33–$2,176.51 | — |
| Myelogram Lumbar (72265) | — | $144 | — |
| Myelography thoracic (72255) range across 3 matching MRF lines |
— | $252.05–$2,176.51 | — |
| Myelograpy 2/more regions rs&i (72270) | — | $2,176.51 | — |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | — | $664.96 | — |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
— | $259–$6,889.24 | — |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | — | $214.70 | — |
| N-invas est c ffr sw aly CTA (75580) range across 3 matching MRF lines |
— | $1,984.73–$3,105 | — |
| Neck soft tissue (70360) range across 3 matching MRF lines |
— | $32–$581.73 | — |
| Nm csf leak detection (78650) | — | $103 | — |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
— | $500–$8,104 | — |
| Ob us nuchal meas 1 gest (76813) | — | $361 | — |
| Parathyroid imaging w/tomographic spect & CT (78072) | — | $268 | — |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
— | $148–$1,370.32 | — |
| Parathyroid planar imaging w/wo subtraction (78071) | — | $195 | — |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
— | $32–$568.97 | — |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
— | $362–$4,514.88 | — |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
— | $448.24–$4,514.88 | — |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
— | $426.92–$4,514.88 | — |
| PET whole body (78813) | — | $347 | — |
| Pulmonary Perfusion Imaging Particulate (78580) | — | $129 | — |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) range across 3 matching MRF lines |
— | $1,449.90–$1,515.94 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
— | $58–$814.24 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
— | $139.90–$1,373.58 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
— | $32–$609.62 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
— | $68.30–$425.70 | — |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
— | $32–$546.83 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
— | $48–$466.05 | — |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
— | $26–$439.53 | — |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
— | $32–$525.55 | — |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
— | $32–$576.52 | — |
| Radex lower extremity infant minimum 2 views (73592) | — | $31 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
— | $62–$560.84 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
— | $32–$525.67 | — |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
— | $41–$538.45 | — |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
— | $34–$480.62 | — |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
— | $38–$555.50 | — |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | — | $128 | — |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
— | $31–$450.87 | — |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
— | $38–$405.86 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
— | $45–$507.50 | — |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
— | $26–$481.96 | — |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
— | $31–$640.35 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
— | $32–$600.96 | — |
| Radiation Delivery Stereotactic Cranial Linear (77372) | — | $12,262.55 | — |
| Radiation treatment delivery level 1 (77402) | — | $314.79 | — |
| Radiation treatment delivery level 2 (77407) | — | $888.62 | — |
| Radiation treatment delivery level 3 (77412) | — | $1,270.15 | — |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
— | $47–$698.81 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | — | $47.50 | — |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
— | $184–$1,075.96 | — |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
— | $128–$753.58 | — |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
— | $43–$676.95 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
— | $40–$696.92 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
— | $88–$800.96 | — |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
— | $99–$929.40 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
— | $128–$1,145.96 | — |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
— | $29–$402.33 | — |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
— | $51.93–$572.81 | — |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
— | $34–$588.13 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $80.54 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
— | $32–$579.61 | — |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
— | $51–$730.50 | — |
| Rp loclzj tum plnr 1 area single day imaging (78800) | — | $117 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
— | $154.56–$2,839.62 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
— | $195–$3,434.21 | — |
| Scapula (73010) range across 3 matching MRF lines |
— | $32–$495.66 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
— | $60.78–$100 | — |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
— | $29–$468.74 | — |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
— | $116–$1,739.56 | — |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
— | $45–$584.87 | — |
| Special dosimetry (77331) range across 2 matching MRF lines |
— | $255–$277.70 | — |
| Special Physics Consult (77370) | — | $536.88 | — |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
— | $125–$1,245.83 | — |
| Special treatment procedure (77470) range across 2 matching MRF lines |
— | $264–$1,424.69 | — |
| Spleen Imaging (78185) | — | $70 | — |
| Stereotactic Body Radiation Delivery (77373) | — | $4,863.47 | — |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
— | $39.17–$447.79 | — |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
— | $375–$1,067.85 | — |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
— | $181–$889.89 | — |
| Testicular Imaging W/Flow (78761) | — | $127 | — |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
— | $203–$2,106.13 | — |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 3 matching MRF lines |
— | $140–$1,655.28 | — |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
— | $100–$1,204.43 | — |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
— | $41–$704.72 | — |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
— | $41–$662.77 | — |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
— | $554.32–$1,561.94 | — |
| Thyroid Met Imaging Body (78018) | — | $137 | — |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
— | $32.07–$801.70 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
— | $84–$1,917.94 | — |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
— | $537.50–$585.34 | — |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
— | $100–$400.14 | — |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
— | $60–$333.44 | — |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
— | $119–$400 | — |
| Ultrasound elastography first target lesion (76982) range across 3 matching MRF lines |
— | $219.23–$297.71 | — |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
— | $244.75–$770.42 | — |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
— | $97–$1,134.67 | — |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | — | $287 | — |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
— | $110–$1,652.30 | — |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
— | $105.90–$1,110.74 | — |
| Unlisted Dx Radiographic Procedure (76499) | — | $343.43 | — |
| Unlisted magnetic resonance procedure (76498) | — | $2,044.43 | — |
| Unlisted us procedure (76999) | — | $99 | — |
| Upper gi w/o kub (74240) | — | $128 | — |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
— | $62–$1,125.05 | — |
| Urethrocystography retrograde (74450) | — | $856.71 | — |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
— | $128–$1,009.83 | — |
| Us chest (76604) range across 3 matching MRF lines |
— | $102–$950.27 | — |
| Us complete joint (76881) range across 3 matching MRF lines |
— | $102.13–$1,592.34 | — |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
— | $123.80–$1,453.76 | — |
| Us head (76506) range across 3 matching MRF lines |
— | $120–$853.58 | — |
| Us kidney transplant (76776) | — | $145 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
— | $70.88–$1,592.34 | — |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
— | $315–$1,045.44 | — |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
— | $121–$1,028.19 | — |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
— | $123–$1,705.46 | — |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
— | $130–$1,541.81 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
— | $163–$1,647.67 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
— | $138–$769.12 | — |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
— | $250.08–$1,364.99 | — |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
— | $109–$1,066 | — |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
— | $119–$1,453.76 | — |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
— | $202–$1,961.21 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
— | $104–$1,204.28 | — |
| Us transrectal (76872) range across 3 matching MRF lines |
— | $117–$1,041.06 | — |
| Venography extremity bilateral rs&i (75822) | — | $3,551.59 | — |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
— | $259.65–$3,490.15 | — |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
— | $30–$254.82 | — |
| Wrist 2 views (73100) range across 3 matching MRF lines |
— | $32–$500.83 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
— | $39–$407.48 | — |
| X-Ray Aorta Leg Arteries (75630) | — | $525 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $39 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
— | $29–$503.61 | — |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
— | $31–$1,260.50 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
— | $46–$835.45 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
— | $33–$446.96 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
— | $53–$574.76 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $912.72 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
— | $41–$707.28 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
— | $67–$764.99 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
— | $51–$625.62 | — |
| X-ray humerus (73060) range across 3 matching MRF lines |
— | $77.05–$646.37 | — |
| X-ray IV pyelogram (ivp) (74400) | — | $305.53 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
— | $34–$500.35 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
— | $47–$590.87 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
— | $43–$726.47 | — |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
— | $30.60–$501.32 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
— | $58–$767.03 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $43 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
— | $40–$545.26 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
— | $40–$605.84 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
— | $47–$645.71 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
— | $63–$822.47 | — |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
— | $42–$730.50 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
— | $65–$889.44 | — |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
— | $49–$872.78 | — |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
— | $100–$880.63 | — |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
— | $58–$726.42 | — |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
— | $52–$715.03 | — |
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.