Imaging prices at Van Wert Hospital
Van Wert, OH · every code in this section with a posted price and a Medicare benchmark.
346 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $186.55 | $287 | 2.1× |
| Abdomen 2 views (74019) | $344.50 | $530 | 3.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,672.25 | $10,265 | 2.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,136.85–$2,273.70 | $1,749–$3,498 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$909.35–$1,818.70 | $1,399–$2,798 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$786.50–$1,573 | $1,210–$2,420 | varies |
| Bone age studies (77072) | $356.85 | $549 | 3.3× |
| Bone Imaging 3 Phase (78315) | $1,502.80 | $2,312 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,293.50 | $1,990 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,043.90 | $1,606 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,253.20 | $1,928 | 3.1× |
| Bone survey infant (77076) | $356.85 | $549 | 3.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,014.65 | $1,561 | 2.5× |
| Brain imaging < 4 static views (78600) | $1,014.65 | $1,561 | 2.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,127.75 | $1,735 | 2.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $6,262.75 | $9,635 | 11.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,169.35 | $1,799 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $1,142.70 | $1,758 | 12.8× |
| Chest 1 view (71045) | $193.70 | $298 | 2.2× |
| Chest 2 views (71046) | $231.40 | $356 | 2.6× |
| Chest 3 views (71047) | $278.20 | $428 | 3.1× |
| Chest 4 or more views (71048) | $356.85 | $549 | 3.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$248.30–$496.60 | $382–$764 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $123.50 | $190 | 1.2× |
| Contrast X-Ray Bladder (74430) | $1,137.50 | $1,750 | 3.2× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$909.35–$1,818.70 | $1,399–$2,798 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,136.85–$2,273.70 | $1,749–$3,498 | varies |
| Corpora cavernosography (74445) | $1,537.25 | $2,365 | 14.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,994.85 | $3,069 | 5.6× |
| CT abdomen and pelvis without contrast (74176) | $1,562.60 | $2,404 | 6.4× |
| CT abdomen w contrast (74160) | $845.65 | $1,301 | 4.7× |
| CT abdomen w wo contrast (74170) | $976.95 | $1,503 | 5.4× |
| CT abdomen w/o contrast (74150) | $714.35 | $1,099 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,240.55 | $3,447 | 6.3× |
| CT Angio Chest (71275) | $1,417 | $2,180 | 7.9× |
| CT Angio Head (70496) | $713.05 | $1,097 | 4.0× |
| CT angio hrt w/3d image (75574) | $1,768 | $2,720 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,128.40–$2,256.80 | $1,736–$3,472 | varies |
| CT Angio Neck (70498) | $1,245.40 | $1,916 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,030.25 | $1,585 | 5.7× |
| CT cervical spine w/ contrast (72126) | $1,132.30 | $1,742 | 3.2× |
| CT cervical spine w/o contrast (72125) | $1,029.60 | $1,584 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,245.40 | $1,916 | 6.9× |
| CT chest w contrast (71260) | $687.05 | $1,057 | 3.8× |
| CT chest w/wo contrast (71270) | $755.30 | $1,162 | 4.2× |
| CT colonography screening (74263) | $1,192.75 | $1,835 | 4.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,192.75 | $1,835 | 11.1× |
| CT head/brain with contrast (70460) | $609.05 | $937 | 3.4× |
| CT head/brain without and with contrast (70470) | $648.70 | $998 | 3.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,005.55 | $1,547 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $280.15 | $431 | 3.1× |
| CT hrt w/3d image congen (75573) | $1,140.10 | $1,754 | 3.2× |
| CT iac w contrast (70481) | $1,058.85 | $1,629 | 5.9× |
| CT l-spine w&w/o contrast (72133) | $1,338.35 | $2,059 | 7.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$901.55–$1,803.10 | $1,387–$2,774 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$991.90–$1,983.80 | $1,526–$3,052 | varies |
| CT lumbar spine w contrast (72132) | $1,217.45 | $1,873 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $1,106.30 | $1,702 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,058.85 | $1,629 | 5.9× |
| CT maxillofacial wo contrast (70486) | $962.65 | $1,481 | 9.0× |
| CT neck tissue combo (70492) | $743.60 | $1,144 | 4.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,164.15 | $1,791 | 6.5× |
| CT orbits w/o contrast (70480) | $962.65 | $1,481 | 9.0× |
| CT pelvis w&w/o contrast (72194) | $977.60 | $1,504 | 5.4× |
| CT pelvis w/o contrast (72192) | $845 | $1,300 | 7.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,090.70–$2,181.40 | $1,678–$3,356 | varies |
| CT scans face/jaw combo (70488) | $1,164.15 | $1,791 | 6.5× |
| CT soft tissue neck w contrast (70491) | $676 | $1,040 | 3.8× |
| CT soft tissue neck w/o contrast (70490) | $614.90 | $946 | 5.7× |
| CT thoracic spine w contrast (72129) | $1,183.65 | $1,821 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,075.75 | $1,655 | 10.0× |
| CT thoracic spine w/wo cont (72130) | $1,301.95 | $2,003 | 7.2× |
| CT thorax w/o contrast (71250) | $624.65 | $961 | 5.8× |
| CT unlisted procedure (76497) | $1,713.40 | $2,636 | 19.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$901.55–$1,803.10 | $1,387–$2,774 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,090.70–$2,181.40 | $1,678–$3,356 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$991.90–$1,983.80 | $1,526–$3,052 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,422.85 | $2,189 | 7.9× |
| Cta Abdomen (74175) | $1,417 | $2,180 | 7.9× |
| CTA pelvis (72191) | $1,417 | $2,180 | 7.9× |
| Dilation ureters/urethra rs&i (74485) | $7,294.30 | $11,222 | 3.4× |
| Discography Cerv/Thor Spine (72285) | $4,009.85 | $6,169 | 2.0× |
| Diskography lumbar (72295) | $4,009.85 | $6,169 | 2.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,142.70 | $1,758 | 10.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,153.10 | $1,774 | 10.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $466.05 | $717 | 4.3× |
| Dxa Bone Density Axial (77080) | $426.40 | $656 | 4.0× |
| Dxa bone density study (77085) | $555.75 | $855 | 5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $279.50 | $430 | 3.1× |
| Echo exam of fetal heart (76825) | $1,155.70 | $1,778 | 2.1× |
| Echo exam uterus (76831) | $1,652.30 | $2,542 | 6.7× |
| Echo Guide For Artery Repair (76936) | $495.95 | $763 | 2.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $760.50 | $1,170 | 3.1× |
| Echograp Trans R Pros Study (76873) | $76.70 | $118 | 0.7× |
| Esophagram (74220) | $759.85 | $1,169 | 4.2× |
| Fetal Biophys Profile W/Nst (76818) | $512.85 | $789 | 4.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $397.80 | $612 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $462.15 | $711 | 1.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$228.15–$456.30 | $351–$702 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Gastric emptying imaging study (78264) | $982.80 | $1,512 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,136.25 | $4,825 | 7.6× |
| Gated Heart Planar Single (78472) | $1,279.85 | $1,969 | 3.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,535.35 | $5,439 | 6.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$356.85–$713.70 | $549–$1,098 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,083.70 | $10,898 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,310.45 | $5,093 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,305.85 | $2,009 | 2.3× |
| Hepatobiliary System Imaging (78226) | $870.35 | $1,339 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,011.75 | $3,095 | 1.5× |
| Hysterosalpingogram (74740) | $697.45 | $1,073 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $289.25 | $445 | 3.2× |
| Infant hip ultrasound, limited static exam (76886) | $289.25 | $445 | 3.2× |
| Joint Survey Single View (77077) | $356.85 | $549 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $1,240.85 | $1,909 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,127.75 | $1,735 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$263.90–$527.80 | $406–$812 | varies |
| Lung perfusion differential (78597) | $651.30 | $1,002 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,127.75 | $1,735 | 2.0× |
| Lung Ventilation Imaging (78579) | $870.35 | $1,339 | 2.1× |
| Lymph System Imaging (78195) | $1,543.75 | $2,375 | 2.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $9,553.70 | $14,698 | 5.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $3,183.70 | $4,898 | 4.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $12,056.20 | $18,548 | 3.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $12,056.20 | $18,548 | 3.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,555.15–$5,110.30 | $3,931–$7,862 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $2,078.70 | $3,198 | 11.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,890.85 | $2,909 | 3.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $2,286.70 | $3,518 | 12.7× |
| Mammary ductogram or galactogram multiple (77054) | $577.85 | $889 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $577.85 | $889 | 2.4× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,168.70 | $1,798 | 3.1× |
| Mr safety determination physician/other qhp (76016) | $172.25 | $265 | 1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $48.75 | $75 | 1.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $178.75 | $275 | 1.8× |
| Mr safety implt pos&/immoblj (76019) | $117 | $180 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,744.60 | $2,684 | 4.9× |
| MRA head w/o contrast (70544) | $1,441.05 | $2,217 | 5.9× |
| MRA head with contrast (70545) | $1,586 | $2,440 | 4.4× |
| MRA neck w contrast (70548) | $1,586 | $2,440 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,744.60 | $2,684 | 4.9× |
| MRA neck w/o contrast (70547) | $1,441.05 | $2,217 | 5.9× |
| MRI abdomen w contrast (74182) | $1,892.15 | $2,911 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,678.30 | $2,582 | 6.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,917.50–$3,835 | $2,950–$5,900 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,109.25–$4,218.50 | $3,245–$6,490 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,917.50–$3,835 | $2,950–$5,900 | varies |
| MRI bone marrow blood supply (77084) | $1,947.40 | $2,996 | 7.9× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$2,520.05–$5,040.10 | $3,877–$7,754 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,208.70 | $3,398 | 9.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,018.90 | $3,106 | 8.2× |
| MRI cardiac w/o contrast (75557) | $1,002.95 | $1,543 | 4.1× |
| MRI cervical spine w contrast (72142) | $2,106 | $3,240 | 5.9× |
| MRI cervical spine w/o cont (72141) | $1,699.10 | $2,614 | 6.9× |
| MRI chest w/o contrast (71550) | $2,010.45 | $3,093 | 8.2× |
| MRI chest with contrast (71551) | $2,393.30 | $3,682 | 3.0× |
| MRI chest wo w contrast (71552) | $2,776.15 | $4,271 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,111.20–$4,222.40 | $3,248–$6,496 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,365.35–$4,730.70 | $3,639–$7,278 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,857.70–$3,715.40 | $2,858–$5,716 | varies |
| MRI lumbar spine w contrast (72149) | $2,080 | $3,200 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,460.25 | $3,785 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,834.95 | $2,823 | 7.5× |
| MRI orbit face neck w contrast (70542) | $2,172.95 | $3,343 | 6.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,510.95 | $3,863 | 7.0× |
| MRI pelvis w contrast (72196) | $2,114.45 | $3,253 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,506.40 | $3,856 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,722.50 | $2,650 | 7.0× |
| MRI spectroscopy (76390) | $2,465.45 | $3,793 | 27.6× |
| MRI thoracic spine w/o contrast (72146) | $1,337.05 | $2,057 | 5.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,953.90–$3,907.80 | $3,006–$6,012 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,776.45–$3,552.90 | $2,733–$5,466 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,149.55–$4,299.10 | $3,307–$6,614 | varies |
| MRI, abdomen, combo (74183) | $2,106.65 | $3,241 | 5.9× |
| MRI, dorsal spine combo (72157) | $1,925.30 | $2,962 | 5.4× |
| MRI, dorsal spine contrast (72147) | $1,604.85 | $2,469 | 4.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,743.30–$3,486.60 | $2,682–$5,364 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,109.25–$4,218.50 | $3,245–$6,490 | varies |
| MRI, lumbar spine combo (72158) | $2,468.05 | $3,797 | 6.9× |
| Myelogram cervical (72240) | $450.45 | $693 | 0.6× |
| Myelogram Lumbar (72265) | $1,417 | $2,180 | 1.8× |
| Myelography thoracic (72255) | $1,322.75 | $2,035 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,416.35 | $2,179 | 1.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,267.85 | $3,489 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $2,995.20 | $4,608 | 2.3× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,456.65 | $2,241 | 1.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,262 | $3,480 | 1.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,412.15 | $3,711 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $4,251.65 | $6,541 | 1.9× |
| Neck soft tissue (70360) | $205.40 | $316 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $1,417 | $2,180 | 13.2× |
| Ob us nuchal meas 1 gest (76813) | $772.20 | $1,188 | 7.2× |
| Optic foramina (70190) range across 2 matching MRF lines |
$275.60–$551.20 | $424–$848 | varies |
| Panoramic X-ray of jaws (70355) | $503.10 | $774 | 5.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $870.35 | $1,339 | 2.1× |
| Pelvis 1 or 2 views (72170) | $356.85 | $549 | 3.3× |
| Perineogram (74775) | $1,951.95 | $3,003 | 8.0× |
| Peritoneogram Rs&I (74190) | $2,334.80 | $3,592 | 4.2× |
| PET image w/CT, full body (78816) | $6,000.80 | $9,232 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,977.05 | $7,657 | 3.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,324.20 | $11,268 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $870.35 | $1,339 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $378.30 | $582 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $697.45 | $1,073 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$289.25–$578.50 | $445–$890 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$228.15–$456.30 | $351–$702 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$325.65–$651.30 | $501–$1,002 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $356.85 | $549 | 3.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$287.30–$574.60 | $442–$884 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$431.60–$863.20 | $664–$1,328 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$208–$416 | $320–$640 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$356.85–$713.70 | $549–$1,098 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.75 | $355 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $193.70 | $298 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$250.90–$501.80 | $386–$772 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $193.70 | $298 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $679.25 | $1,045 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $193.70 | $298 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $193.70 | $298 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $251.55 | $387 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$356.85–$713.70 | $549–$1,098 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$350.35–$700.70 | $539–$1,078 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $715.65 | $1,101 | 6.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $356.85 | $549 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $378.95 | $583 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $885.30 | $1,362 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $759.85 | $1,169 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $944.45 | $1,453 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$356.85–$713.70 | $549–$1,098 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $410.80 | $632 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $396.50 | $610 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $344.50 | $530 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $885.30 | $1,362 | 4.9× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$256.75–$513.50 | $395–$790 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$341.25–$682.50 | $525–$1,050 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $356.85 | $549 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$274.30–$548.60 | $422–$844 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $552.50 | $850 | 1.0× |
| Renal Cyst Study (74470) | $2,457.65 | $3,781 | 4.4× |
| Ribs bilateral 3 views (71110) | $391.30 | $602 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,823.90 | $2,806 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,536.30 | $3,902 | 4.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,074.50 | $4,730 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,074.50 | $4,730 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,074.50 | $4,730 | 2.3× |
| Scapula (73010) range across 2 matching MRF lines |
$377.65–$755.30 | $581–$1,162 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.30 | $82 | 2.3× |
| Sella turcica (70240) | $193.70 | $298 | 2.2× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$650–$1,300 | $1,000–$2,000 | varies |
| Sialogram (70390) | $697.45 | $1,073 | 2.8× |
| Skull less than 4 views (70250) | $356.85 | $549 | 3.3× |
| Sternoclavicular joints (71130) | $193.70 | $298 | 2.2× |
| Superior sagittal sinus venogram (75870) | $3,721.90 | $5,726 | 1.1× |
| Thoracic spine 2 views (72070) | $321.10 | $494 | 3.0× |
| Thoracic spine 3 views (72072) | $356.85 | $549 | 3.3× |
| Thoracolumbar 2 views (72080) | $193.70 | $298 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,359.15 | $2,091 | 3.3× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$347.10–$694.20 | $534–$1,068 | varies |
| Ultrasound Elastography Parenchyma (76981) | $878.80 | $1,352 | 8.2× |
| Ultrasound Exam Aaa Screen (76706) | $534.30 | $822 | 5.0× |
| Ultrasound, abdomen limited (76705) | $536.25 | $825 | 5.0× |
| Umbilical-artery Doppler (OB) (76820) | $228.15 | $351 | 2.1× |
| Unlisted fluoroscopic procedure (76496) | $2,819.05 | $4,337 | 31.5× |
| Unlisted magnetic resonance procedure (76498) | $325.65 | $501 | 3.6× |
| Unlisted us procedure (76999) | $289.25 | $445 | 3.2× |
| Upper gi w/o kub (74240) | $759.85 | $1,169 | 4.2× |
| Urethrocystogram voiding (74455) | $697.45 | $1,073 | 2.8× |
| Urethrocystography retrograde (74450) | $697.45 | $1,073 | 2.8× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$146.25–$1,068.60 | $225–$1,644 | varies |
| Us chest (76604) | $534.30 | $822 | 5.0× |
| Us complete joint (76881) | $1,300.65 | $2,001 | 12.1× |
| Us exam, pelvic, limited (76857) | $534.30 | $822 | 5.0× |
| Us head (76506) | $534.30 | $822 | 5.0× |
| Us kidney transplant (76776) | $534.30 | $822 | 5.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $631.80 | $972 | 5.9× |
| Us ob detailed single fetus (76811) | $727.35 | $1,119 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $409.50 | $630 | 3.8× |
| Us ob transvaginal (76817) | $458.90 | $706 | 4.3× |
| Us pelvic non ob complete (76856) | $721.50 | $1,110 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $512.85 | $789 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $458.90 | $706 | 4.3× |
| Us retroperitoneal complete (76770) | $640.90 | $986 | 6.0× |
| Us retroperitoneal limited (76775) | $534.30 | $822 | 5.0× |
| Us scrotum and contents (76870) | $534.30 | $822 | 5.0× |
| Us spinal canal and contents (76800) | $525.20 | $808 | 4.9× |
| Us thyroid (76536) | $534.30 | $822 | 5.0× |
| Us transrectal (76872) | $919.75 | $1,415 | 8.6× |
| Vein X-Ray Chest (75827) | $2,616.25 | $4,025 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,003.05 | $7,697 | 1.5× |
| Vein X-Ray Skull Epidural (75872) | $2,120.95 | $3,263 | 3.3× |
| Vein X-Ray Spleen/Liver (75810) | $4,824.95 | $7,423 | 1.5× |
| Venography Adrenal Unilateral (75840) | $1,794 | $2,760 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $3,604.90 | $5,546 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,958.45 | $3,013 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,220.05 | $1,877 | 0.8× |
| Venography Renal Bilateral (75833) | $5,296.85 | $8,149 | 1.6× |
| Venography Renal Unilateral (75831) | $5,296.85 | $8,149 | 1.6× |
| Venous sampling by catheter (75893) | $7,324.20 | $11,268 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $625.30 | $962 | 7.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$234–$468 | $360–$720 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $260 | $400 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $1,032.85 | $1,589 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $356.85 | $549 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$239.20–$478.40 | $368–$736 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,211.60 | $1,864 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $247 | $380 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $356.85 | $549 | 3.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $529.75 | $815 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $252.85 | $389 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $304.20 | $468 | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $361.40 | $556 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $309.40 | $476 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $364.65 | $561 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $436.80 | $672 | 4.1× |
| X-Ray Exam L-S Spine Bending (72114) | $431.60 | $664 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $231.40 | $356 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $356.85 | $549 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $356.85 | $549 | 3.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$186.55–$373.10 | $287–$574 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$193.70–$387.40 | $298–$596 | varies |
| X-ray IV pyelogram (ivp) (74400) | $759.85 | $1,169 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $193.70 | $298 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $193.70 | $298 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $321.10 | $494 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $186.55 | $287 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $431.60 | $664 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $356.85 | $549 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $284.70 | $438 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $339.30 | $522 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $271.05 | $417 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $391.30 | $602 | 3.6× |
| X-Ray Stress View (77071) | $351 | $540 | 3.9× |
| X-ray thoracic spine 4 vw (72074) | $391.30 | $602 | 3.6× |
| X-Ray Tmj Unilat (70328) | $167.70 | $258 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,372.15 | $2,111 | 3.8× |
| X-Rays Bone Length Studies (77073) | $356.85 | $549 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $573.30 | $882 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $278.20 | $428 | 2.6× |
| Xr facial bones less than 3 views (70140) | $193.70 | $298 | 2.2× |
| Xr orbits complete 4 views (70200) | $356.85 | $549 | 3.3× |
| Xr Tomogram Single Plane (76100) | $344.50 | $530 | 3.2× |
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.