Imaging prices at Vanderbilt Clarksville Hospital
Clarksville, TN · every code in this section with a posted price and a Medicare benchmark.
321 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) | $101.48 | $523.04 | 1.2× |
| Abdomen 2 views (74019) | $175.66 | $905.39 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $666.12 | $3,433.58 | 1.7× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $804.28 | $4,145.73 | 0.6× |
| Angio internal mammary (75756) | $1,445.56 | $7,451.30 | 0.5× |
| Angio pulmonary bilat (75743) | $4,427.31 | $22,821.12 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,427.31 | $22,821.12 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $4,427.31 | $22,821.12 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $4,427.31 | $22,821.12 | 1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,427.31 | $22,821.12 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,546.75 | $7,972.89 | 0.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,427.31 | $22,821.12 | 0.8× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,592.87–$4,914.37 | $23,674.55–$25,331.75 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,427.31 | $22,821.12 | 1.4× |
| Artery X-Rays Pelvis (75736) | $4,427.31 | $22,821.12 | 0.8× |
| Artery X-Rays Spine (75705) | $4,914.37 | $25,331.75 | 0.9× |
| Arthrogram ankle (73615) | $369.47 | $1,904.43 | 1.1× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$600.93–$1,202.39 | $3,097.52–$6,197.84 | varies |
| Arthrogram Wrist (73115) | $600.93 | $3,097.52 | 1.8× |
| Bone age studies (77072) | $175.66 | $905.39 | 1.7× |
| Bone Imaging 3 Phase (78315) | $673.49 | $3,471.56 | 1.7× |
| Bone Imaging Limited Area (78300) | $673.49 | $3,471.56 | 1.7× |
| Bone Imaging Multiple Areas (78305) | $673.49 | $3,471.56 | 1.7× |
| Bone Imaging Whole Body (78306) | $673.49 | $3,471.56 | 1.7× |
| Bone survey infant (77076) | $168.78 | $869.97 | 1.6× |
| Brain Image W/Flow < 4 Views (78601) | $512.09 | $2,639.57 | 1.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $580.53 | $2,992.36 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $51.80 | $266.97 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $1,503.65 | $7,750.71 | 2.8× |
| Chest 1 view (71045) | $101.48 | $523.04 | 1.2× |
| Chest 2 views (71046) | $101.48 | $523.04 | 1.2× |
| Chest 3 views (71047) | $101.48 | $523.04 | 1.2× |
| Chest 4 or more views (71048) | $175.66 | $905.39 | 1.7× |
| Cholecystography Oral Contrast (74290) | $199.27 | $1,027.10 | 1.2× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $82.63 | $425.90 | 0.8× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,825.51–$4,427.31 | $19,719.07–$22,821.12 | varies |
| Contrast X-Ray Bladder (74430) | $394.32 | $2,032.54 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $369.47 | $1,904.43 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $600.93 | $3,097.52 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,626.71 | $13,539.70 | 7.7× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,870.69–$1,870.75 | $9,642.67–$9,642.98 | varies |
| CT abdomen w contrast (74160) | $819.13 | $4,222.29 | 4.8× |
| CT abdomen w wo contrast (74170) | $913.16 | $4,706.95 | 5.3× |
| CT abdomen w/o contrast (74150) | $643.90 | $3,319.01 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,953.56 | $15,224.48 | 8.6× |
| CT Angio Chest (71275) | $1,476.84 | $7,612.51 | 8.6× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,476.75–$1,476.84 | $7,612.04–$7,612.51 | varies |
| CT angio hrt w/3d image (75574) | $1,052.56 | $5,425.49 | 3.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,476.84–$2,953.12 | $7,612.51–$15,222.21 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,476.75–$1,476.84 | $7,612.04–$7,612.51 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,476.84–$2,953.12 | $7,612.51–$15,222.21 | varies |
| CT cervical spine w/ contrast (72126) | $869.79 | $4,483.42 | 2.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$726.90–$726.91 | $3,746.88–$3,746.89 | varies |
| CT cervical spine w/wo cont (72127) | $879.83 | $4,535.15 | 5.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$752.52–$752.62 | $3,878.93–$3,879.42 | varies |
| CT chest w/wo contrast (71270) | $889.45 | $4,584.74 | 5.2× |
| CT head/brain with contrast (70460) | $1,420.83 | $7,323.84 | 8.3× |
| CT head/brain without and with contrast (70470) | $1,574.11 | $8,113.94 | 9.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,186.61 | $6,116.52 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $440.58 | $2,270.99 | 5.2× |
| CT hrt w/3d image congen (75573) | $1,052.56 | $5,425.49 | 3.1× |
| CT iac w contrast (70481) | $693.35 | $3,573.92 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $934.09 | $4,814.87 | 5.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$617.43–$1,631.40 | $3,182.59–$8,409.21 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$686.12–$2,583.51 | $3,536.64–$13,317.03 | varies |
| CT lumbar spine w contrast (72132) | $1,291.77 | $6,658.57 | 3.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$781.56–$781.65 | $4,028.61–$4,029.06 | varies |
| CT maxillofacial w contrast (70487) | $671.61 | $3,461.88 | 3.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$602.36–$602.48 | $3,104.90–$3,105.52 | varies |
| CT neck tissue combo (70492) | $842.92 | $4,344.90 | 4.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $862.78 | $4,447.29 | 5.0× |
| CT orbits w/o contrast (70480) | $587.32 | $3,027.37 | 5.7× |
| CT pelvis w&w/o contrast (72194) | $876.45 | $4,517.72 | 5.1× |
| CT pelvis w/o contrast (72192) | $669.85 | $3,452.80 | 6.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$804.40–$2,861.63 | $4,146.35–$14,750.61 | varies |
| CT scans face/jaw combo (70488) | $842.61 | $4,343.31 | 4.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$728.56–$728.64 | $3,755.43–$3,755.85 | varies |
| CT soft tissue neck w/o contrast (70490) | $638.53 | $3,291.35 | 6.2× |
| CT thoracic spine w contrast (72129) | $758.62 | $3,910.38 | 4.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$712.79–$712.80 | $3,674.13–$3,674.19 | varies |
| CT thoracic spine w/wo cont (72130) | $948.87 | $4,891.04 | 5.5× |
| CT thorax w/o contrast (71250) | $622.95 | $3,211.02 | 6.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$583–$1,631.40 | $3,005.08–$8,409.21 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,431.09 | $7,376.69 | 8.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$606.82–$2,583.51 | $3,127.91–$13,317.03 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,476.84 | $7,612.51 | 8.6× |
| Cta Abdomen (74175) | $1,476.84 | $7,612.51 | 8.6× |
| CTA pelvis (72191) | $1,476.84 | $7,612.51 | 8.6× |
| Dilation ureters/urethra rs&i (74485) | $1,311.78 | $6,761.70 | 0.6× |
| Diskography lumbar (72295) | $1,190.54 | $6,136.74 | 0.6× |
| Dxa Bone Density Axial (77080) | $162.99 | $840.09 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $72.04 | $371.27 | 0.8× |
| Echo exam uterus (76831) | $170.64 | $879.55 | 0.7× |
| Echo Guide For Artery Repair (76936) | $383.96 | $1,979.14 | 1.8× |
| Esophagram (74220) | $373.84 | $1,926.95 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $266.56 | $1,373.99 | 2.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$188.75–$190.53 | $972.88–$982.05 | varies |
| Follow-Up Angiography (75898) | $900.38 | $4,641.09 | 0.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Gastric emptying imaging study (78264) | $666.12 | $3,433.58 | 1.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $280.84 | $1,447.56 | 0.7× |
| Gastroesophageal Reflux Exam (78262) | $666.12 | $3,433.58 | 1.7× |
| Gated Heart Planar Single (78472) | $855.93 | $4,411.94 | 2.2× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$175.66–$202.42 | $905.39–$1,043.37 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,409.62 | $7,266.05 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,409.62 | $7,266.05 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $753.41 | $3,883.53 | 1.4× |
| Hepatobiliary System Imaging (78226) | $753.41 | $3,883.53 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $2,279.12 | $11,747.98 | 1.8× |
| Hysterosalpingogram (74740) | $452.15 | $2,330.61 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $104.11 | $536.58 | 1.2× |
| Interstitial radiation source applic complex (77778) | $1,412.51 | $7,280.91 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $901.66 | $4,647.67 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $901.66 | $4,647.67 | 1.7× |
| Kidney Imaging Morphol (78700) | $255.92 | $1,319.13 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $901.66 | $4,647.67 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Leveen/Shunt Patency Exam (78291) | $666.12 | $3,433.58 | 1.7× |
| Liver & Spleen Imaging Static Only (78215) | $753.40 | $3,883.47 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,427.95 | $7,360.53 | 2.7× |
| Lung perfusion differential (78597) | $333.19 | $1,717.42 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $890.06 | $4,587.91 | 1.7× |
| Lung Ventilation Imaging (78579) | $580.08 | $2,990.05 | 1.5× |
| Lymph System Imaging (78195) | $719.76 | $3,710.05 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,817.51 | $9,368.56 | 7.8× |
| Mammary ductogram or galactogram multiple (77054) | $678.22 | $3,495.93 | 2.9× |
| Mammary ductogram or galactogram single (77053) | $452.15 | $2,330.61 | 1.9× |
| Meckels Divert Exam (78290) | $666.12 | $3,433.58 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,813.27 | $14,501.35 | 8.2× |
| MRA head w/o contrast (70544) | $780.12 | $4,021.18 | 3.3× |
| MRA head with contrast (70545) | $2,231.79 | $11,504.01 | 6.5× |
| MRA neck w contrast (70548) | $2,231.79 | $11,504.01 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,813.27 | $14,501.35 | 8.2× |
| MRA neck w/o contrast (70547) | $806.26 | $4,155.92 | 3.4× |
| MRI abdomen w contrast (74182) | $2,231.79 | $11,504.01 | 6.5× |
| MRI abdomen w/o contrast (74181) | $846.32 | $4,362.44 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$809.39–$4,464.11 | $4,172.08–$23,010.82 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $969.54 | $4,997.56 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,164.49 | $6,002.45 | 1.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $165.54 | $853.27 | 0.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $165.54 | $853.27 | 0.7× |
| MRI cervical spine w contrast (72142) | $2,231.79 | $11,504.01 | 6.5× |
| MRI cervical spine w/o cont (72141) | $899.39 | $4,635.97 | 3.8× |
| MRI chest w/o contrast (71550) | $689.18 | $3,552.44 | 2.9× |
| MRI chest with contrast (71551) | $2,231.79 | $11,504.01 | 2.9× |
| MRI chest wo w contrast (71552) | $1,009.23 | $5,202.19 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$928.07–$4,464.11 | $4,783.83–$23,010.82 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $997.59 | $5,142.14 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$763.80–$3,635.01 | $3,937.05–$18,737.10 | varies |
| MRI lumbar spine w contrast (72149) | $971.10 | $5,005.63 | 2.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,158.63 | $5,972.27 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $830.44 | $4,280.59 | 3.5× |
| MRI orbit face neck w contrast (70542) | $2,231.79 | $11,504.01 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,057.03 | $5,448.57 | 3.1× |
| MRI pelvis w contrast (72196) | $2,231.79 | $11,504.01 | 6.5× |
| MRI pelvis w/o & w contrast (72197) | $1,125.83 | $5,803.21 | 3.3× |
| MRI pelvis w/o contrast (72195) | $788.18 | $4,062.75 | 3.4× |
| MRI thoracic spine w/o contrast (72146) | $880.12 | $4,536.67 | 3.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $829.56 | $4,276.02 | 2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$745.92–$3,635.01 | $3,844.91–$18,737.10 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $902.22 | $4,650.56 | 2.6× |
| MRI, abdomen, combo (74183) | $1,116.80 | $5,756.64 | 3.3× |
| MRI, dorsal spine combo (72157) | $1,207.39 | $6,223.63 | 3.5× |
| MRI, dorsal spine contrast (72147) | $910.95 | $4,695.57 | 2.7× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$775.69–$3,635.01 | $3,998.35–$18,737.10 | varies |
| MRI, joint upper extrem combo (73223) | $1,183.74 | $6,101.72 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,207.71 | $6,225.24 | 3.5× |
| Myelogram cervical (72240) | $540.56 | $2,786.34 | 0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $855.93 | $4,411.94 | 2.2× |
| Myocardial Spect Multiple Studies (78452) | $2,279.12 | $11,747.98 | 1.8× |
| Neck soft tissue (70360) | $101.48 | $523.04 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $73.96 | $381.17 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $589.89 | $3,040.64 | 2.6× |
| Panoramic X-ray of jaws (70355) | $101.48 | $523.04 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $839.50 | $4,327.29 | 1.6× |
| Parathyroid Planar Imaging (78070) | $608.12 | $3,134.61 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $839.50 | $4,327.29 | 2.1× |
| Pelvis 1 or 2 views (72170) | $175.66 | $905.39 | 1.7× |
| Peritoneogram Rs&I (74190) | $369.23 | $1,903.22 | 0.7× |
| Pet Image Skull-Thigh (78812) | $2,168.70 | $11,178.82 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $2,168.70 | $11,178.82 | 1.5× |
| PET image w/CT, full body (78816) | $2,168.70 | $11,178.82 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,168.70 | $11,178.82 | 1.5× |
| PET whole body (78813) | $2,168.70 | $11,178.82 | 1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,976.19 | $10,186.48 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $579.90 | $2,989.14 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $175.66 | $905.39 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$194.41–$268.26 | $1,002.07–$1,382.72 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$175.58–$175.66 | $905.01–$905.39 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$54.86–$91.89 | $282.72–$473.59 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $101.48 | $523.04 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $101.48 | $523.04 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $101.48 | $523.04 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $101.48 | $523.04 | 1.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $323.34 | $1,666.67 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $101.48 | $523.04 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $101.48 | $523.04 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $101.48 | $523.04 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$54.86–$91.89 | $282.72–$473.59 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$175.66–$202.42 | $905.39–$1,043.37 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $140.50 | $724.18 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $175.66 | $905.39 | 1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $175.66 | $905.39 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $323.34 | $1,666.67 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $373.84 | $1,926.95 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$175.66–$202.42 | $905.39–$1,043.37 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$175.58–$175.66 | $905.01–$905.39 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $199.27 | $1,027.10 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $199.27 | $1,027.10 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $326.48 | $1,682.82 | 1.9× |
| Radiologic examination femur 1 view (73551) | $91.89 | $473.59 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $168.78 | $869.97 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Ribs bilateral 3 views (71110) | $101.48 | $523.04 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,778.93 | $9,169.67 | 4.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,750.71 | $14,178.85 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,545.17 | $7,964.76 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $939.40 | $4,842.20 | 1.8× |
| Scapula (73010) range across 4 matching MRF lines |
$175.66–$202.42 | $905.39–$1,043.37 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.86 | $81.69 | 0.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$600.93–$1,202.39 | $3,097.52–$6,197.84 | varies |
| Skull less than 4 views (70250) | $175.66 | $905.39 | 1.7× |
| Sternoclavicular joints (71130) | $101.48 | $523.04 | 1.2× |
| Testicular Imaging W/Flow (78761) | $901.66 | $4,647.67 | 2.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $199.27 | $1,027.10 | 1.2× |
| Thoracic spine 2 views (72070) | $175.66 | $905.39 | 1.7× |
| Thoracic spine 3 views (72072) | $175.66 | $905.39 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $373.27 | $1,924 | 1.0× |
| Thyroid Met Imaging Body (78018) | $819.65 | $4,224.95 | 1.5× |
| Thyroid Uptake Measurement (78012) | $321.75 | $1,658.47 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $608.12 | $3,134.61 | 1.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$147.09–$294.16 | $758.12–$1,516.26 | varies |
| Ultrasound elastography first target lesion (76982) | $100.30 | $516.96 | 1.0× |
| Ultrasound Elastography Parenchyma (76981) | $100.30 | $516.96 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $106.06 | $546.66 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$85.94–$266.56 | $442.96–$1,373.99 | varies |
| Unlisted us procedure (76999) | $170.36 | $878.08 | 2.0× |
| Upper gi w/o kub (74240) | $347.88 | $1,793.13 | 2.0× |
| Urethrocystogram voiding (74455) | $394.32 | $2,032.54 | 1.7× |
| Urethrocystography retrograde (74450) | $280.48 | $1,445.71 | 1.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$147.09–$294.16 | $758.12–$1,516.26 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$85.94–$170.36 | $442.96–$878.08 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$147.90–$266.56 | $762.34–$1,373.99 | varies |
| Us exam, pelvic, limited (76857) | $170.36 | $878.08 | 1.7× |
| Us head (76506) | $170.36 | $878.08 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$133.28–$147.90 | $686.98–$762.34 | varies |
| Us ob detailed single fetus (76811) | $417.97 | $2,154.44 | 1.8× |
| Us ob limited 1 or more fetuses (76815) | $170.36 | $878.08 | 1.7× |
| Us ob transvaginal (76817) | $170.36 | $878.08 | 1.7× |
| Us pelvic non ob complete (76856) | $266.56 | $1,373.99 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $266.56 | $1,373.99 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $170.36 | $878.08 | 1.7× |
| Us retroperitoneal complete (76770) | $266.56 | $1,373.99 | 2.6× |
| Us retroperitoneal limited (76775) | $266.56 | $1,373.99 | 2.6× |
| Us scrotum and contents (76870) | $266.56 | $1,373.99 | 2.6× |
| Us spinal canal and contents (76800) | $266.56 | $1,373.99 | 2.6× |
| Us thyroid (76536) | $266.56 | $1,373.99 | 2.6× |
| Us transrectal (76872) | $129.66 | $668.32 | 1.3× |
| Vascular Flow Imaging (78445) | $512.09 | $2,639.57 | 1.3× |
| Vein X-Ray Chest (75827) | $1,546.75 | $7,972.89 | 1.0× |
| Venogram Sinus/Jugular (75860) | $1,939.42 | $9,996.98 | 0.6× |
| Venography Adrenal Unilateral (75840) | $4,427.31 | $22,821.12 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $4,427.31 | $22,821.12 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $1,546.75 | $7,972.89 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,546.75 | $7,972.89 | 1.0× |
| Venography Renal Bilateral (75833) | $4,427.31 | $22,821.12 | 1.4× |
| Venography Renal Unilateral (75831) | $4,427.31 | $22,821.12 | 1.4× |
| Venous sampling by catheter (75893) | $4,427.31 | $22,821.12 | 0.8× |
| Wrist 2 views (73100) | $74.66 | $384.79 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $101.48 | $523.04 | 1.2× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$200.37–$264.80 | $1,032.78–$1,364.92 | varies |
| X-Ray Aorta Leg Arteries (75630) | $4,427.31 | $22,821.12 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $168.78 | $869.97 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| X-Ray Exam Breast Specimen (76098) | $369.23 | $1,903.22 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $70.26 | $362.09 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $175.66 | $905.39 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $140.50 | $724.18 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $101.48 | $523.04 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $94.71 | $488.17 | 1.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $142.07 | $732.26 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $157.75 | $813.08 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $157.75 | $813.08 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $315.49 | $1,626.19 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $168.78 | $869.97 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $101.48 | $523.04 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $168.95 | $870.82 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $175.66 | $905.39 | 1.7× |
| X-ray eye for foreign body (70030) | $101.48 | $523.04 | 1.2× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$101.48–$202.42 | $523.04–$1,043.37 | varies |
| X-ray IV pyelogram (ivp) (74400) | $394.32 | $2,032.54 | 2.3× |
| X-ray IV pyelogram+tomography (74415) | $394.32 | $2,032.54 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $101.48 | $523.04 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $54.86 | $282.72 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $175.66 | $905.39 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $84.12 | $433.58 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $168.78 | $869.97 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $175.66 | $905.39 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $101.48 | $523.04 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $101.48 | $523.04 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $168.78 | $869.97 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $675.04 | $3,479.55 | 2.0× |
| X-Rays Bone Length Studies (77073) | $175.66 | $905.39 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $168.78 | $869.97 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $168.95 | $870.82 | 1.6× |
| Xr facial bones less than 3 views (70140) | $101.48 | $523.04 | 1.2× |
| Xr orbits complete 4 views (70200) | $175.66 | $905.39 | 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.