Imaging prices at Vanderbilt University Hospital
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
540 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 4 matching MRF lines |
$744.12–$6,001.56 | $1,378–$11,114 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$16.20–$279.72 | $30–$518 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$20.52–$323.46 | $38–$599 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$91.26–$1,067.04 | $169–$1,976 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 3 matching MRF lines |
$108–$689.04 | $200–$1,276 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 4 matching MRF lines |
$66.96–$2,171.88 | $124–$4,022 | varies |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$183.60–$2,017.44 | $340–$3,736 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$271.08–$3,858.30 | $502–$7,145 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$218.70–$607.50 | $405–$1,125 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$265.14–$3,882.06 | $491–$7,189 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$240.30–$3,500.28 | $445–$6,482 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$224.10–$3,485.70 | $415–$6,455 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 4 matching MRF lines |
$197.10–$1,892.16 | $365–$3,504 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$15.12–$238.14 | $28–$441 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$211.14–$3,594.24 | $391–$6,656 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$520.56–$3,987.36 | $964–$7,384 | varies |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$236.52–$4,371.84 | $438–$8,096 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 4 matching MRF lines |
$187.38–$2,413.80 | $347–$4,470 | varies |
| Artery X-Rays Pelvis (75736) range across 4 matching MRF lines |
$327.78–$4,371.84 | $351–$8,096 | varies |
| Artery X-Rays Spine (75705) range across 4 matching MRF lines |
$301.32–$4,244.40 | $558–$7,860 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$47.52–$628.02 | $88–$1,163 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$46.44–$758.16 | $86–$1,404 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$47.52–$633.96 | $88–$1,174 | varies |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$97.20–$657.18 | $180–$1,217 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$19.44–$245.16 | $36–$454 | varies |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$93.96–$1,388.88 | $174–$2,572 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$45.90–$1,048.68 | $85–$1,942 | varies |
| Bone Imaging Multiple Areas (78305) range across 4 matching MRF lines |
$65.34–$708.48 | $121–$1,312 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$68.04–$1,267.92 | $126–$2,348 | varies |
| Bone marrow imaging limited area (78102) range across 4 matching MRF lines |
$48.06–$944.46 | $89–$1,749 | varies |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
$69.12–$419.04 | $128–$776 | varies |
| Bone marrow imaging; whole body (78104) range across 4 matching MRF lines |
$73.98–$1,201.50 | $137–$2,225 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$73.44–$589.68 | $136–$1,092 | varies |
| Brachytx isodose complex (77318) range across 4 matching MRF lines |
$299.16–$2,412.18 | $554–$4,467 | varies |
| Brachytx isodose intermed (77317) range across 4 matching MRF lines |
$177.66–$1,980.72 | $329–$3,668 | varies |
| Brachytx Isodose Plan Simple (77316) range across 4 matching MRF lines |
$143.10–$1,395.36 | $265–$2,584 | varies |
| Brain Flow Imaging Only (78610) range across 4 matching MRF lines |
$28.08–$758.16 | $52–$1,404 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 4 matching MRF lines |
$46.98–$909.90 | $87–$1,685 | varies |
| Brain imaging < 4 static views (78600) range across 3 matching MRF lines |
$41.04–$345.60 | $76–$640 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 4 matching MRF lines |
$59.40–$1,425.06 | $110–$2,639 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 4 matching MRF lines |
$49.68–$1,103.76 | $92–$2,044 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$731.70–$4,420.98 | $1,355–$8,187 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 3 matching MRF lines |
$135–$533.52 | $250–$988 | varies |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 3 matching MRF lines |
$173.34–$586.98 | $321–$1,087 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 4 matching MRF lines |
$422.82–$2,777.22 | $783–$5,143 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 4 matching MRF lines |
$503.82–$3,057.48 | $933–$5,662 | varies |
| Cardiac Shunt Detection (78428) range across 3 matching MRF lines |
$77.22–$382.86 | $143–$709 | varies |
| Cardiovasc nucl exam unlisted (78499) range across 3 matching MRF lines |
$146.88–$489.78 | $272–$907 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$139.86–$663.12 | $259–$1,228 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 4 matching MRF lines |
$50.76–$1,280.34 | $94–$2,371 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 3 matching MRF lines |
$56.16–$613.98 | $104–$1,137 | varies |
| Cerebrospinal Fluid Scan (78630) range across 4 matching MRF lines |
$64.26–$1,327.86 | $119–$2,459 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$16.74–$244.08 | $31–$452 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$19.44–$257.58 | $36–$477 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$24.30–$266.76 | $45–$494 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$27.54–$273.78 | $51–$507 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 4 matching MRF lines |
$50.76–$348.84 | $94–$646 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$25.92–$153.36 | $48–$284 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 4 matching MRF lines |
$28.08–$394.74 | $52–$731 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 3 matching MRF lines |
$115.02–$347.76 | $213–$644 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$16.20–$224.64 | $30–$416 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$157.14–$503.82 | $291–$933 | varies |
| Continuing medical physics consltj pr wk (77336) | $723.06 | $1,339 | 5.5× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$229.50–$2,803.14 | $425–$5,191 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$49.68–$541.62 | $92–$1,003 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$52.38–$616.68 | $97–$1,142 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$54.54–$851.58 | $101–$1,577 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 3 matching MRF lines |
$49.68–$176.58 | $92–$327 | varies |
| Corpora cavernosography (74445) range across 3 matching MRF lines |
$71.82–$238.68 | $133–$442 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$245.70–$4,021.38 | $455–$7,447 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$205.20–$2,999.70 | $380–$5,555 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$179.82–$1,987.74 | $333–$3,681 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$233.28–$2,346.30 | $432–$4,345 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$219.24–$1,580.58 | $406–$2,927 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$301.32–$2,745.90 | $558–$5,085 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$308.88–$2,262.60 | $572–$4,190 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$376.92–$2,138.40 | $698–$3,960 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$330.48–$2,065.50 | $612–$3,825 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$277.56–$1,819.26 | $514–$3,369 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$383.94–$2,117.88 | $711–$3,922 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$261.90–$1,819.26 | $485–$3,369 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$39.96–$368.82 | $74–$683 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$226.26–$1,778.22 | $419–$3,293 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$202.50–$1,649.70 | $375–$3,055 | varies |
| CT cervical spine w/wo cont (72127) range across 4 matching MRF lines |
$243–$2,346.30 | $450–$4,345 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$218.16–$2,012.58 | $404–$3,727 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$244.08–$1,973.16 | $452–$3,654 | varies |
| CT colonography screening (74263) range across 3 matching MRF lines |
$259.20–$1,683.18 | $480–$3,117 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 4 matching MRF lines |
$298.62–$1,421.82 | $553–$2,633 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 4 matching MRF lines |
$288.90–$1,133.46 | $535–$2,099 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$197.64–$1,523.34 | $366–$2,821 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$229.50–$1,807.38 | $425–$3,347 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$228.96–$1,751.76 | $424–$3,244 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$64.26–$479.52 | $119–$888 | varies |
| CT hrt w/3d image congen (75573) range across 4 matching MRF lines |
$336.42–$2,065.50 | $623–$3,825 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$228.42–$1,807.38 | $423–$3,347 | varies |
| CT l-spine w&w/o contrast (72133) range across 4 matching MRF lines |
$243.54–$2,346.30 | $451–$4,345 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$195.48–$1,453.14 | $362–$2,691 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$211.14–$1,726.38 | $391–$3,197 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$226.26–$1,778.22 | $419–$3,293 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$202.50–$1,649.70 | $375–$3,055 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$235.98–$1,807.38 | $437–$3,347 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$177.12–$1,523.34 | $328–$2,821 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$273.78–$2,049.84 | $507–$3,796 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$247.86–$1,845.18 | $459–$3,417 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$257.58–$1,659.96 | $477–$3,074 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$179.28–$1,817.64 | $332–$3,366 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$201.96–$1,422.36 | $374–$2,634 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$241.38–$1,996.92 | $447–$3,698 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$264.60–$1,921.86 | $490–$3,559 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$234.36–$1,557.90 | $434–$2,885 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$223.56–$1,389.42 | $414–$2,573 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$226.26–$1,778.22 | $419–$3,293 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$202.50–$1,649.70 | $375–$3,055 | varies |
| CT thoracic spine w/wo cont (72130) range across 4 matching MRF lines |
$241.38–$1,861.38 | $447–$3,447 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$212.76–$1,380.24 | $394–$2,556 | varies |
| CT unlisted procedure (76497) range across 5 matching MRF lines |
$122.58–$682.56 | $227–$1,264 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$153.90–$1,453.14 | $285–$2,691 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$185.22–$1,996.92 | $343–$3,698 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$171.72–$1,726.38 | $318–$3,197 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$314.82–$2,346.30 | $583–$4,345 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$285.12–$2,358.18 | $528–$4,367 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$266.76–$2,181.60 | $494–$4,040 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 3 matching MRF lines |
$36.18–$120.96 | $67–$224 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) range across 3 matching MRF lines |
$52.38–$174.42 | $97–$323 | varies |
| Dilation ureters/urethra rs&i (74485) range across 4 matching MRF lines |
$78.30–$1,400.22 | $145–$2,593 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$143.64–$330.48 | $266–$612 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$102.60–$3,787.56 | $190–$7,014 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$48.06–$377.46 | $89–$699 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$53.46–$642.60 | $99–$1,190 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines |
$75.60–$522.72 | $140–$968 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$57.24–$430.92 | $106–$798 | varies |
| Dxa bone density study (77085) range across 4 matching MRF lines |
$34.56–$291.60 | $64–$540 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$21.60–$154.98 | $40–$287 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$133.38–$1,171.80 | $247–$2,170 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$76.14–$455.76 | $141–$844 | varies |
| Echo Guide For Artery Repair (76936) range across 4 matching MRF lines |
$226.80–$1,170.18 | $420–$2,167 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 4 matching MRF lines |
$64.26–$817.56 | $119–$1,514 | varies |
| Echograp Trans R Pros Study (76873) range across 4 matching MRF lines |
$159.84–$529.20 | $296–$980 | varies |
| Esophageal Motility Study (78258) range across 3 matching MRF lines |
$70.74–$435.78 | $131–$807 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$57.24–$421.74 | $106–$781 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$111.24–$699.30 | $206–$1,295 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$84.24–$543.78 | $156–$1,007 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 4 matching MRF lines |
$320.76–$983.34 | $594–$1,821 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$59.94–$437.94 | $111–$811 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$399.60–$1,990.44 | $740–$3,686 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$16.20–$235.44 | $30–$436 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.74–$293.76 | $31–$544 | varies |
| Gastric emptying imaging study (78264) range across 4 matching MRF lines |
$63.72–$1,211.22 | $118–$2,243 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 4 matching MRF lines |
$86.94–$713.34 | $161–$1,321 | varies |
| Gastric Mucosa Imaging (78261) range across 3 matching MRF lines |
$66.96–$474.66 | $124–$879 | varies |
| Gastroesophageal Reflux Exam (78262) range across 4 matching MRF lines |
$64.80–$1,512 | $120–$2,800 | varies |
| Gastrointestinal Protein Loss (78282) range across 3 matching MRF lines |
$41.58–$138.78 | $77–$257 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$104.22–$1,352.70 | $193–$2,505 | varies |
| Gated Heart, Multiple (78473) range across 4 matching MRF lines |
$162–$1,428.84 | $300–$2,646 | varies |
| GI Endoscopic US S&I (76975) range across 4 matching MRF lines |
$90.18–$621 | $167–$1,150 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 4 matching MRF lines |
$97.20–$2,573.64 | $180–$4,766 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$16.20–$256.50 | $30–$475 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 4 matching MRF lines |
$703.08–$5,816.34 | $1,302–$10,771 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 4 matching MRF lines |
$509.76–$4,419.36 | $944–$8,184 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 4 matching MRF lines |
$243–$3,683.88 | $450–$6,822 | varies |
| Heart first pass single,planar (78481) range across 4 matching MRF lines |
$112.86–$1,290.06 | $209–$2,389 | varies |
| Heart Image (Pet) Multiple (78492) range across 4 matching MRF lines |
$821.88–$3,181.68 | $1,522–$5,892 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines |
$194.40–$4,624.02 | $360–$8,563 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 4 matching MRF lines |
$194.94–$3,849.12 | $361–$7,128 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$90.72–$1,484.46 | $168–$2,749 | varies |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$73.44–$1,274.94 | $136–$2,361 | varies |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$125.82–$820.80 | $233–$1,520 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$132.30–$2,854.98 | $245–$5,287 | varies |
| Hyperthermia external generated superficial (77600) range across 3 matching MRF lines |
$147.42–$1,080 | $273–$2,000 | varies |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) range across 3 matching MRF lines |
$218.16–$2,242.08 | $404–$4,152 | varies |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) range across 3 matching MRF lines |
$226.26–$2,569.86 | $419–$4,759 | varies |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) range across 3 matching MRF lines |
$162.54–$1,273.86 | $301–$2,359 | varies |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) range across 3 matching MRF lines |
$245.70–$2,452.68 | $455–$4,542 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$32.94–$660.42 | $61–$1,223 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 4 matching MRF lines |
$76.68–$301.32 | $142–$558 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 4 matching MRF lines |
$69.66–$239.76 | $129–$444 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$41.04–$257.04 | $76–$476 | varies |
| Interstitial radiation source applic complex (77778) range across 4 matching MRF lines |
$1,144.80–$5,919.48 | $2,120–$10,962 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 4 matching MRF lines |
$1,164.78–$2,494.26 | $2,157–$4,619 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 4 matching MRF lines |
$770.04–$6,996.78 | $1,426–$12,957 | varies |
| Intracavitary radiation source applic simple (77761) range across 3 matching MRF lines |
$477.36–$982.80 | $884–$1,820 | varies |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $13,103.10 | $24,265 | 1.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $6,291 | $11,650 | 0.9× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$34.56–$366.12 | $64–$678 | varies |
| K Flow/Funct Image Multiple (78709) range across 4 matching MRF lines |
$133.38–$1,534.68 | $247–$2,842 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$118.26–$1,430.46 | $219–$2,649 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$92.88–$1,402.38 | $172–$2,597 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 4 matching MRF lines |
$31.32–$990.90 | $58–$1,835 | varies |
| Kidney Imaging Morphol (78700) range across 4 matching MRF lines |
$43.20–$877.50 | $80–$1,625 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 4 matching MRF lines |
$44.28–$864 | $82–$1,600 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$17.82–$268.38 | $33–$497 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 3 matching MRF lines |
$59.40–$267.84 | $110–$496 | varies |
| Leveen/Shunt Patency Exam (78291) range across 4 matching MRF lines |
$80.46–$588.60 | $149–$1,090 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 4 matching MRF lines |
$44.28–$934.20 | $82–$1,730 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$50.76–$251.64 | $94–$466 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$38.88–$351.54 | $72–$651 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$44.28–$383.94 | $82–$711 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 4 matching MRF lines |
$81.54–$932.04 | $151–$1,726 | varies |
| Lung perfusion differential (78597) range across 4 matching MRF lines |
$68.58–$724.14 | $127–$1,341 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$100.98–$1,291.68 | $187–$2,392 | varies |
| Lung Ventilation Imaging (78579) range across 4 matching MRF lines |
$44.28–$975.24 | $82–$1,806 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$110.16–$1,155.06 | $204–$2,139 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 3 matching MRF lines |
$186.84–$623.70 | $346–$1,155 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) range across 4 matching MRF lines |
$173.88–$961.20 | $322–$1,780 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 4 matching MRF lines |
$332.64–$4,838.40 | $264–$8,960 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 4 matching MRF lines |
$192.24–$1,990.44 | $356–$3,686 | varies |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$261.36–$2,453.76 | $484–$4,544 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) range across 3 matching MRF lines |
$387.72–$1,292.22 | $718–$2,393 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 3 matching MRF lines |
$394.20–$1,313.82 | $730–$2,433 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 4 matching MRF lines |
$393.66–$1,747.44 | $729–$3,236 | varies |
| Magnetic Resonance Elastography (76391) range across 4 matching MRF lines |
$111.78–$847.26 | $207–$1,569 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$66.42–$215.46 | $123–$399 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$51.30–$511.38 | $95–$947 | varies |
| Meckels Divert Exam (78290) range across 4 matching MRF lines |
$61.02–$825.12 | $113–$1,528 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,325.16 | $2,454 | 3.6× |
| Mlc imrt design & construction per imrt plan (77338) range across 4 matching MRF lines |
$654.48–$3,042.36 | $1,212–$5,634 | varies |
| Mr safety determination physician/other qhp (76016) range across 4 matching MRF lines |
$105.30–$277.02 | $195–$513 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$60.48–$87.48 | $112–$162 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 4 matching MRF lines |
$120.96–$403.38 | $224–$747 | varies |
| Mr safety implt pos&/immoblj (76019) range across 4 matching MRF lines |
$91.80–$509.76 | $170–$944 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 4 matching MRF lines |
$118.80–$937.98 | $220–$1,737 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$381.24–$3,121.20 | $706–$5,780 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$303.48–$2,368.98 | $562–$4,387 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$284.04–$2,656.80 | $526–$4,920 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$346.68–$2,576.34 | $642–$4,771 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$442.26–$3,223.80 | $819–$5,970 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$301.86–$2,314.98 | $559–$4,287 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$351–$2,741.58 | $650–$5,077 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$341.28–$2,526.12 | $632–$4,678 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$276.48–$2,671.38 | $512–$4,947 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$381.24–$3,325.86 | $706–$6,159 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$272.70–$2,700 | $505–$5,000 | varies |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$277.56–$1,236.60 | $514–$2,290 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 4 matching MRF lines |
$315.90–$2,430.54 | $585–$4,501 | varies |
| MRI brain functional w/physician admnistration (70555) range across 4 matching MRF lines |
$309.96–$2,256.12 | $574–$4,178 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 4 matching MRF lines |
$174.96–$2,811.24 | $324–$5,206 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$159.30–$521.64 | $295–$966 | varies |
| MRI cardiac w/o cont stress (75559) range across 4 matching MRF lines |
$495.72–$2,093.58 | $918–$3,877 | varies |
| MRI cardiac w/o contrast (75557) range across 4 matching MRF lines |
$372.60–$2,221.02 | $690–$4,113 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$375.84–$3,060.72 | $696–$5,668 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$362.88–$2,648.16 | $672–$4,904 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$238.68–$2,391.12 | $442–$4,428 | varies |
| MRI chest with contrast (71551) range across 4 matching MRF lines |
$288.36–$2,585.52 | $534–$4,788 | varies |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$390.42–$3,439.26 | $723–$6,369 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$340.74–$2,710.80 | $631–$5,020 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$463.32–$3,204.90 | $858–$5,935 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$301.86–$2,453.22 | $559–$4,543 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$374.76–$2,940.30 | $694–$5,445 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$514.62–$3,730.32 | $953–$6,908 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$293.76–$2,326.86 | $544–$4,309 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$332.10–$2,647.08 | $615–$4,902 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$454.68–$3,377.16 | $842–$6,254 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$361.80–$2,927.88 | $670–$5,422 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$475.74–$3,422.52 | $881–$6,338 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$324–$2,458.08 | $600–$4,552 | varies |
| MRI spectroscopy (76390) range across 4 matching MRF lines |
$313.74–$2,410.56 | $581–$4,464 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$367.20–$2,616.84 | $680–$4,846 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$271.08–$2,654.64 | $502–$4,916 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$227.34–$2,282.58 | $421–$4,227 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$379.62–$3,160.62 | $703–$5,853 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$474.12–$3,472.74 | $878–$6,431 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$484.38–$3,655.80 | $897–$6,770 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$341.82–$1,169.10 | $633–$2,165 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$327.24–$2,462.94 | $606–$4,561 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$381.78–$3,296.70 | $707–$6,105 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$507.06–$3,704.40 | $939–$6,860 | varies |
| Myelogram cervical (72240) range across 4 matching MRF lines |
$122.58–$1,290.60 | $227–$2,390 | varies |
| Myelogram Lumbar (72265) range across 4 matching MRF lines |
$110.70–$1,450.44 | $205–$2,686 | varies |
| Myelography thoracic (72255) range across 4 matching MRF lines |
$115.56–$1,434.24 | $214–$2,656 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 4 matching MRF lines |
$190.08–$1,727.46 | $352–$3,199 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$64.26–$355.86 | $119–$659 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 4 matching MRF lines |
$806.22–$4,210.38 | $1,493–$7,797 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) range across 3 matching MRF lines |
$85.32–$430.38 | $158–$797 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$94.50–$571.32 | $175–$1,058 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$156.06–$3,709.26 | $289–$6,869 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 4 matching MRF lines |
$164.70–$3,202.74 | $305–$5,931 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 4 matching MRF lines |
$156.60–$3,202.74 | $290–$5,931 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 4 matching MRF lines |
$181.44–$3,744.90 | $336–$6,935 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 4 matching MRF lines |
$211.68–$4,576.50 | $392–$8,475 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) range across 4 matching MRF lines |
$193.86–$4,576.50 | $359–$8,475 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 4 matching MRF lines |
$108.54–$15,661.08 | $201–$29,002 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$17.28–$256.50 | $32–$475 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 3 matching MRF lines |
$311.04–$946.62 | $576–$1,753 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $80.46 | $149 | 0.2× |
| Nm csf leak detection (78650) range across 4 matching MRF lines |
$571.32–$1,839.78 | $108–$3,407 | varies |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$102.60–$504.36 | $190–$934 | varies |
| Nm red cell survival study (78130) range across 3 matching MRF lines |
$58.32–$297 | $108–$550 | varies |
| Nm whole blood volume (78122) range across 4 matching MRF lines |
$44.82–$2,061.72 | $83–$3,818 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$59.94–$549.72 | $111–$1,018 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$1,317.06–$7,797.06 | $2,439–$14,439 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 4 matching MRF lines |
$285.12–$950.40 | $528–$1,760 | varies |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$127.44–$601.02 | $236–$1,113 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$124.74–$311.04 | $231–$576 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 4 matching MRF lines |
$71.82–$278.10 | $133–$515 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 4 matching MRF lines |
$76.68–$289.44 | $142–$536 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 4 matching MRF lines |
$151.74–$426.06 | $281–$789 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 4 matching MRF lines |
$70.74–$210.06 | $131–$389 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$55.62–$152.28 | $103–$282 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
$70.74–$291.60 | $131–$540 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 4 matching MRF lines |
$14.58–$131.22 | $27–$243 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 4 matching MRF lines |
$79.38–$350.46 | $147–$649 | varies |
| Optic foramina (70190) range across 4 matching MRF lines |
$23.76–$399.06 | $44–$739 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$20.52–$249.48 | $38–$462 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 4 matching MRF lines |
$123.66–$1,795.50 | $229–$3,325 | varies |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$42.66–$1,179.36 | $79–$2,184 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 4 matching MRF lines |
$110.16–$1,393.74 | $204–$2,581 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$17.82–$236.52 | $33–$438 | varies |
| Perineogram (74775) range across 4 matching MRF lines |
$61.56–$577.80 | $114–$1,070 | varies |
| Peritoneogram Rs&I (74190) range across 4 matching MRF lines |
$51.84–$788.40 | $96–$1,460 | varies |
| Pet Image Skull-Thigh (78812) range across 4 matching MRF lines |
$474.66–$3,336.66 | $879–$6,179 | varies |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$480.60–$3,723.84 | $890–$6,896 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$488.16–$5,233.68 | $904–$9,692 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$487.08–$3,723.84 | $902–$6,896 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 4 matching MRF lines |
$466.02–$3,657.42 | $863–$6,773 | varies |
| Pet Myocardial Sngl Study (78491) range across 4 matching MRF lines |
$807.30–$3,181.68 | $1,495–$5,892 | varies |
| PET whole body (78813) range across 4 matching MRF lines |
$476.28–$3,596.94 | $882–$6,661 | varies |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 3 matching MRF lines |
$145.26–$2,246.94 | $269–$4,161 | varies |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 3 matching MRF lines |
$139.32–$2,046.60 | $258–$3,790 | varies |
| Platelet survival study Non-Facility (78191) range across 3 matching MRF lines |
$66.42–$338.58 | $123–$627 | varies |
| Proton trmt simple w/comp (77522) | $5,379.48 | $9,962 | 4.4× |
| Proton tx delivery complex (77525) | $7,371 | $13,650 | 6.0× |
| Proton tx delivery intermediate (77523) | $6,203.52 | $11,488 | 5.1× |
| Proton tx delivery simple w/o compensation (77520) | $2,506.14 | $4,641 | 4.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 4 matching MRF lines |
$238.68–$3,061.80 | $442–$5,670 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 4 matching MRF lines |
$63.72–$1,027.62 | $118–$1,903 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$32.94–$355.86 | $61–$659 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$58.32–$536.76 | $108–$994 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$16.74–$271.62 | $31–$503 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$16.74–$211.68 | $31–$392 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$19.98–$270.54 | $37–$501 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$26.46–$320.76 | $49–$594 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$12.42–$223.02 | $23–$413 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$16.74–$253.26 | $31–$469 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$16.74–$275.94 | $31–$511 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$16.74–$523.26 | $31–$969 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$34.56–$132.30 | $64–$245 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$17.28–$336.42 | $32–$623 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$25.92–$180.90 | $48–$335 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$21.60–$270.54 | $40–$501 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$17.82–$256.50 | $33–$475 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$18.90–$253.26 | $35–$469 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 4 matching MRF lines |
$116.10–$806.22 | $215–$1,493 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$16.74–$244.62 | $31–$453 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$19.98–$246.24 | $37–$456 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$24.30–$298.62 | $45–$553 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$14.04–$221.40 | $26–$410 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$16.74–$308.88 | $31–$572 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$16.74–$254.34 | $31–$471 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$33.48–$388.80 | $62–$720 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $17,920.98 | $33,187 | 2.5× |
| Radiation treatment delivery level 1 (77402) | $645.84 | $1,196 | 6.4× |
| Radiation treatment delivery level 2 (77407) | $734.94 | $1,361 | 1.9× |
| Radiation treatment delivery level 3 (77412) | $967.14 | $1,791 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$24.84–$393.66 | $46–$729 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$23.76–$335.88 | $44–$622 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$124.20–$700.92 | $230–$1,298 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$105.30–$552.42 | $195–$1,023 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 4 matching MRF lines |
$61.56–$346.68 | $114–$642 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$21.60–$345.06 | $40–$639 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$26.46–$280.80 | $49–$520 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$71.82–$611.82 | $133–$1,133 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$39.96–$457.92 | $74–$848 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 3 matching MRF lines |
$23.22–$118.80 | $43–$220 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 4 matching MRF lines |
$17.82–$341.82 | $33–$633 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$83.70–$707.94 | $155–$1,311 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$15.66–$106.38 | $29–$197 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$16.20–$151.74 | $30–$281 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$15.66–$218.16 | $29–$404 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$52.38–$419.04 | $97–$776 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$18.36–$87.48 | $34–$162 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$15.12–$233.28 | $28–$432 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$30.24–$109.62 | $56–$203 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 4 matching MRF lines |
$12.96–$249.48 | $24–$462 | varies |
| Radiopharm Dacryocystography (78660) range across 4 matching MRF lines |
$48.06–$665.28 | $89–$1,232 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) range across 3 matching MRF lines |
$192.78–$642.60 | $357–$1,190 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 3 matching MRF lines |
$192.78–$567 | $357–$1,050 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 3 matching MRF lines |
$159.84–$395.28 | $296–$732 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 4 matching MRF lines |
$22.14–$1,820.34 | $41–$3,371 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 3 matching MRF lines |
$32.40–$192.24 | $60–$356 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 4 matching MRF lines |
$172.80–$3,468.42 | $320–$6,423 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 4 matching MRF lines |
$120.96–$3,210.30 | $224–$5,945 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$53.46–$178.20 | $99–$330 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$29.16–$319.14 | $54–$591 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$46.44–$1,387.26 | $86–$2,569 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines |
$63.18–$1,182.06 | $117–$2,189 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$83.16–$2,116.80 | $154–$3,920 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$78.84–$2,046.60 | $146–$3,790 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$92.88–$1,895.40 | $172–$3,510 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 4 matching MRF lines |
$122.58–$2,116.80 | $227–$3,920 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 4 matching MRF lines |
$142.02–$2,400.84 | $263–$4,446 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 4 matching MRF lines |
$100.44–$2,116.80 | $186–$3,920 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 4 matching MRF lines |
$207.90–$1,910.52 | $385–$3,538 | varies |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$138.78–$697.68 | $257–$1,292 | varies |
| Salivary Gland Function Study (78232) range across 4 matching MRF lines |
$41.04–$1,057.32 | $76–$1,958 | varies |
| Salivary Gland Imaging (78230) range across 4 matching MRF lines |
$39.96–$704.70 | $74–$1,305 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 4 matching MRF lines |
$49.14–$1,117.80 | $91–$2,070 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$24.84–$261.90 | $46–$485 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$42.66–$115.56 | $79–$214 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$18.90–$70.20 | $35–$130 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$18.36–$211.68 | $34–$392 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$48.60–$664.74 | $90–$1,231 | varies |
| Sialogram (70390) range across 4 matching MRF lines |
$32.40–$587.52 | $60–$1,088 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$21.60–$274.32 | $40–$508 | varies |
| Special dosimetry (77331) range across 4 matching MRF lines |
$126.36–$738.18 | $234–$1,367 | varies |
| Special Physics Consult (77370) | $995.76 | $1,844 | 7.5× |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$159.84–$1,668.06 | $296–$3,089 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$466.02–$2,580.66 | $863–$4,779 | varies |
| Speech evaluation, complex (70371) range across 4 matching MRF lines |
$81.54–$446.04 | $151–$826 | varies |
| Spleen Imaging (78185) range across 4 matching MRF lines |
$37.26–$891.54 | $69–$1,651 | varies |
| Srs Multisource (77371) | $23,698.98 | $43,887 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $9,177.30 | $16,995 | 5.2× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$21.06–$293.76 | $39–$544 | varies |
| Superior sagittal sinus venogram (75870) range across 4 matching MRF lines |
$170.10–$1,990.44 | $315–$3,686 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 4 matching MRF lines |
$140.40–$512.46 | $260–$949 | varies |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $125.82 | $233 | 1.5× |
| Tbs technical calculation only (77091) | $94.50 | $175 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 4 matching MRF lines |
$389.34–$2,307.96 | $721–$4,274 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 4 matching MRF lines |
$186.84–$766.26 | $346–$1,419 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$61.02–$201.42 | $113–$373 | varies |
| Testicular Imaging W/Flow (78761) range across 4 matching MRF lines |
$69.12–$583.20 | $128–$1,080 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$261.36–$2,089.26 | $484–$3,869 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 4 matching MRF lines |
$115.56–$1,047.06 | $214–$1,939 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$73.44–$1,038.96 | $136–$1,924 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 4 matching MRF lines |
$178.74–$930.42 | $331–$1,723 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$22.68–$270.54 | $42–$501 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$23.22–$320.22 | $43–$593 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$23.76–$297 | $44–$550 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 3 matching MRF lines |
$70.20–$578.34 | $130–$1,071 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 3 matching MRF lines |
$59.94–$409.86 | $111–$759 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$35.10–$588.60 | $65–$1,090 | varies |
| Thyroid Met Imaging Body (78018) range across 4 matching MRF lines |
$79.92–$1,394.82 | $148–$2,583 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$134.46–$588.60 | $30–$1,090 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$44.82–$894.78 | $83–$1,657 | varies |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$207.90–$1,463.40 | $385–$2,710 | varies |
| Tx devices design & construction intermediate (77333) range across 4 matching MRF lines |
$171.72–$831.06 | $318–$1,539 | varies |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$135.54–$774.36 | $251–$1,434 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$56.70–$166.86 | $105–$309 | varies |
| Ultrasound elastography first target lesion (76982) range across 4 matching MRF lines |
$53.46–$208.44 | $99–$386 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$54–$523.26 | $100–$969 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$43.74–$280.80 | $81–$520 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 4 matching MRF lines |
$153.36–$856.98 | $284–$1,587 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$70.74–$419.58 | $131–$777 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$46.44–$522.72 | $86–$968 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$55.62–$483.30 | $103–$895 | varies |
| Unlisted fluoroscopic procedure (76496) range across 4 matching MRF lines |
$112.86–$406.08 | $209–$752 | varies |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$150.66–$2,170.80 | $279–$4,020 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 6 matching MRF lines |
$42.66–$2,160.54 | $79–$4,001 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 4 matching MRF lines |
$641.52–$2,320.92 | $1,188–$4,298 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$55.62–$322.38 | $103–$597 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$75.60–$589.68 | $140–$1,092 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$11.34–$388.26 | $21–$719 | varies |
| Ureteral Reflux Study (78740) range across 4 matching MRF lines |
$52.38–$866.16 | $97–$1,604 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$28.08–$597.78 | $52–$1,107 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$50.76–$577.80 | $94–$1,070 | varies |
| Us bone density measurement (76977) range across 4 matching MRF lines |
$8.10–$210.60 | $15–$390 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$61.02–$183.06 | $113–$339 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$85.86–$395.28 | $159–$732 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$116.10–$535.14 | $215–$991 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$102.06–$387.72 | $189–$718 | varies |
| Us head (76506) range across 4 matching MRF lines |
$65.34–$262.44 | $121–$486 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$74.52–$588.06 | $138–$1,089 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$59.94–$444.96 | $111–$824 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$194.40–$561.60 | $360–$1,040 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$71.82–$338.04 | $133–$626 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$82.62–$419.58 | $153–$777 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$79.38–$683.10 | $147–$1,265 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$107.46–$555.66 | $199–$1,029 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$89.64–$341.82 | $166–$633 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$88.02–$728.46 | $163–$1,349 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$109.62–$291.60 | $203–$540 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$76.68–$537.30 | $142–$995 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$110.70–$304.56 | $205–$564 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$58.86–$502.20 | $109–$930 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$45.36–$537.30 | $84–$995 | varies |
| Vascular Flow Imaging (78445) range across 4 matching MRF lines |
$40.50–$588.60 | $75–$1,090 | varies |
| Vasogram (74440) range across 3 matching MRF lines |
$34.02–$192.78 | $63–$357 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$204.66–$2,691.36 | $379–$4,984 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 4 matching MRF lines |
$240.30–$2,218.32 | $445–$4,108 | varies |
| Vein X-Ray Skull Epidural (75872) range across 3 matching MRF lines |
$261.36–$627.48 | $484–$1,162 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 4 matching MRF lines |
$376.38–$4,838.40 | $697–$8,960 | varies |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$200.88–$1,959.12 | $372–$3,628 | varies |
| Venography Adrenal Unilateral (75840) range across 3 matching MRF lines |
$194.94–$467.64 | $361–$866 | varies |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$211.14–$2,555.28 | $391–$4,732 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$171.72–$1,744.74 | $318–$3,231 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$125.82–$1,810.08 | $233–$3,352 | varies |
| Venography Orbital Rs&I (75880) range across 4 matching MRF lines |
$116.64–$1,112.40 | $216–$2,060 | varies |
| Venography Renal Bilateral (75833) range across 4 matching MRF lines |
$255.96–$1,990.44 | $474–$3,686 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$203.58–$2,746.44 | $377–$5,086 | varies |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$299.70–$3,830.22 | $555–$7,093 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$80.46–$383.40 | $149–$710 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 4 matching MRF lines |
$84.78–$947.70 | $157–$1,755 | varies |
| Vertebral fracture assessment via dxa (77086) range across 4 matching MRF lines |
$18.90–$164.16 | $35–$304 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$16.20–$218.16 | $30–$404 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$27–$345.06 | $50–$639 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$27–$641.52 | $50–$1,188 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$234.90–$3,609.36 | $435–$6,684 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$29.70–$422.82 | $55–$783 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$17.28–$226.26 | $32–$419 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$27.54–$463.86 | $30–$859 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$23.22–$154.44 | $43–$286 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$27–$187.38 | $50–$347 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$29.70–$333.18 | $55–$617 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$16.74–$153.90 | $31–$285 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$18.90–$173.34 | $35–$321 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$23.22–$192.24 | $43–$356 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$21.06–$194.40 | $39–$360 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$26.46–$263.52 | $49–$488 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$27.54–$333.72 | $51–$618 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$38.34–$558.36 | $71–$1,034 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$23.22–$304.02 | $43–$563 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$34.02–$545.94 | $63–$1,011 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$27–$312.66 | $50–$579 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$18.36–$216.54 | $34–$401 | varies |
| X-ray head for orthodontia (70350) range across 4 matching MRF lines |
$42.12–$126.90 | $78–$235 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$16.20–$231.66 | $30–$429 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
$41.04–$630.18 | $76–$1,167 | varies |
| X-ray IV pyelogram+tomography (74415) range across 4 matching MRF lines |
$43.74–$609.66 | $81–$1,129 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$17.82–$266.22 | $33–$493 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$15.66–$234.90 | $29–$435 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$24.30–$304.02 | $45–$563 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$18.36–$136.08 | $34–$252 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$34.02–$419.04 | $63–$776 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$21.06–$299.16 | $39–$554 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$16.20–$230.04 | $30–$426 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$17.28–$263.52 | $32–$488 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$25.38–$422.28 | $47–$782 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$33.48–$454.68 | $62–$842 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$109.08–$230.58 | $202–$427 | varies |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$26.46–$383.40 | $49–$710 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$18.36–$245.16 | $34–$454 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$86.94–$823.50 | $161–$1,525 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$26.46–$269.46 | $49–$499 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$64.26–$660.96 | $119–$1,224 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$29.16–$389.34 | $54–$721 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$21.60–$197.10 | $40–$365 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$18.90–$83.16 | $35–$154 | varies |
| Xr myelogram posterior fossa (70010) range across 3 matching MRF lines |
$146.88–$365.04 | $272–$676 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$29.16–$358.02 | $54–$663 | varies |
| Xr Tomogram Single Plane (76100) range across 4 matching MRF lines |
$84.24–$338.58 | $156–$627 | varies |
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.