Imaging prices at Vanderbilt Wilson County Hospital
Lebanon, 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 |
$399.62–$3,223.06 | $1,378–$11,114 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$8.70–$150.22 | $30–$518 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$11.02–$173.71 | $38–$599 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$49.01–$573.04 | $169–$1,976 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 3 matching MRF lines |
$58–$370.04 | $200–$1,276 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 4 matching MRF lines |
$395.27–$1,166.38 | $124–$4,022 | varies |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$98.60–$1,083.44 | $340–$3,736 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$145.58–$2,072.05 | $502–$7,145 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$117.45–$326.25 | $405–$1,125 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$142.39–$2,084.81 | $491–$7,189 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$129.05–$1,879.78 | $445–$6,482 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$120.35–$1,871.95 | $415–$6,455 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 4 matching MRF lines |
$105.85–$1,016.16 | $365–$3,504 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$8.12–$127.89 | $28–$441 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$113.39–$1,930.24 | $391–$6,656 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$279.56–$2,141.36 | $964–$7,384 | varies |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$127.02–$2,347.84 | $438–$8,096 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 4 matching MRF lines |
$100.63–$1,296.30 | $347–$4,470 | varies |
| Artery X-Rays Pelvis (75736) range across 4 matching MRF lines |
$176.03–$2,347.84 | $351–$8,096 | varies |
| Artery X-Rays Spine (75705) range across 4 matching MRF lines |
$161.82–$2,279.40 | $558–$7,860 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$25.52–$337.27 | $88–$1,163 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$24.94–$407.16 | $86–$1,404 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$25.52–$340.46 | $88–$1,174 | varies |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$52.20–$352.93 | $180–$1,217 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$10.44–$131.66 | $36–$454 | varies |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$50.46–$745.88 | $174–$2,572 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$24.65–$563.18 | $85–$1,942 | varies |
| Bone Imaging Multiple Areas (78305) range across 4 matching MRF lines |
$35.09–$380.48 | $121–$1,312 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$36.54–$680.92 | $126–$2,348 | varies |
| Bone marrow imaging limited area (78102) range across 4 matching MRF lines |
$25.81–$507.21 | $89–$1,749 | varies |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
$37.12–$225.04 | $128–$776 | varies |
| Bone marrow imaging; whole body (78104) range across 4 matching MRF lines |
$39.73–$645.25 | $137–$2,225 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$39.44–$316.68 | $136–$1,092 | varies |
| Brachytx isodose complex (77318) range across 4 matching MRF lines |
$160.66–$1,295.43 | $554–$4,467 | varies |
| Brachytx isodose intermed (77317) range across 4 matching MRF lines |
$95.41–$1,063.72 | $329–$3,668 | varies |
| Brachytx Isodose Plan Simple (77316) range across 4 matching MRF lines |
$76.85–$749.36 | $265–$2,584 | varies |
| Brain Flow Imaging Only (78610) range across 4 matching MRF lines |
$166.75–$407.16 | $52–$1,404 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 4 matching MRF lines |
$25.23–$488.65 | $87–$1,685 | varies |
| Brain imaging < 4 static views (78600) range across 3 matching MRF lines |
$22.04–$185.60 | $76–$640 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 4 matching MRF lines |
$31.90–$765.31 | $110–$2,639 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 4 matching MRF lines |
$177.77–$592.76 | $92–$2,044 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$392.95–$2,374.23 | $1,355–$8,187 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 3 matching MRF lines |
$72.50–$286.52 | $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 |
$93.09–$315.23 | $321–$1,087 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 4 matching MRF lines |
$227.07–$1,491.47 | $783–$5,143 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 4 matching MRF lines |
$270.57–$1,641.98 | $933–$5,662 | varies |
| Cardiac Shunt Detection (78428) range across 3 matching MRF lines |
$41.47–$205.61 | $143–$709 | varies |
| Cardiovasc nucl exam unlisted (78499) range across 3 matching MRF lines |
$78.88–$263.03 | $272–$907 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$75.11–$356.12 | $259–$1,228 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 4 matching MRF lines |
$297.54–$687.59 | $94–$2,371 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 3 matching MRF lines |
$30.16–$329.73 | $104–$1,137 | varies |
| Cerebrospinal Fluid Scan (78630) range across 4 matching MRF lines |
$34.51–$713.11 | $119–$2,459 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$8.99–$131.08 | $31–$452 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$10.44–$138.33 | $36–$477 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$13.05–$143.26 | $45–$494 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$14.79–$147.03 | $51–$507 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 4 matching MRF lines |
$27.26–$187.34 | $94–$646 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$13.92–$82.36 | $48–$284 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 4 matching MRF lines |
$15.08–$211.99 | $52–$731 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 3 matching MRF lines |
$61.77–$186.76 | $213–$644 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$8.70–$120.64 | $30–$416 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$84.39–$270.57 | $291–$933 | varies |
| Continuing medical physics consltj pr wk (77336) | $388.31 | $1,339 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$123.25–$1,505.39 | $425–$5,191 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$26.68–$290.87 | $92–$1,003 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$28.13–$331.18 | $97–$1,142 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$29.29–$457.33 | $101–$1,577 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 3 matching MRF lines |
$26.68–$94.83 | $92–$327 | varies |
| Corpora cavernosography (74445) range across 3 matching MRF lines |
$38.57–$128.18 | $133–$442 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$131.95–$2,159.63 | $455–$7,447 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$110.20–$1,610.95 | $380–$5,555 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$96.57–$1,067.49 | $333–$3,681 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$125.28–$1,260.05 | $432–$4,345 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$117.74–$848.83 | $406–$2,927 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$161.82–$1,474.65 | $558–$5,085 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$165.88–$1,215.10 | $572–$4,190 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$202.42–$1,148.40 | $698–$3,960 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$177.48–$1,109.25 | $612–$3,825 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$149.06–$977.01 | $514–$3,369 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$206.19–$1,137.38 | $711–$3,922 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$140.65–$977.01 | $485–$3,369 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$21.46–$198.07 | $74–$683 | varies |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$121.51–$954.97 | $419–$3,293 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$108.75–$885.95 | $375–$3,055 | varies |
| CT cervical spine w/wo cont (72127) range across 4 matching MRF lines |
$130.50–$1,260.05 | $450–$4,345 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$117.16–$1,080.83 | $404–$3,727 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$131.08–$1,059.66 | $452–$3,654 | varies |
| CT colonography screening (74263) range across 3 matching MRF lines |
$139.20–$903.93 | $480–$3,117 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 4 matching MRF lines |
$160.37–$763.57 | $553–$2,633 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 4 matching MRF lines |
$155.15–$608.71 | $535–$2,099 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$106.14–$818.09 | $366–$2,821 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$123.25–$970.63 | $425–$3,347 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$122.96–$940.76 | $424–$3,244 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$34.51–$257.52 | $119–$888 | varies |
| CT hrt w/3d image congen (75573) range across 4 matching MRF lines |
$180.67–$1,109.25 | $623–$3,825 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$122.67–$970.63 | $423–$3,347 | varies |
| CT l-spine w&w/o contrast (72133) range across 4 matching MRF lines |
$130.79–$1,260.05 | $451–$4,345 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$104.98–$780.39 | $362–$2,691 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$113.39–$927.13 | $391–$3,197 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$121.51–$954.97 | $419–$3,293 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$108.75–$885.95 | $375–$3,055 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$126.73–$970.63 | $437–$3,347 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$95.12–$818.09 | $328–$2,821 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$147.03–$1,100.84 | $507–$3,796 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$133.11–$990.93 | $459–$3,417 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$138.33–$891.46 | $477–$3,074 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$96.28–$976.14 | $332–$3,366 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$108.46–$763.86 | $374–$2,634 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$129.63–$1,072.42 | $447–$3,698 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$142.10–$1,032.11 | $490–$3,559 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$125.86–$836.65 | $434–$2,885 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$120.06–$746.17 | $414–$2,573 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$121.51–$954.97 | $419–$3,293 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$108.75–$885.95 | $375–$3,055 | varies |
| CT thoracic spine w/wo cont (72130) range across 4 matching MRF lines |
$129.63–$999.63 | $447–$3,447 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$114.26–$741.24 | $394–$2,556 | varies |
| CT unlisted procedure (76497) range across 5 matching MRF lines |
$65.83–$366.56 | $227–$1,264 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$82.65–$780.39 | $285–$2,691 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$99.47–$1,072.42 | $343–$3,698 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$92.22–$927.13 | $318–$3,197 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$169.07–$1,260.05 | $583–$4,345 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$153.12–$1,266.43 | $528–$4,367 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$143.26–$1,171.60 | $494–$4,040 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 3 matching MRF lines |
$19.43–$64.96 | $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 |
$28.13–$93.67 | $97–$323 | varies |
| Dilation ureters/urethra rs&i (74485) range across 4 matching MRF lines |
$42.05–$751.97 | $145–$2,593 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$77.14–$177.48 | $266–$612 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$100.34–$2,034.06 | $190–$7,014 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$25.81–$202.71 | $89–$699 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$28.71–$345.10 | $99–$1,190 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines |
$40.60–$280.72 | $140–$968 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$30.74–$231.42 | $106–$798 | varies |
| Dxa bone density study (77085) range across 4 matching MRF lines |
$18.56–$156.60 | $64–$540 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$11.60–$83.23 | $40–$287 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$71.63–$629.30 | $247–$2,170 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$40.89–$244.76 | $141–$844 | varies |
| Echo Guide For Artery Repair (76936) range across 4 matching MRF lines |
$121.80–$628.43 | $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 |
$34.51–$439.06 | $119–$1,514 | varies |
| Echograp Trans R Pros Study (76873) range across 4 matching MRF lines |
$85.84–$284.20 | $296–$980 | varies |
| Esophageal Motility Study (78258) range across 3 matching MRF lines |
$37.99–$234.03 | $131–$807 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$30.74–$226.49 | $106–$781 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$59.74–$375.55 | $206–$1,295 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$45.24–$292.03 | $156–$1,007 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 4 matching MRF lines |
$172.26–$528.09 | $594–$1,821 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$32.19–$235.19 | $111–$811 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$214.60–$1,068.94 | $740–$3,686 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$8.70–$126.44 | $30–$436 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$8.99–$157.76 | $31–$544 | varies |
| Gastric emptying imaging study (78264) range across 4 matching MRF lines |
$34.22–$650.47 | $118–$2,243 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 4 matching MRF lines |
$46.69–$383.09 | $161–$1,321 | varies |
| Gastric Mucosa Imaging (78261) range across 3 matching MRF lines |
$35.96–$254.91 | $124–$879 | varies |
| Gastroesophageal Reflux Exam (78262) range across 4 matching MRF lines |
$34.80–$812 | $120–$2,800 | varies |
| Gastrointestinal Protein Loss (78282) range across 3 matching MRF lines |
$22.33–$74.53 | $77–$257 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$55.97–$726.45 | $193–$2,505 | varies |
| Gated Heart, Multiple (78473) range across 4 matching MRF lines |
$87–$767.34 | $300–$2,646 | varies |
| GI Endoscopic US S&I (76975) range across 4 matching MRF lines |
$48.43–$333.50 | $167–$1,150 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 4 matching MRF lines |
$52.20–$1,382.14 | $180–$4,766 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$8.70–$137.75 | $30–$475 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 4 matching MRF lines |
$377.58–$3,123.59 | $1,302–$10,771 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 4 matching MRF lines |
$273.76–$2,373.36 | $944–$8,184 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 4 matching MRF lines |
$130.50–$1,978.38 | $450–$6,822 | varies |
| Heart first pass single,planar (78481) range across 4 matching MRF lines |
$60.61–$692.81 | $209–$2,389 | varies |
| Heart Image (Pet) Multiple (78492) range across 4 matching MRF lines |
$441.38–$1,708.68 | $1,522–$5,892 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines |
$148.19–$2,483.27 | $360–$8,563 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 4 matching MRF lines |
$104.69–$2,067.12 | $361–$7,128 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$48.72–$797.21 | $168–$2,749 | varies |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$39.44–$684.69 | $136–$2,361 | varies |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$67.57–$440.80 | $233–$1,520 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$71.05–$1,533.23 | $245–$5,287 | varies |
| Hyperthermia external generated superficial (77600) range across 3 matching MRF lines |
$79.17–$580 | $273–$2,000 | varies |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) range across 3 matching MRF lines |
$117.16–$1,204.08 | $404–$4,152 | varies |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) range across 3 matching MRF lines |
$121.51–$1,380.11 | $419–$4,759 | varies |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) range across 3 matching MRF lines |
$87.29–$684.11 | $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 |
$131.95–$1,317.18 | $455–$4,542 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$17.69–$354.67 | $61–$1,223 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 4 matching MRF lines |
$41.18–$161.82 | $142–$558 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 4 matching MRF lines |
$37.41–$128.76 | $129–$444 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$22.04–$138.04 | $76–$476 | varies |
| Interstitial radiation source applic complex (77778) range across 4 matching MRF lines |
$614.80–$3,178.98 | $2,120–$10,962 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 4 matching MRF lines |
$625.53–$1,339.51 | $2,157–$4,619 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 4 matching MRF lines |
$413.54–$3,757.53 | $1,426–$12,957 | varies |
| Intracavitary radiation source applic simple (77761) range across 3 matching MRF lines |
$256.36–$527.80 | $884–$1,820 | varies |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $7,036.85 | $24,265 | 1.0× |
| Intraop radiaj tx deliver xray single tx session (77424) unusually low: confirm this is the full procedure |
$3,378.50 | $11,650 | 0.5× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$18.56–$196.62 | $64–$678 | varies |
| K Flow/Funct Image Multiple (78709) range across 4 matching MRF lines |
$71.63–$824.18 | $247–$2,842 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$63.51–$768.21 | $219–$2,649 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$49.88–$753.13 | $172–$2,597 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 4 matching MRF lines |
$91.06–$532.15 | $58–$1,835 | varies |
| Kidney Imaging Morphol (78700) range across 4 matching MRF lines |
$23.20–$471.25 | $80–$1,625 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 4 matching MRF lines |
$23.78–$464 | $82–$1,600 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$9.57–$144.13 | $33–$497 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 3 matching MRF lines |
$31.90–$143.84 | $110–$496 | varies |
| Leveen/Shunt Patency Exam (78291) range across 4 matching MRF lines |
$43.21–$316.10 | $149–$1,090 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 4 matching MRF lines |
$23.78–$501.70 | $82–$1,730 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$27.26–$135.14 | $94–$466 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$20.88–$188.79 | $72–$651 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$23.78–$206.19 | $82–$711 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 4 matching MRF lines |
$43.79–$500.54 | $151–$1,726 | varies |
| Lung perfusion differential (78597) range across 4 matching MRF lines |
$36.83–$388.89 | $127–$1,341 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$54.23–$693.68 | $187–$2,392 | varies |
| Lung Ventilation Imaging (78579) range across 4 matching MRF lines |
$23.78–$523.74 | $82–$1,806 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$59.16–$620.31 | $204–$2,139 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 3 matching MRF lines |
$100.34–$334.95 | $346–$1,155 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) range across 4 matching MRF lines |
$93.38–$516.20 | $322–$1,780 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 4 matching MRF lines |
$178.64–$2,598.40 | $264–$8,960 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 4 matching MRF lines |
$103.24–$1,068.94 | $356–$3,686 | varies |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$140.36–$1,317.76 | $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 |
$208.22–$693.97 | $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 |
$211.70–$705.57 | $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 |
$211.41–$938.44 | $729–$3,236 | varies |
| Magnetic Resonance Elastography (76391) range across 4 matching MRF lines |
$60.03–$455.01 | $207–$1,569 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$35.67–$115.71 | $123–$399 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$27.55–$274.63 | $95–$947 | varies |
| Meckels Divert Exam (78290) range across 4 matching MRF lines |
$32.77–$443.12 | $113–$1,528 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $711.66 | $2,454 | 2.0× |
| Mlc imrt design & construction per imrt plan (77338) range across 4 matching MRF lines |
$351.48–$1,633.86 | $1,212–$5,634 | varies |
| Mr safety determination physician/other qhp (76016) range across 4 matching MRF lines |
$56.55–$148.77 | $195–$513 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$32.48–$46.98 | $112–$162 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 4 matching MRF lines |
$64.96–$216.63 | $224–$747 | varies |
| Mr safety implt pos&/immoblj (76019) range across 4 matching MRF lines |
$49.30–$273.76 | $170–$944 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 4 matching MRF lines |
$63.80–$503.73 | $220–$1,737 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$204.74–$1,676.20 | $706–$5,780 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$162.98–$1,272.23 | $562–$4,387 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$152.54–$1,426.80 | $526–$4,920 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$186.18–$1,383.59 | $642–$4,771 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$237.51–$1,731.30 | $819–$5,970 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$162.11–$1,243.23 | $559–$4,287 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$188.50–$1,472.33 | $650–$5,077 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$183.28–$1,356.62 | $632–$4,678 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$148.48–$1,434.63 | $512–$4,947 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$204.74–$1,786.11 | $706–$6,159 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$146.45–$1,450 | $505–$5,000 | varies |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$149.06–$664.10 | $514–$2,290 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 4 matching MRF lines |
$169.65–$1,305.29 | $585–$4,501 | varies |
| MRI brain functional w/physician admnistration (70555) range across 4 matching MRF lines |
$166.46–$1,211.62 | $574–$4,178 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 4 matching MRF lines |
$93.96–$1,509.74 | $324–$5,206 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$85.55–$280.14 | $295–$966 | varies |
| MRI cardiac w/o cont stress (75559) range across 4 matching MRF lines |
$266.22–$1,124.33 | $918–$3,877 | varies |
| MRI cardiac w/o contrast (75557) range across 4 matching MRF lines |
$200.10–$1,192.77 | $690–$4,113 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$201.84–$1,643.72 | $696–$5,668 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$194.88–$1,422.16 | $672–$4,904 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$128.18–$1,284.12 | $442–$4,428 | varies |
| MRI chest with contrast (71551) range across 4 matching MRF lines |
$154.86–$1,388.52 | $534–$4,788 | varies |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$209.67–$1,847.01 | $723–$6,369 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$182.99–$1,455.80 | $631–$5,020 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$248.82–$1,721.15 | $858–$5,935 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$162.11–$1,317.47 | $559–$4,543 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$201.26–$1,579.05 | $694–$5,445 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$276.37–$2,003.32 | $953–$6,908 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$157.76–$1,249.61 | $544–$4,309 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$178.35–$1,421.58 | $615–$4,902 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$244.18–$1,813.66 | $842–$6,254 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$194.30–$1,572.38 | $670–$5,422 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$255.49–$1,838.02 | $881–$6,338 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$174–$1,320.08 | $600–$4,552 | varies |
| MRI spectroscopy (76390) range across 4 matching MRF lines |
$168.49–$1,294.56 | $581–$4,464 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$197.20–$1,405.34 | $680–$4,846 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$145.58–$1,425.64 | $502–$4,916 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$122.09–$1,225.83 | $421–$4,227 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$203.87–$1,697.37 | $703–$5,853 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$254.62–$1,864.99 | $878–$6,431 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$260.13–$1,963.30 | $897–$6,770 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$183.57–$627.85 | $633–$2,165 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$175.74–$1,322.69 | $606–$4,561 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$205.03–$1,770.45 | $707–$6,105 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$272.31–$1,989.40 | $939–$6,860 | varies |
| Myelogram cervical (72240) range across 4 matching MRF lines |
$65.83–$693.10 | $227–$2,390 | varies |
| Myelogram Lumbar (72265) range across 4 matching MRF lines |
$59.45–$778.94 | $205–$2,686 | varies |
| Myelography thoracic (72255) range across 4 matching MRF lines |
$62.06–$770.24 | $214–$2,656 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 4 matching MRF lines |
$102.08–$927.71 | $352–$3,199 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$34.51–$191.11 | $119–$659 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 4 matching MRF lines |
$432.97–$2,261.13 | $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 |
$45.82–$231.13 | $158–$797 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$50.75–$306.82 | $175–$1,058 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$83.81–$1,992.01 | $289–$6,869 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 4 matching MRF lines |
$88.45–$1,719.99 | $305–$5,931 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 4 matching MRF lines |
$84.10–$1,719.99 | $290–$5,931 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 4 matching MRF lines |
$227.36–$2,011.15 | $336–$6,935 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 4 matching MRF lines |
$113.68–$2,457.75 | $392–$8,475 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) range across 4 matching MRF lines |
$104.11–$2,457.75 | $359–$8,475 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 4 matching MRF lines |
$58.29–$8,410.58 | $201–$29,002 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$9.28–$137.75 | $32–$475 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 3 matching MRF lines |
$167.04–$508.37 | $576–$1,753 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $43.21 | $149 | 0.1× |
| Nm csf leak detection (78650) range across 4 matching MRF lines |
$306.82–$988.03 | $108–$3,407 | varies |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$55.10–$270.86 | $190–$934 | varies |
| Nm red cell survival study (78130) range across 3 matching MRF lines |
$31.32–$159.50 | $108–$550 | varies |
| Nm whole blood volume (78122) range across 4 matching MRF lines |
$91.93–$1,107.22 | $83–$3,818 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$32.19–$295.22 | $111–$1,018 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$707.31–$4,187.31 | $2,439–$14,439 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 4 matching MRF lines |
$153.12–$510.40 | $528–$1,760 | varies |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$68.44–$322.77 | $236–$1,113 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$66.99–$167.04 | $231–$576 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 4 matching MRF lines |
$38.57–$149.35 | $133–$515 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 4 matching MRF lines |
$41.18–$155.44 | $142–$536 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 4 matching MRF lines |
$81.49–$228.81 | $281–$789 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 4 matching MRF lines |
$37.99–$112.81 | $131–$389 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$29.87–$81.78 | $103–$282 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
$37.99–$156.60 | $131–$540 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 4 matching MRF lines |
$7.83–$70.47 | $27–$243 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 4 matching MRF lines |
$42.63–$188.21 | $147–$649 | varies |
| Optic foramina (70190) range across 4 matching MRF lines |
$12.76–$214.31 | $44–$739 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$11.02–$133.98 | $38–$462 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 4 matching MRF lines |
$66.41–$964.25 | $229–$3,325 | varies |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$22.91–$633.36 | $79–$2,184 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 4 matching MRF lines |
$59.16–$748.49 | $204–$2,581 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$9.57–$127.02 | $33–$438 | varies |
| Perineogram (74775) range across 4 matching MRF lines |
$33.06–$310.30 | $114–$1,070 | varies |
| Peritoneogram Rs&I (74190) range across 4 matching MRF lines |
$27.84–$423.40 | $96–$1,460 | varies |
| Pet Image Skull-Thigh (78812) range across 4 matching MRF lines |
$254.91–$1,791.91 | $879–$6,179 | varies |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$258.10–$1,999.84 | $890–$6,896 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$262.16–$2,810.68 | $904–$9,692 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$261.58–$1,999.84 | $902–$6,896 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 4 matching MRF lines |
$250.27–$1,964.17 | $863–$6,773 | varies |
| Pet Myocardial Sngl Study (78491) range across 4 matching MRF lines |
$433.55–$1,708.68 | $1,495–$5,892 | varies |
| PET whole body (78813) range across 4 matching MRF lines |
$255.78–$1,931.69 | $882–$6,661 | varies |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 3 matching MRF lines |
$78.01–$1,206.69 | $269–$4,161 | varies |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 3 matching MRF lines |
$74.82–$1,099.10 | $258–$3,790 | varies |
| Platelet survival study Non-Facility (78191) range across 3 matching MRF lines |
$35.67–$181.83 | $123–$627 | varies |
| Proton trmt simple w/comp (77522) | $2,888.98 | $9,962 | 2.4× |
| Proton tx delivery complex (77525) | $3,958.50 | $13,650 | 3.3× |
| Proton tx delivery intermediate (77523) | $3,331.52 | $11,488 | 2.8× |
| Proton tx delivery simple w/o compensation (77520) | $1,345.89 | $4,641 | 2.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 4 matching MRF lines |
$128.18–$1,644.30 | $442–$5,670 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 4 matching MRF lines |
$34.22–$551.87 | $118–$1,903 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$17.69–$191.11 | $61–$659 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$31.32–$288.26 | $108–$994 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$8.99–$145.87 | $31–$503 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$8.99–$113.68 | $31–$392 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$10.73–$145.29 | $37–$501 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$14.21–$172.26 | $49–$594 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$6.67–$119.77 | $23–$413 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$8.99–$136.01 | $31–$469 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$8.99–$148.19 | $31–$511 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$8.99–$281.01 | $31–$969 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$18.56–$71.05 | $64–$245 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$9.28–$180.67 | $32–$623 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$13.92–$97.15 | $48–$335 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$11.60–$145.29 | $40–$501 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$9.57–$137.75 | $33–$475 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$10.15–$136.01 | $35–$469 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 4 matching MRF lines |
$62.35–$432.97 | $215–$1,493 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$8.99–$131.37 | $31–$453 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$10.73–$132.24 | $37–$456 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$13.05–$160.37 | $45–$553 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$7.54–$118.90 | $26–$410 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$8.99–$165.88 | $31–$572 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$8.99–$136.59 | $31–$471 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$17.98–$208.80 | $62–$720 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,624.23 | $33,187 | 1.4× |
| Radiation treatment delivery level 1 (77402) | $346.84 | $1,196 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $394.69 | $1,361 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $519.39 | $1,791 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$13.34–$211.41 | $46–$729 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$12.76–$180.38 | $44–$622 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$66.70–$376.42 | $230–$1,298 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$56.55–$296.67 | $195–$1,023 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 4 matching MRF lines |
$33.06–$186.18 | $114–$642 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$11.60–$185.31 | $40–$639 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$14.21–$150.80 | $49–$520 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$38.57–$328.57 | $133–$1,133 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$21.46–$245.92 | $74–$848 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 3 matching MRF lines |
$12.47–$63.80 | $43–$220 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 4 matching MRF lines |
$9.57–$183.57 | $33–$633 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$44.95–$380.19 | $155–$1,311 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$8.41–$57.13 | $29–$197 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$8.70–$81.49 | $30–$281 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$8.41–$117.16 | $29–$404 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$28.13–$225.04 | $97–$776 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$9.86–$46.98 | $34–$162 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$8.12–$125.28 | $28–$432 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$16.24–$58.87 | $56–$203 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 4 matching MRF lines |
$6.96–$133.98 | $24–$462 | varies |
| Radiopharm Dacryocystography (78660) range across 4 matching MRF lines |
$25.81–$357.28 | $89–$1,232 | varies |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) range across 3 matching MRF lines |
$103.53–$345.10 | $357–$1,190 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 3 matching MRF lines |
$103.53–$304.50 | $357–$1,050 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 3 matching MRF lines |
$85.84–$212.28 | $296–$732 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 4 matching MRF lines |
$77.43–$977.59 | $41–$3,371 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 3 matching MRF lines |
$17.40–$103.24 | $60–$356 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 4 matching MRF lines |
$92.80–$1,862.67 | $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 |
$64.96–$1,724.05 | $224–$5,945 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$28.71–$95.70 | $99–$330 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$15.66–$171.39 | $54–$591 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$24.94–$745.01 | $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 |
$33.93–$634.81 | $117–$2,189 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$44.66–$1,136.80 | $154–$3,920 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$42.34–$1,099.10 | $146–$3,790 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$49.88–$1,017.90 | $172–$3,510 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 4 matching MRF lines |
$65.83–$1,136.80 | $227–$3,920 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 4 matching MRF lines |
$76.27–$1,289.34 | $263–$4,446 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 4 matching MRF lines |
$314.94–$1,136.80 | $186–$3,920 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 4 matching MRF lines |
$111.65–$1,026.02 | $385–$3,538 | varies |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$74.53–$374.68 | $257–$1,292 | varies |
| Salivary Gland Function Study (78232) range across 4 matching MRF lines |
$22.04–$567.82 | $76–$1,958 | varies |
| Salivary Gland Imaging (78230) range across 4 matching MRF lines |
$21.46–$378.45 | $74–$1,305 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 4 matching MRF lines |
$26.39–$600.30 | $91–$2,070 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$13.34–$140.65 | $46–$485 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$22.91–$62.06 | $79–$214 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$10.15–$37.70 | $35–$130 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$9.86–$113.68 | $34–$392 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$26.10–$356.99 | $90–$1,231 | varies |
| Sialogram (70390) range across 4 matching MRF lines |
$17.40–$315.52 | $60–$1,088 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$11.60–$147.32 | $40–$508 | varies |
| Special dosimetry (77331) range across 4 matching MRF lines |
$67.86–$396.43 | $234–$1,367 | varies |
| Special Physics Consult (77370) | $534.76 | $1,844 | 4.1× |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$85.84–$895.81 | $296–$3,089 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$250.27–$1,385.91 | $863–$4,779 | varies |
| Speech evaluation, complex (70371) range across 4 matching MRF lines |
$43.79–$239.54 | $151–$826 | varies |
| Spleen Imaging (78185) range across 4 matching MRF lines |
$184.44–$478.79 | $69–$1,651 | varies |
| Srs Multisource (77371) | $12,727.23 | $43,887 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,928.55 | $16,995 | 2.9× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$11.31–$157.76 | $39–$544 | varies |
| Superior sagittal sinus venogram (75870) range across 4 matching MRF lines |
$91.35–$1,068.94 | $315–$3,686 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 4 matching MRF lines |
$75.40–$275.21 | $260–$949 | varies |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $67.57 | $233 | 0.8× |
| Tbs technical calculation only (77091) | $50.75 | $175 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 4 matching MRF lines |
$209.09–$1,239.46 | $721–$4,274 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 4 matching MRF lines |
$100.34–$411.51 | $346–$1,419 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$32.77–$108.17 | $113–$373 | varies |
| Testicular Imaging W/Flow (78761) range across 4 matching MRF lines |
$37.12–$313.20 | $128–$1,080 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$140.36–$1,122.01 | $484–$3,869 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 4 matching MRF lines |
$62.06–$562.31 | $214–$1,939 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$39.44–$557.96 | $136–$1,924 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 4 matching MRF lines |
$95.99–$499.67 | $331–$1,723 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$12.18–$145.29 | $42–$501 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$12.47–$171.97 | $43–$593 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$12.76–$159.50 | $44–$550 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 3 matching MRF lines |
$37.70–$310.59 | $130–$1,071 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 3 matching MRF lines |
$32.19–$220.11 | $111–$759 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$18.85–$316.10 | $65–$1,090 | varies |
| Thyroid Met Imaging Body (78018) range across 4 matching MRF lines |
$42.92–$749.07 | $148–$2,583 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$72.21–$316.10 | $30–$1,090 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$24.07–$480.53 | $83–$1,657 | varies |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$111.65–$785.90 | $385–$2,710 | varies |
| Tx devices design & construction intermediate (77333) range across 4 matching MRF lines |
$92.22–$446.31 | $318–$1,539 | varies |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$72.79–$415.86 | $251–$1,434 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$30.45–$89.61 | $105–$309 | varies |
| Ultrasound elastography first target lesion (76982) range across 3 matching MRF lines |
$28.71–$95.41 | $99–$329 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$29–$281.01 | $100–$969 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$23.49–$150.80 | $81–$520 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 4 matching MRF lines |
$82.36–$460.23 | $284–$1,587 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$37.99–$225.33 | $131–$777 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$24.94–$280.72 | $86–$968 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$29.87–$259.55 | $103–$895 | varies |
| Unlisted fluoroscopic procedure (76496) range across 4 matching MRF lines |
$60.61–$218.08 | $209–$752 | varies |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$80.91–$1,165.80 | $279–$4,020 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 6 matching MRF lines |
$22.91–$1,160.29 | $79–$4,001 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 4 matching MRF lines |
$344.52–$1,246.42 | $1,188–$4,298 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$29.87–$173.13 | $103–$597 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$40.60–$316.68 | $140–$1,092 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$6.09–$208.51 | $21–$719 | varies |
| Ureteral Reflux Study (78740) range across 4 matching MRF lines |
$28.13–$465.16 | $97–$1,604 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$15.08–$321.03 | $52–$1,107 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$27.26–$310.30 | $94–$1,070 | varies |
| Us bone density measurement (76977) range across 4 matching MRF lines |
$7.25–$113.10 | $15–$390 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$32.77–$98.31 | $113–$339 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$46.11–$212.28 | $159–$732 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$62.35–$287.39 | $215–$991 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$54.81–$208.22 | $189–$718 | varies |
| Us head (76506) range across 4 matching MRF lines |
$35.09–$140.94 | $121–$486 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$40.02–$315.81 | $138–$1,089 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$32.19–$238.96 | $111–$824 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$104.40–$301.60 | $360–$1,040 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$38.57–$181.54 | $133–$626 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$44.37–$225.33 | $153–$777 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$42.63–$366.85 | $147–$1,265 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$57.71–$298.41 | $199–$1,029 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$48.14–$183.57 | $166–$633 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$47.27–$391.21 | $163–$1,349 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$58.87–$156.60 | $203–$540 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$41.18–$288.55 | $142–$995 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$59.45–$163.56 | $205–$564 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$31.61–$269.70 | $109–$930 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$24.36–$288.55 | $84–$995 | varies |
| Vascular Flow Imaging (78445) range across 4 matching MRF lines |
$21.75–$316.10 | $75–$1,090 | varies |
| Vasogram (74440) range across 3 matching MRF lines |
$18.27–$103.53 | $63–$357 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$109.91–$1,445.36 | $379–$4,984 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 4 matching MRF lines |
$129.05–$1,191.32 | $445–$4,108 | varies |
| Vein X-Ray Skull Epidural (75872) range across 3 matching MRF lines |
$140.36–$336.98 | $484–$1,162 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 4 matching MRF lines |
$202.13–$2,598.40 | $697–$8,960 | varies |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$107.88–$1,052.12 | $372–$3,628 | varies |
| Venography Adrenal Unilateral (75840) range across 3 matching MRF lines |
$104.69–$251.14 | $361–$866 | varies |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$113.39–$1,372.28 | $391–$4,732 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$92.22–$936.99 | $318–$3,231 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$67.57–$972.08 | $233–$3,352 | varies |
| Venography Orbital Rs&I (75880) range across 4 matching MRF lines |
$62.64–$597.40 | $216–$2,060 | varies |
| Venography Renal Bilateral (75833) range across 4 matching MRF lines |
$137.46–$1,068.94 | $474–$3,686 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$109.33–$1,474.94 | $377–$5,086 | varies |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$160.95–$2,056.97 | $555–$7,093 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$43.21–$205.90 | $149–$710 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 4 matching MRF lines |
$45.53–$508.95 | $157–$1,755 | varies |
| Vertebral fracture assessment via dxa (77086) range across 4 matching MRF lines |
$10.15–$88.16 | $35–$304 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$8.70–$117.16 | $30–$404 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$14.50–$185.31 | $50–$639 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$71.34–$344.52 | $50–$1,188 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$126.15–$1,938.36 | $435–$6,684 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$15.95–$227.07 | $55–$783 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$9.28–$121.51 | $32–$419 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$14.79–$249.11 | $30–$859 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$12.47–$82.94 | $43–$286 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$14.50–$100.63 | $50–$347 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$15.95–$178.93 | $55–$617 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$8.99–$82.65 | $31–$285 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$10.15–$93.09 | $35–$321 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$12.47–$103.24 | $43–$356 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$11.31–$104.40 | $39–$360 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$14.21–$141.52 | $49–$488 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$14.79–$179.22 | $51–$618 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$20.59–$299.86 | $71–$1,034 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$12.47–$163.27 | $43–$563 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$18.27–$293.19 | $63–$1,011 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$14.50–$167.91 | $50–$579 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$9.86–$116.29 | $34–$401 | varies |
| X-ray head for orthodontia (70350) range across 4 matching MRF lines |
$22.62–$68.15 | $78–$235 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$8.70–$124.41 | $30–$429 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
$22.04–$338.43 | $76–$1,167 | varies |
| X-ray IV pyelogram+tomography (74415) range across 4 matching MRF lines |
$23.49–$327.41 | $81–$1,129 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$9.57–$142.97 | $33–$493 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$8.41–$126.15 | $29–$435 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$13.05–$163.27 | $45–$563 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$9.86–$73.08 | $34–$252 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$18.27–$225.04 | $63–$776 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$11.31–$160.66 | $39–$554 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$8.70–$123.54 | $30–$426 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$9.28–$141.52 | $32–$488 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$13.63–$226.78 | $47–$782 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$17.98–$244.18 | $62–$842 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$58.58–$123.83 | $202–$427 | varies |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$14.21–$205.90 | $49–$710 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$9.86–$131.66 | $34–$454 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$46.69–$442.25 | $161–$1,525 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$14.21–$144.71 | $49–$499 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$34.51–$354.96 | $119–$1,224 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$15.66–$209.09 | $54–$721 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$11.60–$105.85 | $40–$365 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$10.15–$44.66 | $35–$154 | varies |
| Xr myelogram posterior fossa (70010) range across 3 matching MRF lines |
$78.88–$196.04 | $272–$676 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$15.66–$192.27 | $54–$663 | varies |
| Xr Tomogram Single Plane (76100) range across 4 matching MRF lines |
$45.24–$181.83 | $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.