Imaging prices at WakeMed Raleigh Campus
Raleigh, NC · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $165.30 | $435 | 1.9× |
| Abdomen 2 views (74019) | $215.46 | $567 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $999.40 | $2,630 | 2.5× |
| Angio internal mammary (75756) | $2,222.24 | $5,848 | 0.7× |
| Angio pulmonary bilat (75743) | $1,502.52 | $3,954 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $1,458.82 | $3,839 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,508.22 | $3,969 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,504.80 | $3,960 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,314.80 | $3,460 | 0.4× |
| Ankle 2 views (73600) | $235.22 | $619 | 2.7× |
| Aortography thoracic serialography rs&i (75605) | $3,326.52 | $8,754 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,326.52 | $8,754 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $1,502.52 | $3,954 | 0.5× |
| Artery X-Rays Pelvis (75736) | $3,326.52 | $8,754 | 0.6× |
| Artery X-Rays Spine (75705) | $3,326.52 | $8,754 | 0.6× |
| Arthrogram ankle (73615) | $302.10 | $795 | 0.9× |
| Arthrogram hip (73525) | $275.50 | $725 | 0.8× |
| Arthrogram Wrist (73115) | $370.88 | $976 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $574.94 | $1,513 | 4.2× |
| Bone age studies (77072) | $137.94 | $363 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,327.34 | $3,493 | 3.3× |
| Bone Imaging Limited Area (78300) | $1,003.20 | $2,640 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $950.76 | $2,502 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,350.52 | $3,554 | 3.3× |
| Bone marrow imaging; multiple areas (78103) | $322.62 | $849 | 0.8× |
| Bone marrow imaging; whole body (78104) | $379.24 | $998 | 0.9× |
| Bone survey infant (77076) | $191.90 | $505 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $688.94 | $1,813 | 1.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $688.94 | $1,813 | 1.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$996.36–$1,747.62 | $2,622–$4,599 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,361.16 | $3,582 | 3.9× |
| Cardiac Shunt Detection (78428) | $494 | $1,300 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $334.02 | $879 | 3.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $647.14 | $1,703 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,262.74 | $3,323 | 2.3× |
| Chest 1 view (71045) | $131.48 | $346 | 1.5× |
| Chest 2 views (71046) | $175.94 | $463 | 2.0× |
| Chest 3 views (71047) | $197.60 | $520 | 2.2× |
| Chest 4 or more views (71048) | $219.26 | $577 | 2.1× |
| Cisternography Positive Contrast Rs&I (70015) | $521.74 | $1,373 | 0.7× |
| Clavicle complete (73000) | $177.08 | $466 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $235.60 | $620 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $1,464.90 | $3,855 | 0.5× |
| Contrast X-Ray Bladder (74430) | $213.94 | $563 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $370.88 | $976 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $324.14 | $853 | 0.9× |
| Corpora cavernosography (74445) | $825.74 | $2,173 | 7.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,533.84 | $6,668 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $1,915.58 | $5,041 | 7.9× |
| CT abdomen w contrast (74160) | $1,212.96 | $3,192 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,227.78 | $3,231 | 6.9× |
| CT abdomen w/o contrast (74150) | $898.32 | $2,364 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,218.82 | $5,839 | 6.3× |
| CT Angio Chest (71275) | $1,124.04 | $2,958 | 6.3× |
| CT Angio Head (70496) | $1,372.18 | $3,611 | 7.7× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$846.64–$897.94 | $2,228–$2,363 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,076.16 | $2,832 | 6.1× |
| CT Angio Neck (70498) | $1,359.64 | $3,578 | 7.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,076.16 | $2,832 | 6.1× |
| CT cervical spine w/ contrast (72126) | $1,103.52 | $2,904 | 3.1× |
| CT cervical spine w/o contrast (72125) | $1,038.54 | $2,733 | 9.8× |
| CT cervical spine w/wo cont (72127) | $1,117.20 | $2,940 | 6.3× |
| CT chest w contrast (71260) | $1,049.18 | $2,761 | 5.9× |
| CT chest w/wo contrast (71270) | $1,117.58 | $2,941 | 6.3× |
| CT head/brain with contrast (70460) | $994.84 | $2,618 | 5.6× |
| CT head/brain without and with contrast (70470) | $1,094.02 | $2,879 | 6.2× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$525.54–$557.46 | $1,383–$1,467 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$57–$752.40 | $150–$1,980 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$885.02–$938.98 | $2,329–$2,471 | varies |
| CT iac w contrast (70481) | $1,343.68 | $3,536 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,135.06 | $2,987 | 6.4× |
| CT lower ext w/o (73700) | $931.76 | $2,452 | 8.8× |
| CT lower extremity w/contrast material (73701) | $952.28 | $2,506 | 5.4× |
| CT lumbar spine w contrast (72132) | $1,108.84 | $2,918 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $1,087.94 | $2,863 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,178.76 | $3,102 | 6.6× |
| CT maxillofacial wo contrast (70486) | $1,014.22 | $2,669 | 9.6× |
| CT neck tissue combo (70492) | $1,083.76 | $2,852 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,451.60 | $3,820 | 8.2× |
| CT orbits w/o contrast (70480) | $1,155.96 | $3,042 | 10.9× |
| CT pelvis w&w/o contrast (72194) | $1,263.50 | $3,325 | 7.1× |
| CT pelvis w/o contrast (72192) | $1,018.40 | $2,680 | 9.6× |
| CT scan of leg combo (73702) | $960.26 | $2,527 | 5.4× |
| CT scans face/jaw combo (70488) | $1,272.62 | $3,349 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,069.32 | $2,814 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $915.04 | $2,408 | 8.6× |
| CT thoracic spine w contrast (72129) | $1,091.36 | $2,872 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $1,087.18 | $2,861 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $1,119.86 | $2,947 | 6.3× |
| CT thorax w/o contrast (71250) | $791.16 | $2,082 | 7.5× |
| CT upper ext wo (73200) | $1,010.04 | $2,658 | 9.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,095.54 | $2,883 | 6.2× |
| CT upper extremity with contrast (73201) | $1,065.90 | $2,805 | 3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,180.66 | $3,107 | 6.6× |
| Cta Abdomen (74175) | $1,154.06 | $3,037 | 6.5× |
| CTA pelvis (72191) | $1,221.70 | $3,215 | 6.9× |
| Dilation ureters/urethra rs&i (74485) | $1,144.94 | $3,013 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $954.56 | $2,512 | 0.5× |
| Diskography lumbar (72295) | $954.56 | $2,512 | 0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $218.12 | $574 | 2.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $238.26 | $627 | 2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $85.88 | $226 | 0.8× |
| Dxa Bone Density Axial (77080) | $558.60 | $1,470 | 5.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $179.36 | $472 | 2.0× |
| Echo exam of fetal heart (76825) | $342 | $900 | 0.6× |
| Echo exam uterus (76831) | $177.08 | $466 | 0.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $186.58 | $491 | 0.8× |
| Echograp Trans R Pros Study (76873) | $174.04 | $458 | 1.6× |
| Esophagram (74220) | $302.48 | $796 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $85.88 | $226 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $85.88 | $226 | 0.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,513.54 | $3,983 | 6.3× |
| Fluoroscopy up to 1 hr (76000) | $304.76 | $802 | 1.3× |
| Follow-Up Angiography (75898) | $2,072.14 | $5,453 | 0.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$125.78–$215.84 | $331–$568 | varies |
| Forearm 2 views (73090) | $149.34 | $393 | 1.7× |
| Gastric emptying imaging study (78264) | $999.40 | $2,630 | 2.5× |
| Gastroesophageal Reflux Exam (78262) | $999.02 | $2,629 | 2.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$310.84–$1,514.30 | $818–$3,985 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$125.78–$202.16 | $331–$532 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,470.98 | $3,871 | 2.7× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$333.26–$641.82 | $877–$1,689 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,424.62 | $3,749 | 1.1× |
| Hysterosalpingogram (74740) | $553.28 | $1,456 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $481.84 | $1,268 | 5.5× |
| Infusion Ivp (74410) | $368.98 | $971 | 2.1× |
| Interstitial radiation source applic complex (77778) | $3,765.80 | $9,910 | 5.3× |
| K Flow/Funct Image Multiple (78709) | $1,399.54 | $3,683 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,247.92 | $3,284 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $538.46 | $1,417 | 1.0× |
| Kidney Imaging Morphol (78700) | $1,435.64 | $3,778 | 3.5× |
| Knee 3 Views (73562) | $226.48 | $596 | 2.6× |
| Leveen/Shunt Patency Exam (78291) | $799.52 | $2,104 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,053.74 | $2,773 | 2.6× |
| Liver imaging static only (78201) | $1,053.74 | $2,773 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $393.30 | $1,035 | 0.7× |
| Lung perfusion differential (78597) | $321.10 | $845 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,336.84 | $3,518 | 2.4× |
| Lung Ventilation Imaging (78579) | $891.48 | $2,346 | 2.2× |
| Lymph System Imaging (78195) | $437.76 | $1,152 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,326.96 | $3,492 | 5.5× |
| Meckels Divert Exam (78290) | $739.10 | $1,945 | 1.8× |
| Mr safety determination physician/other qhp (76016) | $90.44 | $238 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.46 | $67 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $94.24 | $248 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $61.18 | $161 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $248.14 | $653 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,326.96 | $3,492 | 3.8× |
| MRA head w/o contrast (70544) | $1,326.96 | $3,492 | 5.5× |
| MRA neck w contrast (70548) | $1,616.90 | $4,255 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,805.38 | $4,751 | 5.1× |
| MRA neck w/o contrast (70547) | $1,326.96 | $3,492 | 5.5× |
| MRI abdomen w contrast (74182) | $1,752.94 | $4,613 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,513.54 | $3,983 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,607.02 | $4,229 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,840.34 | $4,843 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,840.34 | $4,843 | 2.3× |
| MRI bone marrow blood supply (77084) | $1,231.20 | $3,240 | 5.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $828.02 | $2,179 | 3.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $439.28 | $1,156 | 1.8× |
| MRI cardiac w/o contrast (75557) | $1,437.54 | $3,783 | 5.9× |
| MRI cervical spine w contrast (72142) | $1,752.94 | $4,613 | 5.0× |
| MRI cervical spine w/o cont (72141) | $1,513.54 | $3,983 | 6.3× |
| MRI chest w/o contrast (71550) | $1,513.54 | $3,983 | 6.3× |
| MRI chest with contrast (71551) | $1,752.56 | $4,612 | 2.2× |
| MRI chest wo w contrast (71552) | $2,058.46 | $5,417 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,607.02 | $4,229 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,840.34 | $4,843 | 5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,629.44 | $4,288 | 6.7× |
| MRI lumbar spine w contrast (72149) | $1,752.94 | $4,613 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,058.46 | $5,417 | 5.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,513.54 | $3,983 | 6.3× |
| MRI orbit face neck w contrast (70542) | $1,752.94 | $4,613 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,058.46 | $5,417 | 5.8× |
| MRI pelvis w contrast (72196) | $1,427.66 | $3,757 | 4.0× |
| MRI pelvis w/o & w contrast (72197) | $1,805.38 | $4,751 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,326.96 | $3,492 | 5.5× |
| MRI spectroscopy (76390) | $1,676.18 | $4,411 | 19.0× |
| MRI thoracic spine w/o contrast (72146) | $1,513.54 | $3,983 | 6.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,708.86 | $4,497 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,629.44 | $4,288 | 6.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,840.34 | $4,843 | 5.2× |
| MRI, abdomen, combo (74183) | $2,058.46 | $5,417 | 5.8× |
| MRI, dorsal spine combo (72157) | $2,058.46 | $5,417 | 5.8× |
| MRI, dorsal spine contrast (72147) | $1,752.94 | $4,613 | 5.0× |
| MRI, joint upper extrem (73221) | $1,629.44 | $4,288 | 6.7× |
| MRI, joint upper extrem combo (73223) | $1,840.34 | $4,843 | 5.2× |
| MRI, lumbar spine combo (72158) | $2,058.46 | $5,417 | 5.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $631.94 | $1,663 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $2,288.36 | $6,022 | 1.7× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$1,433.74–$1,520.76 | $3,773–$4,002 | varies |
| Neck soft tissue (70360) | $125.02 | $329 | 1.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $341.24 | $898 | 0.8× |
| Nm csf leak detection (78650) | $839.04 | $2,208 | 0.6× |
| Nm myocard infarct spect (78469) | $1,180.66 | $3,107 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $474.24 | $1,248 | 4.5× |
| Nuclear Rx Intra-Arterial (79445) | $172.90 | $455 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $1,366.10 | $3,595 | 5.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $87.02 | $229 | 0.8× |
| Optic foramina (70190) | $140.98 | $371 | 1.6× |
| Parathyroid Planar Imaging (78070) | $529.72 | $1,394 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $600.40 | $1,580 | 1.5× |
| Pelvis 1 or 2 views (72170) | $155.04 | $408 | 1.5× |
| Peritoneogram Rs&I (74190) | $238.64 | $628 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $858.04 | $2,258 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $270.56 | $712 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $264.86 | $697 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $272.84 | $718 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $145.92 | $384 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $194.56 | $512 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $257.26 | $677 | 2.4× |
| Radex fingr minimum 2 views (73140) | $104.50 | $275 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $253.84 | $668 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $165.30 | $435 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $117.04 | $308 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $440.42 | $1,159 | 4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $153.52 | $404 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $232.18 | $611 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $190.38 | $501 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $201.78 | $531 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $263.72 | $694 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $177.08 | $466 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $115.14 | $303 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $119.70 | $315 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $150.86 | $397 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $218.12 | $574 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $242.06 | $637 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $265.62 | $699 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $665.38 | $1,751 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $356.06 | $937 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $263.34 | $693 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $242.82 | $639 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $413.06 | $1,087 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $281.58 | $741 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $627.38 | $1,651 | 3.5× |
| Radiologic examination femur 1 view (73551) | $182.78 | $481 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $203.30 | $535 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $188.48 | $496 | 2.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $253.46 | $667 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $143.64 | $378 | 1.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $411.54 | $1,083 | 0.7× |
| Ribs bilateral 3 views (71110) | $272.46 | $717 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $667.28 | $1,756 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $970.14 | $2,553 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,000.92 | $2,634 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,000.92–$1,264.64 | $2,634–$3,328 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,221.32 | $3,214 | 2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,223.22 | $3,219 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $992.18 | $2,611 | 0.8× |
| Scapula (73010) | $159.22 | $419 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $148.96 | $392 | 6.4× |
| Sella turcica (70240) | $61.18 | $161 | 0.7× |
| Shoulder 1 view (73020) | $310.46 | $817 | 3.5× |
| Shoulder Arthrography (73040) | $338.20 | $890 | 1.0× |
| Sialogram (70390) | $224.20 | $590 | 0.9× |
| Skull less than 4 views (70250) | $179.36 | $472 | 1.7× |
| Special dosimetry (77331) | $155.80 | $410 | 1.1× |
| Special Physics Consult (77370) | $284.24 | $748 | 2.1× |
| Special treatment procedure (77470) | $441.94 | $1,163 | 0.8× |
| Sternoclavicular joints (71130) | $218.12 | $574 | 2.5× |
| Superior sagittal sinus venogram (75870) | $1,434.12 | $3,774 | 0.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $378.86 | $997 | 1.6× |
| Testicular Imaging W/Flow (78761) | $525.16 | $1,382 | 1.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $576.46 | $1,517 | 3.2× |
| Thoracic spine 2 views (72070) | $195.32 | $514 | 1.8× |
| Thoracic spine 3 views (72072) | $308.94 | $813 | 2.9× |
| Thoracolumbar 2 views (72080) | $207.10 | $545 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $555.56 | $1,462 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,473.26 | $3,877 | 2.7× |
| Thyroid Uptake Measurement (78012) | $464.36 | $1,222 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $606.86 | $1,597 | 1.5× |
| Ultrasound Breast Limited (76642) | $286.90 | $755 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $83.22 | $219 | 0.8× |
| Ultrasound, abdomen limited (76705) | $441.94 | $1,163 | 4.2× |
| Umbilical-artery Doppler (OB) (76820) | $85.88 | $226 | 0.8× |
| Upper gi w/o kub (74240) | $627.38 | $1,651 | 3.5× |
| Ureteral Reflux Study (78740) | $1,230.06 | $3,237 | 3.0× |
| Urethrocystogram voiding (74455) | $143.64 | $378 | 0.6× |
| Urethrocystography retrograde (74450) | $265.24 | $698 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$286.90–$376.58 | $755–$991 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$248.52–$413.82 | $654–$1,089 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$338.20–$442.32 | $890–$1,164 | varies |
| Us exam, pelvic, limited (76857) | $193.80 | $510 | 1.8× |
| Us head (76506) | $586.72 | $1,544 | 5.5× |
| Us kidney transplant (76776) | $463.98 | $1,221 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$294.50–$537.70 | $775–$1,415 | varies |
| Us ob detailed single fetus (76811) | $248.52 | $654 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $283.10 | $745 | 2.7× |
| Us ob transvaginal (76817) | $383.42 | $1,009 | 3.6× |
| Us pelvic non ob complete (76856) | $352.26 | $927 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $383.42 | $1,009 | 3.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $370.88 | $976 | 3.5× |
| Us retroperitoneal complete (76770) | $435.10 | $1,145 | 4.1× |
| Us retroperitoneal limited (76775) | $279.68 | $736 | 2.6× |
| Us scrotum and contents (76870) | $353.40 | $930 | 3.3× |
| Us spinal canal and contents (76800) | $476.52 | $1,254 | 4.5× |
| Us thyroid (76536) | $353.40 | $930 | 3.3× |
| Vein X-Ray Chest (75827) | $942.40 | $2,480 | 0.6× |
| Vein X-Ray Skull Epidural (75872) | $956.08 | $2,516 | 1.5× |
| Venogram Sinus/Jugular (75860) | $1,434.12 | $3,774 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,553.44 | $4,088 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $655.12 | $1,724 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $595.08 | $1,566 | 0.4× |
| Venography Orbital Rs&I (75880) | $956.08 | $2,516 | 1.5× |
| Venography Renal Bilateral (75833) | $1,347.86 | $3,547 | 0.4× |
| Venography Renal Unilateral (75831) | $2,321.80 | $6,110 | 0.7× |
| Venous sampling by catheter (75893) | $3,326.52 | $8,754 | 0.6× |
| Wrist 2 views (73100) | $180.12 | $474 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $158.84 | $418 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $211.66 | $557 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $1,519.24 | $3,998 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $225.34 | $593 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $179.74 | $473 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $369.74 | $973 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $215.46 | $567 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $277.40 | $730 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $339.72 | $894 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $191.90 | $505 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $211.66 | $557 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $331.36 | $872 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $526.30 | $1,385 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $235.22 | $619 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $469.30 | $1,235 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $246.24 | $648 | 2.3× |
| X-ray eye for foreign body (70030) | $78.28 | $206 | 0.9× |
| X-ray humerus (73060) | $184.30 | $485 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $537.70 | $1,415 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $165.30 | $435 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $113.24 | $298 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $220.02 | $579 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $92.34 | $243 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $348.46 | $917 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $148.58 | $391 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $152 | $400 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $249.28 | $656 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $305.14 | $803 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $339.72 | $894 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $265.24 | $698 | 0.8× |
| X-Rays Bone Length Studies (77073) | $148.58 | $391 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $253.46 | $667 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $293.74 | $773 | 2.8× |
| Xr facial bones less than 3 views (70140) | $164.16 | $432 | 1.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $137.56 | $362 | 1.3× |
| Xr orbits complete 4 views (70200) | $212.04 | $558 | 2.0× |
| Xr Tomogram Single Plane (76100) | $311.22 | $819 | 2.9× |
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.