Imaging prices at Washakie Medical Center
Worland, WY · every code in this section with a posted price and a Medicare benchmark.
274 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) range across 2 matching MRF lines |
$14.04–$172.35 | $19–$225 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$17.74–$311.76 | $24–$407 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$76.56–$1,305.57 | $101–$1,786 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$144.84–$1,490.37 | $196–$1,845 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$130.80–$1,394.25 | $177–$1,726 | varies |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$13.30–$202.99 | $18–$265 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$45.08–$781.13 | $61–$967 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$42.86–$552.53 | $58–$684 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$14.78–$183.84 | $20–$240 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$78.83–$2,027.06 | $104–$2,773 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$48.51–$820.18 | $64–$1,122 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$64.43–$973.69 | $85–$1,332 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$66.70–$1,763.17 | $88–$2,412 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$73.16–$607.72 | $99–$993 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$14.04–$144.54 | $19–$220 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$17–$303.53 | $23–$462 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$21.43–$312.73 | $29–$476 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$25.13–$353.47 | $34–$538 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$13.30–$271.16 | $18–$354 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$80.55–$361.79 | $109–$549 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$24.39–$412.87 | $33–$539 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$44.34–$450.75 | $60–$558 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$151.50–$2,099.57 | $205–$3,186 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$132.28–$1,399.72 | $179–$2,124 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$96.81–$1,122.94 | $131–$1,704 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$106.42–$1,347.65 | $144–$2,045 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$90.16–$898.22 | $122–$1,363 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$165.54–$2,205.01 | $224–$3,346 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$138.19–$1,576.99 | $187–$2,393 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$133.02–$1,521.13 | $180–$2,362 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$178.84–$1,984.10 | $242–$3,242 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$141.89–$1,701.54 | $192–$2,582 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$133.02–$1,671.18 | $180–$2,595 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$135.98–$2,349.99 | $184–$3,566 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$19.21–$428.35 | $26–$650 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$92.38–$2,440.28 | $125–$3,703 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$76.12–$1,951.96 | $103–$2,962 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$96.07–$2,927.94 | $130–$4,443 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$94.59–$1,251.44 | $128–$1,899 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$104.20–$1,501.86 | $141–$2,279 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$189.18–$1,332.32 | $256–$2,177 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$181.79–$1,065.49 | $246–$1,741 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$85.72–$1,206.86 | $116–$1,874 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$96.07–$1,448.36 | $130–$2,249 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$131.54–$1,481.04 | $178–$2,420 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$44.34–$101.59 | $60–$166 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$85.72–$1,968.71 | $116–$3,057 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$96.07–$3,090.05 | $130–$4,689 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$76.12–$1,080.10 | $103–$1,639 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$87.94–$1,350.29 | $119–$2,049 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$92.38–$2,575.37 | $125–$3,908 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$76.12–$2,060.03 | $103–$3,126 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$85.72–$1,977.08 | $116–$3,070 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$65.77–$1,581.66 | $89–$2,456 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$123.41–$1,591.32 | $167–$2,471 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$96.07–$2,362.19 | $130–$3,668 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$96.81–$1,574.58 | $131–$2,445 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$92.38–$2,949.02 | $125–$4,475 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$82.77–$1,965.80 | $112–$2,983 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$92.38–$1,620.48 | $125–$2,459 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$96.07–$2,372.50 | $130–$3,684 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$104.94–$1,326 | $142–$2,059 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$97.55–$1,060.67 | $132–$1,647 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$92.38–$2,595.14 | $125–$3,938 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$76.12–$2,075.85 | $103–$3,150 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$96.07–$3,113.78 | $130–$4,725 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$87.94–$1,001.02 | $119–$1,519 | varies |
| CT unlisted procedure (76497) | $3,239.64 | $4,916 | 36.4× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$76.12–$1,491.98 | $103–$2,264 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$92.38–$2,237.96 | $125–$3,396 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$87.94–$1,864.97 | $119–$2,830 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$178.84–$1,828.04 | $242–$2,987 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$137.45–$1,415.53 | $186–$2,148 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$15.52–$347.76 | $21–$454 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$22.91–$388.36 | $31–$507 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$15.52–$362.32 | $21–$473 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$54.69–$562.85 | $74–$624 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$45.82–$334.74 | $62–$437 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$79.07–$764.90 | $107–$848 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$58.38–$704.46 | $79–$781 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$23.65–$574.50 | $32–$750 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$11.82–$237.46 | $16–$310 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$13.30–$246.65 | $18–$322 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$60.64–$1,570.19 | $80–$2,148 | varies |
| Gastric Mucosa Imaging (78261) | $590.65 | $808 | 1.4× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$75.04–$1,388.90 | $99–$1,900 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$13.30–$175.41 | $18–$229 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$69.74–$1,894.02 | $92–$2,591 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$56.85–$1,383.05 | $75–$1,892 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$104.60–$3,015.38 | $138–$4,125 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$28.82–$405.21 | $39–$529 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$47.30–$259.78 | $64–$288 | varies |
| K Flow/Funct Image Multiple (78709) | $1,213.46 | $1,660 | 2.2× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$91.72–$582.61 | $121–$797 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$72.77–$765.36 | $96–$1,047 | varies |
| Kidney Imaging Morphol (78700) | $559.22 | $765 | 1.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $590.65 | $808 | 1.4× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$14.78–$294.14 | $20–$384 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,055.56 | $1,444 | 2.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$42.45–$500.74 | $56–$685 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$63.67–$1,135.97 | $84–$1,554 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$55.33–$694.45 | $73–$950 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$81.86–$1,331.88 | $108–$1,822 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$37.90–$596.50 | $50–$816 | varies |
| Lymph System Imaging (78195) | $1,239.05 | $1,695 | 2.2× |
| Magnetic Image Jaw Joint (70336) range across 6 matching MRF lines |
$112.33–$3,990.91 | $152–$4,646 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$34.73–$415.17 | $47–$542 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$27.34–$315.59 | $37–$412 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$51.54–$1,240.51 | $68–$1,697 | varies |
| Mr safety determination physician/other qhp (76016) | $101.88 | $133 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $29.11 | $38 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $157.03 | $205 | 1.6× |
| Mr safety implt pos&/immoblj (76019) | $239.76 | $313 | 4.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $373.04 | $487 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$113.07–$2,285.70 | $153–$3,179 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$90.90–$1,523.56 | $123–$2,119 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$90.90–$1,904.63 | $123–$2,649 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$113.81–$3,302.37 | $154–$4,593 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$91.64–$2,641.61 | $124–$3,674 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$131.54–$3,418.82 | $178–$3,980 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$111.59–$2,735.06 | $151–$3,184 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$124.15–$2,566.69 | $168–$2,988 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$162.58–$3,079.51 | $220–$3,585 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$124.15–$2,039.27 | $168–$2,374 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$135.98–$1,447.39 | $184–$2,170 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$113.07–$1,157.91 | $153–$1,736 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$111.59–$2,479.07 | $151–$2,886 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$130.80–$3,099.27 | $177–$3,608 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$169.97–$3,718.61 | $230–$4,329 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,908.70 | $2,222 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$161.84–$2,290.09 | $219–$2,666 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$101.98–$1,526.44 | $138–$1,777 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$135.24–$1,447.39 | $183–$2,170 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$173.66–$1,736.87 | $235–$2,604 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$101.98–$2,023.68 | $138–$2,976 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$123.41–$2,529.60 | $167–$3,720 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$161.84–$3,035.52 | $219–$4,464 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$131.54–$2,219.66 | $178–$2,584 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$165.54–$2,663.76 | $224–$3,101 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$111.59–$1,775.55 | $151–$2,067 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$113.07–$1,157.91 | $153–$1,736 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$124.15–$2,491.10 | $168–$2,900 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$102.72–$1,992.88 | $139–$2,320 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$162.58–$2,989.32 | $220–$3,480 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$165.54–$4,102.58 | $224–$4,776 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$173.66–$1,736.87 | $235–$2,604 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$135.24–$1,447.39 | $183–$2,170 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$104.20–$1,631.24 | $141–$1,899 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$162.58–$2,447.29 | $220–$2,849 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$173.66–$1,736.87 | $235–$2,604 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$152.97–$1,661.45 | $207–$2,169 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$136.72–$1,684.43 | $185–$2,199 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$101.98–$2,135.61 | $138–$2,788 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$122.80–$3,895.50 | $162–$5,329 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$14.04–$238.23 | $19–$311 | varies |
| Nonvascular Shunt X-Ray (75809) | $389.13 | $508 | 3.6× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$89.42–$379.74 | $121–$421 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$60.64–$841.38 | $80–$1,151 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$14.04–$189.20 | $19–$247 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$56.85–$841.38 | $75–$1,151 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$24.39–$377.64 | $33–$493 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$39.91–$547.69 | $54–$715 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$14.04–$360.79 | $19–$471 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$12.56–$179.24 | $17–$234 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$14.04–$368.45 | $19–$481 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$20.69–$350.83 | $28–$458 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$11.08–$200.69 | $15–$262 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$13.30–$340.10 | $18–$444 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$14.04–$272.70 | $19–$356 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$12.56–$142.48 | $17–$186 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 5 matching MRF lines |
$26.60–$251.25 | $36–$328 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$14.04–$263.50 | $19–$344 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$14.78–$340.10 | $20–$444 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$14.04–$212.18 | $19–$277 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$12.56–$252.78 | $17–$330 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$15.52–$177.71 | $21–$232 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$19.21–$298.74 | $26–$390 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$10.35–$196.86 | $14–$257 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$12.56–$269.63 | $17–$352 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$14.04–$338.57 | $19–$442 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$31.78–$449.64 | $43–$587 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$19.21–$380.70 | $26–$497 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$20.69–$326.32 | $28–$426 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$95.33–$775.96 | $129–$1,013 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$79.07–$699.36 | $107–$913 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$17.74–$448.11 | $24–$585 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$19.21–$283.42 | $26–$370 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$62.08–$461.90 | $84–$603 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$40.64–$471.09 | $55–$615 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$68.73–$677.14 | $93–$884 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$13.30–$142.48 | $18–$186 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$14.04–$211.42 | $19–$276 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$13.30–$241.29 | $18–$315 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$12.56–$203.76 | $17–$266 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$22.91–$350.06 | $31–$457 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $600.15 | $821 | 1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $635.24 | $869 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$59.88–$1,005.12 | $79–$1,375 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,199.57 | $1,641 | 2.2× |
| Scapula (73010) range across 5 matching MRF lines |
$14.04–$205.29 | $19–$268 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$41.11–$45.82 | $49–$62 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$11.82–$246.65 | $16–$322 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$42.12–$741.55 | $57–$918 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$15.52–$314.83 | $21–$411 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$17.74–$281.89 | $24–$368 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$55.33–$672.52 | $73–$920 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$15.52–$377.64 | $21–$493 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$17.74–$391.43 | $24–$511 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$17–$200.69 | $23–$262 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$28.05–$710.53 | $37–$972 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$37.90–$967.11 | $50–$1,323 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$51.73–$786.54 | $70–$872 | varies |
| Ultrasound elastography first target lesion (76982) | $234.52 | $260 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $272.40 | $302 | 2.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$44.34–$803.68 | $60–$891 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$38.43–$269.70 | $52–$299 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$62.08–$510.16 | $84–$666 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$42.45–$616.23 | $56–$843 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$25.13–$616.63 | $34–$805 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$25.13–$544.63 | $34–$711 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$55.42–$957.92 | $75–$1,062 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$44.34–$535.79 | $60–$594 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$48.03–$819.92 | $65–$909 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$37.69–$690.93 | $51–$766 | varies |
| Us head (76506) range across 2 matching MRF lines |
$48.77–$468.14 | $66–$519 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$36.95–$528.57 | $50–$586 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$49.51–$481.67 | $67–$534 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$56.90–$621.48 | $77–$689 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$52.47–$942.59 | $71–$1,045 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$75.38–$805.49 | $102–$893 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$64.29–$489.79 | $87–$543 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$56.16–$926.35 | $76–$1,027 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$44.34–$303.97 | $60–$337 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$48.03–$867.72 | $65–$962 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$88.68–$367.11 | $120–$407 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$42.86–$839.76 | $58–$931 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$50.99–$542.10 | $69–$601 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$52.47–$517.05 | $71–$675 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$13.30–$270.40 | $18–$353 | varies |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$13.30–$237.46 | $18–$310 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$14.78–$288.78 | $20–$377 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$147.80–$1,391.82 | $200–$1,723 | varies |
| X-Ray Bend Only L-S Spine (72120) | $562.24 | $734 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$13.30–$298.74 | $18–$390 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$24.39–$197.63 | $33–$258 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$20.69–$265.80 | $28–$347 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$25.13–$381.47 | $34–$498 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$28.08–$433.56 | $38–$566 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$14.78–$169.29 | $20–$221 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$17.74–$317.89 | $24–$415 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$21.43–$397.55 | $29–$519 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$17.74–$209.12 | $24–$273 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$22.91–$340.87 | $31–$445 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$24.39–$539.26 | $33–$704 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$17.74–$360.02 | $24–$470 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$23.65–$584.46 | $32–$763 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$20.69–$341.64 | $28–$446 | varies |
| X-ray eye for foreign body (70030) range across 5 matching MRF lines |
$13.30–$128.69 | $18–$168 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$13.30–$327.85 | $18–$428 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$36.95–$1,181.17 | $50–$1,542 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$14.04–$360.02 | $19–$470 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$17.74–$287.25 | $24–$375 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$14.04–$104.18 | $19–$136 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$25.13–$429.73 | $34–$561 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.74–$402.92 | $24–$526 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$14.04–$264.27 | $19–$345 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$14.04–$243.59 | $19–$318 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$17.74–$333.21 | $24–$435 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$21.43–$435.85 | $29–$569 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$42.86–$377.64 | $58–$493 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$21.43–$495.60 | $29–$647 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$15.52–$300.27 | $21–$392 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 5 matching MRF lines |
$14.04–$159.33 | $19–$208 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$21.43–$398.32 | $29–$520 | 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.