Imaging prices at Weirton Medical Center
Weirton, WV · every code in this section with a posted price and a Medicare benchmark.
254 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 |
$196.50–$211 | $393–$422 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,030 | $2,060 | 2.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,609–$7,104.50 | $13,218–$14,209 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$6,609–$7,104.50 | $13,218–$14,209 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$359.50–$386.50 | $719–$773 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,426 | $12,852 | 1.2× |
| Artery X-Rays Abdomen (75726) | $4,841.50 | $9,683 | 0.9× |
| Arthrogram hip (73525) | $1,272 | $2,544 | 3.8× |
| Bone age studies (77072) range across 3 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Bone Imaging 3 Phase (78315) | $936.50 | $1,873 | 2.4× |
| Bone Imaging Limited Area (78300) | $648 | $1,296 | 1.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$871–$1,063.50 | $1,742–$2,127 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$267–$322.50 | $534–$645 | varies |
| Cat Scan Follow-Up Study (76380) | $205.50 | $411 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$196.50–$393 | $393–$786 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$188.50–$202.50 | $377–$405 | varies |
| Chest 3 views (71047) | $187 | $374 | 2.2× |
| Chest 4 or more views (71048) | $289 | $578 | 2.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$246–$258.50 | $492–$517 | varies |
| Continuing medical physics consltj pr wk (77336) | $340 | $680 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,609–$7,104.50 | $13,218–$14,209 | varies |
| Contrast X-Ray Bladder (74430) | $978.50 | $1,957 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$910–$1,001 | $1,820–$2,002 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$555.50–$611 | $1,111–$1,222 | varies |
| CT abdomen w contrast (74160) | $639.50 | $1,279 | 3.8× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$910–$1,001 | $1,820–$2,002 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT angio hrt w/3d image (75574) | $154.50 | $309 | 0.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$581.50–$625 | $1,163–$1,250 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $581.50 | $1,163 | 3.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,578 | $3,156 | 9.4× |
| CT cervical spine w/ contrast (72126) | $1,155.50 | $2,311 | 3.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT cervical spine w/wo cont (72127) | $1,236.50 | $2,473 | 7.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT head/brain with contrast (70460) | $581.50 | $1,163 | 3.5× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT l-spine w&w/o contrast (72133) | $572.50 | $1,145 | 3.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$513–$564.50 | $1,026–$1,129 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$658–$707.50 | $1,316–$1,415 | varies |
| CT lumbar spine w contrast (72132) | $1,129.50 | $2,259 | 3.4× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT neck tissue combo (70492) | $639.50 | $1,279 | 3.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT pelvis w&w/o contrast (72194) | $630 | $1,260 | 3.7× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT scan of leg combo (73702) | $1,085.50 | $2,171 | 6.5× |
| CT scans face/jaw combo (70488) | $572.50 | $1,145 | 3.4× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT thoracic spine w contrast (72129) | $639.50 | $1,279 | 3.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$269–$296 | $538–$592 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$264–$290.50 | $528–$581 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$893–$960 | $1,786–$1,920 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$581.50–$639.50 | $1,163–$1,279 | varies |
| Cta Abdomen (74175) | $639.50 | $1,279 | 3.8× |
| CTA pelvis (72191) | $581.50 | $1,163 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $281.50 | $563 | 2.8× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$278–$322.50 | $556–$645 | varies |
| Dxa bone density study (77085) | $155.50 | $311 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $266 | $532 | 3.2× |
| Esophagram (74220) range across 2 matching MRF lines |
$581.50–$625 | $1,163–$1,250 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$152.50–$164 | $305–$328 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$269–$278 | $538–$556 | varies |
| Fluoroscopy up to 1 hr (76000) | $583 | $1,166 | 2.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$183.50–$359.50 | $367–$719 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$342.50–$359.50 | $685–$719 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$871–$1,048 | $1,742–$2,096 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$871–$936.50 | $1,742–$1,873 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$264–$528 | $528–$1,056 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,130–$1,215 | $2,260–$2,430 | varies |
| Hepatobiliary System Imaging (78226) | $936.50 | $1,873 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $3,242 | $6,484 | 2.6× |
| Hysterosalpingogram (74740) | $555.50 | $1,111 | 2.4× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,130–$1,215 | $2,260–$2,430 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,130 | $2,260 | 2.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$192.50–$377 | $385–$754 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $871 | $1,742 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,130 | $2,260 | 2.2× |
| Lung perfusion differential (78597) | $871 | $1,742 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,130–$1,215 | $2,260–$2,430 | varies |
| Lymph System Imaging (78195) | $1,215 | $2,430 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $827 | $1,654 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,364.50–$1,467 | $2,729–$2,934 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,356.50–$1,406 | $2,713–$2,812 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,374–$1,477 | $2,748–$2,954 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$895.50–$962.50 | $1,791–$1,925 | varies |
| MRI abdomen w contrast (74182) | $1,054.50 | $2,109 | 3.2× |
| MRI abdomen w/o contrast (74181) | $747.50 | $1,495 | 3.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,049.50–$1,128 | $2,099–$2,256 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,206.50–$2,783.50 | $2,413–$5,567 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,620 | $3,240 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,180.50 | $2,361 | 5.2× |
| MRI cervical spine w contrast (72142) | $910 | $1,820 | 2.7× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$555.50–$1,455.50 | $1,111–$2,911 | varies |
| MRI chest wo w contrast (71552) | $2,430 | $4,860 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,058.50–$1,138 | $2,117–$2,276 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$796–$1,313.50 | $1,592–$2,627 | varies |
| MRI lumbar spine w contrast (72149) | $1,522 | $3,044 | 4.5× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$910–$1,314.50 | $1,820–$2,629 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $676.50 | $1,353 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$1,623.50–$2,103 | $3,247–$4,206 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,051–$1,130 | $2,102–$2,260 | varies |
| MRI pelvis w/o contrast (72195) | $871 | $1,742 | 3.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$555.50–$1,441 | $1,111–$2,882 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$995–$1,242.50 | $1,990–$2,485 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,305–$2,783.50 | $2,610–$5,567 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,054.50–$1,781 | $2,109–$3,562 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$910–$1,850.50 | $1,820–$3,701 | varies |
| MRI, dorsal spine contrast (72147) | $836 | $1,672 | 2.5× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$563–$1,346 | $1,126–$2,692 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$1,207.50–$1,298 | $2,415–$2,596 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$910–$1,849 | $1,820–$3,698 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,167–$3,404.50 | $6,334–$6,809 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,302 | $4,604 | 2.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Nonvascular Shunt X-Ray (75809) | $269 | $538 | 2.7× |
| Nuclear Rx Oral Admin (79005) | $620.50 | $1,241 | 2.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,282.50–$1,378.50 | $2,565–$2,757 | varies |
| Parathyroid Planar Imaging (78070) | $871 | $1,742 | 2.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$269–$289 | $538–$578 | varies |
| PET image w/CT, full body (78816) | $3,675 | $7,350 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,418.50–$3,675 | $6,837–$7,350 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $936.50 | $1,873 | 2.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,069.50 | $2,139 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$269–$310 | $538–$620 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $628 | $1,256 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$188.50–$367 | $377–$734 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$356–$374 | $712–$748 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$183.50–$367 | $367–$734 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$264–$284 | $528–$568 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$356–$374 | $712–$748 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$188.50–$202.50 | $377–$405 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$192.50–$385 | $385–$770 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $367 | $734 | 4.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $264.50 | $529 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $197.50 | $395 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$192.50–$754 | $385–$1,508 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Radex Spine 1 View Specify Level (72020) | $201 | $402 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $183.50 | $367 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $494 | $988 | 4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$179.50–$193 | $359–$386 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $289 | $578 | 2.9× |
| Radiation treatment delivery level 1 (77402) | $368 | $736 | 3.8× |
| Radiation treatment delivery level 3 (77412) | $635 | $1,270 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Radiologic exam colon double contrast study (74280) | $581.50 | $1,163 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $625 | $1,250 | 3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$581.50–$625 | $1,163–$1,250 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$264–$528 | $528–$1,056 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $434.50 | $869 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $467 | $934 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$581.50–$600.50 | $1,163–$1,201 | varies |
| Radiologic examination femur 1 view (73551) | $168 | $336 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$356–$374 | $712–$748 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$187–$374 | $374–$748 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$183.50–$359.50 | $367–$719 | varies |
| Ribs bilateral 3 views (71110) | $322.50 | $645 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,769.50 | $5,539 | 7.2× |
| Scapula (73010) range across 3 matching MRF lines |
$264–$284 | $528–$568 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$74.50–$80 | $149–$160 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$183.50–$197.50 | $367–$395 | varies |
| Shoulder Arthrography (73040) | $2,101 | $4,202 | 6.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Speech evaluation, complex (70371) | $434.50 | $869 | 1.9× |
| Sternoclavicular joints (71130) | $187 | $374 | 2.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$187–$194 | $374–$388 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $936.50 | $1,873 | 2.4× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$176.50–$706 | $353–$1,412 | varies |
| Ultrasound Elastography Parenchyma (76981) | $238 | $476 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$282.50–$303.50 | $565–$607 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Unlisted magnetic resonance procedure (76498) | $212 | $424 | 2.5× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$581.50–$625 | $1,163–$1,250 | varies |
| Urethrocystogram voiding (74455) | $631 | $1,262 | 2.8× |
| Urethrocystography retrograde (74450) | $555.50 | $1,111 | 2.4× |
| Us breast unilateral complete (76641) | $259.50 | $519 | 2.6× |
| Us chest (76604) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$264–$284 | $528–$568 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$269–$555.50 | $538–$1,111 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$269–$271 | $538–$542 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$282.50–$303.50 | $565–$607 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$282.50–$303.50 | $565–$607 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$282.50–$303.50 | $565–$607 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| Us transrectal (76872) | $155.50 | $311 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $7,104.50 | $14,209 | 2.3× |
| Venography extremity bilateral rs&i (75822) | $4,178.50 | $8,357 | 2.8× |
| Venography extremity unilateral rs&i (75820) | $1,878.50 | $3,757 | 1.2× |
| Venous thrombosis imaging (78457) | $29 | $58 | 0.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$359.50–$386.50 | $719–$773 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $183.50 | $367 | 2.2× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$910–$978.50 | $1,820–$1,957 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,772.50 | $5,545 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $289 | $578 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$342.50–$359.50 | $685–$719 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,115–$1,198.50 | $2,230–$2,397 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $194 | $388 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$269–$310 | $538–$620 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $267 | $534 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$163.50–$171.50 | $327–$343 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$188.50–$194 | $377–$388 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $264 | $528 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$264–$284 | $528–$568 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$264–$322.50 | $528–$645 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$264–$284 | $528–$568 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $269 | $538 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$187–$201 | $374–$402 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $289 | $578 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$264–$284 | $528–$568 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$183.50–$197.50 | $367–$395 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $197.50 | $395 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$282.50–$303.50 | $565–$607 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$187–$234 | $374–$468 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $267 | $534 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$262–$281.50 | $524–$563 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$168–$180.50 | $336–$361 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$269–$289 | $538–$578 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$297.50–$307 | $595–$614 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,103.50–$1,186.50 | $2,207–$2,373 | varies |
| X-Rays Bone Length Studies (77073) | $177.50 | $355 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $269 | $538 | 2.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$269–$288 | $538–$576 | varies |
| Xr facial bones less than 3 views (70140) | $187 | $374 | 2.2× |
| Xr orbits complete 4 views (70200) | $269 | $538 | 2.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.