Imaging prices at J.W. Ruby Memorial Hospital
Morgantown, WV · every code in this section with a posted price and a Medicare benchmark.
438 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 3 matching MRF lines |
$2,366.50–$2,544 | $4,733–$5,088 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$214.50–$231 | $429–$462 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$214.50–$231 | $429–$462 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$636.50–$684.50 | $1,273–$1,369 | varies |
| Adrenal Cortex & Medulla Img (78075) | $1,156.50 | $2,313 | 0.9× |
| Angio internal mammary (75756) | $662 | $1,324 | 0.2× |
| Angio pulmonary bilat (75743) | $3,104.50 | $6,209 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,312 | $6,624 | 1.1× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,633–$2,830.50 | $5,266–$5,661 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$2,019.50–$4,039 | $4,039–$8,078 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$3,428–$4,143 | $6,856–$8,286 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,428–$4,047 | $6,856–$8,094 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,663–$2,863 | $5,326–$5,726 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,312 | $6,624 | 1.1× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$2,606–$3,246.50 | $5,212–$6,493 | varies |
| Artery X-Rays Adrenal Gland (75731) | $3,428 | $6,856 | 1.1× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,722.50–$1,852 | $3,445–$3,704 | varies |
| Artery X-Rays Spine (75705) | $5,876 | $11,752 | 1.1× |
| Arthrogram hip (73525) | $665 | $1,330 | 2.0× |
| Arthrogram Wrist (73115) | $543 | $1,086 | 1.6× |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$299–$1,983 | $598–$3,966 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$164–$191 | $328–$382 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$651–$915.50 | $1,302–$1,831 | varies |
| Bone Imaging Limited Area (78300) | $788 | $1,576 | 2.0× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$651–$911.50 | $1,302–$1,823 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$683.50–$735 | $1,367–$1,470 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$275–$296 | $550–$592 | varies |
| Brachytx isodose complex (77318) | $745 | $1,490 | 2.1× |
| Brachytx isodose intermed (77317) | $739.50 | $1,479 | 2.0× |
| Brachytx Isodose Plan Simple (77316) | $286 | $572 | 0.8× |
| Brain Flow Imaging Only (78610) | $687.50 | $1,375 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,740.50 | $3,481 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$3,703–$3,981 | $7,406–$7,962 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,426.50–$1,533.50 | $2,853–$3,067 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$1,426.50–$1,533.50 | $2,853–$3,067 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$192.50–$207 | $385–$414 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$639.50–$930.50 | $1,279–$1,861 | varies |
| Cerebrospinal Fluid Scan (78630) range across 4 matching MRF lines |
$673–$1,587.50 | $1,346–$3,175 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$147–$294 | $294–$588 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$147–$158.50 | $294–$317 | varies |
| Chest 3 views (71047) | $161 | $322 | 1.9× |
| Chest 4 or more views (71048) | $174 | $348 | 1.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$330.50–$355.50 | $661–$711 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,333.50–$2,509 | $4,667–$5,018 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$837–$900 | $1,674–$1,800 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,305.50 | $2,611 | 3.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,694–$1,821.50 | $3,388–$3,643 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,694–$1,821.50 | $3,388–$3,643 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$1,925–$2,069.50 | $3,850–$4,139 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,205.50–$1,302 | $2,411–$2,604 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,715.50–$3,431 | $3,431–$6,862 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,753.50 | $3,507 | 10.3× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,103.50–$1,694 | $2,207–$3,388 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,694–$1,821.50 | $3,388–$3,643 | varies |
| CT colonography screening (74263) | $1,004 | $2,008 | 4.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $291.50 | $583 | 1.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $721.50 | $1,443 | 7.1× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,582.50–$1,701.50 | $3,165–$3,403 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$582–$1,302 | $1,164–$2,604 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$89.50–$99 | $179–$198 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$849.50–$1,302 | $1,699–$2,604 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT l-spine w&w/o contrast (72133) | $1,042.50 | $2,085 | 6.1× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$982.50–$1,965 | $1,965–$3,930 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,519.50–$3,039 | $3,039–$6,078 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,694–$1,821.50 | $3,388–$3,643 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,694–$1,821.50 | $3,388–$3,643 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,000–$1,694 | $2,000–$3,388 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,218.50–$2,437 | $2,437–$4,874 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,646–$1,694 | $3,292–$3,388 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT thoracic spine w/wo cont (72130) | $1,040.50 | $2,081 | 6.1× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$982.50–$1,056.50 | $1,965–$2,113 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$982.50–$2,113 | $1,965–$4,226 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,821.50 | $3,643 | 10.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,519.50–$1,633.50 | $3,039–$3,267 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 5 matching MRF lines |
$952–$2,244 | $1,904–$4,488 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,715.50–$1,844.50 | $3,431–$3,689 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $546 | $1,092 | 2.4× |
| Dilation ureters/urethra rs&i (74485) | $1,772 | $3,544 | 0.9× |
| Discography Cerv/Thor Spine (72285) | $2,139.50 | $4,279 | 1.1× |
| Diskography lumbar (72295) | $713 | $1,426 | 0.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$134.50–$774.50 | $269–$1,549 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$429.50–$1,549 | $859–$3,098 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$134.50–$353 | $269–$706 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$289.50–$312 | $579–$624 | varies |
| Dxa bone density study (77085) | $415 | $830 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$172.50–$221.50 | $345–$443 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$792–$851.50 | $1,584–$1,703 | varies |
| Echo exam uterus (76831) | $307.50 | $615 | 1.3× |
| Echo Guide For Artery Repair (76936) | $2,550 | $5,100 | 12.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$339–$792 | $678–$1,584 | varies |
| Echograp Trans R Pros Study (76873) | $300.50 | $601 | 3.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$411.50–$442.50 | $823–$885 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$141–$315 | $282–$630 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$157.50–$169.50 | $315–$339 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$838–$901 | $1,676–$1,802 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$402.50–$805 | $805–$1,610 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$517.50–$2,483.50 | $1,035–$4,967 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$177.50–$355 | $355–$710 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$636.50–$862.50 | $1,273–$1,725 | varies |
| Gastroesophageal Reflux Exam (78262) | $684.50 | $1,369 | 1.8× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$775–$1,131 | $1,550–$2,262 | varies |
| Gated Heart, Multiple (78473) | $1,209 | $2,418 | 3.1× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$177.50–$432 | $355–$864 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$1,787–$1,921.50 | $3,574–$3,843 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 3 matching MRF lines |
$1,787–$1,921.50 | $3,574–$3,843 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$1,787–$1,921.50 | $3,574–$3,843 | varies |
| Heart Image (Pet) Multiple (78492) | $3,981 | $7,962 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 3 matching MRF lines |
$1,446.50–$2,163.50 | $2,893–$4,327 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$1,446.50–$2,483.50 | $2,893–$4,967 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,449–$1,558 | $2,898–$3,116 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,449–$1,558 | $2,898–$3,116 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,023–$2,175 | $4,046–$4,350 | varies |
| Hysterosalpingogram (74740) | $307.50 | $615 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$282.50–$304 | $565–$608 | varies |
| Infant hip ultrasound, limited static exam (76886) | $304 | $608 | 3.6× |
| Infusion Ivp (74410) | $900 | $1,800 | 5.3× |
| Interstitial radiation source applic complex (77778) | $568 | $1,136 | 0.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,207 | $2,414 | 1.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,207 | $2,414 | 2.3× |
| Intracavitary radiation source applic simple (77761) | $1,207 | $2,414 | 2.3× |
| Intraop radiaj tx deliver xray single tx session (77424) range across 2 matching MRF lines |
$15,704–$17,384.50 | $31,408–$34,769 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$857–$931.50 | $1,714–$1,863 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$857–$921.50 | $1,714–$1,843 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$857–$921.50 | $1,714–$1,843 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$511.50–$705.50 | $1,023–$1,411 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$698.50–$699.50 | $1,397–$1,399 | varies |
| Liver imaging w/vascular flow (78202) | $693.50 | $1,387 | 1.3× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$998.50–$1,073.50 | $1,997–$2,147 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$1,563–$1,906.50 | $3,126–$3,813 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$683.50–$698.50 | $1,367–$1,397 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,894 | $5,788 | 1.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,641 | $3,282 | 2.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,131.50 | $12,263 | 2.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,428 | $6,856 | 1.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$879–$945 | $1,758–$1,890 | varies |
| Mammary ductogram or galactogram multiple (77054) | $790.50 | $1,581 | 3.4× |
| Mammary ductogram or galactogram single (77053) | $216 | $432 | 0.9× |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$636.50–$665 | $1,273–$1,330 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$2,366.50–$2,544 | $4,733–$5,088 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $123.50 | $247 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $80.50 | $161 | 1.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $325 | $650 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,294–$2,466.50 | $4,588–$4,933 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$853–$917 | $1,706–$1,834 | varies |
| MRA head with contrast (70545) | $1,571 | $3,142 | 4.7× |
| MRA neck w contrast (70548) | $1,698.50 | $3,397 | 5.0× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,668.50–$1,794 | $3,337–$3,588 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,480.50–$1,592 | $2,961–$3,184 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$598–$1,083 | $1,196–$2,166 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$862.50–$937 | $1,725–$1,874 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$840.50–$1,407.50 | $1,681–$2,815 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,751–$3,765 | $3,502–$7,530 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,371–$2,088 | $2,742–$4,176 | varies |
| MRI bone marrow blood supply (77084) | $983.50 | $1,967 | 4.3× |
| MRI brain functional w/o physician admnistration (70554) | $809.50 | $1,619 | 3.5× |
| MRI brain functional w/physician admnistration (70555) | $1,603 | $3,206 | 6.9× |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$1,566–$1,908 | $3,132–$3,816 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,466 | $2,932 | 6.4× |
| MRI cardiac w/o cont stress (75559) | $1,284.50 | $2,569 | 2.4× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$879–$945 | $1,758–$1,890 | varies |
| MRI cervical spine w contrast (72142) | $1,864.50 | $3,729 | 5.5× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$845–$928 | $1,690–$1,856 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,531–$1,646 | $3,062–$3,292 | varies |
| MRI chest with contrast (71551) | $1,276.50 | $2,553 | 1.7× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,174–$2,337.50 | $4,348–$4,675 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,353.50 | $2,707 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,881.50–$6,750 | $3,763–$13,500 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,343.50–$2,687 | $2,687–$5,374 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,486.50–$1,598 | $2,973–$3,196 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,912.50–$2,056 | $3,825–$4,112 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$850–$1,026.50 | $1,700–$2,053 | varies |
| MRI orbit face neck w contrast (70542) | $1,474.50 | $2,949 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,804–$1,939.50 | $3,608–$3,879 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,083.50–$1,490 | $2,167–$2,980 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,868.50–$2,009 | $3,737–$4,018 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,356.50–$1,458.50 | $2,713–$2,917 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,025.50–$1,102.50 | $2,051–$2,205 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$976–$1,049.50 | $1,952–$2,099 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,233.50 | $2,467 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$428.50–$1,714 | $857–$3,428 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,871–$2,011.50 | $3,742–$4,023 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,873.50–$2,014.50 | $3,747–$4,029 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,949.50–$2,096 | $3,899–$4,192 | varies |
| MRI, dorsal spine contrast (72147) | $1,133 | $2,266 | 3.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$866–$1,862 | $1,732–$3,724 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,898.50–$2,041 | $3,797–$4,082 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,949.50–$2,096 | $3,899–$4,192 | varies |
| Myelogram cervical (72240) | $2,585.50 | $5,171 | 3.4× |
| Myelogram Lumbar (72265) | $2,585.50 | $5,171 | 3.4× |
| Myelography thoracic (72255) | $2,585.50 | $5,171 | 3.4× |
| Myelograpy 2/more regions rs&i (72270) | $2,585.50 | $5,171 | 3.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $959.50 | $1,919 | 2.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,981 | $7,962 | 3.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,023.50–$2,175.50 | $4,047–$4,351 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 2 matching MRF lines |
$3,025–$3,252 | $6,050–$6,504 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,252 | $6,504 | 2.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 2 matching MRF lines |
$4,716–$5,070 | $9,432–$10,140 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 3 matching MRF lines |
$4,716–$5,070 | $9,432–$10,140 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,073 | $4,146 | 2.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$214.50–$231 | $429–$462 | varies |
| Nm csf leak detection (78650) | $1,707 | $3,414 | 1.4× |
| Nm whole blood volume (78122) | $1,198.50 | $2,397 | 2.3× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$143–$360.50 | $286–$721 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,932–$3,152 | $5,864–$6,304 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$597–$936.50 | $1,194–$1,873 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$597–$992 | $1,194–$1,984 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$133.50–$304 | $267–$608 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$238–$257 | $476–$514 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$365–$421.50 | $730–$843 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $134.50 | $269 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 5 matching MRF lines |
$289–$585 | $578–$1,170 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$55.50–$60 | $111–$120 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $300 | $600 | 3.0× |
| Optic foramina (70190) | $234.50 | $469 | 2.8× |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$120–$129 | $240–$258 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$2,242.50–$2,305.50 | $4,485–$4,611 | varies |
| Parathyroid Planar Imaging (78070) | $511.50 | $1,023 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$177.50–$355 | $355–$710 | varies |
| Perineogram (74775) | $545.50 | $1,091 | 2.4× |
| Peritoneogram Rs&I (74190) | $285.50 | $571 | 0.5× |
| Pet Image Skull-Thigh (78812) | $3,818 | $7,636 | 2.8× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$3,703–$3,981 | $7,406–$7,962 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,703–$3,981 | $7,406–$7,962 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,703–$3,981 | $7,406–$7,962 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,832.50 | $5,665 | 2.3× |
| PET whole body (78813) | $3,785.50 | $7,571 | 2.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 3 matching MRF lines |
$3,188.50–$3,428 | $6,377–$6,856 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$524–$563.50 | $1,048–$1,127 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,188 | $2,376 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$360.50–$388 | $721–$776 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,167–$1,255 | $2,334–$2,510 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$177.50–$573 | $355–$1,146 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$177.50–$355 | $355–$710 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$177.50–$214.50 | $355–$429 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$177.50–$355 | $355–$710 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$378–$610 | $756–$1,220 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $191 | $382 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $557.50 | $1,115 | 6.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$177.50–$532.50 | $355–$1,065 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $726 | $1,452 | 4.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$218–$354 | $436–$708 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$177.50–$355 | $355–$710 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$206–$221.50 | $412–$443 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,515.50 | $15,031 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $989 | $1,978 | 10.0× |
| Radiation treatment delivery level 2 (77407) | $1,268.50 | $2,537 | 3.4× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$409.50–$1,623.50 | $819–$3,247 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$177.50–$238.50 | $355–$477 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$360.50–$388 | $721–$776 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$495.50–$675 | $991–$1,350 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$411.50–$442.50 | $823–$885 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$393.50–$423.50 | $787–$847 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$261–$562 | $522–$1,124 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$177.50–$222 | $355–$444 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$411.50–$442.50 | $823–$885 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$406–$436.50 | $812–$873 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$387–$599.50 | $774–$1,199 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$177.50–$226.50 | $355–$453 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$182–$396 | $364–$792 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $321 | $642 | 0.6× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $936.50 | $1,873 | 4.1× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,198.50 | $2,397 | 3.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $919.50 | $1,839 | 2.5× |
| Renal Cyst Study (74470) | $1,313 | $2,626 | 2.5× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$177.50–$227.50 | $355–$455 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$808.50–$1,170 | $1,617–$2,340 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $914.50 | $1,829 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,809 | $5,618 | 5.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,264–$2,189.50 | $2,528–$4,379 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,613–$3,128 | $5,226–$6,256 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,659 | $5,318 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 3 matching MRF lines |
$3,025–$3,252 | $6,050–$6,504 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,665.50–$2,865.50 | $5,331–$5,731 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$597–$684.50 | $1,194–$1,369 | varies |
| Salivary Gland Imaging Serial Images (78231) | $684.50 | $1,369 | 1.8× |
| Scapula (73010) range across 3 matching MRF lines |
$177.50–$436 | $355–$872 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$35.50–$59.50 | $71–$119 | varies |
| Sella turcica (70240) | $191 | $382 | 2.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| Shoulder Arthrography (73040) | $502 | $1,004 | 1.5× |
| Sialogram (70390) | $1,176 | $2,352 | 5.1× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$177.50–$532.50 | $355–$1,065 | varies |
| Special dosimetry (77331) | $355.50 | $711 | 2.7× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$330.50–$355.50 | $661–$711 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$693–$745 | $1,386–$1,490 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,229–$1,321.50 | $2,458–$2,643 | varies |
| Speech evaluation, complex (70371) | $471.50 | $943 | 2.0× |
| Srs Multisource (77371) range across 2 matching MRF lines |
$18,933–$20,353 | $37,866–$40,706 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,437–$2,620 | $4,874–$5,240 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$2,483.50–$4,244.50 | $4,967–$8,489 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $130.50 | $261 | 1.3× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $130.50 | $261 | 1.3× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $47.50 | $95 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$693–$745 | $1,386–$1,490 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$266–$286 | $532–$572 | varies |
| Testicular Imaging W/Flow (78761) | $921.50 | $1,843 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$693–$745 | $1,386–$1,490 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $745 | $1,490 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$266–$286 | $532–$572 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$418–$449.50 | $836–$899 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$177.50–$214.50 | $355–$429 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$177.50–$219 | $355–$438 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$354–$511.50 | $708–$1,023 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$771.50–$1,242 | $1,543–$2,484 | varies |
| Thyroid Uptake Measurement (78012) | $511.50 | $1,023 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$584.50–$628.50 | $1,169–$1,257 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$510–$1,020 | $1,020–$2,040 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$510–$548.50 | $1,020–$1,097 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$510–$548.50 | $1,020–$1,097 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$282.50–$565 | $565–$1,130 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$62–$233.50 | $124–$467 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$412.50–$443.50 | $825–$887 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 2 matching MRF lines |
$426–$574 | $852–$1,148 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$367–$470.50 | $734–$941 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$150–$278 | $300–$556 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $236.50 | $473 | 2.8× |
| Unlisted fluoroscopic procedure (76496) range across 3 matching MRF lines |
$114.50–$123.50 | $229–$247 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$156–$2,009 | $312–$4,018 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $289 | $578 | 0.7× |
| Unlisted us procedure (76999) | $304 | $608 | 3.6× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$411.50–$442.50 | $823–$885 | varies |
| Ureteral Reflux Study (78740) | $921.50 | $1,843 | 2.4× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$701–$837 | $1,402–$1,674 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$837–$900 | $1,674–$1,800 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$153.50–$403 | $307–$806 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$280–$304 | $560–$608 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$282.50–$533 | $565–$1,066 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$280–$304 | $560–$608 | varies |
| Us head (76506) range across 3 matching MRF lines |
$282.50–$304 | $565–$608 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$437.50–$470.50 | $875–$941 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 10 matching MRF lines |
$274–$548 | $548–$1,096 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$305–$749 | $610–$1,498 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$282.50–$304 | $565–$608 | varies |
| Us ob transvaginal (76817) range across 6 matching MRF lines |
$270.50–$293.50 | $541–$587 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$437.50–$470.50 | $875–$941 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$437.50–$470.50 | $875–$941 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$282.50–$608 | $565–$1,216 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$437.50–$470.50 | $875–$941 | varies |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$434.50–$869 | $869–$1,738 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$437.50–$470.50 | $875–$941 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$437.50–$492 | $875–$984 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$345.50–$470.50 | $691–$941 | varies |
| Us transrectal (76872) | $470.50 | $941 | 4.7× |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$533.50–$574 | $1,067–$1,148 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,656–$1,780.50 | $3,312–$3,561 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$1,494.50–$1,607 | $2,989–$3,214 | varies |
| Vein X-Ray Spleen/Liver (75810) | $3,427.50 | $6,855 | 1.1× |
| Venogram Sinus/Jugular (75860) range across 3 matching MRF lines |
$2,470.50–$4,941 | $4,941–$9,882 | varies |
| Venography Adrenal Unilateral (75840) | $3,428 | $6,856 | 1.1× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$2,017–$2,168.50 | $4,034–$4,337 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,113.50–$1,771.50 | $2,227–$3,543 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,095.50–$1,178 | $2,191–$2,356 | varies |
| Venography Orbital Rs&I (75880) | $2,329 | $4,658 | 3.8× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$3,188.50–$3,428 | $6,377–$6,856 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$1,596.50–$2,483.50 | $3,193–$4,967 | varies |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$3,523–$4,573 | $7,046–$9,146 | varies |
| Venous thrombosis imaging (78457) | $574 | $1,148 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $364.50 | $729 | 4.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$177.50–$223.50 | $355–$447 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$389.50–$903.50 | $779–$1,807 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,321–$2,495.50 | $4,642–$4,991 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$279.50–$300.50 | $559–$601 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$177.50–$382 | $355–$764 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$292.50–$314.50 | $585–$629 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$197–$212 | $394–$424 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$174–$191 | $348–$382 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$178.50–$199 | $357–$398 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$184–$427 | $368–$854 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$182–$223.50 | $364–$447 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$187–$201 | $374–$402 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$351–$377.50 | $702–$755 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$164–$328 | $328–$656 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$298.50–$321 | $597–$642 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$177.50–$226 | $355–$452 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$214.50–$462 | $429–$924 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$177.50–$384 | $355–$768 | varies |
| X-ray IV pyelogram (ivp) (74400) | $900 | $1,800 | 5.3× |
| X-ray IV pyelogram+tomography (74415) | $900 | $1,800 | 5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$177.50–$210.50 | $355–$421 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$263–$283 | $526–$566 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$298.50–$321 | $597–$642 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$177.50–$212.50 | $355–$425 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$164–$181.50 | $328–$363 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$177.50–$194.50 | $355–$389 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$298.50–$321 | $597–$642 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$307–$330.50 | $614–$661 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$837–$900 | $1,674–$1,800 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$177.50–$267 | $355–$534 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$275–$333 | $550–$666 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$256–$275.50 | $512–$551 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $234.50 | $469 | 2.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$177.50–$229.50 | $355–$459 | 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.