Imaging prices at Wetzel County Hospital
New Martinsville, WV · every code in this section with a posted price and a Medicare benchmark.
269 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 |
$184.50–$194 | $369–$388 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$240.50–$481 | $481–$962 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,034 | $2,068 | 2.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$145.50–$306.50 | $291–$613 | varies |
| Arthrogram hip (73525) | $875 | $1,750 | 2.6× |
| Arthrogram Wrist (73115) | $920 | $1,840 | 2.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$160.50–$169 | $321–$338 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$862–$905.50 | $1,724–$1,811 | varies |
| Bone Imaging Limited Area (78300) | $558 | $1,116 | 1.5× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$862–$905.50 | $1,724–$1,811 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$312.50–$328.50 | $625–$657 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,466 | $6,932 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $293 | $586 | 3.5× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$111.50–$223 | $223–$446 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$188–$201.50 | $376–$403 | varies |
| Chest 3 views (71047) | $195 | $390 | 2.3× |
| Chest 4 or more views (71048) | $204.50 | $409 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$152.50–$305 | $305–$610 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| Contrast X-Ray Bladder (74430) | $480.50 | $961 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $748 | $1,496 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,292.50–$2,407.50 | $4,585–$4,815 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,663.50–$1,747 | $3,327–$3,494 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$972.50–$1,021.50 | $1,945–$2,043 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,176.50–$1,235.50 | $2,353–$2,471 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$826–$867.50 | $1,652–$1,735 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,841.50–$1,934 | $3,683–$3,868 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,248.50–$1,311 | $2,497–$2,622 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,248.50–$1,311 | $2,497–$2,622 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,269 | $2,538 | 7.5× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,248.50–$1,311 | $2,497–$2,622 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,269–$2,537 | $2,538–$5,074 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,578 | $3,156 | 9.4× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$849.50–$892 | $1,699–$1,784 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$849.50–$892 | $1,699–$1,784 | varies |
| CT cervical spine w/wo cont (72127) | $892 | $1,784 | 5.3× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$992.50–$1,042.50 | $1,985–$2,085 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,287–$1,351.50 | $2,574–$2,703 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$817.50–$858.50 | $1,635–$1,717 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$999–$1,049 | $1,998–$2,098 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$858.50–$901.50 | $1,717–$1,803 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$722–$758.50 | $1,444–$1,517 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$731.50–$1,487.50 | $1,463–$2,975 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$849.50–$1,727 | $1,699–$3,454 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$961–$1,009.50 | $1,922–$2,019 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$849.50–$892 | $1,699–$1,784 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$845.50–$888 | $1,691–$1,776 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$715–$751 | $1,430–$1,502 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,028–$1,079.50 | $2,056–$2,159 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,028–$1,079.50 | $2,056–$2,159 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$739–$776 | $1,478–$1,552 | varies |
| CT pelvis w&w/o contrast (72194) | $1,164 | $2,328 | 6.9× |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$837–$879 | $1,674–$1,758 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,012–$2,125 | $2,024–$4,250 | varies |
| CT scans face/jaw combo (70488) | $1,075 | $2,150 | 6.4× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$858.50–$901.50 | $1,717–$1,803 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$739–$776 | $1,478–$1,552 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$822.50–$864 | $1,645–$1,728 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$849.50–$892 | $1,699–$1,784 | varies |
| CT thoracic spine w/wo cont (72130) | $890.50 | $1,781 | 5.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$849.50–$892 | $1,699–$1,784 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$731.50–$1,487.50 | $1,463–$2,975 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,063–$2,125 | $2,126–$4,250 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$822.50–$1,727 | $1,645–$3,454 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,269–$2,156.50 | $2,538–$4,313 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,208.50–$1,269 | $2,417–$2,538 | varies |
| CTA pelvis (72191) | $1,269 | $2,538 | 7.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$463–$486.50 | $926–$973 | varies |
| Dxa bone density study (77085) | $335 | $670 | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $173 | $346 | 2.1× |
| Echo exam uterus (76831) | $357 | $714 | 1.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$436–$458 | $872–$916 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$416–$526 | $832–$1,052 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $192.50 | $385 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$212.50–$216.50 | $425–$433 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$145.50–$153 | $291–$306 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$152.50–$320 | $305–$640 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$477.50–$501.50 | $955–$1,003 | varies |
| Gated Heart Planar Single (78472) | $705.50 | $1,411 | 1.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$145.50–$306.50 | $291–$613 | varies |
| Heart Image (Pet) Multiple (78492) | $3,332.50 | $6,665 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,141.50 | $2,283 | 2.2× |
| Hepatobiliary System Imaging (78226) | $983 | $1,966 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,508 | $3,016 | 1.2× |
| Hysterosalpingogram (74740) | $457 | $914 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $810.50 | $1,621 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $696.50 | $1,393 | 1.3× |
| Kidney Imaging Morphol (78700) | $604 | $1,208 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $696.50 | $1,393 | 1.8× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$193–$404 | $386–$808 | varies |
| Liver & Spleen Imaging Static Only (78215) | $594.50 | $1,189 | 1.6× |
| Liver imaging static only (78201) | $1,721 | $3,442 | 3.3× |
| Lung Perf&Ventilat Diferentl (78598) | $624 | $1,248 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,059.50 | $2,119 | 2.0× |
| Lung Ventilation Imaging (78579) | $711.50 | $1,423 | 1.9× |
| Lymph System Imaging (78195) | $905 | $1,810 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,269 | $2,538 | 5.5× |
| Meckels Divert Exam (78290) | $661 | $1,322 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,595 | $5,190 | 7.8× |
| MRA head w/o contrast (70544) | $1,208.50 | $2,417 | 5.3× |
| MRA neck w contrast (70548) | $1,232.50 | $2,465 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,477 | $2,954 | 4.4× |
| MRA neck w/o contrast (70547) | $1,208.50 | $2,417 | 5.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,208.50–$1,269 | $2,417–$2,538 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,718.50–$2,781.50 | $3,437–$5,563 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,625.50–$4,688 | $5,251–$9,376 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,705.50–$2,273.50 | $3,411–$4,547 | varies |
| MRI cervical spine w contrast (72142) | $1,450 | $2,900 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,208.50 | $2,417 | 5.3× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,108.50–$1,164 | $2,217–$2,328 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,232.50–$1,294.50 | $2,465–$2,589 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,118.50–$2,224.50 | $4,237–$4,449 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,624–$3,248 | $3,248–$6,496 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,622.50–$4,681.50 | $5,245–$9,363 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,187–$2,493 | $2,374–$4,986 | varies |
| MRI lumbar spine w contrast (72149) | $1,450 | $2,900 | 4.3× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,684.50–$2,819 | $5,369–$5,638 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,208.50 | $2,417 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,032.50–$2,134.50 | $4,065–$4,269 | varies |
| MRI pelvis w contrast (72196) | $579.50 | $1,159 | 1.7× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,734–$1,821 | $3,468–$3,642 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,175.50–$1,234.50 | $2,351–$2,469 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,343.50 | $2,687 | 5.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,705.50–$3,248 | $3,411–$6,496 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,159–$2,434.50 | $2,318–$4,869 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,607–$5,474.50 | $5,214–$10,949 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,600–$2,730 | $5,200–$5,460 | varies |
| MRI, dorsal spine combo (72157) | $2,688 | $5,376 | 8.0× |
| MRI, dorsal spine contrast (72147) | $1,450 | $2,900 | 4.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,173–$2,463.50 | $2,346–$4,927 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,607–$5,474.50 | $5,214–$10,949 | varies |
| MRI, lumbar spine combo (72158) | $2,688 | $5,376 | 8.0× |
| Myelogram Lumbar (72265) | $1,026.50 | $2,053 | 1.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,182.50 | $6,365 | 2.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,189–$3,348.50 | $6,378–$6,697 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$158–$166 | $316–$332 | varies |
| Ob us nuchal meas 1 gest (76813) | $192.50 | $385 | 1.9× |
| Optic foramina (70190) | $196 | $392 | 2.3× |
| Parathyroid Planar Imaging (78070) | $660.50 | $1,321 | 1.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$153.50–$161.50 | $307–$323 | varies |
| Pet Image Skull-Thigh (78812) | $3,332.50 | $6,665 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $2,923 | $5,846 | 2.1× |
| PET image w/CT, full body (78816) | $3,332.50 | $6,665 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,332.50 | $6,665 | 2.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,277.50 | $4,555 | 1.8× |
| Pet Myocardial Sngl Study (78491) | $1,641 | $3,282 | 1.2× |
| PET whole body (78813) | $2,579 | $5,158 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $739.50 | $1,479 | 1.9× |
| 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 |
$285–$299.50 | $570–$599 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $448.50 | $897 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$157.50–$329.50 | $315–$659 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$143–$300 | $286–$600 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$165.50–$349 | $331–$698 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$237–$249 | $474–$498 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$123.50–$130 | $247–$260 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$157.50–$329.50 | $315–$659 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$157.50–$331 | $315–$662 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$167.50–$335 | $335–$670 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $273 | $546 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$155–$163 | $310–$326 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$239.50–$251.50 | $479–$503 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$169–$338 | $338–$676 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $167.50 | $335 | 2.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $562 | $1,124 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $136.50 | $273 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$189.50–$199 | $379–$398 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$241.50–$254 | $483–$508 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$123.50–$130 | $247–$260 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$167.50–$335 | $335–$670 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$157.50–$329.50 | $315–$659 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$122–$128.50 | $244–$257 | varies |
| 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 |
$201–$211.50 | $402–$423 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$189–$198.50 | $378–$397 | varies |
| Radiologic exam colon double contrast study (74280) | $912 | $1,824 | 5.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$644.50–$677 | $1,289–$1,354 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$419.50–$440.50 | $839–$881 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$154.50–$325 | $309–$650 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$196.50–$206.50 | $393–$413 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $489 | $978 | 2.9× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$431.50–$453.50 | $863–$907 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$332.50–$349.50 | $665–$699 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$109–$114.50 | $218–$229 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$46.50–$49 | $93–$98 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$154.50–$325 | $309–$650 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $289.50 | $579 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$153.50–$323 | $307–$646 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $263.50 | $527 | 0.5× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$240.50–$253 | $481–$506 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$530.50–$920 | $1,061–$1,840 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$155–$163 | $310–$326 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$35.50–$55 | $71–$110 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$159.50–$167.50 | $319–$335 | varies |
| Shoulder Arthrography (73040) | $875 | $1,750 | 2.6× |
| Sialogram (70390) | $576 | $1,152 | 2.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$198–$208 | $396–$416 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$205.50–$216 | $411–$432 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$195.50–$205.50 | $391–$411 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$213.50–$224.50 | $427–$449 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$199.50–$209.50 | $399–$419 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $371.50 | $743 | 1.0× |
| Thyroid Uptake Measurement (78012) | $196 | $392 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $482 | $964 | 1.3× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$314.50–$629 | $629–$1,258 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$416.50–$446 | $833–$892 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$426–$456 | $852–$912 | varies |
| Umbilical-artery Doppler (OB) (76820) | $212 | $424 | 2.1× |
| Upper gi w/o kub (74240) | $349.50 | $699 | 2.1× |
| Urethrocystogram voiding (74455) | $970.50 | $1,941 | 4.2× |
| Urethrocystography retrograde (74450) | $480.50 | $961 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$385.50–$483.34 | $771–$966.67 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$92–$225.50 | $184–$451 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$286.50–$307 | $573–$614 | varies |
| Us head (76506) range across 3 matching MRF lines |
$161–$172.50 | $322–$345 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$391–$710 | $782–$1,420 | varies |
| Us ob detailed single fetus (76811) | $408.50 | $817 | 1.8× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$445–$476.50 | $890–$953 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$477–$510.50 | $954–$1,021 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$477–$510.50 | $954–$1,021 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$664–$710.50 | $1,328–$1,421 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $388.50 | $777 | 3.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$600.50–$643 | $1,201–$1,286 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$571–$611 | $1,142–$1,222 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$459.50–$492 | $919–$984 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$419.50–$449 | $839–$898 | varies |
| Venography extremity bilateral rs&i (75822) | $1,839 | $3,678 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,720 | $3,440 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $367 | $734 | 4.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$145.50–$153 | $291–$306 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$193.50–$203.50 | $387–$407 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$437.50–$445.50 | $875–$891 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$245.50–$258 | $491–$516 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$150–$314.50 | $300–$629 | varies |
| X-Ray Exam Breast Specimen (76098) | $644.50 | $1,289 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$51.50–$54.50 | $103–$109 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$94–$99 | $188–$198 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$991–$1,041 | $1,982–$2,082 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$109–$114.50 | $218–$229 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$61–$64.50 | $122–$129 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$209–$219.50 | $418–$439 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$209–$219.50 | $418–$439 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$209–$219.50 | $418–$439 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $219.50 | $439 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $362 | $724 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$186–$195.50 | $372–$391 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$333.50–$350.50 | $667–$701 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$216–$227 | $432–$454 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$278–$584 | $556–$1,168 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$165.50–$349 | $331–$698 | varies |
| X-ray IV pyelogram (ivp) (74400) | $592.50 | $1,185 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $696.50 | $1,393 | 4.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $109 | $218 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$199.50–$209.50 | $399–$419 | varies |
| X-ray nose-rectum child f.b. (76010) | $195.50 | $391 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$276.50–$290.50 | $553–$581 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$223.50–$235 | $447–$470 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $163 | $326 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$166.50–$175 | $333–$350 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$234.50–$246.50 | $469–$493 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$282–$296.50 | $564–$593 | varies |
| X-ray thoracic spine 4 vw (72074) | $204 | $408 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $775.50 | $1,551 | 2.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$198.50–$208.50 | $397–$417 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$333.50–$350.50 | $667–$701 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$273.50–$287.50 | $547–$575 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$237–$249 | $474–$498 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$242–$254.50 | $484–$509 | varies |
| Xr Tomogram Single Plane (76100) | $363.50 | $727 | 3.6× |
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.