Imaging prices at Wheeling Hospital
Wheeling, WV · every code in this section with a posted price and a Medicare benchmark.
289 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 2 matching MRF lines |
$1,952.50–$2,050.50 | $3,905–$4,101 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$193.50–$203.50 | $387–$407 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$170.50–$196 | $341–$392 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,030 | $2,060 | 2.7× |
| Angiography extremity bilateral rs&i (75716) | $1,528.50 | $3,057 | 0.5× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,632–$1,714 | $3,264–$3,428 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$157.50–$345 | $315–$690 | varies |
| Artery X-Rays Abdomen (75726) | $4,841.50 | $9,683 | 0.9× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,253 | $4,506 | 0.4× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$296–$1,689 | $592–$3,378 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$148.50–$163 | $297–$326 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$1,222–$1,283.50 | $2,444–$2,567 | varies |
| Bone Imaging Limited Area (78300) | $842.50 | $1,685 | 2.2× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,207.50–$1,268 | $2,415–$2,536 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$546–$598 | $1,092–$1,196 | varies |
| Brachytx Isodose Plan Simple (77316) | $662 | $1,324 | 1.8× |
| Brain Flow Imaging Only (78610) | $312.50 | $625 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,643.50 | $3,287 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $741.50 | $1,483 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $265 | $530 | 3.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$130–$143 | $260–$286 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$175.50–$184.50 | $351–$369 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$120–$153.50 | $240–$307 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$164–$328 | $328–$656 | 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 |
$299.50–$314.50 | $599–$629 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,373–$1,442 | $2,746–$2,884 | varies |
| Contrast X-Ray Bladder (74430) | $221.50 | $443 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,797.50–$1,887.50 | $3,595–$3,775 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,340.50–$1,408 | $2,681–$2,816 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,072.50–$1,126.50 | $2,145–$2,253 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,253.50–$1,316.50 | $2,507–$2,633 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$771.50–$810.50 | $1,543–$1,621 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,819–$2,041.50 | $3,638–$4,083 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,261.50–$1,381.50 | $2,523–$2,763 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,263.50–$2,527 | $2,527–$5,054 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,095.50–$1,200 | $2,191–$2,400 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$397.50–$795 | $795–$1,590 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,260–$1,323 | $2,520–$2,646 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$566–$620 | $1,132–$1,240 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,226–$1,594 | $2,452–$3,188 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$859–$941 | $1,718–$1,882 | varies |
| CT cervical spine w/wo cont (72127) | $1,445.50 | $2,891 | 8.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,032.50–$1,084.50 | $2,065–$2,169 | varies |
| CT chest w/wo contrast (71270) | $1,304 | $2,608 | 7.7× |
| CT head/brain with contrast (70460) | $666.50 | $1,333 | 3.9× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,207–$1,267.50 | $2,414–$2,535 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $828 | $1,656 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$96.50–$99 | $193–$198 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,327–$1,453.50 | $2,654–$2,907 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,436.50–$1,573 | $2,873–$3,146 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$776.50–$815.50 | $1,553–$1,631 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,030.50–$2,061 | $2,061–$4,122 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,109.50–$1,596.50 | $2,219–$3,193 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$827.50–$869 | $1,655–$1,738 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,046.50–$1,146 | $2,093–$2,292 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$793–$868.50 | $1,586–$1,737 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,194–$1,307.50 | $2,388–$2,615 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,355.50–$1,484.50 | $2,711–$2,969 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$861.50–$943.50 | $1,723–$1,887 | varies |
| CT pelvis w&w/o contrast (72194) | $1,207 | $2,414 | 7.1× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$774.50–$848.50 | $1,549–$1,697 | varies |
| CT scan of leg combo (73702) | $658.50 | $1,317 | 3.9× |
| CT scans face/jaw combo (70488) | $955.50 | $1,911 | 5.6× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,091.50–$1,146.50 | $2,183–$2,293 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$846–$888.50 | $1,692–$1,777 | varies |
| CT thoracic spine w contrast (72129) | $1,168 | $2,336 | 6.9× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$828–$907 | $1,656–$1,814 | varies |
| CT thoracic spine w/wo cont (72130) | $1,336 | $2,672 | 7.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$782.50–$822 | $1,565–$1,644 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$705–$1,544 | $1,410–$3,088 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $629.50 | $1,259 | 3.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$827.50–$1,655 | $1,655–$3,310 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$1,190–$2,499 | $2,380–$4,998 | varies |
| Cta Abdomen (74175) | $1,254.50 | $2,509 | 7.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $92.50 | $185 | 0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$92.50–$101.50 | $185–$203 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$83.50–$167 | $167–$334 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$331.50–$348.50 | $663–$697 | varies |
| Dxa bone density study (77085) | $122.50 | $245 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $83.50 | $167 | 1.0× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$410–$449 | $820–$898 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $195.50 | $391 | 0.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$324–$340.50 | $648–$681 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$403–$806 | $806–$1,612 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$278–$304.50 | $556–$609 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$280–$294 | $560–$588 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$150–$315 | $300–$630 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$152–$166.50 | $304–$333 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,048–$1,100.50 | $2,096–$2,201 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$459.50–$1,159 | $919–$2,318 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$181.50–$398 | $363–$796 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$800.50–$2,611.50 | $1,601–$5,223 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,125.50–$1,232.50 | $2,251–$2,465 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,028.50–$1,080 | $2,057–$2,160 | varies |
| Hysterosalpingogram (74740) | $1,856 | $3,712 | 8.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$291.50–$319.50 | $583–$639 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,058.50–$1,159.50 | $2,117–$2,319 | varies |
| K Flow/Funct Image W/O Drug (78707) | $277.50 | $555 | 0.5× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$213.50–$468 | $427–$936 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $829 | $1,658 | 1.6× |
| Lung perfusion differential (78597) | $998.50 | $1,997 | 2.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,253 | $2,506 | 2.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$823–$901.50 | $1,646–$1,803 | varies |
| Magnetic Image Jaw Joint (70336) | $2,198 | $4,396 | 9.5× |
| Meckels Divert Exam (78290) | $2,033.50 | $4,067 | 5.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$781–$820.50 | $1,562–$1,641 | varies |
| Mr safety determination physician/other qhp (76016) | $272 | $544 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $27.50 | $55 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $67 | $134 | 1.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $122 | $244 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,299 | $4,598 | 6.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,406–$1,476.50 | $2,812–$2,953 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $1,858 | $3,716 | 5.5× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,461.50–$1,535 | $2,923–$3,070 | varies |
| MRI abdomen w contrast (74182) | $910 | $1,820 | 2.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,392–$1,462 | $2,784–$2,924 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,794 | $3,588 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,289.50–$3,602.50 | $6,579–$7,205 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,628.50–$1,783.50 | $3,257–$3,567 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $934.50 | $1,869 | 4.0× |
| MRI cardiac w/o contrast (75557) | $334.50 | $669 | 1.4× |
| MRI cervical spine w contrast (72142) | $2,028 | $4,056 | 6.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,455.50–$1,594 | $2,911–$3,188 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,534.50–$1,680.50 | $3,069–$3,361 | varies |
| MRI chest wo w contrast (71552) | $2,168.50 | $4,337 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,717–$1,803 | $3,434–$3,606 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,313.50–$1,438.50 | $2,627–$2,877 | 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 |
$1,314.50–$2,064 | $2,629–$4,128 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,735.50 | $3,471 | 7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,103–$2,208.50 | $4,206–$4,417 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,528–$2,654.50 | $5,056–$5,309 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,807–$1,979 | $3,614–$3,958 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,441–$1,558 | $2,882–$3,116 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,242.50 | $2,485 | 5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,921–$3,067.50 | $5,842–$6,135 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,781–$1,870.50 | $3,562–$3,741 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,850.50–$2,371.50 | $3,701–$4,743 | varies |
| MRI, dorsal spine contrast (72147) | $2,126.50 | $4,253 | 6.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,346–$2,948 | $2,692–$5,896 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,685.50–$2,941 | $5,371–$5,882 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,849–$2,063.50 | $3,698–$4,127 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,937.50–$3,084.50 | $5,875–$6,169 | varies |
| N-invas est c ffr sw aly CTA (75580) | $3,296 | $6,592 | 4.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$164–$180 | $328–$360 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$2,622–$2,753.50 | $5,244–$5,507 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$541–$568.50 | $1,082–$1,137 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$440.50–$482.50 | $881–$965 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $238 | $476 | 2.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 5 matching MRF lines |
$244–$585 | $488–$1,170 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$177.50–$194.50 | $355–$389 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $883 | $1,766 | 1.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$811–$888.50 | $1,622–$1,777 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $494 | $988 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$162–$180 | $324–$360 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,376.50–$5,645.50 | $10,753–$11,291 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,888–$5,132.50 | $9,776–$10,265 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $816.50 | $1,633 | 2.1× |
| 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 |
$310–$339.50 | $620–$679 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$275–$279.50 | $550–$559 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$176–$193 | $352–$386 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$157–$172 | $314–$344 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$167.50–$367 | $335–$734 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $380 | $760 | 3.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$144.50–$158.50 | $289–$317 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$170–$373 | $340–$746 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$158.50–$348 | $317–$696 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$134–$415 | $268–$830 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$181–$198.50 | $362–$397 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$162–$170.50 | $324–$341 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$166.50–$333 | $333–$666 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$131.50–$144 | $263–$288 | varies |
| Radex Spine 1 View Specify Level (72020) | $145.50 | $291 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$167–$183 | $334–$366 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$398–$436 | $796–$872 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$137.50–$151 | $275–$302 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$164–$328 | $328–$656 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$158–$347 | $316–$694 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $370 | $740 | 3.7× |
| Radiation treatment delivery level 1 (77402) | $1,347 | $2,694 | 13.6× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,347–$2,694 | $2,694–$5,388 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$621–$1,481.50 | $1,242–$2,963 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$227–$238.50 | $454–$477 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$178–$187 | $356–$374 | varies |
| Radiologic exam colon double contrast study (74280) | $567.50 | $1,135 | 3.3× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$426.50–$448 | $853–$896 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$199.50–$218.50 | $399–$437 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$275.50–$579 | $551–$1,158 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$205–$224.50 | $410–$449 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $364 | $728 | 2.1× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$407–$427.50 | $814–$855 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,670.50 | $3,341 | 9.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$118–$129.50 | $236–$259 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$214–$428 | $428–$856 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$153–$306 | $306–$612 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$155–$310 | $310–$620 | varies |
| Ribs bilateral 3 views (71110) | $324 | $648 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,919 | $3,838 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,037–$1,089 | $2,074–$2,178 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,410 | $4,820 | 1.9× |
| Scapula (73010) range across 2 matching MRF lines |
$204.50–$224 | $409–$448 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$40.50–$104 | $81–$208 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$143–$160.50 | $286–$321 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$167.50–$176 | $335–$352 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$406–$436 | $812–$872 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$380–$416.50 | $760–$833 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,014.50–$1,065.50 | $2,029–$2,131 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,384–$2,503.50 | $4,768–$5,007 | varies |
| Sternoclavicular joints (71130) | $124.50 | $249 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 3 matching MRF lines |
$1,284–$1,348.50 | $2,568–$2,697 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$960.50–$1,009 | $1,921–$2,018 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$634–$666 | $1,268–$1,332 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$212.50–$233 | $425–$466 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$220.50–$232 | $441–$464 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$204–$214.50 | $408–$429 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,093–$1,148 | $2,186–$2,296 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$823–$864.50 | $1,646–$1,729 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$805.50–$1,611 | $1,611–$3,222 | varies |
| Tx devices design & construction intermediate (77333) | $615.50 | $1,231 | 4.7× |
| Tx devices design & construction simple (77332) | $551.50 | $1,103 | 4.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$211–$422 | $422–$844 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$125–$137 | $250–$274 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$339.50–$356.50 | $679–$713 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$370–$405.50 | $740–$811 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$172.50–$341 | $345–$682 | varies |
| Upper gi w/o kub (74240) | $417.50 | $835 | 2.5× |
| Urethrocystogram voiding (74455) | $666 | $1,332 | 2.9× |
| Us breast unilateral complete (76641) | $488 | $976 | 4.8× |
| Us chest (76604) range across 2 matching MRF lines |
$144.50–$296.50 | $289–$593 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$120.50–$282.50 | $241–$565 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$318–$334 | $636–$668 | varies |
| Us head (76506) range across 2 matching MRF lines |
$441–$483 | $882–$966 | varies |
| Us kidney transplant (76776) | $328 | $656 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$264–$900 | $528–$1,800 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$214–$234.50 | $428–$469 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$242–$265 | $484–$530 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$239–$262 | $478–$524 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$468–$512.50 | $936–$1,025 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$271–$297 | $542–$594 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$335.50–$671 | $671–$1,342 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$503.50–$529 | $1,007–$1,058 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$418.50–$439.50 | $837–$879 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$468.50–$513.50 | $937–$1,027 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$119–$130.50 | $238–$261 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$557–$1,220 | $1,114–$2,440 | varies |
| Us transrectal (76872) | $155.50 | $311 | 1.5× |
| Vascular Flow Imaging (78445) | $224.50 | $449 | 0.6× |
| Venogram Sinus/Jugular (75860) | $3,629 | $7,258 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $1,273.50 | $2,547 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $804.50 | $1,609 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$534–$804.50 | $1,068–$1,609 | varies |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,761.50 | $3,523 | 0.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$155–$163 | $310–$326 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$100–$323.50 | $200–$647 | varies |
| X-ray antegrade pyelogram tube (74425) | $389.50 | $779 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $250.50 | $501 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$164–$180 | $328–$360 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$365–$400 | $730–$800 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$245.50–$269 | $491–$538 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$310–$339.50 | $620–$679 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$121–$160.50 | $242–$321 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$202–$212.50 | $404–$425 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$120–$131.50 | $240–$263 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $415 | $830 | 4.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $397.50 | $795 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $365 | $730 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $337.50 | $675 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$177–$186 | $354–$372 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$330.50–$347.50 | $661–$695 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$249.50–$262 | $499–$524 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$174.50–$349 | $349–$698 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$156–$328 | $312–$656 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$182–$199.50 | $364–$399 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$235.50–$247.50 | $471–$495 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$790–$865.50 | $1,580–$1,731 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$340.50–$358 | $681–$716 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$122.50–$208.50 | $245–$417 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$176.50–$193.50 | $353–$387 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$234–$246 | $468–$492 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$338–$355 | $676–$710 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$341.50–$374 | $683–$748 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$503.50–$551.50 | $1,007–$1,103 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$258.50–$543 | $517–$1,086 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$389.50–$409 | $779–$818 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$288–$302.50 | $576–$605 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$274.50–$301 | $549–$602 | varies |
| Xr orbits complete 4 views (70200) | $305.50 | $611 | 3.0× |
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.