Imaging prices at Williamson Medical Center
Franklin, TN · every code in this section with a posted price and a Medicare benchmark.
313 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 3 matching MRF lines |
$154.49–$226.83 | $274–$402.30 | varies |
| Abdomen 2 views (74019) | $180.65 | $320.40 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $753.28 | $1,336 | 2.0× |
| Angiography extremity bilateral rs&i (75716) | $5,456.52 | $9,677.60 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $5,456.52 | $9,677.60 | 1.8× |
| Ankle 2 views (73600) | $154.49 | $274 | 1.9× |
| Aortography thoracic serialography rs&i (75605) | $9,616.12 | $17,055 | 1.8× |
| Artery X-Rays Abdomen (75726) | $9,616.12 | $17,055 | 1.8× |
| Artery X-Rays Pelvis (75736) | $9,616.12 | $17,055 | 1.8× |
| Arthrogram ankle (73615) | $761.73 | $1,351 | 2.3× |
| Arthrogram hip (73525) | $761.73 | $1,351 | 2.3× |
| Arthrogram Wrist (73115) | $761.73 | $1,351 | 2.3× |
| Bone age studies (77072) | $180.65 | $320.40 | 1.8× |
| Bone Imaging 3 Phase (78315) | $761.73 | $1,351 | 2.0× |
| Bone Imaging Limited Area (78300) | $761.73 | $1,351 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $761.73 | $1,351 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,142.60 | $2,026.50 | 3.0× |
| Bone marrow imaging; whole body (78104) | $753.28 | $1,336 | 2.0× |
| Bone survey infant (77076) | $180.65 | $320.40 | 1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,117.02 | $5,528.30 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $398.63 | $707 | 4.8× |
| Cerebrospinal Fluid Scan (78630) | $938.33 | $1,664.20 | 1.8× |
| Chest 1 view (71045) | $257.11 | $456 | 3.1× |
| Chest 2 views (71046) | $295.84 | $524.70 | 3.5× |
| Chest 3 views (71047) | $310.11 | $550 | 3.7× |
| Chest 4 or more views (71048) | $310.11 | $550 | 3.1× |
| Clavicle complete (73000) | $228.35 | $405 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 5 matching MRF lines |
$180.65–$897.50 | $320.40–$1,591.80 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,456.52 | $9,677.60 | 1.8× |
| Contrast X-Ray Bladder (74430) | $602.90 | $1,069.30 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $761.73 | $1,351 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $685.56 | $1,215.90 | 2.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $303.11 | $537.60 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,147.19 | $5,581.80 | 9.4× |
| CT abdomen and pelvis without contrast (74176) | $1,945.95 | $3,451.30 | 8.5× |
| CT abdomen w contrast (74160) | $1,707.05 | $3,027.60 | 10.1× |
| CT abdomen w wo contrast (74170) | $1,880.60 | $3,335.40 | 11.2× |
| CT abdomen w/o contrast (74150) | $1,017.71 | $1,805 | 10.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,737.39 | $4,855 | 8.2× |
| CT Angio Chest (71275) | $2,279.45 | $4,042.80 | 13.5× |
| CT Angio Head (70496) | $2,032.16 | $3,604.20 | 12.1× |
| CT angio hrt w/3d image (75574) | $1,057.18 | $1,875 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,931.91 | $3,426.40 | 11.5× |
| CT Angio Neck (70498) | $2,032.16 | $3,604.20 | 12.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,332.33 | $2,363 | 7.9× |
| CT bone density (77078) | $273.46 | $485 | 3.3× |
| CT cervical spine w/ contrast (72126) | $1,749 | $3,102 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,356.91 | $2,406.60 | 13.5× |
| CT cervical spine w/wo cont (72127) | $1,804.26 | $3,200 | 10.7× |
| CT chest w contrast (71260) | $1,974.98 | $3,502.80 | 11.7× |
| CT chest w/wo contrast (71270) | $2,001.60 | $3,550 | 11.9× |
| CT head/brain with contrast (70460) | $1,353.19 | $2,400 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,381.38 | $2,450 | 8.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $602.90 | $1,069.30 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$99–$186.06 | $99–$330 | varies |
| CT iac w contrast (70481) | $1,166 | $2,068 | 6.9× |
| CT l-spine w&w/o contrast (72133) | $1,747.87 | $3,100 | 10.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,156.98–$1,287.90 | $2,052–$2,284.20 | varies |
| CT lower extremity w/contrast material (73701) | $1,724.70 | $3,058.90 | 10.2× |
| CT lumbar spine w contrast (72132) | $1,683.71 | $2,986.20 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,130.76 | $2,005.50 | 11.3× |
| CT maxillofacial w contrast (70487) | $1,556.85 | $2,761.20 | 9.3× |
| CT maxillofacial wo contrast (70486) | $1,356.91 | $2,406.60 | 13.5× |
| CT neck tissue combo (70492) | $1,635.11 | $2,900 | 9.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,291.17 | $2,290 | 7.7× |
| CT orbits w/o contrast (70480) | $753.84 | $1,337 | 7.5× |
| CT pelvis w&w/o contrast (72194) | $1,465.96 | $2,600 | 8.7× |
| CT pelvis w/o contrast (72192) | $1,130.76 | $2,005.50 | 11.3× |
| CT scan of leg combo (73702) | $1,747.87 | $3,100 | 10.4× |
| CT scans face/jaw combo (70488) | $1,635.11 | $2,900 | 9.7× |
| CT soft tissue neck w contrast (70491) | $1,606.91 | $2,850 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $824.49 | $1,462.30 | 8.2× |
| CT thoracic spine w contrast (72129) | $1,166 | $2,068 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $1,086.73 | $1,927.40 | 10.8× |
| CT thoracic spine w/wo cont (72130) | $1,291.17 | $2,290 | 7.7× |
| CT thorax w/o contrast (71250) | $1,130.76 | $2,005.50 | 11.3× |
| CT unlisted procedure (76497) | $150.37 | $266.70 | 1.8× |
| CT upper ext wo (73200) | $1,130.76 | $2,005.50 | 11.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,291.17 | $2,290 | 7.7× |
| CT upper extremity with contrast (73201) | $1,175.75 | $2,085.30 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,332.33 | $2,363 | 7.9× |
| Cta Abdomen (74175) | $1,332.33 | $2,363 | 7.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $643.33 | $1,141 | 1.9× |
| CTA pelvis (72191) | $1,332.33 | $2,363 | 7.9× |
| Discography Cerv/Thor Spine (72285) | $3,374.58 | $5,985.10 | 1.8× |
| Diskography lumbar (72295) | $3,374.58 | $5,985.10 | 1.8× |
| Dxa Bone Density Axial (77080) | $343.54 | $609.30 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $150.37 | $266.70 | 1.8× |
| Echo exam uterus (76831) | $674.34 | $1,196 | 2.9× |
| Echo Guide For Artery Repair (76936) | $373.14 | $661.80 | 1.8× |
| Echograp Trans R Pros Study (76873) | $450.50 | $799 | 4.5× |
| Esophagram (74220) | $303.11 | $537.60 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $450.50 | $799 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $740.03 | $1,312.50 | 3.2× |
| Foot 2 views (73620) | $178.28 | $316.20 | 2.1× |
| Forearm 2 views (73090) | $230.61 | $409 | 2.8× |
| Gastric emptying imaging study (78264) | $1,129.91 | $2,004 | 2.9× |
| Gated Heart Planar Single (78472) | $690.86 | $1,225.30 | 1.8× |
| Gated Heart, Multiple (78473) | $690.86 | $1,225.30 | 1.8× |
| Hand 2 views (73120) | $180.65 | $320.40 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $938.33 | $1,664.20 | 1.8× |
| Hepatobiliary System Imaging (78226) | $811.41 | $1,439.10 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,237.33 | $3,968.10 | 1.8× |
| Hysterosalpingogram (74740) | $687.87 | $1,220 | 3.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $275.71 | $489 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $275.71 | $489 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $938.33 | $1,664.20 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $938.33 | $1,664.20 | 1.8× |
| Knee 3 Views (73562) | $231.73 | $411 | 2.8× |
| Liver & Spleen Imaging Static Only (78215) | $710.43 | $1,260 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $710.43 | $1,260 | 1.9× |
| Liver imaging w/vascular flow (78202) | $938.33 | $1,664.20 | 1.8× |
| Lung perfusion differential (78597) | $690.86 | $1,225.30 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $938.33 | $1,664.20 | 1.8× |
| Lung Ventilation Imaging (78579) | $690.86 | $1,225.30 | 1.8× |
| Lymph System Imaging (78195) | $938.33 | $1,664.20 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $1,138.37 | $2,019 | 5.0× |
| Mammary ductogram or galactogram multiple (77054) | $1,504.30 | $2,668 | 6.6× |
| Mammary ductogram or galactogram single (77053) | $878.45 | $1,558 | 3.8× |
| Meckels Divert Exam (78290) | $753.28 | $1,336 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $50.01 | $88.70 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,761.97 | $3,125 | 5.3× |
| MRA head w/o contrast (70544) | $1,573.59 | $2,790.90 | 6.9× |
| MRA head with contrast (70545) | $1,606.91 | $2,850 | 4.8× |
| MRA neck w contrast (70548) | $1,398.30 | $2,480 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,761.97 | $3,125 | 5.3× |
| MRA neck w/o contrast (70547) | $1,138.37 | $2,019 | 5.0× |
| MRI abdomen w contrast (74182) | $1,747.87 | $3,100 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,699.66 | $3,014.50 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,354.71 | $2,402.70 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,540.79 | $4,506.30 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,674.41 | $2,969.70 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,349.99 | $4,167.90 | 10.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,138.37 | $2,019 | 5.0× |
| MRI cardiac w/o contrast (75557) | $1,138.37 | $2,019 | 5.0× |
| MRI cervical spine w contrast (72142) | $1,776.06 | $3,150 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,712.13 | $3,036.60 | 7.5× |
| MRI chest w/o contrast (71550) | $1,544.95 | $2,740.10 | 6.7× |
| MRI chest wo w contrast (71552) | $2,642.95 | $4,687.50 | 7.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,691.49 | $3,000 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,504.25 | $4,441.50 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,599.47 | $2,836.80 | 7.0× |
| MRI lumbar spine w contrast (72149) | $1,606.91 | $2,850 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,642.95 | $4,687.50 | 7.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,138.37 | $2,019 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,761.97 | $3,125 | 5.3× |
| MRI pelvis w contrast (72196) | $1,550.53 | $2,750 | 4.6× |
| MRI pelvis w/o & w contrast (72197) | $2,642.95 | $4,687.50 | 7.9× |
| MRI pelvis w/o contrast (72195) | $1,494.43 | $2,650.50 | 6.5× |
| MRI thoracic spine w/o contrast (72146) | $1,707.56 | $3,028.50 | 7.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,398.30 | $2,480 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,141.76 | $2,025 | 5.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,842.03 | $3,267 | 5.5× |
| MRI, abdomen, combo (74183) | $2,642.95 | $4,687.50 | 7.9× |
| MRI, dorsal spine combo (72157) | $2,642.95 | $4,687.50 | 7.9× |
| MRI, dorsal spine contrast (72147) | $1,776.06 | $3,150 | 5.3× |
| MRI, joint upper extrem (73221) | $1,408.16 | $2,497.50 | 6.2× |
| MRI, joint upper extrem combo (73223) | $2,272.06 | $4,029.70 | 6.8× |
| MRI, lumbar spine combo (72158) | $2,907.16 | $5,156.10 | 8.7× |
| Myelogram cervical (72240) | $1,354.71 | $2,402.70 | 1.8× |
| Myelogram Lumbar (72265) | $1,354.71 | $2,402.70 | 1.8× |
| Myelography thoracic (72255) | $1,354.71 | $2,402.70 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,354.71 | $2,402.70 | 1.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $690.86 | $1,225.30 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,117.02 | $5,528.30 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $2,237.33 | $3,968.10 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) | $2,752.90 | $4,882.50 | 3.3× |
| Neck soft tissue (70360) | $231.73 | $411 | 2.8× |
| Nm csf leak detection (78650) | $2,237.33 | $3,968.10 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $180.65 | $320.40 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $667.01 | $1,183 | 3.0× |
| Parathyroid Planar Imaging (78070) | $690.86 | $1,225.30 | 1.8× |
| Pelvis 1 or 2 views (72170) | $180.65 | $320.40 | 1.8× |
| Pet Image W/Ct Lmtd (78814) | $3,117.02 | $5,528.30 | 2.3× |
| PET image w/CT, full body (78816) | $4,675.50 | $8,292.40 | 3.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,558.72 | $6,311.70 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $690.86 | $1,225.30 | 1.8× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,715.17 | $3,042 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $283.38 | $502.60 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $944.30 | $1,674.80 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $251.36 | $445.80 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $154.49 | $274 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $233.99 | $415 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $180.65 | $320.40 | 1.8× |
| Radex fingr minimum 2 views (73140) | $221.75 | $393.30 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $254.57 | $451.50 | 3.0× |
| Radex Hand Minimum 3 Views (73130) | $296.86 | $526.50 | 3.6× |
| Radex lower extremity infant minimum 2 views (73592) | $154.49 | $274 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $180.65 | $320.40 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $164.92 | $292.50 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $231.73 | $411 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $254.57 | $451.50 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $165.20 | $293 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $190.69 | $338.20 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $164.30 | $291.40 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $231.17 | $410 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $213.69 | $379 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $233.99 | $415 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $292.80 | $519.30 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $180.65 | $320.40 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $180.65 | $320.40 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $303.11 | $537.60 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $303.11 | $537.60 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) | $334.91 | $594 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $271.48 | $481.50 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $303.11 | $537.60 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $303.11 | $537.60 | 1.8× |
| Radiologic exam teeth complete full mouth (70320) | $412.33 | $731.30 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $738.34 | $1,309.50 | 4.4× |
| Radiologic examination femur 1 view (73551) | $150.37 | $266.70 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $189.28 | $335.70 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $231.73 | $411 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $180.65 | $320.40 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $231.73 | $411 | 2.8× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $944.30 | $1,674.80 | 1.8× |
| Ribs bilateral 3 views (71110) | $281.91 | $500 | 2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $773.57 | $1,372 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $873.37 | $1,549 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,865.37 | $3,308.40 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,743.36 | $3,092 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,331.72 | $4,135.50 | 4.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $561.01 | $995 | 2.5× |
| Rp Therapy Intravenous Administration (79101) | $667.01 | $1,183 | 3.0× |
| Scapula (73010) | $180.65 | $320.40 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $83.22 | $147.60 | 3.6× |
| Sella turcica (70240) | $161.82 | $287 | 1.9× |
| Shoulder 1 view (73020) | $154.49 | $274 | 1.9× |
| Shoulder Arthrography (73040) | $697.68 | $1,237.40 | 2.1× |
| Sialogram (70390) | $687.87 | $1,220 | 3.0× |
| Skull less than 4 views (70250) | $180.65 | $320.40 | 1.8× |
| Sternoclavicular joints (71130) | $164.30 | $291.40 | 2.0× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $150.37 | $266.70 | 1.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $761.73 | $1,351 | 3.3× |
| Testicular Imaging W/Flow (78761) | $690.86 | $1,225.30 | 1.8× |
| Thoracic spine 2 views (72070) | $190.69 | $338.20 | 1.9× |
| Thoracic spine 3 views (72072) | $197.34 | $350 | 2.0× |
| Thoracolumbar 2 views (72080) | $190.69 | $338.20 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $690.86 | $1,225.30 | 1.8× |
| Thyroid Met Imaging Body (78018) | $938.33 | $1,664.20 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $690.86 | $1,225.30 | 1.8× |
| Ultrasound Breast Limited (76642) | $258.80 | $459 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $405.45 | $719.10 | 4.0× |
| Ultrasound, abdomen limited (76705) | $525.71 | $932.40 | 5.2× |
| Umbilical-artery Doppler (OB) (76820) | $180.65 | $320.40 | 1.8× |
| Unlisted magnetic resonance procedure (76498) | $771.32 | $1,368 | 9.2× |
| Upper gi w/o kub (74240) | $568.68 | $1,008.60 | 3.4× |
| Ureteral Reflux Study (78740) | $690.86 | $1,225.30 | 1.8× |
| Urethrocystogram voiding (74455) | $571.89 | $1,014.30 | 2.5× |
| Urethrocystography retrograde (74450) | $412.33 | $731.30 | 1.8× |
| Us breast unilateral complete (76641) | $211.44 | $375 | 2.1× |
| Us chest (76604) | $356.11 | $631.60 | 3.6× |
| Us complete joint (76881) | $414.41 | $735 | 4.1× |
| Us exam, pelvic, limited (76857) | $317.66 | $563.40 | 3.2× |
| Us head (76506) | $275.71 | $489 | 2.7× |
| Us kidney transplant (76776) | $450.50 | $799 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $350.31 | $621.30 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $293.59 | $520.70 | 2.9× |
| Us ob transvaginal (76817) | $301.93 | $535.50 | 3.0× |
| Us pelvic non ob complete (76856) | $607.41 | $1,077.30 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $675.75 | $1,198.50 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $275.71 | $489 | 2.7× |
| Us retroperitoneal complete (76770) | $553.62 | $981.90 | 5.5× |
| Us retroperitoneal limited (76775) | $508.57 | $902 | 5.1× |
| Us scrotum and contents (76870) | $504.80 | $895.30 | 5.0× |
| Us spinal canal and contents (76800) | $450.50 | $799 | 4.5× |
| Us thyroid (76536) range across 5 matching MRF lines |
$485.63–$540.60 | $861.30–$958.80 | varies |
| Us transrectal (76872) | $450.50 | $799 | 4.5× |
| Vascular Flow Imaging (78445) | $690.86 | $1,225.30 | 1.8× |
| Vein X-Ray Chest (75827) | $2,720.37 | $4,824.80 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $5,456.52 | $9,677.60 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $2,720.37 | $4,824.80 | 1.8× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,720.37–$2,901.47 | $4,824.80–$5,146 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $690.86 | $1,225.30 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $154.49 | $274 | 1.9× |
| Wrist 2 views (73100) | $230.61 | $409 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $231.17 | $410 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $602.90 | $1,069.30 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $5,456.52 | $9,677.60 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $180.65 | $320.40 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $230.61 | $409 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $944.30 | $1,674.80 | 1.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $154.49 | $274 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $230.38 | $408.60 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $177.61 | $315 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$169.71–$254.57 | $301–$451.50 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $180.65 | $320.40 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $243.35 | $431.60 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $280.22 | $497 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $255.98 | $454 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $255.98 | $454 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $254.57 | $451.50 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$255.98–$383.97 | $454–$681 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $180.65 | $320.40 | 1.8× |
| X-ray eye for foreign body (70030) | $161.82 | $287 | 1.9× |
| X-ray humerus (73060) | $154.49 | $274 | 1.9× |
| X-ray IV pyelogram (ivp) (74400) | $598.79 | $1,062 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $161.82 | $287 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $231.17 | $410 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $180.65 | $320.40 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $154.49 | $274 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $287.61 | $510.10 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $180.65 | $320.40 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $210.87 | $374 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $165.20 | $293 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $255.98 | $454 | 2.6× |
| X-Ray Tmj Unilat (70328) | $150.37 | $266.70 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $602.90 | $1,069.30 | 1.8× |
| X-Rays Bone Length Studies (77073) | $180.65 | $320.40 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $180.65 | $320.40 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $383.97 | $681 | 3.8× |
| Xr facial bones less than 3 views (70140) | $161.82 | $287 | 1.9× |
| Xr orbits complete 4 views (70200) | $180.65 | $320.40 | 1.8× |
| Xr Tomogram Single Plane (76100) | $255.98 | $454 | 2.6× |
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.