Imaging prices at Wilson Medical Center
Wilson, NC · every code in this section with a posted price and a Medicare benchmark.
333 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 |
$2,958.80–$3,225.20 | $7,397–$8,063 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$285.20–$311.20 | $713–$778 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$264.80–$303.20 | $662–$758 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,227.20–$1,338 | $3,068–$3,345 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $658 | $1,645 | 0.5× |
| Adrenal Cortex & Medulla Img (78075) | $3,309.60 | $8,274 | 2.6× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$6,753.20–$7,361.20 | $16,883–$18,403 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,209.20 | $3,023 | 0.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,566–$7,157.20 | $16,415–$17,893 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,816–$1,979.60 | $4,540–$4,949 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,753.20 | $16,883 | 2.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,796.40 | $6,991 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$247.60–$284 | $619–$710 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,189.60 | $15,474 | 1.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,189.60 | $15,474 | 2.0× |
| Artery X-Rays Abdomen (75726) | $10,839.20 | $27,098 | 2.0× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,023.60 | $5,059 | 0.4× |
| Arthrogram ankle (73615) | $600.80 | $1,502 | 1.7× |
| Arthrogram hip (73525) | $597.20 | $1,493 | 1.7× |
| Arthrogram Wrist (73115) | $472.40 | $1,181 | 1.4× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$472–$514.80 | $1,180–$1,287 | varies |
| Bone age studies (77072) | $170 | $425 | 1.6× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,444.40–$1,574.40 | $3,611–$3,936 | varies |
| Bone Imaging Limited Area (78300) | $744.80 | $1,862 | 1.9× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,144.80–$1,248 | $2,862–$3,120 | varies |
| Bone survey infant (77076) | $305.20 | $763 | 2.9× |
| Brachytx isodose complex (77318) | $1,065.60 | $2,664 | 2.9× |
| Brachytx isodose intermed (77317) | $1,065.60 | $2,664 | 2.9× |
| Brachytx Isodose Plan Simple (77316) | $384.80 | $962 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $897.20 | $2,243 | 2.3× |
| Brain imaging < 4 static views (78600) | $897.20 | $2,243 | 2.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,150 | $2,875 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,150 | $2,875 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,853.20 | $4,633 | 5.3× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$630–$720.80 | $1,575–$1,802 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,254.80 | $3,137 | 2.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$207.60–$265.20 | $519–$663 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$188.40–$205.60 | $471–$514 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$347.20–$398 | $868–$995 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$381.60–$416 | $954–$1,040 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $211.20 | $528 | 2.0× |
| Cisternography Positive Contrast Rs&I (70015) | $906 | $2,265 | 1.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$340–$389.60 | $850–$974 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$338.40–$369.20 | $846–$923 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$647.60–$706 | $1,619–$1,765 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,566–$7,157.20 | $16,415–$17,893 | varies |
| Contrast X-Ray Bladder (74430) | $553.20 | $1,383 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $574.40 | $1,436 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$5,397.60–$5,883.60 | $13,494–$14,709 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$3,802.40–$4,144.80 | $9,506–$10,362 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,204–$2,522.80 | $5,510–$6,307 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,422.40–$2,640.80 | $6,056–$6,602 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,942–$2,222.80 | $4,855–$5,557 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,041.20–$1,135.20 | $2,603–$2,838 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,718–$2,962.80 | $6,795–$7,407 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,489.60–$2,714 | $6,224–$6,785 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$403.60–$1,838 | $1,009–$4,595 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,928.80–$2,102.40 | $4,822–$5,256 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,881.20–$3,140.80 | $7,203–$7,852 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,731.20–$1,887.20 | $4,328–$4,718 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,539.60–$1,678.40 | $3,849–$4,196 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$2,080.40–$2,268 | $5,201–$5,670 | varies |
| CT cervical spine w/wo cont (72127) | $2,234 | $5,585 | 12.8× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,796–$1,958 | $4,490–$4,895 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$2,066.80–$2,366 | $5,167–$5,915 | varies |
| CT head/brain with contrast (70460) | $1,887.20 | $4,718 | 10.8× |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$2,096.40–$2,285.20 | $5,241–$5,713 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,653.60 | $4,134 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$74–$80.80 | $185–$202 | varies |
| CT hrt w/3d image congen (75573) | $403.60 | $1,009 | 1.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,494.40–$1,629.20 | $3,736–$4,073 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,339.20–$2,550 | $5,848–$6,375 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,300.80–$1,418 | $3,252–$3,545 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,283.20–$1,398.80 | $3,208–$3,497 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,278.40–$1,393.60 | $3,196–$3,484 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$1,891.60–$2,062 | $4,729–$5,155 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,746.80–$1,904.40 | $4,367–$4,761 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,701.60–$1,854.80 | $4,254–$4,637 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$2,245.60–$2,570.40 | $5,614–$6,426 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,042.80–$2,338.40 | $5,107–$5,846 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,834.40–$1,999.60 | $4,586–$4,999 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,627.60–$2,864.40 | $6,569–$7,161 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,683.60–$1,927.60 | $4,209–$4,819 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$1,319.20–$1,586.40 | $3,298–$3,966 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$2,225.60–$2,426 | $5,564–$6,065 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$2,096.40–$2,285.20 | $5,241–$5,713 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,704–$1,857.60 | $4,260–$4,644 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$818–$892 | $2,045–$2,230 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$1,764–$1,922.80 | $4,410–$4,807 | varies |
| CT thoracic spine w/wo cont (72130) | $2,339.20 | $5,848 | 13.4× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,551.20–$1,775.60 | $3,878–$4,439 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,379.60–$1,504 | $3,449–$3,760 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,455.20–$1,586.40 | $3,638–$3,966 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,301.20–$1,489.60 | $3,253–$3,724 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,332.80–$3,632.80 | $8,332–$9,082 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,174–$3,460 | $7,935–$8,650 | varies |
| CTA pelvis (72191) | $2,692.80 | $6,732 | 15.4× |
| Dilation ureters/urethra rs&i (74485) | $647.60 | $1,619 | 0.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$501.60–$546.80 | $1,254–$1,367 | varies |
| Dxa bone density study (77085) | $219.20 | $548 | 2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $169.20 | $423 | 2.0× |
| Echo Guide For Artery Repair (76936) | $1,560.40 | $3,901 | 7.3× |
| Esophagram (74220) | $352 | $880 | 2.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$633.20–$690.40 | $1,583–$1,726 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$365.20–$419.60 | $913–$1,049 | varies |
| Follow-Up Angiography (75898) | $2,796.40 | $6,991 | 0.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$223.60–$256.40 | $559–$641 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$327.60–$375.20 | $819–$938 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,337.60–$1,458 | $3,344–$3,645 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,555.60 | $3,889 | 3.9× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,309.20–$1,427.20 | $3,273–$3,568 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$240.40–$275.20 | $601–$688 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,189.60 | $15,474 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,539.20–$1,678 | $3,848–$4,195 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,539.20–$1,678 | $3,848–$4,195 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,766.80 | $4,417 | 1.4× |
| Hysterosalpingogram (74740) | $587.20 | $1,468 | 2.5× |
| Image fusion (77399) range across 2 matching MRF lines |
$366–$800 | $915–$2,000 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$576–$628 | $1,440–$1,570 | varies |
| Interstitial radiation source applic complex (77778) | $3,303.60 | $8,259 | 4.8× |
| Joint Survey Single View (77077) | $530 | $1,325 | 5.1× |
| K Flow/Funct Image Multiple (78709) | $1,120 | $2,800 | 2.1× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,427.60–$1,556.40 | $3,569–$3,891 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,140.40–$1,243.20 | $2,851–$3,108 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$318.80–$347.60 | $797–$869 | varies |
| Leveen/Shunt Patency Exam (78291) | $896 | $2,240 | 2.3× |
| Liver imaging static only (78201) | $885.20 | $2,213 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,218.80 | $5,547 | 4.1× |
| Lung perfusion differential (78597) | $1,139.60 | $2,849 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,320–$1,438.80 | $3,300–$3,597 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,110.40–$1,210.40 | $2,776–$3,026 | varies |
| Magnetic Image Jaw Joint (70336) | $4,331.20 | $10,828 | 18.2× |
| Mammary ductogram or galactogram multiple (77054) | $277.20 | $693 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $1,036.80 | $2,592 | 4.4× |
| Meckels Divert Exam (78290) | $899.20 | $2,248 | 2.3× |
| Medical physics dose eval radiation expos w/rprt (76145) | $295.60 | $739 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$604.80–$659.60 | $1,512–$1,649 | varies |
| Mr safety determination physician/other qhp (76016) | $141.20 | $353 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $39.20 | $98 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $147.20 | $368 | 1.6× |
| Mr safety implt pos&/immoblj (76019) | $95.20 | $238 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $386.80 | $967 | 1.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,808.80–$3,061.60 | $7,022–$7,654 | varies |
| MRA neck w contrast (70548) | $2,506 | $6,265 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,422.40–$3,730.80 | $8,556–$9,327 | varies |
| MRA neck w/o contrast (70547) | $2,106 | $5,265 | 8.9× |
| MRI abdomen w contrast (74182) | $3,842 | $9,605 | 11.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,219.60–$4,599.60 | $10,549–$11,499 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,554 | $6,385 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,241.20–$3,403.20 | $8,103–$8,508 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,011.60–$3,282.80 | $7,529–$8,207 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,403.20 | $8,508 | 14.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,403.20 | $8,508 | 14.3× |
| MRI cardiac w/o contrast (75557) | $1,965.60 | $4,914 | 8.3× |
| MRI cervical spine w contrast (72142) | $3,352.80 | $8,382 | 9.7× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$3,198.80–$3,661.60 | $7,997–$9,154 | varies |
| MRI chest w/o contrast (71550) | $1,402.40 | $3,506 | 5.9× |
| MRI chest with contrast (71551) | $3,647.60 | $9,119 | 4.7× |
| MRI chest wo w contrast (71552) | $4,377.60 | $10,944 | 12.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,207.20 | $8,018 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,314–$3,612.40 | $8,285–$9,031 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$2,312–$2,646.80 | $5,780–$6,617 | varies |
| MRI lumbar spine w contrast (72149) | $3,903.60 | $9,759 | 11.2× |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,832.40–$4,386.40 | $9,581–$10,966 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,078.80 | $2,697 | 4.5× |
| MRI orbit face neck w contrast (70542) | $3,018.40 | $7,546 | 8.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,636.40–$3,964 | $9,091–$9,910 | varies |
| MRI pelvis w contrast (72196) | $2,390 | $5,975 | 6.9× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,900.40–$4,251.60 | $9,751–$10,629 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,825.60–$3,080 | $7,064–$7,700 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$2,984.40–$3,416.80 | $7,461–$8,542 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,096.40 | $5,241 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,715.20 | $4,288 | 7.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,683.60–$2,925.20 | $6,709–$7,313 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,434–$4,833.20 | $11,085–$12,083 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$4,555.60–$4,966 | $11,389–$12,415 | varies |
| MRI, dorsal spine contrast (72147) | $3,462.80 | $8,657 | 10.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,344.80–$2,684.80 | $5,862–$6,712 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$3,318.40–$3,513.20 | $8,296–$8,783 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$4,240–$4,853.20 | $10,600–$12,133 | varies |
| Myelogram cervical (72240) | $1,000.40 | $2,501 | 1.3× |
| Myelogram Lumbar (72265) | $776 | $1,940 | 1.0× |
| Myelography thoracic (72255) | $776 | $1,940 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $848.80 | $2,122 | 1.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,920–$3,182.80 | $7,300–$7,957 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$276.40–$301.60 | $691–$754 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $629.20 | $1,573 | 1.6× |
| Nm unlisted gi procedure (78299) | $1,226.80 | $3,067 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $309.60 | $774 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,916–$4,268.80 | $9,790–$10,672 | varies |
| Nuclear Rx Oral Admin (79005) | $699.20 | $1,748 | 3.0× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$907.60–$989.60 | $2,269–$2,474 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$248–$284 | $620–$710 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,841.60 | $12,104 | 3.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,103.60–$5,563.20 | $12,759–$13,908 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$5,103.60–$5,563.20 | $12,759–$13,908 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,669.20 | $4,173 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $933.60 | $2,334 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$350.80–$382.40 | $877–$956 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $235.20 | $588 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$179.20–$205.60 | $448–$514 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $246 | $615 | 2.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$370.80–$404.40 | $927–$1,011 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$370.80–$404.40 | $927–$1,011 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$250.40–$287.60 | $626–$719 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$300–$327.20 | $750–$818 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$370.80–$404.40 | $927–$1,011 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $323.20 | $808 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$275.20–$300 | $688–$750 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$352–$403.20 | $880–$1,008 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$356–$388.40 | $890–$971 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $289.20 | $723 | 3.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$335.60–$366 | $839–$915 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$285.20–$327.20 | $713–$818 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $246 | $615 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$261.60–$285.20 | $654–$713 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$327.60–$375.20 | $819–$938 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$340–$370.80 | $850–$927 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$340–$370.80 | $850–$927 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$656.40–$1,872.40 | $1,641–$4,681 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$404.80–$441.60 | $1,012–$1,104 | varies |
| Radiologic exam colon double contrast study (74280) | $652.80 | $1,632 | 3.7× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$492.80–$537.20 | $1,232–$1,343 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$445.20–$485.60 | $1,113–$1,214 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$356.40–$388.80 | $891–$972 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$390–$425.20 | $975–$1,063 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$388.40–$423.60 | $971–$1,059 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$492–$536.40 | $1,230–$1,341 | varies |
| Radiologic examination femur 1 view (73551) | $184 | $460 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$175.60–$200.80 | $439–$502 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$263.60–$287.60 | $659–$719 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$223.20–$255.60 | $558–$639 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$277.20–$318 | $693–$795 | varies |
| Renal Cyst Study (74470) | $696.40 | $1,741 | 1.3× |
| Ribs bilateral 3 views (71110) | $700.80 | $1,752 | 6.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,170.40 | $2,926 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,892 | $12,230 | 9.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,107.60–$1,207.60 | $2,769–$3,019 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,501.60 | $3,754 | 2.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,098.40 | $7,746 | 2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,513.60 | $8,784 | 2.5× |
| Rp Therapy Intravenous Administration (79101) | $241.20 | $603 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$335.60–$366 | $839–$915 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$88.80–$96.80 | $222–$242 | varies |
| Shoulder Arthrography (73040) | $733.20 | $1,833 | 2.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$323.20–$352.40 | $808–$881 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$144.40–$157.60 | $361–$394 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$890.40–$970.80 | $2,226–$2,427 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$956.80–$1,043.20 | $2,392–$2,608 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,910.80–$2,082.80 | $4,777–$5,207 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$6,430–$7,008.80 | $16,075–$17,522 | varies |
| Sternoclavicular joints (71130) | $214.80 | $537 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$384.80–$419.60 | $962–$1,049 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $384.80 | $962 | 1.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $668.80 | $1,672 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$2,313.20–$2,521.60 | $5,783–$6,304 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $927.20 | $2,318 | 2.5× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,198.40–$1,306.40 | $2,996–$3,266 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$336.80–$367.20 | $842–$918 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $630.40 | $1,576 | 1.6× |
| Thyroid Uptake Measurement (78012) | $430.80 | $1,077 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,139.60–$1,242.40 | $2,849–$3,106 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,359.20–$1,481.60 | $3,398–$3,704 | varies |
| Tx devices design & construction intermediate (77333) | $654.40 | $1,636 | 4.9× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$631.60–$688.80 | $1,579–$1,722 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$272.80–$344.40 | $682–$861 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$254.40–$277.60 | $636–$694 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$886.40–$966.40 | $2,216–$2,416 | varies |
| Umbilical-artery Doppler (OB) (76820) | $309.60 | $774 | 3.0× |
| Unlisted magnetic resonance procedure (76498) | $818.40 | $2,046 | 9.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $705.60 | $1,764 | 6.9× |
| Unlisted us procedure (76999) | $421.20 | $1,053 | 4.9× |
| Upper gi w/o kub (74240) | $434.80 | $1,087 | 2.5× |
| Urethrocystogram voiding (74455) | $567.60 | $1,419 | 2.4× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$600.80–$655.20 | $1,502–$1,638 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$272.80–$297.60 | $682–$744 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$273.60–$313.20 | $684–$783 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$518.80–$565.60 | $1,297–$1,414 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$363.60–$416 | $909–$1,040 | varies |
| Us head (76506) range across 2 matching MRF lines |
$564–$614.80 | $1,410–$1,537 | varies |
| Us kidney transplant (76776) | $532 | $1,330 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$339.60–$388.80 | $849–$972 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$873.20–$952 | $2,183–$2,380 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$424.40–$462.80 | $1,061–$1,157 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$440–$479.60 | $1,100–$1,199 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$644.80–$738.80 | $1,612–$1,847 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$532.40–$580.40 | $1,331–$1,451 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $420.80 | $1,052 | 4.0× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$662.80–$722.80 | $1,657–$1,807 | varies |
| Us retroperitoneal limited (76775) | $844 | $2,110 | 8.1× |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$551.20–$630.80 | $1,378–$1,577 | varies |
| Us spinal canal and contents (76800) | $462.80 | $1,157 | 4.4× |
| Us thyroid (76536) range across 3 matching MRF lines |
$591.20–$644.80 | $1,478–$1,612 | varies |
| Us transrectal (76872) | $749.60 | $1,874 | 7.2× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,589.60–$1,732.80 | $3,974–$4,332 | varies |
| Venogram Sinus/Jugular (75860) | $1,231.60 | $3,079 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$6,566–$7,361.20 | $16,415–$18,403 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,188–$2,385.20 | $5,470–$5,963 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,987.20–$2,166.40 | $4,968–$5,416 | varies |
| Venography Renal Unilateral (75831) | $1,035.20 | $2,588 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,005.60 | $2,514 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $138.40 | $346 | 1.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$238.40–$260 | $596–$650 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$303.60–$315.60 | $759–$789 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$566–$617.20 | $1,415–$1,543 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$250.40–$287.60 | $626–$719 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,036.80 | $2,592 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$184–$200.80 | $460–$502 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$175.60–$200.80 | $439–$502 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $288.80 | $722 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $288.80 | $722 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$303.20–$330.80 | $758–$827 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $574.80 | $1,437 | 5.5× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$532.40–$610.40 | $1,331–$1,526 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$402.40–$438.80 | $1,006–$1,097 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$496.80–$541.60 | $1,242–$1,354 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$502.80–$575.20 | $1,257–$1,438 | varies |
| X-ray eye for foreign body (70030) | $329.60 | $824 | 3.8× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$259.60–$297.60 | $649–$744 | varies |
| X-ray IV pyelogram (ivp) (74400) | $665.20 | $1,663 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$188–$195.20 | $470–$488 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$215.60–$227.20 | $539–$568 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$361.60–$394.40 | $904–$986 | varies |
| X-ray nose-rectum child f.b. (76010) | $120 | $300 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$489.60–$534 | $1,224–$1,335 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$234.40–$255.60 | $586–$639 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$288.40–$330.40 | $721–$826 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $381.20 | $953 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$568.40–$619.60 | $1,421–$1,549 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$178.40–$194.80 | $446–$487 | varies |
| X-Rays Bone Survey Complete (77075) | $300 | $750 | 2.9× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$400–$458.80 | $1,000–$1,147 | 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.