Imaging prices at Winchester Hospital

Winchester, MA · every code in this section with a posted price and a Medicare benchmark.

379 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,842 $6,842 4.1×
Abdomen 1 View (74018) $351 $351 3.4×
Abdomen 2 views (74019) $507 $507 4.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $764 $764 1.6×
Angio pulmonary bilat (75743) $6,560 $6,560 1.7×
Angiography extremity bilateral rs&i (75716) $6,560 $6,560 1.7×
Angiography extremity unilateral rs&i (75710) $8,581 $8,581 2.3×
Angiography pulmonary unilateral slctv rs&i (75741) $6,560 $6,560 1.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,809 $2,809 0.7×
Ankle 2 views (73600) $325 $325 3.1×
Aortography thoracic serialography rs&i (75605) $9,903 $9,903 1.5×
Artery X-Rays Abdomen (75726) $10,362 $10,362 1.6×
Artery X-Rays Pelvis (75736) $9,903 $9,903 1.5×
Artery X-Rays Spine (75705) $11,467 $11,467 1.7×
Arthrogram ankle (73615) $1,478 $1,478 3.5×
Arthrogram hip (73525) $1,323 $1,323 3.2×
Arthrogram Wrist (73115) $1,445 $1,445 3.5×
Basic radiation dosimetry calculation (77300) $684 $684 4.2×
Bone age studies (77072) $261 $261 2.1×
Bone Imaging 3 Phase (78315) $982 $982 2.0×
Bone Imaging Limited Area (78300) $748 $748 1.6×
Bone Imaging Whole Body (78306) $906 $906 1.9×
Bone survey infant (77076) $363 $363 2.9×
Brachytx isodose complex (77318) $1,955 $1,955 4.4×
Brachytx isodose intermed (77317) $1,955 $1,955 4.4×
Brachytx Isodose Plan Simple (77316) $1,629 $1,629 3.6×
Brain Imaging Pet Metabolic Evaluation (78608) $3,863 $3,863 2.3×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,408 $1,408 2.9×
Cardiac MRI w/w/o contrast w/stress (75563) $2,672 $2,672 2.8×
Cardiac Shunt Detection (78428) $976 $976 2.0×
Cat Scan Follow-Up Study (76380) $789 $789 7.6×
Cerebrospinal Fluid Scan (78630) $1,229 $1,229 1.9×
Chest 1 view (71045) $269 $269 2.6×
Chest 2 views (71046) $261 $261 2.5×
Chest 3 views (71047) $254 $254 2.4×
Chest 4 or more views (71048) $410 $410 3.3×
Cholecystography Oral Contrast (74290) $355 $355 1.7×
Clavicle complete (73000) $302 $302 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $997 $997 8.0×
Continuing medical physics consltj pr wk (77336) $684 $684 4.2×
Contrast Exam Abdominl Aorta (75625) $6,560 $6,560 1.7×
Contrast X-Ray Bladder (74430) $805 $805 1.9×
Contrast X-Ray Of Elbow (73085) $1,341 $1,341 3.2×
Contrast X-Ray Of Knee Joint (73580) $1,284 $1,284 3.1×
Contrast Xray Throat/Cerv Esopha (74210) $431 $431 2.1×
CT abdomen and pelvis without and with contrast (74178) $2,458 $2,458 5.9×
CT abdomen and pelvis without contrast (74176) $2,458 $2,458 8.6×
CT abdomen w contrast (74160) $2,458 $2,458 11.7×
CT abdomen w wo contrast (74170) $2,458 $2,458 11.7×
CT abdomen w/o contrast (74150) $2,458 $2,458 19.6×
CT Angio Abdomen and Pelvis (74174) $2,458 $2,458 5.9×
CT Angio Chest (71275) $2,458 $2,458 11.7×
CT Angio Head (70496) $934 $934 4.4×
CT angio hrt w/3d image (75574) $1,108 $1,108 2.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,458 $2,458 11.7×
CT Angio Neck (70498) $1,082 $1,082 5.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,458 $2,458 11.7×
CT cervical spine w/ contrast (72126) $1,533 $1,533 3.7×
CT cervical spine w/o contrast (72125) $1,533 $1,533 12.2×
CT cervical spine w/wo cont (72127) $1,533 $1,533 7.3×
CT chest w contrast (71260) $1,804 $1,804 8.6×
CT chest w/wo contrast (71270) $2,778 $2,778 13.2×
CT colonography screening (74263) $2,174 $2,174 7.6×
CT colonogrphy dx image postprocess w/o contrast (74261) $2,458 $2,458 19.6×
CT head/brain with contrast (70460) $1,000 $1,000 4.8×
CT head/brain without and with contrast (70470) $1,204 $1,204 5.7×
CT heart contrast eval cardiac structure&morph (75572) $1,108 $1,108 2.7×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $275–$280 $275–$280 varies
CT iac w contrast (70481) $870 $870 4.1×
CT l-spine w&w/o contrast (72133) $2,458 $2,458 11.7×
CT lower ext w/o (73700) $2,458 $2,458 19.6×
CT lower extremity w/contrast material (73701) $2,458 $2,458 11.7×
CT lumbar spine w contrast (72132) $2,769 $2,769 6.6×
CT lumbar spine w/o contrast (72131) $2,458 $2,458 19.6×
CT maxillofacial w contrast (70487) $1,533 $1,533 7.3×
CT maxillofacial wo contrast (70486) $1,533 $1,533 12.2×
CT neck tissue combo (70492) $1,533 $1,533 7.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,144 $1,144 5.4×
CT orbits w/o contrast (70480) $1,309 $1,309 10.4×
CT pelvis w&w/o contrast (72194) $2,458 $2,458 11.7×
CT pelvis w/o contrast (72192) $2,458 $2,458 19.6×
CT scan of leg combo (73702) $2,458 $2,458 11.7×
CT scans face/jaw combo (70488) $1,002 $1,002 4.8×
CT soft tissue neck w contrast (70491) $1,474 $1,474 7.0×
CT soft tissue neck w/o contrast (70490) $1,238 $1,238 9.9×
CT thoracic spine w contrast (72129) $2,458 $2,458 11.7×
CT thoracic spine w/o contrast (72128) $2,458 $2,458 19.6×
CT thoracic spine w/wo cont (72130) $2,458 $2,458 11.7×
CT thorax w/o contrast (71250) $1,517 $1,517 12.1×
CT upper ext wo (73200) $2,458 $2,458 19.6×
CT upper extremity w/o & w/contrast material (73202) $2,458 $2,458 11.7×
CT upper extremity with contrast (73201) $2,458 $2,458 5.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,499 $1,499 7.1×
Cta Abdomen (74175) $2,458 $2,458 11.7×
CTA pelvis (72191) $2,458 $2,458 11.7×
Dilation ureters/urethra rs&i (74485) $5,823 $5,823 2.3×
Discography Cerv/Thor Spine (72285) $6,985 $6,985 3.0×
Diskography lumbar (72295) $6,985 $6,985 3.0×
Doppler Fetal Mid Cerebral Artery (76821) $613 $613 4.9×
Dxa Bone Density Axial (77080) $537 $537 4.3×
Dxa bone density study (77085) $388 $388 3.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $368 $368 3.5×
Echo exam uterus (76831) $1,006 $1,006 3.5×
Echo Guide For Artery Repair (76936) $899 $899 3.5×
Echograp Trans R Pros Study (76873) $388 $388 3.1×
Esophagram (74220) $431 $431 2.1×
Fetal Biophys Profile W/Nst (76818) $416 $416 3.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $609 $609 4.9×
Fluoroscopy up to 1 hr (76000) $494 $494 1.7×
Follow-Up Angiography (75898) $2,536 $2,536 0.7×
Foot 2 views (73620) $368 $368 3.5×
Forearm 2 views (73090) $463 $463 4.4×
Gastric emptying imaging study (78264) $1,139 $1,139 2.4×
Gated Heart Planar Single (78472) $976 $976 2.0×
Gated Heart, Multiple (78473) $976 $976 2.0×
Hand 2 views (73120) $325 $325 2.6×
Heart first pass single,planar (78481) $1,056 $1,056 1.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $6,560 $6,560 1.7×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $6,560 $6,560 1.7×
Hepatobil Syst Image W/Drug (78227) $1,256 $1,256 1.9×
Hepatobiliary System Imaging (78226) $1,626 $1,626 3.4×
Ht Musc Image Planar Mult (78454) $3,172 $3,172 2.0×
Ht Muscle Image Spect Sing (78451) $3,172 $3,172 2.0×
Hysterosalpingogram (74740) $1,468 $1,468 5.1×
Image fusion (77399) $684 $684 4.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $314 $314 3.0×
Infant hip ultrasound, limited static exam (76886) $2,709 $2,709 26.0×
Infusion Ivp (74410) $775 $775 3.7×
Interstitial radiation source applic complex (77778) $6,171 $6,171 7.4×
Joint Survey Single View (77077) $278 $278 2.2×
K Flow/Funct Image Multiple (78709) $1,256 $1,256 1.9×
K Flow/Funct Image W/Drug (78708) $962 $962 1.5×
K Flow/Funct Image W/O Drug (78707) $1,423 $1,423 2.2×
Kidney Imaging Morphol (78700) $976 $976 2.0×
Knee 3 Views (73562) $483 $483 4.6×
Liver & Spleen Imaging Static Only (78215) $860 $860 1.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $976 $976 2.0×
Lung Perf&Ventilat Diferentl (78598) $1,377 $1,377 2.1×
Lung perfusion differential (78597) $976 $976 2.0×
Lung Ventilat&Perfus Imaging (78582) $1,476 $1,476 2.3×
Lung Ventilation Imaging (78579) $976 $976 2.0×
Lymph System Imaging (78195) $1,039 $1,039 1.6×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $3,846 $3,846 1.0×
Magnetic Image Jaw Joint (70336) $1,058 $1,058 3.7×
Magnetic Resonance Elastography (76391) $21,332 $21,332 74.6×
Mammary ductogram or galactogram single (77053) $1,118 $1,118 3.9×
Meckels Divert Exam (78290) $748 $748 1.6×
Mlc imrt design & construction per imrt plan (77338) $1,955 $1,955 4.4×
Mr safety determination physician/other qhp (76016) $273 $273 2.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $76 $76 2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $348 $348 3.1×
Mr safety implt pos&/immoblj (76019) $184 $184 2.6×
Mr safety med physics xm customization plng&mntr (76017) $750 $750 2.6×
Mra Head W/O & W/Contrast Material (70546) $2,645 $2,645 6.3×
MRA head w/o contrast (70544) $2,645 $2,645 9.2×
MRA head with contrast (70545) $2,645 $2,645 6.3×
MRA neck w contrast (70548) $2,645 $2,645 6.3×
Mra Neck W/O &W/Contrast Material (70549) $2,645 $2,645 6.3×
MRA neck w/o contrast (70547) $2,645 $2,645 9.2×
MRI abdomen w contrast (74182) $1,058 $1,058 2.5×
MRI abdomen w/o contrast (74181) $1,058 $1,058 3.7×
MRI any jt lower extrem w/contrast material (73722) $1,058 $1,058 1.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,058 $1,058 2.5×
MRI any jt upper extremity w/contrast matrl (73222) $1,058 $1,058 1.1×
MRI bone marrow blood supply (77084) $1,058 $1,058 3.7×
MRI Breast W/O Contrast Bilateral (77047) $6,946 $6,946 24.3×
MRI Breast Without Contrast Material Unilateral (77046) $6,314 $6,314 22.1×
MRI cardiac w/o contrast (75557) $1,058 $1,058 3.7×
MRI cervical spine w contrast (72142) $2,645 $2,645 6.3×
MRI cervical spine w/o cont (72141) $2,645 $2,645 9.2×
MRI chest w/o contrast (71550) $1,058 $1,058 3.7×
MRI chest with contrast (71551) $1,058 $1,058 1.1×
MRI chest wo w contrast (71552) $1,058 $1,058 2.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,058 $1,058 2.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,058 $1,058 2.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,058 $1,058 3.7×
MRI lumbar spine w contrast (72149) $1,058 $1,058 2.5×
Mri Neck Spine W/O & W/Dye (72156) $2,645 $2,645 6.3×
MRI orbit face &/neck w/o contrast (70540) $2,645 $2,645 9.2×
MRI orbit face neck w contrast (70542) $2,645 $2,645 6.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,645 $2,645 6.3×
MRI pelvis w contrast (72196) $1,058 $1,058 2.5×
MRI pelvis w/o & w contrast (72197) $1,058 $1,058 2.5×
MRI pelvis w/o contrast (72195) $1,058 $1,058 3.7×
MRI thoracic spine w/o contrast (72146) $1,058 $1,058 3.7×
MRI upper extremity oth than jt w/contr matrl (73219) $1,058 $1,058 2.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,058 $1,058 3.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,058 $1,058 2.5×
MRI, abdomen, combo (74183)
range across 2 matching MRF lines		 $1,058–$6,602 $1,058–$6,602 varies
MRI, dorsal spine combo (72157) $1,058 $1,058 2.5×
MRI, dorsal spine contrast (72147) $1,058 $1,058 2.5×
MRI, joint upper extrem (73221) $1,058 $1,058 3.7×
MRI, joint upper extrem combo (73223) $1,058 $1,058 2.5×
MRI, lumbar spine combo (72158) $1,058 $1,058 2.5×
Myelogram cervical (72240) $1,376 $1,376 1.5×
Myelogram Lumbar (72265) $2,231 $2,231 2.4×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $3,172 $3,172 2.0×
Myocardial Spect Multiple Studies (78452) $3,323 $3,323 2.1×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $4,393 $4,393 2.6×
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360) $474 $474 4.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,408 $1,408 2.9×
Ntsty modul radthx pln dose-vol histos (77301) $6,842 $6,842 4.1×
Nuclear Rx Oral Admin (79005) $1,452 $1,452 5.2×
Ob us nuchal meas 1 gest (76813) $882 $882 7.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $388 $388 3.1×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $105 $105 3.0×
Optic foramina (70190) $211 $211 2.0×
Parathyroid imaging w/tomographic spect & CT (78072) $1,472 $1,472 2.3×
Parathyroid Planar Imaging (78070) $976 $976 2.0×
Parathyroid planar imaging w/wo subtraction (78071) $1,699 $1,699 3.5×
Pelvis 1 or 2 views (72170) $298 $298 2.4×
Pet Image W/Ct Lmtd (78814) $6,620 $6,620 3.9×
PET image w/CT, full body (78816) $11,076 $11,076 6.5×
PET imaging CT attenuation skull base mid-thigh (78815) $8,657 $8,657 5.1×
Pet Imaging Limited Area Chest Head/Neck (78811) $3,602 $3,602 2.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $10,735 $10,735 2.8×
Pulmonary Perfusion Imaging Particulate (78580) $707 $707 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $409 $409 3.3×
Radex abscess/fistula/sinus tract rs&i (76080) $958 $958 1.5×
Radex Ankle Complete Minimum 3 Views (73610) $398 $398 3.8×
Radex Calcaneus Minimum 2 Views (73650) $441 $441 4.2×
Radex elbow complete minimum 3 views (73080) $440 $440 4.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $446 $446 3.6×
Radex fingr minimum 2 views (73140) $424 $424 4.1×
Radex foot complete minimum 3 views (73630) $436 $436 4.2×
Radex Hand Minimum 3 Views (73130) $422 $422 4.0×
Radex lower extremity infant minimum 2 views (73592) $305 $305 2.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $363 $363 2.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $430 $430 4.1×
Radex Ribs Unilateral 2 Views (71100) $504 $504 4.8×
Radex shoulder complete minimum 2 views (73030) $416 $416 4.0×
Radex Sinuses Paransl < 3 Views (70210) $345 $345 3.3×
Radex Spine 1 View Specify Level (72020) $291 $291 2.8×
Radex Sternum Minimum 2 Views (71120) $452 $452 4.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $374 $374 3.6×
Radex Toe Minimum 2 Views (73660) $348 $348 3.3×
Radex upper extremity infant minimum 2 views (73092) $319 $319 2.5×
Radex Wrist Complete Minimum 3 Views (73110) $422 $422 4.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $406 $406 3.2×
Radiation treatment delivery level 1 (77402) $564 $564 4.6×
Radiation treatment delivery level 2 (77407) $937 $937 2.0×
Radiation treatment delivery level 3 (77412) $940 $940 1.4×
Radiolog exam mandible compl minimum 4 views (70110) $479 $479 3.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $355 $355 2.8×
Radiologic exam colon double contrast study (74280) $1,658 $1,658 7.9×
Radiologic exam colon single contrast study (74270) $775 $775 3.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $653 $653 3.1×
Radiologic exam knee complete 4/more views (73564) $483 $483 3.9×
Radiologic exam pelvis compl minimum 3 views (72190) $363 $363 2.9×
Radiologic Exam Small Int Single Contrast Study (74250) $638 $638 3.0×
Radiologic exam swallow function contrast study (74230) $599 $599 2.8×
Radiologic exam upr gi trc double contrast study (74246) $611 $611 2.9×
Radiologic examination femur 1 view (73551) $468 $468 4.5×
Radiologic examination femur minimum 2 views (73552) $468 $468 4.5×
Radiologic examination knee 1/2 views (73560) $404 $404 3.9×
Radiologic Examination Osseous Survey Limited (77074) $363 $363 2.9×
Radiologic Examination Salivary Gland Calculus (70380) $361 $361 3.5×
Radiologic examination tibia & fibula 2 views (73590) $383 $383 3.7×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $272 $272 0.4×
Ribs bilateral 3 views (71110) $567 $567 4.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $3,171 $3,171 4.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,231 $2,231 3.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,231 $2,231 3.4×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,619 $3,619 2.3×
Salivary Gland Imaging Serial Images (78231) $748 $748 1.6×
Scapula (73010) $298 $298 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $202 $202 8.6×
Sella turcica (70240) $301 $301 2.9×
Shoulder 1 view (73020) $416 $416 4.0×
Shoulder Arthrography (73040) $1,311 $1,311 3.1×
Sialogram (70390) $958 $958 3.4×
Skull less than 4 views (70250) $474 $474 3.8×
Special dosimetry (77331) $684 $684 4.2×
Special Physics Consult (77370) $684 $684 4.2×
Special teletherapy port plan (77321) $1,955 $1,955 4.4×
Special treatment procedure (77470) $2,932 $2,932 4.4×
Stereotactic Body Radiation Delivery (77373) $8,960 $8,960 4.2×
Sternoclavicular joints (71130) $269 $269 2.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,792 $1,792 4.0×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,792 $1,792 4.0×
Testicular Imaging W/Flow (78761) $962 $962 2.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,955 $1,955 4.4×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,955 $1,955 4.4×
Ther rad simulaj-aided field setting simple (77280) $827 $827 5.1×
Thoracic spine 2 views (72070) $446 $446 3.6×
Thoracic spine 3 views (72072) $398 $398 3.2×
Thoracolumbar 2 views (72080) $309 $309 3.0×
Thyroid Imaging With Vascular Flow (78013) $700 $700 1.5×
Thyroid Uptake Measurement (78012) $670 $670 1.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,030 $1,030 2.1×
Tx Devices Design & Construction Complex (77334) $1,955 $1,955 4.4×
Tx devices design & construction intermediate (77333) $684 $684 4.2×
Tx devices design & construction simple (77332) $684 $684 4.2×
Ultrasound Breast Limited (76642) $319 $319 3.1×
Ultrasound elastography first target lesion (76982) $414 $414 3.3×
Ultrasound Elastography Parenchyma (76981) $414 $414 3.3×
Ultrasound Exam Aaa Screen (76706) $456 $456 3.6×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $745 $745 1.8×
Ultrasound, abdomen limited (76705) $609 $609 4.9×
Umbilical-artery Doppler (OB) (76820) $613 $613 4.9×
Unlisted Dx Radiographic Procedure (76499) $934 $934 9.0×
Unlisted fluoroscopic procedure (76496) $188 $188 1.8×
Unlisted magnetic resonance procedure (76498) $313 $313 3.0×
Unlisted us procedure (76999) $306 $306 2.9×
Upper gi w/o kub (74240) $431 $431 2.1×
Ureteral Reflux Study (78740) $962 $962 2.0×
Urethrocystogram voiding (74455) $775 $775 2.7×
Urethrocystography retrograde (74450) $865 $865 3.0×
Us breast unilateral complete (76641) $413 $413 3.3×
Us chest (76604) $363 $363 2.9×
Us complete joint (76881) $625 $625 5.0×
Us exam, pelvic, limited (76857) $1,005 $1,005 8.0×
Us head (76506) $646 $646 5.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $456 $456 3.6×
Us ob detailed single fetus (76811) $900 $900 3.1×
Us ob limited 1 or more fetuses (76815) $635 $635 5.1×
Us ob transvaginal (76817) $759 $759 6.1×
Us pelvic non ob complete (76856) $985 $985 7.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $951 $951 7.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $456 $456 3.6×
Us retroperitoneal complete (76770) $693 $693 5.5×
Us retroperitoneal limited (76775) $408 $408 3.3×
Us scrotum and contents (76870) $911 $911 7.3×
Us spinal canal and contents (76800) $681 $681 5.4×
Us thyroid (76536) $759 $759 6.1×
Us transrectal (76872) $388 $388 3.1×
Vascular Flow Imaging (78445) $735 $735 1.5×
Vein X-Ray Chest (75827) $2,470 $2,470 1.3×
Venography caval inferior serialography rs&i (75825) $6,560 $6,560 1.7×
Venography extremity bilateral rs&i (75822) $2,302 $2,302 1.2×
Venography extremity unilateral rs&i (75820) $1,902 $1,902 1.0×
Venography Renal Bilateral (75833) $7,782 $7,782 2.1×
Venography Renal Unilateral (75831) $6,899 $6,899 1.8×
Venous sampling by catheter (75893) $9,903 $9,903 1.5×
Vertebral fracture assessment via dxa (77086) $303 $303 2.9×
Wrist 2 views (73100) $410 $410 3.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $352 $352 3.4×
X-ray antegrade pyelogram tube (74425) $1,193 $1,193 2.9×
X-Ray Aorta Leg Arteries (75630) $8,581 $8,581 2.3×
X-Ray Bend Only L-S Spine (72120) $360 $360 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $198 $198 1.9×
X-Ray Exam Breast Specimen (76098) $2,166 $2,166 3.3×
X-Ray Exam Entire Spi 1 Vw (72081) $245 $245 2.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $245 $245 2.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $610 $610 4.9×
X-Ray Exam Hip Uni 1 View (73501) $296 $296 2.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $296 $296 2.8×
X-Ray Exam Hips Bi 2 Views (73521) $369 $369 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $369 $369 2.9×
X-Ray Exam Hips Bi 5/> Views (73523) $369 $369 2.9×
X-Ray Exam L-S Spine Bending (72114) $381 $381 3.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $384 $384 3.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $378 $378 3.0×
X-Ray Exam Unilat Ribs/Chest (71101) $466 $466 3.7×
X-ray eye for foreign body (70030) $626 $626 6.0×
X-ray head for orthodontia (70350) $209 $209 2.0×
X-ray humerus (73060) $302 $302 2.9×
X-ray IV pyelogram (ivp) (74400) $775 $775 3.7×
X-ray IV pyelogram+tomography (74415) $796 $796 3.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $469 $469 4.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $360 $360 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $369 $369 2.9×
X-ray nose-rectum child f.b. (76010) $305 $305 2.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $341 $341 2.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $298 $298 2.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $280 $280 2.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $437 $437 4.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $455 $455 4.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $558 $558 4.5×
X-ray thoracic spine 4 vw (72074) $355 $355 2.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,507 $1,507 3.6×
X-Rays Bone Length Studies (77073) $446 $446 3.6×
X-Rays Bone Survey Complete (77075) $600 $600 4.8×
Xr c-spine 4 or 5 views (72050) $530 $530 4.2×
Xr facial bones less than 3 views (70140) $198 $198 1.9×
XR Mastoids < 3 Views Bilateral (70120) $296 $296 2.4×
Xr orbits complete 4 views (70200) $347 $347 2.8×
Xr Tomogram Single Plane (76100) $453 $453 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.