Imaging prices at Windom Area Health
Windom, MN · every code in this section with a posted price and a Medicare benchmark.
250 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$12.47–$274.72 | $18.33–$404 | varies |
| Abdomen 2 views (74019) | $361.76 | $532 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$218.15–$1,311.72 | $320.80–$1,929 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$14.69–$191.08 | $21.60–$281 | varies |
| Arthrogram hip (73525) | $811.92 | $1,194 | 2.3× |
| Arthrogram Wrist (73115) | $679.32 | $999 | 1.9× |
| Bone age studies (77072) | $313.48 | $461 | 2.9× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$215.43–$1,704.08 | $316.80–$2,506 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$145.21–$1,360.68 | $213.54–$2,001 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$189.85–$1,403.52 | $279.18–$2,064 | varies |
| Bone survey infant (77076) | $670.48 | $986 | 6.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$216.41–$1,364.76 | $318.25–$2,007 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$67.16–$1,149.88 | $98.76–$1,691 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$7.27–$146.20 | $10.69–$215 | varies |
| Chest 2 views (71046) | $242.76 | $357 | 2.7× |
| Chest 3 views (71047) | $290.36 | $427 | 3.2× |
| Chest 4 or more views (71048) | $339.32 | $499 | 3.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$13.46–$228.48 | $19.78–$336 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $578 | $850 | 5.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$15.19–$163.20 | $22.33–$240 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$176.40–$4,041.92 | $259.40–$5,944 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$79.04–$3,408.16 | $116.23–$5,012 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$116.66–$2,203.20 | $171.55–$3,240 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$134.23–$2,337.84 | $197.39–$3,438 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$62.71–$1,704.08 | $92.21–$2,506 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$194.71–$4,041.92 | $286.33–$5,944 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$145.71–$2,337.84 | $214.27–$3,438 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$143.23–$1,312.40 | $210.63–$1,930 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$181.93–$2,337.84 | $267.53–$3,438 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$142.74–$2,337.84 | $209.90–$3,438 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$166.25–$2,337.84 | $244.48–$3,438 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$116.41–$2,203.20 | $171.19–$3,240 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$91.42–$1,704.08 | $134.43–$2,506 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$144.38–$2,337.84 | $212.32–$3,438 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$93.65–$2,203.20 | $137.71–$3,240 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$115.92–$2,337.84 | $170.46–$3,438 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$74.09–$1,743.52 | $108.95–$2,564 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$89.19–$1,896.52 | $131.15–$2,789 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$144.13–$1,743.52 | $211.95–$2,564 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$143.63–$2,337.84 | $211.22–$3,438 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$90.42–$1,493.28 | $132.97–$2,196 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$116.91–$1,991.72 | $171.92–$2,929 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$116.41–$2,203.20 | $171.19–$3,240 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$90.42–$1,704.08 | $132.97–$2,506 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$77.56–$1,743.52 | $114.05–$2,564 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$67.16–$1,493.28 | $98.76–$2,196 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$114.18–$2,203.20 | $167.91–$3,240 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$159.07–$1,896.52 | $233.92–$2,789 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$117.90–$1,493.28 | $173.37–$2,196 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$138.94–$2,337.84 | $204.31–$3,438 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$63.70–$1,704.08 | $93.67–$2,506 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$149.08–$2,212.04 | $219.23–$3,253 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$98.10–$1,896.52 | $144.26–$2,789 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$93.40–$1,991.72 | $137.34–$2,929 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$72.36–$1,493.28 | $106.41–$2,196 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$117.16–$2,203.20 | $172.28–$3,240 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$90.92–$1,704.08 | $133.70–$2,506 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$145.37–$2,337.84 | $213.77–$3,438 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$72.85–$1,704.08 | $107.13–$2,506 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$90.18–$1,493.28 | $132.61–$2,196 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$151.31–$2,145.40 | $222.51–$3,155 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$114.68–$1,991.72 | $168.64–$2,929 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,615.28 | $3,846 | 14.4× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$151.15–$2,337.84 | $222.27–$3,438 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$150.41–$2,337.84 | $221.18–$3,438 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$22.12–$648.72 | $32.52–$954 | varies |
| Echo exam uterus (76831) | $652.12 | $959 | 2.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$45.38–$475.32 | $66.73–$699 | varies |
| Fetal Biophys Profile W/Nst (76818) | $575.28 | $846 | 5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$35.49–$346.80 | $52.18–$510 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$27.07–$578.68 | $39.80–$851 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$12.71–$191.08 | $18.69–$281 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$11.97–$228.48 | $17.60–$336 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$215.93–$1,266.16 | $317.53–$1,862 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$131.69–$1,519.12 | $193.65–$2,234 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$13.71–$191.08 | $20.15–$281 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$293.48–$1,164.16 | $431.58–$1,712 | varies |
| Hepatobiliary System Imaging (78226) | $1,164.16 | $1,712 | 2.8× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$199.10–$2,001.92 | $292.78–$2,944 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$38.70–$189.04 | $56.91–$278 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $170 | $250 | 1.9× |
| Joint Survey Single View (77077) | $290.36 | $427 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,719.72 | $2,529 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$135.40–$969 | $199.11–$1,425 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$18.16–$299.88 | $26.70–$441 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$123.52–$1,148.52 | $181.64–$1,689 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$204.79–$2,078.08 | $301.15–$3,056 | varies |
| Lung Ventilation Imaging (78579) | $862.24 | $1,268 | 2.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$173.67–$2,451.40 | $255.39–$3,605 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$216.17–$1,330.76 | $317.89–$1,957 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$286.62–$2,569.04 | $421.49–$3,778 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$187.04–$2,451.40 | $275.05–$3,605 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$185.06–$2,451.40 | $272.14–$3,605 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$198.92–$2,451.40 | $292.52–$3,605 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$288.60–$2,569.04 | $424.40–$3,778 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$188.02–$2,451.40 | $276.50–$3,605 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$207.09–$2,451.40 | $304.53–$3,605 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$146.36–$2,451.40 | $215.23–$3,605 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$210.06–$2,451.40 | $308.90–$3,605 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$253.61–$2,569.04 | $372.95–$3,778 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$208.32–$2,451.40 | $306.35–$3,605 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$165.50–$2,451.40 | $243.38–$3,605 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$105.03–$2,451.40 | $154.45–$3,605 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$239.26–$2,451.40 | $351.84–$3,605 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$259.30–$2,451.40 | $381.32–$3,605 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$326.21–$2,569.04 | $479.72–$3,778 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$182.33–$2,451.40 | $268.13–$3,605 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$222.43–$2,569.72 | $327.09–$3,779 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$167.39–$2,451.40 | $246.16–$3,605 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$162.54–$2,451.40 | $239.02–$3,605 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$185.80–$3,265.36 | $273.23–$4,802 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$142.40–$2,451.40 | $209.40–$3,605 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$167.98–$2,451.40 | $247.02–$3,605 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$207.58–$2,569.04 | $305.26–$3,778 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$182.33–$2,451.40 | $268.13–$3,605 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$220.94–$2,569.04 | $324.91–$3,778 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$170.37–$2,451.40 | $250.53–$3,605 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$105.28–$2,451.40 | $154.81–$3,605 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$225.15–$2,451.40 | $331.10–$3,605 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$209.06–$2,451.40 | $307.44–$3,605 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$274.40–$2,569.04 | $403.52–$3,778 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$221.68–$2,569.04 | $326–$3,778 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$186.30–$2,569.04 | $273.96–$3,778 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$164.02–$2,451.40 | $241.20–$3,605 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$118.24–$2,451.40 | $173.87–$3,605 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$501.38–$2,569.04 | $737.32–$3,778 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$185.06–$2,569.04 | $272.14–$3,778 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$876.52 | $51.81–$1,289 | 1.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$287.38–$3,051.84 | $422.61–$4,488 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$13.71–$173.40 | $20.15–$255 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$245.62–$865.64 | $361.20–$1,273 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $865.64 | $1,273 | 2.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$15.93–$246.84 | $23.42–$363 | varies |
| PET image w/CT, full body (78816) | $4,964 | $7,300 | 3.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,760 | $7,000 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$147.03–$1,357.28 | $216.22–$1,996 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$19.64–$376.04 | $28.88–$553 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$19.89–$189.04 | $29.25–$278 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$15.69–$228.48 | $23.06–$336 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$13.21–$228.48 | $19.42–$336 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$15.69–$228.48 | $23.06–$336 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$19.40–$305.32 | $28.52–$449 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$17.42–$126.48 | $25.61–$186 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$14.45–$228.48 | $21.24–$336 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$15.93–$228.48 | $23.42–$336 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$13.21–$191.08 | $19.42–$281 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$16.68–$228.48 | $24.52–$336 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$15.19–$319.60 | $22.33–$470 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$13.71–$246.84 | $20.15–$363 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$14.45–$103.36 | $21.24–$152 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$9.99–$134.64 | $14.69–$198 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$13.46–$308.72 | $19.78–$454 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$24.10–$341.36 | $35.43–$502 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$14.94–$103.36 | $21.97–$152 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$13.21–$191.08 | $19.42–$281 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$18.16–$228.48 | $26.70–$336 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $830.28 | $1,221 | 7.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$17.42–$308.72 | $25.61–$454 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $447.44 | $658 | 4.1× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$113.94–$780.64 | $167.55–$1,148 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$80.53–$588.88 | $118.42–$866 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $568.48 | $836 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$19.64–$332.52 | $28.88–$489 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $360.40 | $530 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$55.53–$173.40 | $81.66–$255 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$71.37–$289.68 | $104.95–$426 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$63.95–$648.72 | $94.03–$954 | varies |
| Radiologic examination femur 1 view (73551) | $208.76 | $307 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$16.18–$246.84 | $23.79–$363 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$15.69–$246.84 | $23.06–$363 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$28.80–$370.60 | $42.35–$545 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$13.95–$246.84 | $20.51–$363 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$17.42–$485.52 | $25.61–$714 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$211.47–$1,232.84 | $310.98–$1,813 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$14.69–$257.04 | $21.60–$378 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $80.92 | $119 | 3.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$10.24–$103.36 | $15.05–$152 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$51.32–$821.44 | $75.47–$1,208 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$16.43–$246.84 | $24.15–$363 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$111.89–$371.28 | $164.54–$546 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$17.17–$228.48 | $25.24–$336 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$15.69–$246.84 | $23.06–$363 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$16.43–$299.88 | $24.15–$441 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$15.44–$246.84 | $22.70–$363 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$126–$1,260.72 | $185.28–$1,854 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$157.42–$1,300.84 | $231.50–$1,913 | varies |
| Ultrasound Breast Limited (76642) | $612.68 | $901 | 6.8× |
| Ultrasound Exam Aaa Screen (76706) | $538.56 | $792 | 5.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$43.65–$724.20 | $64.19–$1,065 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $830.96 | $1,222 | 9.3× |
| Unlisted us procedure (76999) | $612.68 | $901 | 6.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$54.30–$475.32 | $79.84–$699 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$45.88–$201.96 | $67.46–$297 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$11.21–$189.04 | $16.48–$278 | varies |
| Us breast unilateral complete (76641) | $686.12 | $1,009 | 6.4× |
| Us chest (76604) range across 2 matching MRF lines |
$43.65–$786.08 | $64.19–$1,156 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$49.09–$786.08 | $72.19–$1,156 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$16.43–$418.88 | $24.15–$616 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $412.08 | $606 | 3.8× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$59.82–$686.12 | $87.97–$1,009 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$36.47–$565.76 | $53.63–$832 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$41.67–$807.16 | $61.27–$1,187 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$53.30–$630.36 | $78.38–$927 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$51.82–$546.72 | $76.20–$804 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$50.58–$335.92 | $74.38–$494 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$53.80–$816 | $79.11–$1,200 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$20.38–$673.88 | $29.97–$991 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$25.09–$633.08 | $36.89–$931 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$62.21–$720.12 | $91.48–$1,059 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$117.58–$967.64 | $172.91–$1,423 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$56.27–$189.04 | $82.75–$278 | varies |
| Vertebral fracture assessment via dxa (77086) | $648.72 | $954 | 7.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$15.69–$191.08 | $23.06–$281 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$17.42–$227.80 | $25.61–$335 | varies |
| X-Ray Bend Only L-S Spine (72120) | $319.60 | $470 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$13.21–$191.08 | $19.42–$281 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$6.04–$80.92 | $8.87–$119 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $246.84 | $363 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $550.12 | $809 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $246.84 | $363 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$20.88–$273.36 | $30.70–$402 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $429.08 | $631 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $295.80 | $435 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $537.20 | $790 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $672.52 | $989 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$31.28–$531.76 | $45.99–$782 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$15.19–$399.84 | $22.33–$588 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$26.08–$586.16 | $38.35–$862 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$16.92–$485.52 | $24.88–$714 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$13.46–$306 | $19.78–$450 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$14.20–$228.48 | $20.88–$336 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$59.25–$715.36 | $87.12–$1,052 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$16.43–$246.16 | $24.15–$362 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$18.66–$246.84 | $27.43–$363 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$16.43–$323.68 | $24.15–$476 | varies |
| X-ray nose-rectum child f.b. (76010) | $278.12 | $409 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$21.13–$537.20 | $31.07–$790 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$16.18–$252.96 | $23.79–$372 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$13.46–$252.96 | $19.78–$372 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$17.17–$348.16 | $25.24–$512 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$19.40–$475.32 | $28.52–$699 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$19.40–$412.08 | $28.52–$606 | varies |
| X-Ray Tmj Unilat (70328) | $285.60 | $420 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $412.08 | $606 | 1.1× |
| X-Rays Bone Length Studies (77073) | $346.80 | $510 | 3.2× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$41.92–$510.68 | $61.64–$751 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$20.38–$485.52 | $29.97–$714 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$13.21–$228.48 | $19.42–$336 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$19.40–$305.32 | $28.52–$449 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$41.67–$250.92 | $61.27–$369 | 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.