Imaging prices at Winona Health
Winona, MN · every code in this section with a posted price and a Medicare benchmark.
278 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 15 matching MRF lines |
$14.35–$100.10 | $41–$286 | varies |
| Abdomen 2 views (74019) range across 6 matching MRF lines |
$18.20–$145.60 | $52–$416 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$73.15–$403.20 | $209–$1,152 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$12.60–$72.80 | $36–$208 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$43.05–$140 | $123–$400 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$43.75–$140 | $125–$400 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$42.70–$210 | $122–$600 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$15.05–$83.65 | $43–$239 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$77.70–$435.40 | $222–$1,244 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$46.90–$507.50 | $134–$1,450 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$61.60–$480.90 | $176–$1,374 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$66.15–$455.70 | $189–$1,302 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$46.90–$329.35 | $134–$941 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$175–$2,449.82 | $500–$6,999.50 | varies |
| Cat Scan Follow-Up Study (76380) range across 7 matching MRF lines |
$75.95–$368.20 | $217–$1,052 | varies |
| Chest 1 view (71045) range across 11 matching MRF lines |
$14.35–$76.30 | $41–$218 | varies |
| Chest 2 views (71046) range across 15 matching MRF lines |
$16.45–$109.20 | $47–$312 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$21–$60.90 | $60–$174 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$24.15–$62.30 | $69–$178 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$24.15–$99.75 | $69–$285 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$12.95–$72.80 | $37–$208 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$35–$91 | $100–$260 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$25.20–$71.40 | $72–$204 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$43.05–$210 | $123–$600 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$43.05–$140 | $123–$400 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 12 matching MRF lines |
$210–$1,346.80 | $600–$3,848 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$130.20–$897.05 | $372–$2,563 | varies |
| CT abdomen w contrast (74160) range across 6 matching MRF lines |
$99.05–$774.55 | $283–$2,213 | varies |
| CT abdomen w wo contrast (74170) range across 8 matching MRF lines |
$105–$897.05 | $300–$2,563 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$92.75–$652.40 | $265–$1,864 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$115.50–$980 | $330–$2,800 | varies |
| CT Angio Chest (71275) range across 8 matching MRF lines |
$210–$1,085 | $600–$3,100 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$210–$1,085 | $600–$3,100 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$176.40–$1,036 | $504–$2,960 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$141.40–$848.75 | $404–$2,425 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$210–$1,085 | $600–$3,100 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$134.05–$882.70 | $383–$2,522 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$91.35–$784 | $261–$2,240 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$79.80–$685.65 | $228–$1,959 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$122.50–$805 | $350–$2,300 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$157.50–$982.80 | $450–$2,808 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$169.75–$400.05 | $485–$1,143 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$186.90–$509.60 | $534–$1,456 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$179.55–$470.40 | $513–$1,344 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$85.05–$596.75 | $243–$1,705 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$95.20–$702.80 | $272–$2,008 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$115.85–$129.85 | $331–$371 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$27.30–$44.80 | $78–$128 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$140–$187.95 | $400–$537 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$103.60–$637 | $296–$1,820 | varies |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$75.25–$588 | $215–$1,680 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$87.15–$691.95 | $249–$1,977 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$87.15–$810.60 | $249–$2,316 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$75.25–$705.60 | $215–$2,016 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$87.50–$582.40 | $250–$1,664 | varies |
| CT maxillofacial wo contrast (70486) range across 8 matching MRF lines |
$64.05–$490 | $183–$1,400 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$121.45–$693 | $347–$1,980 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$140–$735 | $400–$2,100 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$95.55–$511.35 | $273–$1,461 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$91.35–$726.95 | $261–$2,077 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$81.55–$575.40 | $233–$1,644 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$91–$809.55 | $260–$2,313 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$95.20–$654.50 | $272–$1,870 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$103.60–$605.50 | $296–$1,730 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$96.25–$518 | $275–$1,480 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$91.35–$784 | $261–$2,240 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$75.25–$630 | $215–$1,800 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$87.15–$716.10 | $249–$2,046 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$75.25–$574.35 | $215–$1,641 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$91.35–$809.55 | $261–$2,313 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$87.15–$691.95 | $249–$1,977 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$177.10–$913.50 | $506–$2,610 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$140.35–$897.05 | $401–$2,563 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$134.40–$681.45 | $384–$1,947 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$89.25–$426.30 | $255–$1,218 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $71.05 | $203 | 0.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$16.10–$182 | $46–$520 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$22.75–$237.30 | $65–$678 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$17.15–$72.80 | $49–$208 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$55.30–$220.85 | $158–$631 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$54.60–$191.10 | $156–$546 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$81.55–$297.50 | $233–$850 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 19 matching MRF lines |
$58.80–$390.60 | $168–$1,116 | varies |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$13.30–$182 | $38–$520 | varies |
| Foot 2 views (73620) range across 12 matching MRF lines |
$11.55–$105 | $33–$300 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$18.20–$91 | $52–$260 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$60.20–$400.40 | $172–$1,144 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$39.56–$485.10 | $113.04–$1,386 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$12.60–$106.75 | $36–$305 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$69.65–$546 | $199–$1,560 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$56.70–$522.90 | $162–$1,494 | varies |
| Ht Muscle Image Spect Sing (78451) range across 14 matching MRF lines |
$104.30–$1,092 | $298–$3,120 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$29.40–$218.40 | $84–$624 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$57.75–$209.30 | $165–$598 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$101.85–$679.70 | $291–$1,942 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$88.20–$599.55 | $252–$1,713 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$69.30–$507.50 | $198–$1,450 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$35.70–$314.30 | $102–$898 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$18.20–$118.30 | $52–$338 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$40.95–$496.30 | $117–$1,418 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$78.75–$510.30 | $225–$1,458 | varies |
| Lymph System Imaging (78195) range across 10 matching MRF lines |
$56.70–$857.50 | $162–$2,450 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$109.90–$823.20 | $314–$2,352 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 4 matching MRF lines |
$34.30–$219.80 | $98–$628 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$26.95–$132.30 | $77–$378 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$50.05–$443.10 | $143–$1,266 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $5.95 | $17 | 0.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$114.80–$1,426.95 | $328–$4,077 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$122.50–$1,032.50 | $350–$2,950 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$89.95–$1,176 | $257–$3,360 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$112.35–$1,176 | $321–$3,360 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$134.40–$1,372 | $384–$3,920 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$90.30–$875 | $258–$2,500 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$129.85–$1,193.50 | $371–$3,410 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$109.20–$1,185.80 | $312–$3,388 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 20 matching MRF lines |
$121.80–$1,176 | $348–$3,360 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 20 matching MRF lines |
$160.30–$1,293.60 | $458–$3,696 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 24 matching MRF lines |
$101.85–$1,176 | $291–$3,360 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$121.80–$1,308.65 | $348–$3,739 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$121.80–$1,258.25 | $348–$3,595 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$134.05–$1,129.10 | $383–$3,226 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$111.30–$1,068.20 | $318–$3,052 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$109.20–$901.60 | $312–$2,576 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$129.15–$980 | $369–$2,800 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$175.35–$1,383.20 | $501–$3,952 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 15 matching MRF lines |
$121.45–$10,586.45 | $347–$30,247 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 16 matching MRF lines |
$160.30–$1,176 | $458–$3,360 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 24 matching MRF lines |
$101.50–$1,062.25 | $290–$3,035 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$134.05–$1,248.45 | $383–$3,567 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$170.80–$1,353.10 | $488–$3,866 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 8 matching MRF lines |
$157.50–$997.50 | $450–$2,850 | varies |
| MRI orbit face neck w contrast (70542) range across 6 matching MRF lines |
$121.45–$1,034.25 | $347–$2,955 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 8 matching MRF lines |
$236.60–$1,456 | $676–$4,160 | varies |
| MRI pelvis w contrast (72196) range across 6 matching MRF lines |
$129.85–$1,254.40 | $371–$3,584 | varies |
| MRI pelvis w/o & w contrast (72197) range across 6 matching MRF lines |
$171.15–$1,426.95 | $489–$4,077 | varies |
| MRI pelvis w/o contrast (72195) range across 6 matching MRF lines |
$113.40–$1,139.95 | $324–$3,257 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$111.30–$980 | $318–$2,800 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$121.45–$1,058.40 | $347–$3,024 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$101.50–$966 | $290–$2,760 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$160.65–$1,176 | $459–$3,360 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$164.50–$1,377.60 | $470–$3,936 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$170.80–$1,323.70 | $488–$3,782 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$133.35–$1,176 | $381–$3,360 | varies |
| MRI, joint upper extrem (73221) range across 30 matching MRF lines |
$101.85–$1,062.25 | $291–$3,035 | varies |
| MRI, joint upper extrem combo (73223) range across 20 matching MRF lines |
$160.65–$1,345.40 | $459–$3,844 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$171.15–$1,542.45 | $489–$4,407 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$61.60–$273.35 | $176–$781 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$52.50–$205.10 | $150–$586 | varies |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$118.30–$1,218 | $338–$3,480 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$12.95–$63.70 | $37–$182 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$67.20–$211.40 | $192–$604 | varies |
| Nonvascular Shunt X-Ray (75809) | $231.35 | $661 | 2.1× |
| Ob us nuchal meas 1 gest (76813) | $203.70 | $582 | 1.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 4 matching MRF lines |
$51.80–$129.50 | $148–$370 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$42–$105 | $120–$300 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines |
$9.52–$23.80 | $27.20–$68 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$16.80–$56 | $48–$160 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$58.45–$378.70 | $167–$1,082 | varies |
| Pelvis 1 or 2 views (72170) range across 7 matching MRF lines |
$14–$91 | $40–$260 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$160.30–$2,449.82 | $458–$6,999.50 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$186.90–$2,547.65 | $534–$7,279 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$184.45–$2,547.65 | $527–$7,279 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$54.60–$164.85 | $156–$471 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$25.20–$163.80 | $72–$468 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$38.85–$74.20 | $111–$212 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$18.20–$94.50 | $52–$270 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$12.25–$72.80 | $35–$208 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$14–$100.10 | $40–$286 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$19.95–$100.10 | $57–$286 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$18.20–$81.90 | $52–$234 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$18.20–$94.50 | $52–$270 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$18.20–$94.50 | $52–$270 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$12.25–$74.90 | $35–$214 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$25.90–$101.50 | $74–$290 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$13.30–$60.20 | $38–$172 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$16.80–$72.80 | $48–$208 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 14 matching MRF lines |
$14.35–$96.60 | $41–$276 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$14–$58.80 | $40–$168 | varies |
| Radex Spine 1 View Specify Level (72020) range across 7 matching MRF lines |
$11.55–$72.80 | $33–$208 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$15.40–$65.45 | $44–$187 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$18.55–$87.85 | $53–$251 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$10.15–$69.30 | $29–$198 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$12.25–$76.65 | $35–$219 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 14 matching MRF lines |
$18.20–$94.50 | $52–$270 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$18.90–$116.55 | $54–$333 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$21.35–$64.40 | $61–$184 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$74.20–$245 | $212–$700 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$53.55–$200.20 | $153–$572 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 12 matching MRF lines |
$23.80–$127.40 | $68–$364 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 7 matching MRF lines |
$16.45–$109.20 | $47–$312 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$36.75–$160.30 | $105–$458 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$41.65–$189.35 | $119–$541 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$12.25–$45.50 | $35–$130 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$51.45–$192.50 | $147–$550 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$12.60–$81.90 | $36–$234 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$15.05–$81.90 | $43–$234 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$12.95–$100.10 | $37–$286 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$34.30–$101.50 | $98–$290 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$12.95–$76.30 | $37–$218 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$22.05–$96.25 | $63–$275 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$75.25–$564.90 | $215–$1,614 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$13.65–$72.80 | $39–$208 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$8.75–$21 | $25–$60 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$14.70–$47.95 | $42–$137 | varies |
| Shoulder 1 view (73020) range across 14 matching MRF lines |
$12.25–$69.30 | $35–$198 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$40.95–$175 | $117–$500 | varies |
| Skull less than 4 views (70250) range across 7 matching MRF lines |
$19.60–$75.25 | $56–$215 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$19.95–$49 | $57–$140 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$53.20–$281.40 | $152–$804 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$17.15–$91 | $49–$260 | varies |
| Thoracolumbar 2 views (72080) range across 6 matching MRF lines |
$16.80–$75.60 | $48–$216 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$36.05–$177.10 | $103–$506 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$61.60–$628.25 | $176–$1,795 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$15.05–$245.70 | $43–$702 | varies |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$49–$297.50 | $140–$850 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$43.40–$234.15 | $124–$669 | varies |
| Ultrasound, abdomen limited (76705) range across 16 matching MRF lines |
$44.10–$239.75 | $126–$685 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 6 matching MRF lines |
$39.90–$118.30 | $114–$338 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $466.90 | $1,334 | 5.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$95.90–$191.80 | $274–$548 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$52.15–$200.20 | $149–$572 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$40.95–$355.25 | $117–$1,015 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$24.85–$157.50 | $71–$450 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$24.85–$131.25 | $71–$375 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$42.35–$211.05 | $121–$603 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$49–$242.90 | $140–$694 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$37.45–$178.15 | $107–$509 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 10 matching MRF lines |
$38.15–$280 | $109–$800 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$152.60–$433.30 | $436–$1,238 | varies |
| Us ob limited 1 or more fetuses (76815) range across 9 matching MRF lines |
$61.25–$282.10 | $175–$806 | varies |
| Us ob transvaginal (76817) | $219.80 | $628 | 2.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$51.45–$200.20 | $147–$572 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines |
$74.55–$263.20 | $213–$752 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 9 matching MRF lines |
$63.70–$282.10 | $182–$806 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$55.30–$287 | $158–$820 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$44.80–$234.15 | $128–$669 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$61.25–$192.50 | $175–$550 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$92.75–$191.45 | $265–$547 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$42–$214.20 | $120–$612 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$36.75–$85.05 | $105–$243 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$84–$525 | $240–$1,500 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$77.70–$350 | $222–$1,000 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$52.15–$266 | $149–$760 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$13.30–$62.30 | $38–$178 | varies |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$17.50–$85.40 | $50–$244 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$15.75–$81.90 | $45–$234 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$26.25–$210.35 | $75–$601 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$16.80–$91 | $48–$260 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$12.25–$72.80 | $35–$208 | varies |
| X-Ray Exam Breast Specimen (76098) range across 8 matching MRF lines |
$12.60–$54.60 | $36–$156 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$24.15–$96.25 | $69–$275 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$14.35–$69.30 | $41–$198 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 14 matching MRF lines |
$17.50–$109.20 | $50–$312 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$16.80–$127.40 | $48–$364 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 5 matching MRF lines |
$24.85–$165.55 | $71–$473 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$17.50–$81.90 | $50–$234 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$27.30–$163.80 | $78–$468 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 8 matching MRF lines |
$21.35–$100.10 | $61–$286 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$18.20–$91 | $52–$260 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$36.75–$224 | $105–$640 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$13.65–$89.25 | $39–$255 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 8 matching MRF lines |
$13.30–$72.80 | $38–$208 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 7 matching MRF lines |
$23.80–$118.30 | $68–$338 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$14.35–$72.80 | $41–$208 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$25.90–$127.40 | $74–$364 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$14.35–$105 | $41–$300 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$13.30–$78.75 | $38–$225 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$14–$91 | $40–$260 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$19.60–$95.90 | $56–$274 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$26.25–$127.40 | $75–$364 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$29.26–$73.15 | $83.60–$209 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$26.25–$203 | $75–$580 | varies |
| X-Rays Bone Length Studies (77073) range across 10 matching MRF lines |
$21.70–$92.75 | $62–$265 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$42.35–$236.60 | $121–$676 | varies |
| Xr c-spine 4 or 5 views (72050) range across 6 matching MRF lines |
$24.85–$109.20 | $71–$312 | varies |
| Xr facial bones less than 3 views (70140) range across 6 matching MRF lines |
$15.75–$84 | $45–$240 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$21.70–$87.15 | $62–$249 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$35–$47.25 | $100–$135 | 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.