Imaging prices at Wooster Community Hospital
Wooster, OH · every code in this section with a posted price and a Medicare benchmark.
331 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 |
$3,565.24–$4,326.27 | $3,565.24–$4,326.27 | varies |
| Abdomen 1 View (74018) | $266.17 | $266.17 | 3.2× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$258.40–$273.61 | $258.40–$273.61 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,559.31 | $1,559.31 | 4.0× |
| Angio internal mammary (75756) | $3,829.07 | $3,829.07 | 1.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,041.99–$4,941.62 | $4,041.99–$4,941.62 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,297.20–$4,941.62 | $4,297.20–$4,941.62 | varies |
| Ankle 2 views (73600) | $265.10 | $265.10 | 3.2× |
| Aortography thoracic serialography rs&i (75605) | $4,297.20 | $4,297.20 | 0.8× |
| Artery X-Rays Abdomen (75726) | $8,056.60 | $8,056.60 | 1.5× |
| Artery X-Rays Spine (75705) | $8,056.60 | $8,056.60 | 1.5× |
| Arthrogram ankle (73615) | $1,168.09 | $1,168.09 | 3.5× |
| Arthrogram hip (73525) | $1,168.09 | $1,168.09 | 3.5× |
| Arthrogram Wrist (73115) | $1,168.09 | $1,168.09 | 3.5× |
| Basic radiation dosimetry calculation (77300) | $3,905.18 | $3,905.18 | 30.1× |
| Bone age studies (77072) | $265.10 | $265.10 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,029.64 | $2,029.64 | 5.3× |
| Bone Imaging Limited Area (78300) | $605.34 | $605.34 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $690.61 | $690.61 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,029.22 | $1,029.22 | 2.7× |
| Bone survey infant (77076) | $282.72 | $282.72 | 2.8× |
| Brachytx isodose complex (77318) | $1,157.21 | $1,157.21 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,492.95 | $7,492.95 | 5.4× |
| Cardiac Shunt Detection (78428) | $1,004.39 | $1,004.39 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $625.06 | $625.06 | 7.4× |
| Chest 1 view (71045) | $188.91 | $188.91 | 2.2× |
| Chest 2 views (71046) | $257.19 | $257.19 | 3.1× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$171.72–$230.54 | $171.72–$230.54 | varies |
| Chest 4 or more views (71048) | $230.54 | $230.54 | 2.3× |
| Clavicle complete (73000) | $449.56 | $449.56 | 5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $268.69 | $268.69 | 2.7× |
| Continuing medical physics consltj pr wk (77336) | $393.20 | $393.20 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,041.99–$4,941.62 | $4,041.99–$4,941.62 | varies |
| Contrast X-Ray Bladder (74430) | $435.19 | $435.19 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $1,168.09 | $1,168.09 | 3.5× |
| Contrast X-Ray Of Knee Joint (73580) | $976.11 | $976.11 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,045.66 | $2,045.66 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,449.10 | $1,449.10 | 6.3× |
| CT abdomen w contrast (74160) | $1,875.31 | $1,875.31 | 11.1× |
| CT abdomen w wo contrast (74170) | $1,920.74 | $1,920.74 | 11.3× |
| CT abdomen w/o contrast (74150) | $1,414.83 | $1,414.83 | 14.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,763.42 | $1,763.42 | 5.2× |
| CT Angio Chest (71275) | $1,518.87 | $1,518.87 | 9.0× |
| CT Angio Head (70496) | $1,255 | $1,255 | 7.4× |
| CT angio hrt w/3d image (75574) | $1,670.50 | $1,670.50 | 5.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $617.42 | $617.42 | 3.6× |
| CT Angio Neck (70498) | $1,190.23 | $1,190.23 | 7.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,320.98 | $1,320.98 | 7.8× |
| CT cervical spine w/ contrast (72126) | $1,854.31 | $1,854.31 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,746.14 | $1,746.14 | 17.3× |
| CT cervical spine w/wo cont (72127) | $2,275.41 | $2,275.41 | 13.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,347.74–$1,549.99 | $1,347.74–$1,549.99 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,567.28–$1,802.43 | $1,567.28–$1,802.43 | varies |
| CT head/brain with contrast (70460) | $1,280.41 | $1,280.41 | 7.6× |
| CT head/brain without and with contrast (70470) | $2,992.72 | $2,992.72 | 17.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,670.50 | $1,670.50 | 5.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $75 | $75 | 0.9× |
| CT hrt w/3d image congen (75573) | $1,670.50 | $1,670.50 | 5.0× |
| CT iac w contrast (70481) | $2,228.84 | $2,228.84 | 13.1× |
| CT l-spine w&w/o contrast (72133) | $2,030.66 | $2,030.66 | 12.0× |
| CT lower ext w/o (73700) | $1,175.36 | $1,175.36 | 11.6× |
| CT lower extremity w/contrast material (73701) | $1,229.85 | $1,229.85 | 7.3× |
| CT lumbar spine w contrast (72132) | $1,867.95 | $1,867.95 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,562.43 | $1,562.43 | 15.5× |
| CT maxillofacial w contrast (70487) | $2,045.66 | $2,045.66 | 12.1× |
| CT maxillofacial wo contrast (70486) | $1,870.58 | $1,870.58 | 18.5× |
| CT neck tissue combo (70492) | $1,995.67 | $1,995.67 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,263.63 | $2,263.63 | 13.4× |
| CT orbits w/o contrast (70480) | $1,575.90 | $1,575.90 | 15.6× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,826.38–$2,056.40 | $1,826.38–$2,056.40 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,159.66–$1,333.67 | $1,159.66–$1,333.67 | varies |
| CT scan of leg combo (73702) | $1,284.39 | $1,284.39 | 7.6× |
| CT scans face/jaw combo (70488) | $2,494.17 | $2,494.17 | 14.7× |
| CT soft tissue neck w contrast (70491) | $1,992.18 | $1,992.18 | 11.8× |
| CT soft tissue neck w/o contrast (70490) | $1,441.15 | $1,441.15 | 14.3× |
| CT thoracic spine w contrast (72129) | $1,430.49 | $1,430.49 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,041.77 | $1,041.77 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $1,649.78 | $1,649.78 | 9.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,160.61–$1,174.70 | $1,160.61–$1,174.70 | varies |
| CT upper ext wo (73200) | $1,175.36 | $1,175.36 | 11.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,333.16 | $1,333.16 | 7.9× |
| CT upper extremity with contrast (73201) | $1,261.78 | $1,261.78 | 3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,190.23 | $1,190.23 | 7.0× |
| Cta Abdomen (74175) | $1,255 | $1,255 | 7.4× |
| CTA pelvis (72191) | $1,274.35 | $1,274.35 | 7.5× |
| Dilation ureters/urethra rs&i (74485) | $2,235.68 | $2,235.68 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $6,264.11 | $6,264.11 | 3.3× |
| Diskography lumbar (72295) | $6,264.11 | $6,264.11 | 3.3× |
| Dxa Bone Density Axial (77080) | $352.02 | $352.02 | 3.5× |
| Dxa bone density study (77085) | $351.12 | $351.12 | 3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $164.19 | $164.19 | 2.0× |
| Echo exam uterus (76831) | $543.47 | $543.47 | 2.4× |
| Echo Guide For Artery Repair (76936) | $879.03 | $879.03 | 4.2× |
| Echograp Trans R Pros Study (76873) | $506.58 | $506.58 | 5.0× |
| Esophageal Motility Study (78258) | $825.07 | $825.07 | 2.1× |
| Esophagram (74220) | $750.96 | $750.96 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $651.99 | $651.99 | 6.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $423.16 | $423.16 | 4.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$158.82–$276.33 | $158.82–$276.33 | varies |
| Foot 2 views (73620) | $219.08 | $219.08 | 2.6× |
| Forearm 2 views (73090) | $449.56 | $449.56 | 5.3× |
| Gastric emptying imaging study (78264) | $1,029.93 | $1,029.93 | 2.7× |
| Gastroesophageal Reflux Exam (78262) | $1,052.82 | $1,052.82 | 2.7× |
| Gated Heart Planar Single (78472) | $2,306.45 | $2,306.45 | 6.0× |
| Gated Heart, Multiple (78473) | $2,011.51 | $2,011.51 | 5.2× |
| Hand 2 views (73120) | $264.02 | $264.02 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,972.67 | $1,972.67 | 3.8× |
| Hepatobiliary System Imaging (78226) | $1,992.60 | $1,992.60 | 5.2× |
| Ht Muscle Image Spect Sing (78451) | $2,733.66 | $2,733.66 | 2.2× |
| Hysterosalpingogram (74740) | $1,045.58 | $1,045.58 | 4.5× |
| Infusion Ivp (74410) | $916.08 | $916.08 | 5.4× |
| Interstitial radiation source applic complex (77778) | $3,344.47 | $3,344.47 | 5.0× |
| K Flow/Funct Image W/Drug (78708) | $1,393.30 | $1,393.30 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $936.35 | $936.35 | 1.8× |
| Knee 3 Views (73562) | $376.01 | $376.01 | 4.5× |
| Liver & Spleen Imaging Static Only (78215) | $688.60 | $688.60 | 1.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,391.44 | $1,391.44 | 3.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,183.66 | $1,183.66 | 2.3× |
| Lung perfusion differential (78597) | $717.47 | $717.47 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,192.54 | $1,192.54 | 2.3× |
| Lymph System Imaging (78195) | $1,289.32 | $1,289.32 | 2.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,494.98–$3,483.92 | $2,494.98–$3,483.92 | varies |
| Meckels Divert Exam (78290) | $1,373.87 | $1,373.87 | 3.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,109.63 | $1,109.63 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,793.43 | $3,793.43 | 11.3× |
| MRA head w/o contrast (70544) | $2,213.15 | $2,213.15 | 9.6× |
| MRA head with contrast (70545) | $2,600.49 | $2,600.49 | 7.7× |
| MRA neck w contrast (70548) | $2,470.40 | $2,470.40 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,793.43 | $3,793.43 | 11.3× |
| MRA neck w/o contrast (70547) | $2,213.09 | $2,213.09 | 9.6× |
| MRI abdomen w contrast (74182) | $3,658.29 | $3,658.29 | 10.8× |
| MRI abdomen w/o contrast (74181) | $3,626.59 | $3,626.59 | 15.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,851.47 | $3,851.47 | 5.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,197.89 | $4,197.89 | 12.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,748.99 | $3,748.99 | 4.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,336.23 | $1,336.23 | 5.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,184.33 | $1,184.33 | 5.1× |
| MRI cardiac w/o contrast (75557) | $1,483.26 | $1,483.26 | 6.4× |
| MRI cervical spine w contrast (72142) | $3,020.33 | $3,020.33 | 9.0× |
| MRI cervical spine w/o cont (72141) | $3,653.21 | $3,653.21 | 15.8× |
| MRI chest w/o contrast (71550) | $2,470.40 | $2,470.40 | 10.7× |
| MRI chest wo w contrast (71552) | $3,309.71 | $3,309.71 | 9.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,690.85 | $3,690.85 | 10.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,727.86 | $3,727.86 | 11.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,653.21 | $3,653.21 | 15.8× |
| MRI lumbar spine w contrast (72149) | $3,464.88 | $3,464.88 | 10.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,966.39 | $3,966.39 | 11.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,990.39 | $2,990.39 | 13.0× |
| MRI orbit face neck w contrast (70542) | $3,101.66 | $3,101.66 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,846.34 | $4,846.34 | 14.4× |
| MRI pelvis w contrast (72196) | $3,101.66 | $3,101.66 | 9.2× |
| MRI pelvis w/o & w contrast (72197) | $3,605.46 | $3,605.46 | 10.7× |
| MRI pelvis w/o contrast (72195) | $2,990.57 | $2,990.57 | 13.0× |
| MRI thoracic spine w/o contrast (72146) | $3,496.93 | $3,496.93 | 15.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,310.23 | $3,310.23 | 9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,176.67 | $3,176.67 | 13.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,416.67 | $3,416.67 | 10.1× |
| MRI, abdomen, combo (74183) | $3,690.93 | $3,690.93 | 10.9× |
| MRI, dorsal spine combo (72157) | $4,846.34 | $4,846.34 | 14.4× |
| MRI, dorsal spine contrast (72147) | $2,765.09 | $2,765.09 | 8.2× |
| MRI, joint upper extrem (73221) | $3,653.21 | $3,653.21 | 15.8× |
| MRI, joint upper extrem combo (73223) | $4,006.35 | $4,006.35 | 11.9× |
| MRI, lumbar spine combo (72158) | $3,605.46 | $3,605.46 | 10.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,258.74 | $1,258.74 | 3.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,887.13 | $7,887.13 | 6.3× |
| Myocardial Spect Multiple Studies (78452) | $3,871.80 | $3,871.80 | 3.1× |
| Neck soft tissue (70360) | $372.46 | $372.46 | 4.4× |
| Nonvascular Shunt X-Ray (75809) | $254.87 | $254.87 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,905.18 | $3,905.18 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $1,178.03 | $1,178.03 | 5.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,239.45 | $1,239.45 | 2.4× |
| Parathyroid Planar Imaging (78070) | $848.74 | $848.74 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,126.77 | $1,126.77 | 2.9× |
| Pelvis 1 or 2 views (72170) | $248.95 | $248.95 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $8,118.63 | $8,118.63 | 5.9× |
| PET image w/CT, full body (78816) | $8,118.63 | $8,118.63 | 5.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,336.26 | $9,336.26 | 6.8× |
| Proton trmt simple w/comp (77522) | $3,324.10 | $3,324.10 | 2.8× |
| Proton tx delivery complex (77525) | $3,324.10 | $3,324.10 | 2.8× |
| Proton tx delivery intermediate (77523) | $3,324.10 | $3,324.10 | 2.8× |
| Proton tx delivery simple w/o compensation (77520) | $1,653.92 | $1,653.92 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,391.44 | $1,391.44 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $364.98 | $364.98 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $997.59 | $997.59 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $372.46 | $372.46 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $449.56 | $449.56 | 5.3× |
| Radex elbow complete minimum 3 views (73080) | $449.56 | $449.56 | 5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $495.33 | $495.33 | 4.9× |
| Radex fingr minimum 2 views (73140) | $346.17 | $346.17 | 4.1× |
| Radex foot complete minimum 3 views (73630) | $449.56 | $449.56 | 5.3× |
| Radex Hand Minimum 3 Views (73130) | $449.56 | $449.56 | 5.3× |
| Radex lower extremity infant minimum 2 views (73592) | $425.51 | $425.51 | 5.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $515.81 | $515.81 | 5.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $623.27 | $623.27 | 7.4× |
| Radex Ribs Unilateral 2 Views (71100) | $195.34 | $195.34 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $365.14 | $365.14 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $395.16 | $395.16 | 4.7× |
| Radex Sternum Minimum 2 Views (71120) | $524.84 | $524.84 | 6.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $522.36 | $522.36 | 6.2× |
| Radex Toe Minimum 2 Views (73660) | $381.41 | $381.41 | 4.5× |
| Radex upper extremity infant minimum 2 views (73092) | $431.77 | $431.77 | 4.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $384.55 | $384.55 | 4.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $24,931.05 | $24,931.05 | 3.5× |
| Radiation treatment delivery level 1 (77402) | $382.37 | $382.37 | 3.9× |
| Radiation treatment delivery level 2 (77407) | $382.37 | $382.37 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $683.85 | $683.85 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $515.03 | $515.03 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $605.55 | $605.55 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $326.39 | $326.39 | 1.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $750.96 | $750.96 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) | $446.20 | $446.20 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $789.66 | $789.66 | 4.7× |
| Radiologic exam swallow function contrast study (74230) | $425.51 | $425.51 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$938.89–$1,691.04 | $938.89–$1,691.04 | varies |
| Radiologic examination femur 1 view (73551) | $171.72 | $171.72 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $216.52 | $216.52 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $239.63 | $239.63 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $522.15 | $522.15 | 5.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $361.87 | $361.87 | 4.3× |
| Ribs bilateral 3 views (71110) | $218.65 | $218.65 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,151.87 | $1,151.87 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,561.19–$1,641.31 | $1,561.19–$1,641.31 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,226.75–$4,127.44 | $2,226.75–$4,127.44 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,251.07–$1,653.68 | $1,251.07–$1,653.68 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,439.22–$2,226.75 | $1,439.22–$2,226.75 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,639 | $2,639 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,794.62 | $2,794.62 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,387.09–$2,490.48 | $1,387.09–$2,490.48 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,492.60 | $3,492.60 | 15.5× |
| Rp Therapy Intravenous Administration (79101) | $1,185.58 | $1,185.58 | 5.3× |
| Scapula (73010) | $364.83 | $364.83 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $64.71 | $64.71 | 2.8× |
| Shoulder 1 view (73020) | $219.08 | $219.08 | 2.6× |
| Shoulder Arthrography (73040) | $1,168.09 | $1,168.09 | 3.5× |
| Skull less than 4 views (70250) | $347.99 | $347.99 | 3.4× |
| Special dosimetry (77331) range across 3 matching MRF lines |
$393.20–$565.25 | $393.20–$565.25 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$393.20–$1,114.82 | $393.20–$1,114.82 | varies |
| Special teletherapy port plan (77321) | $1,041.82 | $1,041.82 | 2.9× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,281.72–$1,893.53 | $1,281.72–$1,893.53 | varies |
| Srs Multisource (77371) | $24,931.05 | $24,931.05 | 3.5× |
| Stereotactic Body Radiation Delivery (77373) | $5,521.52 | $5,521.52 | 3.2× |
| Sternoclavicular joints (71130) | $391.88 | $391.88 | 4.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,041.82 | $1,041.82 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,041.82 | $1,041.82 | 2.9× |
| Testicular Imaging W/Flow (78761) | $1,332.34 | $1,332.34 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,274.61–$3,905.18 | $1,274.61–$3,905.18 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,041.82 | $1,041.82 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) | $3,905.18 | $3,905.18 | 30.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $461.41 | $461.41 | 2.7× |
| Thoracic spine 2 views (72070) | $283.73 | $283.73 | 2.8× |
| Thoracic spine 3 views (72072) | $568.78 | $568.78 | 5.6× |
| Thoracolumbar 2 views (72080) | $230.54 | $230.54 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $475.98 | $475.98 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,245.44 | $1,245.44 | 2.4× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$360.45–$716.05 | $360.45–$716.05 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $737.75 | $737.75 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $1,109.63 | $1,109.63 | 3.1× |
| Tx devices design & construction intermediate (77333) | $393.20 | $393.20 | 3.0× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$393.20–$990.61 | $393.20–$990.61 | varies |
| Ultrasound Breast Limited (76642) | $203.86 | $203.86 | 2.4× |
| Ultrasound elastography first target lesion (76982) | $260.45 | $260.45 | 2.6× |
| Ultrasound Elastography Parenchyma (76981) | $260.45 | $260.45 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$299.08–$318.28 | $299.08–$318.28 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$219.86–$738.75 | $219.86–$738.75 | varies |
| Umbilical-artery Doppler (OB) (76820) | $419.96 | $419.96 | 4.2× |
| Unlis px ther radiol clinical tx planning (77299) | $392.90 | $392.90 | 3.0× |
| Unlisted Dx Radiographic Procedure (76499) | $174.19 | $174.19 | 2.1× |
| Unlisted us procedure (76999) | $278.67 | $278.67 | 3.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$283.73–$938.89 | $283.73–$938.89 | varies |
| Urethrocystogram voiding (74455) | $827.07 | $827.07 | 3.6× |
| Urethrocystography retrograde (74450) | $885.58 | $885.58 | 3.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$231.66–$697.07 | $231.66–$697.07 | varies |
| Us chest (76604) | $345.66 | $345.66 | 3.4× |
| Us complete joint (76881) | $219.86 | $219.86 | 2.2× |
| Us exam, pelvic, limited (76857) | $307.54 | $307.54 | 3.0× |
| Us head (76506) | $411.86 | $411.86 | 4.1× |
| Us kidney transplant (76776) | $437.53 | $437.53 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$219.86–$284.88 | $219.86–$284.88 | varies |
| Us ob detailed single fetus (76811) | $627.19 | $627.19 | 2.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$321.26–$472.78 | $321.26–$472.78 | varies |
| Us ob transvaginal (76817) | $259.17 | $259.17 | 2.6× |
| Us pelvic non ob complete (76856) | $811.98 | $811.98 | 8.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $315.57 | $315.57 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$319.05–$356.67 | $319.05–$356.67 | varies |
| Us retroperitoneal complete (76770) | $554.93 | $554.93 | 5.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$437.53–$527.05 | $437.53–$527.05 | varies |
| Us scrotum and contents (76870) | $811.98 | $811.98 | 8.0× |
| Us spinal canal and contents (76800) | $274.63 | $274.63 | 2.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$219.86–$872.64 | $219.86–$872.64 | varies |
| Us transrectal (76872) | $571.49 | $571.49 | 5.7× |
| Vein X-Ray Chest (75827) | $1,724.99 | $1,724.99 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $4,082.30 | $4,082.30 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $1,397.33 | $1,397.33 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,397.33 | $1,397.33 | 0.9× |
| Venous sampling by catheter (75893) | $4,297.20 | $4,297.20 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $218.73 | $218.73 | 2.6× |
| Wrist 2 views (73100) | $219.08 | $219.08 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $431.84 | $431.84 | 5.1× |
| X-ray antegrade pyelogram tube (74425) | $988.54 | $988.54 | 2.9× |
| X-Ray Aorta Leg Arteries (75630) | $4,297.20 | $4,297.20 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $151.67 | $151.67 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $266.80 | $266.80 | 3.2× |
| X-Ray Exam Breast Specimen (76098) | $658.03 | $658.03 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $171.72 | $171.72 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $283.73 | $283.73 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $540.58 | $540.58 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $171.72 | $171.72 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $216.52 | $216.52 | 2.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $283.73 | $283.73 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $320.70 | $320.70 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$481.32–$569.65 | $481.32–$569.65 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $432.62 | $432.62 | 5.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $814.83 | $814.83 | 8.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $439.09 | $439.09 | 4.3× |
| X-ray eye for foreign body (70030) | $265.22 | $265.22 | 3.2× |
| X-ray humerus (73060) | $341.17 | $341.17 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $265.10 | $265.10 | 3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $193.83 | $193.83 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $356.60 | $356.60 | 3.5× |
| X-ray nose-rectum child f.b. (76010) | $299.02 | $299.02 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $588.35 | $588.35 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $515.03 | $515.03 | 5.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $411.51 | $411.51 | 4.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $532.30 | $532.30 | 6.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $543.76 | $543.76 | 5.4× |
| X-Ray Stress View (77071) | $171.72 | $171.72 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $511.06 | $511.06 | 5.1× |
| X-Rays Bone Length Studies (77073) | $246.11 | $246.11 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $916.08 | $916.08 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $644.67 | $644.67 | 6.4× |
| Xr orbits complete 4 views (70200) | $535.23 | $535.23 | 5.3× |
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.