Imaging prices at Wyandot Memorial Hospital
Upper Sandusky, OH · every code in this section with a posted price and a Medicare benchmark.
283 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 3 matching MRF lines |
$43.48–$243.73 | $48.31–$270.82 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$29.20–$230.82 | $32.45–$256.46 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,551.72 | $1,724.13 | 4.1× |
| Angio pulmonary bilat (75743) | $6,839.04 | $7,598.94 | 2.3× |
| Angiography extremity bilateral rs&i (75716) | $4,779.68 | $5,310.76 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,695.38 | $5,217.09 | 1.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$41.15–$165.02 | $45.73–$183.35 | varies |
| Arthrogram hip (73525) | $1,003.02 | $1,114.46 | 3.0× |
| Arthrogram Wrist (73115) | $1,029.18 | $1,143.53 | 3.1× |
| Bone age studies (77072) | $134.60 | $149.55 | 1.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$234.57–$1,955.20 | $260.63–$2,172.45 | varies |
| Bone Imaging Limited Area (78300) | $1,505.10 | $1,672.33 | 4.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$198.22–$1,520.84 | $220.25–$1,689.82 | varies |
| Bone marrow imaging limited area (78102) | $298.04 | $331.16 | 0.8× |
| Bone marrow imaging; multiple areas (78103) | $298.04 | $331.16 | 0.8× |
| Bone marrow imaging; whole body (78104) | $298.04 | $331.16 | 0.8× |
| Bone survey infant (77076) | $340.57 | $378.40 | 3.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,146.68 | $7,940.75 | 5.3× |
| Cerebrospinal Fluid Scan (78630) | $1,478.98 | $1,643.31 | 2.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$43.48–$230.82 | $48.31–$256.46 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$52.89–$308.02 | $58.77–$342.24 | varies |
| Chest 4 or more views (71048) | $384.35 | $427.06 | 3.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$41.10–$230.82 | $45.67–$256.46 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$437.35–$1,463.89 | $485.94–$1,626.55 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,779.68 | $5,310.76 | 1.6× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$210.37–$861.54 | $233.74–$957.26 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $702.99 | $781.10 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$408.90–$3,510.98 | $454.33–$3,901.08 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$351.89–$2,206.93 | $391–$2,452.14 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$289.29–$2,198.37 | $321.43–$2,442.64 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$320.01–$2,345.57 | $355.57–$2,606.20 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$272.23–$1,471.44 | $302.47–$1,634.93 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$420.52–$574.07 | $467.25–$637.85 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$408.90–$2,820.69 | $454.33–$3,134.09 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$405.77–$2,428.95 | $450.85–$2,698.83 | varies |
| CT angio hrt w/3d image (75574) | $37.02 | $41.14 | 0.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$355.35–$2,428.95 | $394.83–$2,698.83 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$343.19–$2,428.95 | $381.33–$2,698.83 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,484.99 | $2,761.10 | 15.0× |
| CT cervical spine w/ contrast (72126) | $2,149.08 | $2,387.86 | 6.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$273.34–$1,540.90 | $303.71–$1,712.10 | varies |
| CT cervical spine w/wo cont (72127) | $2,149.08 | $2,387.86 | 13.0× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$283.57–$2,198.37 | $315.08–$2,442.64 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$343.50–$2,872.42 | $381.67–$3,191.57 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $909.82 | $1,010.91 | 9.2× |
| CT head/brain with contrast (70460) | $1,977.99 | $2,197.76 | 11.9× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$289.29–$2,140.92 | $321.43–$2,378.80 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$667.46–$3,884.18 | $741.62–$4,315.76 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $13.98 | $15.53 | 0.2× |
| CT iac w contrast (70481) | $1,825.37 | $2,028.19 | 11.0× |
| CT l-spine w&w/o contrast (72133) | $2,274.21 | $2,526.90 | 13.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$247.17–$1,294.63 | $274.63–$1,438.48 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$273.34–$1,859.99 | $303.71–$2,066.66 | varies |
| CT lumbar spine w contrast (72132) | $614.87 | $683.19 | 1.9× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$273.34–$1,529.46 | $303.71–$1,699.39 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$297.94–$1,866.02 | $331.04–$2,073.35 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$260.83–$1,206.45 | $289.82–$1,340.50 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$360.96–$2,198.48 | $401.07–$2,442.75 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,723.98 | $1,915.53 | 10.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$292.68–$1,307.18 | $325.20–$1,452.42 | varies |
| CT pelvis w&w/o contrast (72194) | $2,220.86 | $2,467.62 | 13.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$247.17–$1,471.44 | $274.63–$1,634.93 | varies |
| CT scan of leg combo (73702) | $2,198.68 | $2,442.98 | 13.2× |
| CT scans face/jaw combo (70488) | $1,869 | $2,076.67 | 11.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$314.35–$2,140.92 | $349.27–$2,378.80 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$319.91–$1,471.64 | $355.46–$1,635.16 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$281.34–$1,471.44 | $312.60–$1,634.93 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$265.35–$1,471.44 | $294.83–$1,634.93 | varies |
| CT unlisted procedure (76497) | $186.13 | $206.80 | 2.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$247.17–$1,132.89 | $274.63–$1,258.77 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$287.47–$2,198.68 | $319.40–$2,442.98 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$265.35–$1,859.99 | $294.83–$2,066.66 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$443.06–$2,820.69 | $492.29–$3,134.09 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$301.24–$2,596.85 | $334.70–$2,885.39 | varies |
| CTA pelvis (72191) | $2,484.99 | $2,761.10 | 15.0× |
| Diskography lumbar (72295) | $4,775.18 | $5,305.76 | 2.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$72.59–$560.05 | $80.65–$622.27 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $83.73 | $93.03 | 1.0× |
| Echo exam uterus (76831) | $700.07 | $777.85 | 3.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$119.40–$309.22 | $132.67–$343.58 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $811.01 | $901.13 | 8.2× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$188.92–$325.48 | $209.90–$361.64 | varies |
| Follow-Up Angiography (75898) | $6,839.04 | $7,598.94 | 2.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$44.95–$189.31 | $49.94–$210.35 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$38.72–$210.88 | $43.02–$234.31 | varies |
| Gastric emptying imaging study (78264) | $928.55 | $1,031.72 | 2.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,616.32–$2,585.51 | $1,795.90–$2,872.79 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$34.98–$186.33 | $38.86–$207.03 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$186.13–$1,147.88 | $206.80–$1,275.42 | varies |
| Hepatobiliary System Imaging (78226) | $1,147.88 | $1,275.42 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | — | $72.89 | — |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$102.20–$853.64 | $113.56–$948.49 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $443.06 | $492.29 | 5.4× |
| Infant hip ultrasound, limited static exam (76886) | $410.21 | $455.79 | 5.0× |
| K Flow/Funct Image Multiple (78709) | $1,642.08 | $1,824.53 | 3.2× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$674.19–$1,565.74 | $749.10–$1,739.71 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,487.03 | $1,652.26 | 2.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$47.17–$266.30 | $52.42–$295.89 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,777.48 | $1,974.98 | 4.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,648.75 | $1,831.95 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,564.94 | $1,738.82 | 3.0× |
| Lung Ventilation Imaging (78579) | $1,223.01 | $1,358.90 | 3.2× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$277.90–$840.07 | $308.78–$933.41 | varies |
| Magnetic Image Jaw Joint (70336) | $542.03 | $602.25 | 2.4× |
| Mammary ductogram or galactogram multiple (77054) | $879.61 | $977.34 | 3.9× |
| Mammary ductogram or galactogram single (77053) | $727.85 | $808.72 | 3.2× |
| Meckels Divert Exam (78290) | $983.58 | $1,092.86 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,956.62 | $4,396.25 | 12.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$227.74–$2,758.17 | $253.04–$3,064.64 | varies |
| MRA head with contrast (70545) | $3,150.72 | $3,500.81 | 9.5× |
| MRA neck w contrast (70548) | $3,326.93 | $3,696.59 | 10.1× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$430.77–$3,956.62 | $478.63–$4,396.25 | varies |
| MRA neck w/o contrast (70547) | $2,819.17 | $3,132.41 | 12.5× |
| MRI abdomen w contrast (74182) | $3,166.66 | $3,518.52 | 9.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$364.41–$2,810.96 | $404.89–$3,123.30 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$310.86–$4,274.16 | $345.39–$4,749.07 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$373.46–$3,024.99 | $414.96–$3,361.09 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$511.11–$3,185.45 | $567.89–$3,539.38 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$364.41–$2,461.14 | $404.89–$2,734.60 | varies |
| MRI chest w/o contrast (71550) | $2,810.96 | $3,123.30 | 12.5× |
| MRI chest with contrast (71551) | $4,420.24 | $4,911.38 | 6.0× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$419.94–$4,200.82 | $466.60–$4,667.57 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,377.30 | $3,752.55 | 10.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$339.35–$3,841.52 | $377.05–$4,268.36 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$215.38–$2,861.12 | $239.31–$3,179.03 | varies |
| MRI lumbar spine w contrast (72149) | $3,185.45 | $3,539.38 | 9.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$177.67–$4,483.37 | $197.41–$4,981.52 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,810.96 | $3,123.30 | 12.5× |
| MRI orbit face neck w contrast (70542) | $3,954.85 | $4,394.28 | 12.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$299.51–$4,319.41 | $332.79–$4,799.34 | varies |
| MRI pelvis w contrast (72196) | $3,358.25 | $3,731.40 | 10.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,488.88–$4,029.81 | $2,765.42–$4,477.57 | varies |
| MRI pelvis w/o contrast (72195) | $2,908.15 | $3,231.28 | 12.9× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$386.62–$2,499.71 | $429.58–$2,777.46 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$197.01–$2,498.30 | $218.90–$2,775.88 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$349.58–$3,278.03 | $388.42–$3,642.26 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$326.08–$4,001.77 | $362.32–$4,446.42 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$587.58–$4,483.37 | $652.87–$4,981.52 | varies |
| MRI, dorsal spine contrast (72147) | $3,185.45 | $3,539.38 | 9.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$287.01–$2,810.96 | $318.90–$3,123.30 | varies |
| MRI, joint upper extrem combo (73223) | $3,857.11 | $4,285.67 | 11.7× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$540.91–$4,483.37 | $601.02–$4,981.52 | varies |
| Myelogram cervical (72240) | $1,117.51 | $1,241.68 | 1.5× |
| Myelogram Lumbar (72265) | $1,117.51 | $1,241.68 | 1.5× |
| Myelography thoracic (72255) | $1,117.51 | $1,241.68 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,117.51 | $1,241.68 | 1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,034.50 | $1,149.44 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $75.37 | $83.74 | 0.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$43.58–$230.82 | $48.42–$256.46 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $204 | $226.66 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $130.29 | $144.77 | 1.3× |
| Ob us nuchal meas 1 gest (76813) | $311.86 | $346.52 | 3.2× |
| Optic foramina (70190) | $205.87 | $228.74 | 2.5× |
| Parathyroid Planar Imaging (78070) | $629.86 | $699.84 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$251.68–$677.68 | $279.65–$752.98 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$42.27–$215.99 | $46.97–$239.99 | varies |
| Perineogram (74775) | $762.78 | $847.53 | 3.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$537.52–$7,767.87 | $597.25–$8,630.97 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$537.52–$7,767.87 | $597.25–$8,630.97 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$186.69–$1,564.94 | $207.43–$1,738.82 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$76.39–$538.73 | $84.87–$598.59 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $439.42 | $488.25 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $189.97 | $211.08 | 2.3× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$70.06–$384.35 | $77.84–$427.06 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$33.91–$168.51 | $37.68–$187.23 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$42.27–$210.88 | $46.97–$234.31 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $210.88 | $234.31 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $375.34 | $417.04 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$44.90–$308.02 | $49.89–$342.24 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $312.62 | $347.36 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$56.19–$308.02 | $62.43–$342.24 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$43.48–$288.07 | $48.31–$320.08 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $250.76 | $278.63 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $234.51 | $260.56 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $263.67 | $292.97 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $329.99 | $366.65 | 4.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$42.27–$165.02 | $46.97–$183.35 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $210.88 | $234.31 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $384.35 | $427.06 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$86.82–$308.37 | $96.46–$342.64 | varies |
| Radiologic exam colon double contrast study (74280) | $909.82 | $1,010.91 | 5.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$180.76–$617.45 | $200.84–$686.06 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $399.69 | $444.10 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$55.63–$272.33 | $61.81–$302.59 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $292.99 | $325.54 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $461.34 | $512.61 | 2.8× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$138.20–$462.55 | $153.55–$513.95 | varies |
| Radiologic exam teeth complete full mouth (70320) | $97.59 | $108.44 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $769.45 | $854.95 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$41.15–$238.67 | $45.73–$265.19 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$47.63–$230.82 | $52.93–$256.46 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $892.46 | $991.62 | 9.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Ribs bilateral 3 views (71110) | $384.35 | $427.06 | 3.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $967.94 | $1,075.48 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,339.73–$5,874.48 | $3,710.81–$6,527.20 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,275.35–$5,037.19 | $1,417.05–$5,596.87 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,830.84–$1,954.95 | $2,034.26–$2,172.16 | varies |
| Salivary Gland Imaging Serial Images (78231) | $1,147.88 | $1,275.42 | 3.0× |
| Scapula (73010) range across 3 matching MRF lines |
$42.27–$230.82 | $46.97–$256.46 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.63 | $61.81 | 2.4× |
| Sella turcica (70240) | $312.62 | $347.36 | 3.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$37.56–$174.94 | $41.74–$194.38 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$312.82–$1,070.34 | $347.58–$1,189.26 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$296.17–$308.02 | $329.08–$342.24 | varies |
| Sternoclavicular joints (71130) | $308.02 | $342.24 | 3.7× |
| Testicular Imaging W/Flow (78761) | $1,034.50 | $1,149.44 | 2.7× |
| Thoracic spine 2 views (72070) | $308.02 | $342.24 | 3.1× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$33.09–$308.02 | $36.77–$342.24 | varies |
| Thyroid Met Imaging Body (78018) | $1,036.62 | $1,151.80 | 2.0× |
| Thyroid Uptake Measurement (78012) | $261.90 | $291 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$261.94–$1,067.81 | $291.05–$1,186.45 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$102.15–$263.78 | $113.50–$293.08 | varies |
| Ultrasound Elastography Parenchyma (76981) | $993.70 | $1,104.11 | 10.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$143.86–$678.09 | $159.85–$753.44 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$47.42–$141.84 | $52.70–$157.59 | varies |
| Unlisted us procedure (76999) | $186.13 | $206.80 | 2.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$222.36–$713.58 | $247.07–$792.86 | varies |
| Urethrocystogram voiding (74455) | $1,025.94 | $1,139.93 | 4.5× |
| Urethrocystography retrograde (74450) | $413.71 | $459.68 | 1.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$131.76–$535.75 | $146.40–$595.28 | varies |
| Us chest (76604) | $346.49 | $384.99 | 3.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$89.44–$509.13 | $99.38–$565.70 | varies |
| Us exam, pelvic, limited (76857) | $671.52 | $746.13 | 6.8× |
| Us head (76506) | $717.62 | $797.36 | 7.3× |
| Us kidney transplant (76776) | $311.86 | $346.52 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $6.61 | $7.35 | 0.1× |
| Us ob limited 1 or more fetuses (76815) | $477.33 | $530.37 | 4.8× |
| Us ob transvaginal (76817) | $380.61 | $422.90 | 3.8× |
| Us pelvic non ob complete (76856) | $776.34 | $862.60 | 7.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $477.33 | $530.37 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $424.75 | $471.94 | 4.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$176.01–$745.82 | $195.56–$828.68 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$119.46–$671.21 | $132.74–$745.78 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$157.11–$545.88 | $174.57–$606.53 | varies |
| Us spinal canal and contents (76800) | $839.97 | $933.30 | 8.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$132.62–$546.02 | $147.36–$606.69 | varies |
| Us transrectal (76872) | $19.07 | $21.20 | 0.2× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,026.48–$3,415.78 | $2,251.64–$3,795.30 | varies |
| Venogram Sinus/Jugular (75860) | $6,839.04 | $7,598.94 | 2.3× |
| Venography caval inferior serialography rs&i (75825) | $60.86 | $67.62 | 0.0× |
| Venography extremity bilateral rs&i (75822) | $2,089.80 | $2,322 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $999.82 | $1,110.92 | 0.7× |
| Venography Renal Unilateral (75831) | $6,839.04 | $7,598.94 | 2.3× |
| Vertebral fracture assessment via dxa (77086) | $137.69 | $152.98 | 1.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$44.95–$305.28 | $49.94–$339.21 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $234.47 | $260.52 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $769.56 | $855.07 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $6,839.04 | $7,598.94 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) | $461.34 | $512.61 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$37.56–$188.46 | $41.74–$209.39 | varies |
| X-Ray Exam Breast Specimen (76098) | $309.22 | $343.58 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $230.82 | $256.46 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $165.02 | $183.35 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$42.27–$231.63 | $46.97–$257.37 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $70.06 | $77.84 | 0.7× |
| X-Ray Exam L-S Spine Bending (72114) | $882.49 | $980.54 | 8.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $247.02 | $274.47 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $518.69 | $576.33 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$65.71–$619.58 | $73.01–$688.42 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$82.31–$176.30 | $91.45–$195.89 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$42.27–$240.54 | $46.97–$267.27 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $258.56 | $287.29 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $187.70 | $208.55 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$54.52–$308.02 | $60.57–$342.24 | varies |
| X-ray nose-rectum child f.b. (76010) | $230.82 | $256.46 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $849.74 | $944.15 | 8.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $288.07 | $320.08 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $230.82 | $256.46 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $308.02 | $342.24 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $375.34 | $417.04 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $384.35 | $427.06 | 3.9× |
| X-ray thoracic spine 4 vw (72074) | $461.34 | $512.61 | 4.7× |
| X-Rays Bone Length Studies (77073) | $499.76 | $555.29 | 5.1× |
| X-Rays Bone Survey Complete (77075) | $945.11 | $1,050.12 | 9.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$83.37–$494.15 | $92.63–$549.05 | varies |
| Xr facial bones less than 3 views (70140) | $250.76 | $278.63 | 3.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $375.34 | $417.04 | 3.8× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$71.07–$375.34 | $78.97–$417.04 | 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.