Imaging prices at Wyckoff Heights Medical Center
Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.
301 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) | $2,332.24 | $2,332.24 | 1.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$149.39–$262.03 | $149.39–$262.03 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$201.08–$428.73 | $201.08–$428.73 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $696.22 | $696.22 | 1.4× |
| Adrenal Cortex & Medulla Img (78075) | $2,413.53 | $2,413.53 | 1.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,287.09 | $5,287.09 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $5,287.09 | $5,287.09 | 1.3× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,500–$11,541.50 | $1,500–$11,541.50 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$149.39–$357.23 | $149.39–$357.23 | varies |
| Artery X-Rays Abdomen (75726) | $9,509.51 | $9,509.51 | 1.4× |
| Artery X-Rays Adrenal Gland (75731) | $5,287.09 | $5,287.09 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $234.35 | $234.35 | 1.4× |
| Bone age studies (77072) | $201.08 | $201.08 | 1.5× |
| Bone Imaging 3 Phase (78315) | $696.22 | $696.22 | 1.4× |
| Bone Imaging Limited Area (78300) | $696.22 | $696.22 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $696.22 | $696.22 | 1.4× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$696.22–$1,529.54 | $696.22–$1,529.54 | varies |
| Bone survey infant (77076) | $201.08 | $201.08 | 1.5× |
| Brachytx isodose complex (77318) | $625.44 | $625.44 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $696.22 | $696.22 | 1.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $903.80 | $903.80 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,733.51 | $2,733.51 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $680.12 | $680.12 | 1.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$149.39–$267.45 | $149.39–$267.45 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$149.39–$279.27 | $149.39–$279.27 | varies |
| Chest 3 views (71047) | $149.39 | $149.39 | 1.4× |
| Chest 4 or more views (71048) | $201.08 | $201.08 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$149.39–$427.40 | $149.39–$427.40 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$201.08–$782.22 | $201.08–$782.22 | varies |
| Continuing medical physics consltj pr wk (77336) | $234.35 | $234.35 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $5,287.09 | $5,287.09 | 1.3× |
| Contrast X-Ray Bladder (74430) | $680.12 | $680.12 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$680.12–$2,956.19 | $680.12–$2,956.19 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$424.97–$1,942.51 | $424.97–$1,942.51 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$329.91–$1,720.29 | $329.91–$1,720.29 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$329.91–$3,805 | $329.91–$3,805 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$201.08–$1,639.29 | $201.08–$1,639.29 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$329.91–$2,669.17 | $329.91–$2,669.17 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$329.91–$2,561.43 | $329.91–$2,561.43 | varies |
| CT angio hrt w/3d image (75574) | $1,056.52 | $1,056.52 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$329.91–$1,980 | $329.91–$1,980 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$329.91–$3,604.84 | $329.91–$3,604.84 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $329.91 | $329.91 | 1.5× |
| CT cervical spine w/ contrast (72126) | $680.12 | $680.12 | 1.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$201.08–$1,184.28 | $201.08–$1,184.28 | varies |
| CT cervical spine w/wo cont (72127) | $329.91 | $329.91 | 1.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$329.91–$1,766.51 | $329.91–$1,766.51 | varies |
| CT chest w/wo contrast (71270) | $329.91 | $329.91 | 1.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $870.77 | $870.77 | 6.7× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$329.91–$1,521.50 | $329.91–$1,521.50 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$329.91–$2,500.93 | $329.91–$2,500.93 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $451.91 | $451.91 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $287 | $287 | 2.6× |
| CT hrt w/3d image congen (75573) | $606.57 | $606.57 | 1.4× |
| CT iac w contrast (70481) | $329.91 | $329.91 | 1.5× |
| CT l-spine w&w/o contrast (72133) | $329.91 | $329.91 | 1.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$201.08–$1,491.76 | $201.08–$1,491.76 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$329.91–$1,444.83 | $329.91–$1,444.83 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$680.12–$3,214 | $680.12–$3,214 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$201.08–$1,407.35 | $201.08–$1,407.35 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$329.91–$1,757.01 | $329.91–$1,757.01 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$201.08–$1,446.77 | $201.08–$1,446.77 | varies |
| CT neck tissue combo (70492) | $329.91 | $329.91 | 1.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $329.91 | $329.91 | 1.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$201.08–$1,688.34 | $201.08–$1,688.34 | varies |
| CT pelvis w&w/o contrast (72194) | $329.91 | $329.91 | 1.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$201.08–$1,558.84 | $201.08–$1,558.84 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$329.91–$431 | $329.91–$431 | varies |
| CT scans face/jaw combo (70488) | $329.91 | $329.91 | 1.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$329.91–$1,933.10 | $329.91–$1,933.10 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$201.08–$1,575.94 | $201.08–$1,575.94 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$329.91–$1,980 | $329.91–$1,980 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$201.08–$1,177.37 | $201.08–$1,177.37 | varies |
| CT thoracic spine w/wo cont (72130) | $329.91 | $329.91 | 1.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$201.08–$1,488.83 | $201.08–$1,488.83 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$201.08–$1,329.31 | $201.08–$1,329.31 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $329.91 | $329.91 | 1.5× |
| CT upper extremity with contrast (73201) | $680.12 | $680.12 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$329.91–$1,362 | $329.91–$1,362 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$329.91–$2,530 | $329.91–$2,530 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$329.91–$1,650 | $329.91–$1,650 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $201.08 | $201.08 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $201.08 | $201.08 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $201.08 | $201.08 | 1.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$201.08–$584.31 | $201.08–$584.31 | varies |
| Echo exam of fetal heart (76825) | $1,840.32 | $1,840.32 | 2.7× |
| Echo exam uterus (76831) | $424.97 | $424.97 | 1.4× |
| Echo Guide For Artery Repair (76936) | $488.79 | $488.79 | 1.8× |
| Echograp Trans R Pros Study (76873) | $201.08 | $201.08 | 1.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$329.91–$700.07 | $329.91–$700.07 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$201.08–$603.24 | $201.08–$603.24 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $201.08 | $201.08 | 1.5× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$424.97–$840.22 | $424.97–$840.22 | varies |
| Follow-Up Angiography (75898) | $5,287.09 | $5,287.09 | 1.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$149.39–$330.85 | $149.39–$330.85 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$149.39–$316.48 | $149.39–$316.48 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$696.22–$2,054 | $696.22–$2,054 | varies |
| Gated Heart Planar Single (78472) | $696.22 | $696.22 | 1.4× |
| Gated Heart, Multiple (78473) | $696.22 | $696.22 | 1.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$201.08–$365.23 | $201.08–$365.23 | varies |
| Hepatobiliary System Imaging (78226) | $696.22 | $696.22 | 1.4× |
| Ht Musc Image Planar Mult (78454) | $2,413.53 | $2,413.53 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $2,413.53 | $2,413.53 | 1.5× |
| Hysterosalpingogram (74740) | $424.97 | $424.97 | 1.4× |
| Infant hip ultrasound, limited static exam (76886) | $149.39 | $149.39 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $903.80 | $903.80 | 1.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $696.22 | $696.22 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$149.39–$378.30 | $149.39–$378.30 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $696.22 | $696.22 | 1.4× |
| Liver imaging static only (78201) | $903.80 | $903.80 | 1.3× |
| Lymph System Imaging (78195) | $903.80 | $903.80 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $424.97 | $424.97 | 1.4× |
| Meckels Divert Exam (78290) | $696.22 | $696.22 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $680.12 | $680.12 | 1.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$424.97–$2,075 | $424.97–$2,075 | varies |
| MRA head with contrast (70545) | $680.12 | $680.12 | 1.6× |
| MRA neck w contrast (70548) | $680.12 | $680.12 | 1.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $680.12 | $680.12 | 1.6× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$424.97–$1,928.33 | $424.97–$1,928.33 | varies |
| MRI abdomen w contrast (74182) | $680.12 | $680.12 | 1.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$424.97–$2,937 | $424.97–$2,937 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,321.34 | $1,321.34 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$680.12–$4,647.50 | $680.12–$4,647.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,321.34 | $1,321.34 | 1.4× |
| MRI bone marrow blood supply (77084) | $424.97 | $424.97 | 1.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $424.97 | $424.97 | 1.4× |
| MRI cardiac w/o contrast (75557) | $424.97 | $424.97 | 1.4× |
| MRI cervical spine w contrast (72142) | $680.12 | $680.12 | 1.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$424.97–$3,328.95 | $424.97–$3,328.95 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$424.97–$1,729 | $424.97–$1,729 | varies |
| MRI chest with contrast (71551) | $1,321.34 | $1,321.34 | 1.4× |
| MRI chest wo w contrast (71552) | $680.12 | $680.12 | 1.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $680.12 | $680.12 | 1.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $680.12 | $680.12 | 1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $424.97 | $424.97 | 1.4× |
| MRI lumbar spine w contrast (72149) | $680.12 | $680.12 | 1.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$680.12–$3,917 | $680.12–$3,917 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$424.97–$2,439 | $424.97–$2,439 | varies |
| MRI orbit face neck w contrast (70542) | $680.12 | $680.12 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$680.12–$2,013.65 | $680.12–$2,013.65 | varies |
| MRI pelvis w contrast (72196) | $680.12 | $680.12 | 1.6× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$680.12–$4,717.29 | $680.12–$4,717.29 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$424.97–$4,507.80 | $424.97–$4,507.80 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$424.97–$3,633.15 | $424.97–$3,633.15 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $680.12 | $680.12 | 1.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $424.97 | $424.97 | 1.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $680.12 | $680.12 | 1.6× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$680.12–$3,968.30 | $680.12–$3,968.30 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$680.12–$3,917 | $680.12–$3,917 | varies |
| MRI, dorsal spine contrast (72147) | $680.12 | $680.12 | 1.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$424.97–$2,769.27 | $424.97–$2,769.27 | varies |
| MRI, joint upper extrem combo (73223) | $680.12 | $680.12 | 1.6× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$680.12–$3,384.21 | $680.12–$3,384.21 | varies |
| Myelogram cervical (72240) | $1,321.34 | $1,321.34 | 1.4× |
| Myelogram Lumbar (72265) | $1,321.34 | $1,321.34 | 1.4× |
| Myelography thoracic (72255) | $1,321.34 | $1,321.34 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,413.53 | $2,413.53 | 1.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,413.53–$5,043.69 | $2,413.53–$5,043.69 | varies |
| N-invas est c ffr sw aly CTA (75580) | $3,009.85 | $3,009.85 | 2.8× |
| Neck soft tissue (70360) | $149.39 | $149.39 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $201.08 | $201.08 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,332.24 | $2,332.24 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $467.33 | $467.33 | 1.6× |
| Ob us nuchal meas 1 gest (76813) | $201.08 | $201.08 | 1.5× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $208.26 | $208.26 | 1.3× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $156.34 | $156.34 | 1.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$192.34–$538 | $192.34–$538 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines |
$45.63–$870.74 | $45.63–$870.74 | varies |
| Optic foramina (70190) | $149.39 | $149.39 | 1.4× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$696.22–$2,279.73 | $696.22–$2,279.73 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$201.08–$450.17 | $201.08–$450.17 | varies |
| PET image w/CT, full body (78816) | $2,733.51 | $2,733.51 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,733.51 | $2,733.51 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $696.22 | $696.22 | 1.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $7,000 | $7,000 | 6.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $201.08 | $201.08 | 1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $892.41 | $892.41 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$149.39–$360.22 | $149.39–$360.22 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$149.39–$271 | $149.39–$271 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$149.39–$327.62 | $149.39–$327.62 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $201.08 | $201.08 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$149.39–$275.16 | $149.39–$275.16 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$149.39–$377.99 | $149.39–$377.99 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$149.39–$419.40 | $149.39–$419.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $149.39 | $149.39 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $201.08 | $201.08 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$149.39–$359 | $149.39–$359 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$149.39–$300.64 | $149.39–$300.64 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$149.39–$391.31 | $149.39–$391.31 | varies |
| Radex Spine 1 View Specify Level (72020) | $149.39 | $149.39 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$149.39–$294.50 | $149.39–$294.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $149.39 | $149.39 | 1.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$149.39–$260.87 | $149.39–$260.87 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $201.08 | $201.08 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$149.39–$343.51 | $149.39–$343.51 | varies |
| Radiation treatment delivery level 1 (77402) | $221.24 | $221.24 | 1.7× |
| Radiation treatment delivery level 2 (77407) | $446.44 | $446.44 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $446.44 | $446.44 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $201.08 | $201.08 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$201.08–$451.98 | $201.08–$451.98 | varies |
| Radiologic exam colon double contrast study (74280) | $329.91 | $329.91 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $329.91 | $329.91 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$201.08–$495.16 | $201.08–$495.16 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$201.08–$373.50 | $201.08–$373.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$329.91–$580 | $329.91–$580 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$329.91–$474.33 | $329.91–$474.33 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $329.91 | $329.91 | 1.5× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$149.39–$318.18 | $149.39–$318.18 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$149.39–$317.88 | $149.39–$317.88 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$149.39–$325.91 | $149.39–$325.91 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $201.08 | $201.08 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$149.39–$364.72 | $149.39–$364.72 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $892.41 | $892.41 | 1.3× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$201.08–$461 | $201.08–$461 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $696.22 | $696.22 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,413.53 | $2,413.53 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,413.53 | $2,413.53 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,413.53 | $2,413.53 | 3.6× |
| Scapula (73010) range across 2 matching MRF lines |
$201.08–$411.28 | $201.08–$411.28 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$98.58–$329.82 | $98.58–$329.82 | varies |
| Sella turcica (70240) | $149.39 | $149.39 | 1.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$149.39–$262.91 | $149.39–$262.91 | varies |
| Shoulder Arthrography (73040) | $680.12 | $680.12 | 1.6× |
| Skull less than 4 views (70250) | $201.08 | $201.08 | 1.5× |
| Special dosimetry (77331) | $234.35 | $234.35 | 1.4× |
| Special Physics Consult (77370) | $234.35 | $234.35 | 1.4× |
| Special treatment procedure (77470) | $1,002.07 | $1,002.07 | 1.5× |
| Spleen Imaging (78185) | $696.22 | $696.22 | 1.4× |
| Sternoclavicular joints (71130) | $149.39 | $149.39 | 1.4× |
| Testicular Imaging W/Flow (78761) | $696.22 | $696.22 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $625.44 | $625.44 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $625.44 | $625.44 | 1.3× |
| Ther rad simulaj-aided field setting simple (77280) | $234.35 | $234.35 | 1.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$201.08–$514.85 | $201.08–$514.85 | varies |
| Thoracic spine 3 views (72072) | $201.08 | $201.08 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $696.22 | $696.22 | 1.4× |
| Thyroid Met Imaging Body (78018) | $903.80 | $903.80 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$696.22–$1,797 | $696.22–$1,797 | varies |
| Tx Devices Design & Construction Complex (77334) | $625.44 | $625.44 | 1.3× |
| Tx devices design & construction intermediate (77333) | $234.35 | $234.35 | 1.4× |
| Tx devices design & construction simple (77332) | $234.35 | $234.35 | 1.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$149.39–$443.98 | $149.39–$443.98 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$192.35–$550.98 | $192.35–$550.98 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$201.08–$451.79 | $201.08–$451.79 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$192.34–$709.56 | $192.34–$709.56 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$201.08–$603.24 | $201.08–$603.24 | varies |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $696.22 | $696.22 | 1.4× |
| Unlisted us procedure (76999) | $156.34 | $156.34 | 1.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$329.91–$564 | $329.91–$564 | varies |
| Urethrocystogram voiding (74455) | $424.97 | $424.97 | 1.4× |
| Urethrocystography retrograde (74450) | $424.97 | $424.97 | 1.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$201.08–$513.95 | $201.08–$513.95 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$192.34–$541 | $192.34–$541 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$201.08–$413 | $201.08–$413 | varies |
| Us exam, pelvic, limited (76857) | $192.34 | $192.34 | 1.5× |
| Us head (76506) | $201.08 | $201.08 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $192.34 | $192.34 | 1.5× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$424.97–$1,202.48 | $424.97–$1,202.48 | varies |
| Us ob limited 1 or more fetuses (76815) | $201.08 | $201.08 | 1.5× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$192.34–$611.70 | $192.34–$611.70 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$192.34–$1,148.64 | $192.34–$1,148.64 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$192.34–$318 | $192.34–$318 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$397.48–$402.16 | $397.48–$402.16 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$201.08–$859.35 | $201.08–$859.35 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$192.34–$484.48 | $192.34–$484.48 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$192.34–$517.26 | $192.34–$517.26 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$192.34–$557.22 | $192.34–$557.22 | varies |
| Us transrectal (76872) | $201.08 | $201.08 | 1.5× |
| Vein X-Ray Chest (75827) | $2,597.15 | $2,597.15 | 1.3× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,597.15–$3,944.30 | $2,597.15–$3,944.30 | varies |
| Venous sampling by catheter (75893) | $7,485.88 | $7,485.88 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$149.39–$298.78 | $149.39–$298.78 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$149.39–$397 | $149.39–$397 | varies |
| X-ray antegrade pyelogram tube (74425) | $680.12 | $680.12 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $5,287.09 | $5,287.09 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$149.39–$277.40 | $149.39–$277.40 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$892.41–$1,871.37 | $892.41–$1,871.37 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $149.39 | $149.39 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$201.08–$489.50 | $201.08–$489.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$149.39–$308 | $149.39–$308 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$149.39–$293.61 | $149.39–$293.61 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$201.08–$436.05 | $201.08–$436.05 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $201.08 | $201.08 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$149.39–$394.58 | $149.39–$394.58 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $201.08 | $201.08 | 1.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$201.08–$608.34 | $201.08–$608.34 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$149.39–$348.91 | $149.39–$348.91 | varies |
| X-ray IV pyelogram (ivp) (74400) | $329.91 | $329.91 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $149.39 | $149.39 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$149.39–$385.46 | $149.39–$385.46 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$201.08–$494.54 | $201.08–$494.54 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,116.87 | $1,116.87 | 10.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$201.08–$492.50 | $201.08–$492.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $201.08 | $201.08 | 1.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$201.08–$261 | $201.08–$261 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $149.39 | $149.39 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $149.39 | $149.39 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$201.08–$1,102.46 | $201.08–$1,102.46 | varies |
| X-Rays Bone Length Studies (77073) | $201.08 | $201.08 | 1.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$201.08–$737.23 | $201.08–$737.23 | varies |
| Xr orbits complete 4 views (70200) | $201.08 | $201.08 | 1.5× |
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.