Imaging prices at Wythe County Community Hospital
Wytheville, VA · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$503.92–$549.27 | $1,259.80–$1,373.18 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$592.23–$645.53 | $1,480.57–$1,613.82 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$833.23–$955.36 | $2,083.07–$2,388.40 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 2 matching MRF lines |
$918.98–$1,001.68 | $2,297.44–$2,504.21 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$912.08–$1,458.31 | $2,280.21–$3,645.77 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,151.66–$1,458.31 | $2,879.14–$3,645.77 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$323.44–$352.54 | $808.59–$881.36 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,921.84–$2,094.80 | $4,804.60–$5,237.01 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$1,337.90–$1,458.31 | $3,344.74–$3,645.77 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,017.22–$1,108.77 | $2,543.05–$2,771.92 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$751.18–$818.79 | $1,877.96–$2,046.98 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$270.45–$294.79 | $676.13–$736.98 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,283.36–$2,488.86 | $5,708.40–$6,222.16 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,569.70–$1,710.98 | $3,924.26–$4,277.44 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,508.55–$2,734.32 | $6,271.38–$6,835.80 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$298.05–$324.87 | $745.12–$812.18 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$628.10–$684.63 | $1,570.26–$1,711.58 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$818.52–$892.19 | $2,046.31–$2,230.48 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$923.39–$1,006.49 | $2,308.47–$2,516.23 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$1,383.70–$1,508.24 | $3,459.26–$3,770.59 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$623.69–$679.82 | $1,559.22–$1,699.55 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$805.82–$878.35 | $2,014.56–$2,195.87 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$311.29–$339.31 | $778.23–$848.27 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$470.80–$513.17 | $1,177–$1,282.93 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$323.44–$352.54 | $808.59–$881.36 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$200.36–$218.39 | $500.89–$545.97 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$953.20–$1,038.98 | $2,382.99–$2,597.46 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$439.90–$479.49 | $1,099.74–$1,198.72 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$413.95–$451.21 | $1,034.88–$1,128.02 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,921.84–$2,094.80 | $4,804.60–$5,237.01 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$709.79–$773.67 | $1,774.48–$1,934.18 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$802.52–$874.74 | $2,006.29–$2,186.86 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$7,552.14–$8,231.84 | $18,880.36–$20,579.59 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$6,076.26–$6,623.13 | $15,190.66–$16,557.82 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,427.52–$3,736 | $8,568.80–$9,339.99 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,785.18–$4,125.85 | $9,462.95–$10,314.62 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,067.11–$3,343.15 | $7,667.77–$8,357.87 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,816.53–$3,070.02 | $7,041.32–$7,675.04 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,913.12–$3,175.30 | $7,282.79–$7,938.24 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,792.24–$3,043.54 | $6,980.61–$7,608.86 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,626.56–$2,786.06 | $4,066.39–$6,965.14 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$2,512.41–$2,738.53 | $10.53–$6,846.32 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,626.56–$1,772.95 | $4,066.39–$4,432.37 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$705.93–$769.46 | $1,764.82–$1,923.65 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,427.52–$3,736 | $8,568.80–$9,339.99 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,833.09–$3,088.06 | $7,082.72–$7,720.16 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$3,701.84–$4,035 | $9,254.59–$10,087.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,217.24–$3,506.79 | $8,043.09–$8,766.97 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,594.21–$3,917.69 | $8,985.52–$9,794.22 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$3,111.26–$3,391.28 | $7,778.16–$8,478.19 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,561.64–$3,882.19 | $8,904.10–$9,705.47 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,909.15–$2,080.97 | $4,772.87–$5,202.43 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$4,364.16–$4,756.93 | $10,910.39–$11,892.33 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,676.34–$2,917.21 | $6,690.85–$7,293.03 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,822.05–$3,076.04 | $7,055.13–$7,690.09 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$4,010.37–$4,371.30 | $10,025.92–$10,928.25 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,343.08–$3,643.95 | $8,357.69–$9,109.88 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,626.11–$2,862.46 | $6,565.28–$7,156.16 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,508.55–$2,734.32 | $6,271.38–$6,835.80 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$4,102.54–$4,471.77 | $10,256.36–$11,179.43 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,500.82–$4,471.77 | $6,252.06–$11,179.43 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,569.70–$1,710.98 | $3,924.26–$4,277.44 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,771.93–$4,111.40 | $9,429.83–$10,278.51 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,012.47–$3,283.59 | $7,531.17–$8,208.98 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,052.20–$3,326.90 | $7,630.51–$8,317.26 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,343.52–$2,554.44 | $5,858.80–$6,386.09 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,067.11–$3,343.15 | $7,667.77–$8,357.87 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,883.32–$3,142.82 | $7,208.29–$7,857.04 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$3,287.88–$3,583.79 | $8,219.71–$8,959.48 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,833.09–$3,088.06 | $7,082.72–$7,720.16 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$3,701.84–$4,035 | $9,254.59–$10,087.50 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,969.42–$3,236.66 | $7,423.54–$8,091.66 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,188.98–$2,385.99 | $5,472.45–$5,964.97 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,430.17–$2,648.89 | $6,075.43–$6,622.22 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,355.11–$2,567.07 | $5,887.77–$6,417.67 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,626.56–$1,772.95 | $4,066.39–$4,432.37 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,989.84–$3,258.92 | $7,474.59–$8,147.30 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,012.47–$3,283.59 | $7,531.17–$8,208.98 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$1,208.64–$1,496.20 | $3,021.59–$3,740.51 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$1,187.58–$1,419.20 | $2,968.95–$3,547.99 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$468.66–$1,108.77 | $1,171.64–$2,771.92 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$965.89–$1,052.82 | $2,414.72–$2,632.04 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$940.50–$1,025.14 | $2,351.25–$2,562.86 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$204.55–$812.17 | $511.37–$2,030.43 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$804.72–$877.15 | $2,011.81–$2,192.87 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$645.21–$703.28 | $1,613.03–$1,758.20 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$336.13–$366.38 | $840.32–$915.95 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$417.26–$454.82 | $1,043.16–$1,137.04 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,467.60–$1,599.68 | $3,669–$3,999.21 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,123.19–$1,224.28 | $2,807.97–$3,060.69 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$2,319.78–$2,528.56 | $5,799.46–$6,321.41 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$336.13–$366.38 | $840.32–$915.95 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$2,930.78–$3,194.55 | $7,326.95–$7,986.38 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,776.68–$1,936.58 | $4,441.70–$4,841.45 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,541–$1,679.70 | $3,852.51–$4,199.24 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,082.30–$3,194.55 | $2,705.75–$7,986.38 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,313.06–$1,431.23 | $3,282.64–$3,578.08 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$760.57–$829.02 | $1,901.42–$2,072.55 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$1,203.22–$1,311.51 | $3,008.05–$3,278.77 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$282.04–$307.42 | $705.10–$768.56 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,598.96–$1,742.87 | $3,997.40–$4,357.17 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,938.95–$2,113.46 | $4,847.38–$5,283.64 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,390.88–$1,516.06 | $3,477.20–$3,790.15 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$662.87–$722.53 | $1,657.18–$1,806.33 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,311.40–$1,429.43 | $3,278.50–$3,573.57 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$1,147.88–$1,852.36 | $2,869.69–$4,630.90 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$594.98–$648.53 | $1,487.46–$1,621.33 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 2 matching MRF lines |
$2,911.46–$3,173.50 | $7,278.66–$7,933.74 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$2,018.43–$2,200.09 | $5,046.07–$5,500.22 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,579.64–$1,721.81 | $3,949.10–$4,304.52 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$1,674.58–$1,825.29 | $4,186.44–$4,563.22 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$978.58–$1,066.66 | $2,446.46–$2,666.64 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,025.50–$1,117.80 | $2,563.75–$2,794.49 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,968.86–$3,236.06 | $7,422.16–$8,090.15 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,503.48–$1,638.79 | $3,758.69–$4,096.97 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$735.18–$955.36 | $1,837.95–$2,388.40 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,106.74–$2,296.34 | $5,266.84–$5,740.86 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$128.14–$286.97 | $320.36–$717.43 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,642.56–$1,790.39 | $4,106.40–$4,475.98 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$30–$32.70 | $75–$81.75 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$30–$32.70 | $75–$81.75 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$30–$32.70 | $75–$81.75 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,218.45–$4,598.11 | $10,546.12–$11,495.27 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$4,850.42–$5,286.95 | $12,126.04–$13,217.38 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$4,218.45–$4,598.11 | $10,546.12–$11,495.27 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$4,343.18–$4,734.07 | $10,857.96–$11,835.18 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,775.80–$4,115.62 | $9,439.49–$10,289.04 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,992.26–$5,441.57 | $12,480.66–$13,603.92 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,947.55–$5,392.83 | $12,368.88–$13,482.08 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,480.51–$3,793.76 | $8,701.28–$9,484.40 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$4,536.92–$4,945.24 | $11,342.29–$12,363.10 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$3,633.95–$3,961 | $9,084.87–$9,902.51 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$3,261.94–$3,555.52 | $8,154.85–$8,888.79 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$4,429.84–$4,828.52 | $11,074.59–$12,071.30 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$490.34–$3,982.06 | $1,225.84–$9,955.14 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,453.36–$2,674.16 | $6,133.39–$6,685.40 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,048–$5,502.32 | $12,620.01–$13,755.81 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,890.70–$5,330.87 | $12,226.76–$13,327.17 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,763.65–$4,102.38 | $9,409.13–$10,255.95 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$4,498.83–$4,903.72 | $11,247.07–$12,259.31 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$5,236.22–$5,707.48 | $13,090.54–$14,268.69 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,618.94–$2,854.64 | $6,547.34–$7,136.60 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,658.67–$2,897.95 | $6,646.68–$7,244.88 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,260.95–$4,644.43 | $10,652.37–$11,611.08 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$4,131.79–$4,503.65 | $10,329.48–$11,259.13 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,419.35–$4,817.09 | $11,048.38–$12,042.73 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,843.13–$4,189.01 | $9,607.83–$10,472.53 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$490.34–$3,873.77 | $1,225.84–$9,684.42 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,771.38–$4,110.80 | $9,428.45–$10,277.01 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,771.38–$4,110.80 | $9,428.45–$10,277.01 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,488.79–$3,802.78 | $8,721.97–$9,506.95 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,992.26–$5,441.57 | $12,480.66–$13,603.92 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,850.96–$5,287.55 | $12,127.41–$13,218.88 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$4,362.50–$4,755.13 | $10,906.26–$11,887.82 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$490.34–$3,873.77 | $1,225.84–$9,684.42 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$5,237.88–$5,709.28 | $13,094.69–$14,273.21 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,139.20–$1,241.72 | $2,847.99–$3,104.31 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,231.92–$1,342.79 | $3,079.80–$3,356.98 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,615.52–$1,760.91 | $4,038.79–$4,402.28 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,898.11–$2,068.94 | $4,745.27–$5,172.34 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,943.92–$3,936.34 | $4,859.80–$9,840.84 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$419.47–$457.22 | $1,048.67–$1,143.05 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$741.25–$807.96 | $1,853.13–$2,019.91 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$855.50–$932.50 | $2,138.75–$2,331.24 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$878.68–$957.76 | $2,196.70–$2,394.40 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$305.77–$333.29 | $764.43–$833.23 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$553.59–$603.42 | $1,383.98–$1,508.54 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$270.45–$294.79 | $676.13–$736.98 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,762.46–$3,011.08 | $6,906.14–$7,527.69 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,762.46–$3,011.08 | $6,906.14–$7,527.69 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,818.63–$1,982.31 | $4,546.58–$4,955.77 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$660.12–$719.53 | $1,650.29–$1,798.82 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$680.54–$741.79 | $1,701.35–$1,854.47 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$451.48–$492.12 | $1,128.71–$1,230.29 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$426.10–$464.44 | $1,065.24–$1,161.11 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$476.87–$519.79 | $1,192.18–$1,299.48 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$489.11–$572.13 | $1,222.77–$1,430.32 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$393.53–$428.95 | $983.83–$1,072.37 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$453.69–$494.52 | $1,134.23–$1,236.31 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$442.10–$481.89 | $1,105.25–$1,204.72 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$223.53–$243.65 | $558.83–$609.12 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$799.76–$871.74 | $1,999.39–$2,179.34 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$489.57–$533.63 | $1,223.92–$1,334.07 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$248.37–$270.72 | $620.93–$676.81 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$414.51–$574.54 | $1,036.27–$1,436.35 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$342.75–$373.60 | $856.88–$934 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$681.64–$742.99 | $1,704.10–$1,857.47 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$375.32–$409.10 | $938.29–$1,022.74 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$426.10–$464.44 | $1,065.24–$1,161.11 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$579.53–$631.69 | $1,448.83–$1,579.22 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$389.12–$424.14 | $972.79–$1,060.34 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$223.53–$243.65 | $558.83–$609.12 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$465.83–$507.76 | $1,164.58–$1,269.39 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$594.98–$648.53 | $1,487.46–$1,621.33 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$282.04–$307.42 | $705.10–$768.56 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,365.49–$1,488.39 | $3,413.73–$3,720.97 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,075.72–$1,172.54 | $2,689.31–$2,931.35 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$489.57–$533.63 | $1,223.92–$1,334.07 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$465.83–$507.76 | $1,164.58–$1,269.39 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$494.53–$539.04 | $1,236.33–$1,347.60 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$285.90–$311.64 | $714.76–$779.09 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,041.50–$1,135.24 | $2,603.76–$2,838.10 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$62.92–$68.58 | $157.30–$171.46 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$404.57–$440.98 | $1,011.43–$1,102.46 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$404.57–$440.98 | $1,011.43–$1,102.46 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$451.48–$492.12 | $1,128.71–$1,230.29 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$509.99–$555.89 | $1,274.98–$1,389.73 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$367.04–$622.07 | $917.60–$1,555.17 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,082.35–$1,179.76 | $2,705.87–$2,949.40 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,946.68–$2,121.88 | $4,866.70–$5,304.70 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$513.17–$5,059.54 | $1,282.93–$12,648.85 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$527.10–$574.54 | $1,317.75–$1,436.35 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$96.59–$105.28 | $241.47–$263.20 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$484.05–$527.61 | $1,210.12–$1,319.03 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$358.21–$390.45 | $895.52–$976.12 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$728.56–$794.13 | $1,821.39–$1,985.32 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$495.64–$540.25 | $1,239.10–$1,350.62 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$426.10–$464.44 | $1,065.24–$1,161.11 | varies |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$686.44–$810.97 | $1,716.10–$2,027.42 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$497.29–$542.05 | $1,243.23–$1,355.12 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$594.98–$648.53 | $1,487.46–$1,621.33 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$372.56–$406.09 | $931.39–$1,015.22 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,165.69–$1,270.60 | $2,914.22–$3,176.50 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,396.40–$1,522.07 | $3,490.99–$3,805.18 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$817.42–$890.99 | $2,043.55–$2,227.47 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$883.65–$963.18 | $2,209.12–$2,407.94 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$530.41–$578.15 | $1,326.03–$1,445.37 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$203.11–$221.39 | $507.78–$553.48 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$261.06–$284.56 | $652.66–$711.40 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$85–$92.65 | $212.50–$231.63 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$908.43–$1,033.57 | $2,271.07–$2,583.92 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$231.82–$252.68 | $579.54–$631.70 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,134.23–$1,236.31 | $2,835.57–$3,090.77 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$282.04–$307.42 | $705.10–$768.56 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$586.71–$639.51 | $1,466.77–$1,598.78 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,158.52–$1,262.78 | $2,896.29–$3,156.96 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$572.36–$623.87 | $1,430.89–$1,559.67 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$643.56–$701.48 | $1,608.89–$1,753.69 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$723.04–$788.11 | $1,807.59–$1,970.27 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$1,037.18–$1,158.10 | $2,592.95–$2,895.25 | varies |
| Us head (76506) range across 2 matching MRF lines |
$379.73–$413.91 | $949.33–$1,034.77 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$695.44–$758.02 | $1,738.59–$1,895.06 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$536.63–$698.47 | $1,341.58–$1,746.18 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$266.03–$289.98 | $665.08–$724.94 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,062.48–$1,158.10 | $2,656.19–$2,895.25 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,062.48–$1,158.10 | $2,656.19–$2,895.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$513.30–$559.50 | $1,283.25–$1,398.74 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,041.99–$1,681.50 | $2,604.97–$4,203.76 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$929.46–$1,013.11 | $2,323.65–$2,532.78 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$885.86–$965.58 | $2,214.64–$2,413.96 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$619.82–$675.61 | $1,549.56–$1,689.02 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$778.78–$848.88 | $1,946.96–$2,122.19 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$653.49–$712.31 | $1,633.73–$1,780.77 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$660.12–$719.53 | $1,650.29–$1,798.82 | varies |
| Vasogram (74440) range across 2 matching MRF lines |
$439.90–$479.49 | $1,099.74–$1,198.72 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,200.57–$2,398.62 | $5,501.42–$5,996.55 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,434.73–$3,473.70 | $3,586.83–$8,684.25 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,076.28–$1,173.14 | $2,690.69–$2,932.85 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$774.36–$844.06 | $1,935.91–$2,110.14 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$878.68–$957.76 | $2,196.70–$2,394.40 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$328.40–$357.96 | $821.01–$894.90 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$562.98–$613.64 | $1,407.44–$1,534.11 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$453.69–$494.52 | $1,134.23–$1,236.31 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,539.90–$1,678.50 | $3,849.76–$4,196.24 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$497.29–$542.05 | $1,243.23–$1,355.12 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$331.16–$360.96 | $827.90–$902.41 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$24.07–$352.54 | $60.17–$881.36 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$1,434.48–$1,563.59 | $3,586.21–$3,908.97 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$232.92–$253.88 | $582.30–$634.71 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$78.37–$85.42 | $195.93–$213.56 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$479.63–$522.80 | $1,199.08–$1,307 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$737.94–$804.35 | $1,844.84–$2,010.88 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$579.53–$631.69 | $1,448.83–$1,579.22 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$836.18–$911.44 | $2,090.46–$2,278.60 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$311.29–$339.31 | $778.23–$848.27 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$449.28–$489.71 | $1,123.19–$1,224.28 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,687.27–$1,839.12 | $4,218.17–$4,597.81 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,835.74–$2,000.95 | $4,589.34–$5,002.38 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$406.78–$443.38 | $1,016.94–$1,108.46 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$328.40–$357.96 | $821.01–$894.90 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$556.35–$606.42 | $1,390.88–$1,516.06 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$180.48–$196.73 | $451.21–$491.82 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$814.66–$887.98 | $2,036.64–$2,219.94 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$494.53–$539.04 | $1,236.33–$1,347.60 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$431.96–$495.12 | $1,079.90–$1,237.81 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$501.16–$546.26 | $1,252.90–$1,365.66 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$700.96–$764.05 | $1,752.40–$1,910.12 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$787.06–$857.90 | $1,967.65–$2,144.74 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$348.82–$380.22 | $872.06–$950.55 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,100.56–$1,199.61 | $2,751.40–$2,999.03 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$282.04–$307.42 | $705.10–$768.56 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,076.28–$1,173.14 | $2,690.69–$2,932.85 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$786.51–$857.29 | $1,966.27–$2,143.23 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$448.72–$489.11 | $1,121.81–$1,222.77 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$662.32–$721.93 | $1,655.81–$1,804.83 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$668.40–$728.55 | $1,670.99–$1,821.38 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$629.21–$685.84 | $1,573.02–$1,714.59 | 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.