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Patient Price Information List

Disclaimer: Franklin County Medical Center determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Franklin County Medical Center has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Franklin County Medical Center's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Cache Valley Hospital

North Logan

UT

Logan Regional Hospital

Logan

UT

Portneuf Medical Center

Pocatello

ID

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,250
$2,120

41% lower than market

Semi-Private Room

$1,250
$2,314

46% lower than market

Intensive Care Unit

$1,824
$5,243

65% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$98
$382

74% lower than market

Emergency Department Visit - Level 2

$238
$675

65% lower than market

Emergency Department Visit - Level 3

$416
$1,089

62% lower than market

Emergency Department Visit - Level 4

$607
$1,694

64% lower than market

Emergency Department Visit - Level 5

$1,019
$2,731

63% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Application of Electrical Stimulation - 15 Minutes

$39
$92

58% lower than market

Gait Training - 15 Minutes

$77
$82

6% lower than market

PT Evaluation - Moderate Complexity

$165
$310

47% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$85
$76

12% higher than market

Physical Therapy Exercise, 15 Minutes

$80
$76

5% higher than market

Physical Therapy, complex evaluation

$185
$287

36% lower than market

Physical Therapy, re-evaluation

$70
$160

56% lower than market

Physical Therapy, standard evaluation - 20 minutes

$145
$206

30% lower than market

OUTPATIENT CLINIC CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Outpatient Clinic Visit for Assessment and Management of a Patient

$100
$250

60% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy Evaluation - Moderate Complexity

$165
$356

54% lower than market

Occupational Therapy, complex evaluation

$185
$441

58% lower than market

Occupational Therapy, re-evaluation

$67
$201

67% lower than market

Occupational Therapy, standard evaluation - 30 minutes

$145
$223

35% lower than market

Self Care - Home Management Training - 15 Minutes

$74
$84

12% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$77
$83

7% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Aerosol Treatment

$74
$357

79% lower than market

CPAP Initiation & Management

$689
$702

2% lower than market

Routine EKG - Minimum 12 Leads

$159
$232

32% lower than market

Spirometry - breathing test

$158
$189

16% lower than market

Spirometry - medicated breathing procedure

$360
$364

1% lower than market

Stress Test with EKG tracing

$677
$688

2% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production

$210
$305

31% lower than market

Evaluation of Speech Sound Production and Language Comprehenson

$280
$529

47% lower than market

Speech Therapy

$177
$276

36% lower than market

Swallow Evaluation

$255
$442

42% lower than market

Swallow Treatment

$173
$287

40% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Amylase (enzyme) level

$70
$140

50% lower than market

Bacterial Blood Culture

$93
$166

44% lower than market

Bacterial Culture for Aerobic Isolates

$46
$79

42% lower than market

Bacterial Culture, Any Source Except Urine, Blood, or Stool

$102
$131

22% lower than market

Bacterial urine culture

$60
$78

23% lower than market

Bacterial urine culture; quantitative colony count

$62
$83

25% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$124
$292

58% lower than market

Blood creatinine level

$40
$62

36% lower than market

Blood potassium level

$25
$50

50% lower than market

Blood sodium level

$25
$50

50% lower than market

Blood test, basic group of blood chemicals

$127
$81

58% higher than market

Blood test, clotting time

$45
$37

21% higher than market

Blood test, comprehensive group of blood chemicals

$75
$116

36% lower than market

Blood test, lipids (cholesterol and triglycerides)

$68
$105

35% lower than market

Blood test, thyroid stimulating hormone (TSH)

$75
$120

38% lower than market

Complete blood cell count - automated differential WBC count

$50
$88

43% lower than market

Complete blood cell count - automated test with out Differential

$40
$63

36% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$48
$69

31% lower than market

Creatinine level to test for kidney function or muscle injury

$60
$55

9% higher than market

Cyanocobalamin (vitamin B-12) level

$92
$153

40% lower than market

Detection test for clostridium difficile toxins (stool pathogen)

$100
$118

16% lower than market

Drug test(s) presumptive, any number of drug classes, includes sample validation when performed

$115
$182

37% lower than market

Ferritin (blood protein) level

$80
$131

39% lower than market

Folic acid; serum

$82
$121

32% lower than market

Hemoglobin A1C level

$78
$99

22% lower than market

Immunologic analysis for detection of organism; qualitative or semiquantitative; multiple-step method

$95
$205

54% lower than market

Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (6-11 targets)

$390
$807

52% lower than market

Iron Binding Capacity

$55
$88

38% lower than market

Iron level

$35
$67

47% lower than market

Kidney Function Blood Test Panel

$68
$86

20% lower than market

Lactic acid level

$70
$106

34% lower than market

Lipase (fat enzyme) level

$44
$97

54% lower than market

Liver function blood test panel

$62
$97

36% lower than market

Magnesium Level

$50
$113

56% lower than market

PSA (prostate specific antigen) measurement

$90
$148

39% lower than market

PSA Measurement; Free

$100
$147

32% lower than market

Parathormone

$85
$446

81% lower than market

Coagulation assessment blood test

$60
$98

39% lower than market

Prostate Cancer Screening Test

$90
$124

28% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$560
$724

23% lower than market

Red blood cell sedimentation rate, to detect inflammation; non-automated

$45
$60

25% lower than market

Screening Test for Autoimmune Disorder

$34
$94

64% lower than market

Screening test for Pathogenic Organisms

$50
$92

46% lower than market

Stool analysis for blood to screen for colon tumors

$25
$35

29% lower than market

Streptoccus

$75
$125

40% lower than market

Testosterone (hormone) level

$135
$260

48% lower than market

Thyroid Hormone, T3 Measurement, Free

$75
$120

37% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$75
$108

31% lower than market

Troponin (protein) analysis

$98
$101

3% lower than market

Urea nitrogen level to assess kidney function

$30
$43

30% lower than market

Uric acid level, blood

$30
$56

46% lower than market

Urinalysis with Examination, using Microscope

$47
$65

28% lower than market

Urinalysis, Automated Test

$28
$42

33% lower than market

Urinalysis, Manual Test

$11
$15

30% lower than market

Vancomycin (antibiotic) level

$85
$106

20% lower than market

Vitamin D-3 Level

$166
$190

13% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Application of mechanical traction to 1 or more areas

$43
$51

16% lower than market

Hydration Infusion into a Vein

$72
$344

79% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$300
$531

44% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$119
$201

41% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$204
$734

72% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$78
$142

45% lower than market

Sleep monitoring of patient (6 years or older) in sleep lab

$3,498
$2,596

35% higher than market

Vaccine for influenza for injection into muscle; preservative free, enhanced immunogenicity via increased antigen content

$93
$129

28% lower than market

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes

$66
$93

29% lower than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$65
$114

43% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Epidural Injection Thoracic

$1,250
$1,616

23% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$114
$253

55% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$80
$183

56% lower than market

Injection, Cefazolin Sodium, 500 mg

$13
$12

9% higher than market

Injection, Ceftriaxone Sodium, per 250 mg

$7
$8

7% lower than market

Injection, Dexamethasone Sodium Phosphate, 1 mg

$2
$4

55% lower than market

Injection, Enoxaparin Sodium, 10 mg

$8
$22

65% lower than market

Injection, Fentanyl Citrate, 0.1 mg

$13
$27

52% lower than market

Injection, Heparin Sodium, per 1000 Units

$5
$6

31% lower than market

Injection, Hydromorphone, Up to 4 mg

$10
$30

67% lower than market

Injection, Ketorolac Tromethamine, per 15 mg

$6
$19

72% lower than market

Injection, Levofloxacin, 250 mg

$20
$31

37% lower than market

Injection, Lorazepam, 2 mg

$13
$28

53% lower than market

Injection, Methylprednisolone Sodium Succinate, up to 125 mg

$16
$53

70% lower than market

Injection, Midazolam Hydrochloride, per 1 mg

$6
$24

77% lower than market

Injection, Morphine Sulfate, up to 10 mg

$10
$29

66% lower than market

Injection, Ondansetron Hydrochloride, per 1 mg

$3
$7

63% lower than market

Injection, Promethazine HCL, up to 50 mg

$12
$44

73% lower than market

Injection, Vancomycin HCL, 500 mg

$11
$40

72% lower than market

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

$4
$9

61% lower than market

Injection, alteplase recombinant, 1 mg

$154
$304

49% lower than market

Injection, amiodarone hydrochloride, 30 mg

$3
$10

65% lower than market

Injection, ceftazidime, per 500 mg

$13
$33

61% lower than market

Injection, daptomycin, 1 mg

$2
$2

22% lower than market

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

$12
$29

59% lower than market

Injection, denosumab, 1 mg

$28
$87

67% lower than market

Injection, diazepam, up to 5 mg

$26
$84

69% lower than market

Injection, ertapenem sodium, 500 mg

$86
$238

64% lower than market

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

$125
$324

61% lower than market

Injection, infliximab, excludes biosimilar, 10 mg

$210
$447

53% lower than market

Injection, insulin, per 5 units

$2
$8

70% lower than market

Injection, iron dextran, 50 mg

$33
$87

63% lower than market

Injection, iron sucrose, 1 mg

$1
$2

49% lower than market

Injection, linezolid, 200 mg

$50
$137

63% lower than market

Injection, meperidine hydrochloride, per 100 mg

$17
$35

53% lower than market

Injection, meropenem, 100 mg

$7
$12

41% lower than market

Injection, methylprednisolone acetate, 40 mg

$17
$50

66% lower than market

Injection, phytonadione (vitamin k), per 1 mg

$12
$23

50% lower than market

Injection, potassium chloride, per 2 meq

$1
$5

77% lower than market

Injection, regadenoson, 0.1 mg

$83
$268

69% lower than market

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

$5
$14

62% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Arterial Puncture

$117
$265

56% lower than market

Nebulizer Treatment

$82
$198

59% lower than market

Pulse Oximetry

$94
$128

27% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Technetium tc-99m sestamibi, diagnostic, per study dose

$273
$427

36% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Amputation, metatarsal, with toe, single

$2,994
$7,435

60% lower than market

Application of Short Arm Splint

$139
$416

67% lower than market

Application of Short Leg Splint (Calf to Foot)

$205
$442

54% lower than market

Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck; first 25 sq cm

$2,994
$5,425

45% lower than market

Application of vein wound compression system lower leg below knee including ankle and foot

$238
$707

66% lower than market

Arthrodesis, great toe; metatarsophalangeal joint

$3,824
$6,816

44% lower than market

Aspiration and/or injection: large joint/bursa

$413
$859

52% lower than market

Biopsy of Large Bowel, Using an Endoscope

$1,467
$2,578

43% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$1,587
$2,531

37% lower than market

Carpal Tunnel Release

$2,994
$3,001

Approximately equal to market

Colonoscopy on High Cancer Risk Patient

$2,538
$3,113

18% lower than market

Colonscopy

$1,467
$2,902

49% lower than market

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$2,418
$2,809

14% lower than market

Control Nose Bleed - Simple Case

$240
$521

54% lower than market

Control of nose bleed and insertion of packing

$274
$600

54% lower than market

Creation of sling around bladder canal (urethra) to control leakage

$6,152
$7,261

15% lower than market

Crushing of stone in urinary duct (ureter) with stent using an endoscope

$8,154
$12,180

33% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$2,914
$1,833

59% higher than market

Drainage of Abscess

$281
$492

43% lower than market

Removal of cataract with insertion of lens

$1,520
$3,214

53% lower than market

Gallbladder Removal Using an Endoscope

$4,492
$7,487

40% lower than market

Hammer Toe Correction

$2,994
$4,473

33% lower than market

Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endo

$2,994
$7,000

57% lower than market

Injection of substance into spinal canal or lower back using imaging

$1,250
$10,500

88% lower than market

Injections of trigger points in 1 or 2 muscles

$262
$559

53% lower than market

Insertion of Breathing Tube Using an Endoscope

$592
$1,524

61% lower than market

Insertion of Central Venous Catheter

$2,994
$5,339

44% lower than market

Insertion of Central Venous Catheter for Infusion

$863
$2,845

70% lower than market

Insertion of Indwelling Bladder Catheter

$134
$368

64% lower than market

Insertion of Needle into Vein to Collect Blood

$25
$48

48% lower than market

Insertion of guide wire with dilation of esophagus using an endoscope

$1,891
$1,619

17% higher than market

Insertion of needle into vein, patient 3 years or older

$490
$470

4% higher than market

Insertion of stent in urinary duct (ureter) using an endoscope

$2,994
$4,702

36% lower than market

Removal of one knee cartilage using an endoscope

$4,492
$7,075

37% lower than market

Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2

$5,989
$9,272

35% lower than market

Partial removal of collar bone at shoulder using an endoscope

$4,492
$5,658

21% lower than market

Removal of gallbladder with X-ray study of bile ducts using endoscope

$6,152
$8,977

31% lower than market

Removal of growth of tendon finger or hand

$2,994
$4,339

31% lower than market

Removal of heel bone spur

$1,666
$1,994

16% lower than market

Removal of peripheral venous catheter for infusion

$1,666
$3,868

57% lower than market

Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope

$3,824
$5,562

31% lower than market

Removal of shoulder joint tissue using an endoscope

$4,492
$5,876

24% lower than market

Repair of Wound (2.6 to 7.5 centimeters)

$337
$730

54% lower than market

Repair of groin hernia using an endoscope

$4,733
$13,579

65% lower than market

Repair of herniated rectum into vaginal wall

$6,152
$5,825

6% higher than market

Repair of knee joint; condyle and plateau, medial or lateral

$8,479
$26,551

68% lower than market

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic

$6,982
$10,220

32% lower than market

Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes

$496
$601

17% lower than market

Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)

$4,492
$5,109

12% lower than market

Rotator Cuff Repair

$5,558
$6,709

17% lower than market

Simple wound repair of face, including ears; 2.5 cm or less

$300
$623

52% lower than market

Simple wound repair of face, including ears; 2.6 cm to 5.0 cm

$336
$749

55% lower than market

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$293
$505

42% lower than market

Strapping, Unna boot

$171
$647

74% lower than market

Total knee repair

$8,479
$17,662

52% lower than market

Treatment of elbow dislocation

$260
$439

41% lower than market

Ulnar Nerve Release

$2,994
$3,342

10% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

3 Phase Bone Scan

$1,113
$1,593

30% lower than market

Acute digestive tract blood loss imaging

$872
$1,270

31% lower than market

Bone and/or joint imaging

$1,083
$1,497

28% lower than market

Breast Ultrasound - Limited

$210
$605

65% lower than market

CT Abdomen & Pelvis with Contrast

$2,050
$2,391

14% lower than market

CT Abdomen & Pelvis with and without Contrast

$2,404
$2,918

18% lower than market

CT Abdomen & Pelvis without Contrast

$1,202
$1,728

30% lower than market

CT Abdomen with Contrast

$1,133
$1,332

15% lower than market

CT Abdomen with and without Contrast

$1,415
$1,899

25% lower than market

CT Abdomen without Contrast

$901
$1,120

20% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$2,050
$1,702

20% higher than market

CT Angiogram Chest with and without Contrast

$1,343
$1,928

30% lower than market

CT Angiogram Head with and without Contrast

$870
$2,571

66% lower than market

CT Angiogram Neck with and without Contrast

$1,250
$2,591

52% lower than market

CT Arm with Contrast

$963
$1,978

51% lower than market

CT Arm without Contrast

$807
$1,602

50% lower than market

CT Chest with Contrast

$1,181
$1,799

34% lower than market

CT Chest with and without Contrast

$1,232
$2,130

42% lower than market

CT Chest without Contrast

$914
$1,354

33% lower than market

CT Cranial Cavity with Contrast

$756
$1,682

55% lower than market

CT Cranial Cavity without Contrast

$791
$1,422

44% lower than market

CT Face with Contrast

$869
$1,922

55% lower than market

CT Face without Contrast

$869
$1,461

41% lower than market

CT Head Brain with Contrast

$806
$2,073

61% lower than market

CT Head Brain with and without Contrast

$869
$1,964

56% lower than market

CT Head Brain without Contrast

$790
$1,392

43% lower than market

CT Leg with Contrast

$931
$2,094

56% lower than market

CT Leg without Contrast

$863
$1,609

46% lower than market

CT Neck with Contrast

$1,241
$1,851

33% lower than market

CT Neck with and without Contrast

$1,391
$2,238

38% lower than market

CT Neck without Contrast

$701
$1,455

52% lower than market

CT Pelvis with Contrast

$1,184
$1,460

19% lower than market

CT Pelvis without Contrast

$905
$1,206

25% lower than market

CT Spine Cervical without Contrast

$913
$1,676

46% lower than market

CT Spine Lumbar without Contrast

$1,060
$1,618

34% lower than market

CT Spine Thoracic without Contrast

$913
$1,500

39% lower than market

Chest X-Ray; 2 Views

$230
$288

20% lower than market

Chest X-Ray; Single View

$230
$237

3% lower than market

Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels

$417
$736

43% lower than market

Diagnostic mammography, bilateral

$280
$504

44% lower than market

Diagnostic mammography, unilateral

$180
$375

52% lower than market

Digital breast tomosynthesis; bilateral

$50
$135

63% lower than market

Digital breast tomosynthesis; unilateral

$30
$68

56% lower than market

Fluoroscopic guidance for insertion, replacement or removal of central venous access device

$216
$445

51% lower than market

Fluoroscopic guidance for spine or spinal canal injection

$265
$584

55% lower than market

Follow-up or limited ultrasound examination of heart

$398
$696

43% lower than market

Imaging for Evaluation of Swalling Function

$250
$528

53% lower than market

Imaging guidance for procedure, up to 1 hour

$505
$538

6% lower than market

Imaging of Abdomen and Chest

$438
$375

17% higher than market

Imaging of Abdomen; 2 Views

$302
$341

11% lower than market

Imaging of Abdomen; Single View

$239
$234

2% higher than market

Imaging of Liver and Bile Duct System with Use of Drugs

$1,572
$1,524

3% higher than market

Imaging of Liver and Bile Duct System without Use of Drugs

$1,483
$1,423

4% higher than market

Imaging of lymphatic tissue and lymph node

$868
$1,571

45% lower than market

Kidney imaging with assessment of blood flow and function; single study with pharmacological intervention

$1,055
$1,311

19% lower than market

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$554
$548

1% higher than market

MRA Head without Contrast

$1,534
$2,879

47% lower than market

MRA Neck with and without Contrast

$1,845
$4,181

56% lower than market

MRA scan of head blood vessels before and after contrast

$1,694
$3,199

47% lower than market

MRI Abdomen with and without Contrast

$1,800
$3,200

44% lower than market

MRI Abdomen without Contrast

$1,492
$2,420

38% lower than market

MRI Arm Join with Contrast

$1,600
$3,326

52% lower than market

MRI Arm Join with and without Contrast

$1,928
$3,967

51% lower than market

MRI Arm Joint without Contrast

$1,600
$2,673

40% lower than market

MRI Arm with and without Contrast

$1,928
$4,388

56% lower than market

MRI Arm without Contrast

$1,768
$2,547

31% lower than market

MRI Brain with and without Conrast

$2,452
$3,689

34% lower than market

MRI Brain without Contrast

$1,694
$2,601

35% lower than market

MRI Leg Joint with and without Contrast

$1,920
$4,882

61% lower than market

MRI Leg Joint without Contrast

$1,600
$2,118

24% lower than market

MRI Leg with and without Contrast

$1,928
$4,087

53% lower than market

MRI Leg without Contrast

$1,600
$2,526

37% lower than market

MRI Orbit, Face, Neck with and without Contrast

$1,696
$5,030

66% lower than market

MRI Orbit, Face, Neck without Contrast

$1,600
$3,490

54% lower than market

MRI Pelvis without Contrast

$1,600
$2,577

38% lower than market

MRI Spine Cervical with and without Contrast

$2,371
$2,939

19% lower than market

MRI Spine Cervical without Contrast

$1,845
$2,362

22% lower than market

MRI Spine Lumbar with and without Contrast

$2,503
$3,593

30% lower than market

MRI Spine Lumbar without Contrast

$1,977
$2,370

17% lower than market

MRI Spine Thoracic with and without Contrast

$2,044
$2,887

29% lower than market

MRI Spine Thoracic without Contrast

$1,696
$2,423

30% lower than market

MRI scan of lower spinal canal with contrast

$726
$2,584

72% lower than market

Myocardial Perfusion, Tomographic

$2,534
$3,777

33% lower than market

Nuclear Medicine Study of Lung Ventilation and Blood Circulation in the Lungs

$1,698
$1,649

3% higher than market

Nuclear medicine study of blood circulation in the lungs

$756
$1,021

26% lower than market

Nuclear medicine study of bone and/or joint

$1,091
$1,332

18% lower than market

Parathyroid Planar Imaging

$738
$1,309

44% lower than market

Screening Mammography, Bilateral, with CAD

$254
$387

34% lower than market

Stomach emptying study

$952
$1,250

24% lower than market

Thyroid Update and Scan

$814
$1,422

43% lower than market

Ultrasound Abdomen - Complete

$552
$610

9% lower than market

Ultrasound Abdomen - Limited

$497
$528

6% lower than market

Ultrasound Behind Abdominal Cavity - Complete

$495
$577

14% lower than market

Ultrasound Blood Flow Outside the Brain

$786
$726

8% higher than market

Ultrasound Guidance for Insertion of Needle

$390
$597

35% lower than market

Ultrasound Head Neck

$497
$542

8% lower than market

Ultrasound Heart

$950
$1,744

46% lower than market

Ultrasound Joint Soft Tissue - Complete

$497
$528

6% lower than market

Ultrasound Pelvis NonOB

$497
$539

8% lower than market

Ultrasound Pelvis through Vagina

$183
$751

76% lower than market

Ultrasound Pleural Effusion Chest

$228
$458

50% lower than market

Ultrasound Pregnant Uterus < 14 Weeks Pregnant

$297
$627

53% lower than market

Ultrasound Pregnant Uterus > 14 Weeks Pregnant

$497
$590

16% lower than market

Ultrasound Scrotum

$497
$539

8% lower than market

Ultrasound Veins of Both Arms or Legs

$840
$823

2% higher than market

Ultrasound Veins of One Arm or Leg

$583
$609

4% lower than market

Ultrasound of Arteries of One Leg

$295
$622

53% lower than market

Whole Body Bone Scan

$971
$1,588

39% lower than market

X-Ray Ankle, 2 Views

$208
$288

28% lower than market

X-Ray Ankle, 3 Views

$276
$419

34% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$359
$477

25% lower than market

X-Ray Both Knees

$191
$228

16% lower than market

X-Ray Collar Bone

$279
$375

26% lower than market

X-Ray Elbow, 2 Views

$230
$286

19% lower than market

X-Ray Elbow, 3 Views

$293
$414

29% lower than market

X-Ray Femus, 2 Views

$239
$325

26% lower than market

X-Ray Fingers, 2 Views

$230
$306

25% lower than market

X-Ray Foot, 2 Views

$200
$266

25% lower than market

X-Ray Foot, 3 Views

$276
$402

31% lower than market

X-Ray Forearm, 2 Views

$237
$368

36% lower than market

X-Ray Hand, 2 Views

$186
$481

61% lower than market

X-Ray Hand, 3 Views

$264
$408

35% lower than market

X-Ray Heel, 2 Views

$234
$317

26% lower than market

X-Ray Hip and Pelvis, 1 View

$230
$245

6% lower than market

X-Ray Hip and Pelvis, 2 Views

$293
$373

22% lower than market

X-Ray Knee, 1-2 Views

$233
$307

24% lower than market

X-Ray Knee, 4 or More Views

$305
$594

49% lower than market

X-Ray Lower Leg, 2 Views

$269
$387

30% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$322
$336

4% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$508
$519

2% lower than market

X-Ray Middle Spine, 3 Views

$302
$273

10% higher than market

X-Ray Neck Soft Tissue

$230
$271

15% lower than market

X-Ray Neck Spine, 2-3 Views

$264
$304

13% lower than market

X-Ray Pelvis, 1-2 Views

$287
$293

2% lower than market

X-Ray Pelvis, 2 Views

$230
$321

28% lower than market

X-Ray Ribs One Side, 2 Views

$230
$232

1% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$269
$345

22% lower than market

X-Ray Shoulder Blade

$279
$293

5% lower than market

X-Ray Shoulder, 1 View

$230
$204

13% higher than market

X-Ray Shoulder, 2 Views

$293
$443

34% lower than market

X-Ray Small Intestine without Contrast

$250
$500

50% lower than market

X-Ray Toes, 2 Views

$230
$240

4% lower than market

X-Ray Upper Arm, 2 Views

$243
$381

36% lower than market

X-Ray Upper Spine, 4-5 Views

$342
$399

14% lower than market

X-Ray Wrist, 2 Views

$186
$289

36% lower than market

X-Ray Wrist, 3 Views

$293
$421

30% lower than market