Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM
Low
$15
Average
$62
Median
$37
High
$222
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 4.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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22 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN fee schedule · both | 2 | $84 | $84 | $8 | 9% | — | $77 – $92 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $77 | $80 | $6 | 8% | — | $77 – $92 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $84 | $84 | $8 | 9% | — | $77 – $92 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $19 | $19 | $10 | 54% | — | $9 – $30 |
| 8 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 10 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | NYU Langone New York, NY case rate · both | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 15 | NYU Langone Mineola, NY case rate · both | 15 | $51 | $51 | — | — | — | $51 – $51 |
| 16 | NYU Langone Brooklyn, NY case rate · both | 15 | $93 | $93 | — | — | — | $93 – $93 |
| 17 | NYU Langone New York, NY case rate · both | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 18 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 21 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 22 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Payers reporting CPT 76125 · Snapshot 20261112T181611Z-3fa9fb76