Imaging prices at Adventist Health and Rideout
Marysville, CA · every code in this section with a posted price and a Medicare benchmark.
338 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) | $4,235.88 | $19,254 | 2.4× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$79.86–$269.94 | $363–$1,227 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$120.56–$296.78 | $548–$1,349 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$793.54–$1,455.08 | $3,607–$6,614 | varies |
| Angio internal mammary (75756) | $1,763.30 | $8,015 | 0.4× |
| Angio pulmonary bilat (75743) | $1,954.04 | $8,882 | 0.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,915.10–$2,862.64 | $8,705–$13,012 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,785.74–$2,771.12 | $8,117–$12,596 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,188 | $5,400 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,637.90 | $7,445 | 0.4× |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$89.98–$373.56 | $409–$1,698 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,949.66 | $17,953 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,668.50 | $16,675 | 0.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,333.76–$2,649.46 | $10,608–$12,043 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$1,665.40–$2,932.16 | $7,570–$13,328 | varies |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,350.48 | $10,684 | 0.3× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$175.78–$263.78 | $799–$1,199 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$610.94–$916.52 | $2,777–$4,166 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$156.64–$234.96 | $712–$1,068 | varies |
| Basic radiation dosimetry calculation (77300) | $267.08 | $1,214 | 1.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$196.68–$335.50 | $894–$1,525 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$620.62–$1,637.90 | $2,821–$7,445 | varies |
| Bone Imaging Limited Area (78300) | $431.86 | $1,963 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $493.24 | $2,242 | 1.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$863.06–$1,376.76 | $3,923–$6,258 | varies |
| Bone marrow imaging limited area (78102) | $804.98 | $3,659 | 1.6× |
| Bone marrow imaging; whole body (78104) | $418.44 | $1,902 | 0.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$211.42–$287.10 | $961–$1,305 | varies |
| Brain Image W/Flow < 4 Views (78601) | $1,497.32 | $6,806 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$674.74–$2,352.46 | $3,067–$10,693 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,850.42 | $8,411 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,801.80 | $8,190 | 4.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,223.42 | $5,561 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $327.80 | $1,490 | 2.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $476.52 | $2,166 | 0.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$79.86–$259.60 | $363–$1,180 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$120.56–$340.12 | $548–$1,546 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$247.94–$374 | $1,127–$1,700 | varies |
| Chest 4 or more views (71048) | $297.44 | $1,352 | 2.2× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$137.72–$351.12 | $626–$1,596 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $130.46 | $593 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $366.96 | $1,668 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,572.90–$2,640 | $11,695–$12,000 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$334.84–$533.06 | $1,522–$2,423 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$166.10–$1,179.42 | $755–$5,361 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$358.16–$537.24 | $1,628–$2,442 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,330.68–$4,468.42 | $10,594–$20,311 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,005.52–$3,234.66 | $9,116–$14,703 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$1,135.20–$2,160.18 | $5,160–$9,819 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,155–$2,431.88 | $5,250–$11,054 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$773.96–$1,999.58 | $3,518–$9,089 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,029.72–$3,296.48 | $9,226–$14,984 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,614.80–$2,798.18 | $7,340–$12,719 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,600.28–$2,754.84 | $7,274–$12,522 | varies |
| CT angio hrt w/3d image (75574) | $1,428.68 | $6,494 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,663.86–$3,346.64 | $7,563–$15,212 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,598.74–$2,555.96 | $7,267–$11,618 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,547.04–$2,970 | $7,032–$13,500 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,684.10–$2,691.70 | $7,655–$12,235 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,134.98–$2,143.46 | $5,159–$9,743 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,784.42–$2,565.20 | $8,111–$11,660 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,507.22–$2,215.62 | $6,851–$10,071 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,598.74–$2,420 | $7,267–$11,000 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,547.04–$2,146.76 | $7,032–$9,758 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,685.42–$2,332 | $7,661–$10,600 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,290.52 | $5,866 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $571.78 | $2,599 | 5.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,547.04–$1,956.90 | $7,032–$8,895 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,936–$3,323.32 | $8,800–$15,106 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$324.72–$2,085.38 | $1,476–$9,479 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$739.42–$2,765.18 | $3,361–$12,569 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,738–$2,825.02 | $7,900–$12,841 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,077.56–$2,238.28 | $4,898–$10,174 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,545.28–$2,148.96 | $7,024–$9,768 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$773.96–$1,265 | $3,518–$5,750 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,601.82–$2,161.50 | $7,281–$9,825 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,650–$2,371.60 | $7,500–$10,780 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,031.80–$1,776.72 | $4,690–$8,076 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$1,153.90–$2,240.26 | $5,245–$10,183 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$773.52–$1,955.36 | $3,516–$8,888 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$613.80–$1,936 | $2,790–$8,800 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,685.42–$2,351.36 | $7,661–$10,688 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,516.90–$2,173.16 | $6,895–$9,878 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,036.42–$1,876.82 | $4,711–$8,531 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,421.64–$2,585 | $6,462–$11,750 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,045.88–$2,237.18 | $4,754–$10,169 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,500.40–$2,798.40 | $6,820–$12,720 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,217.26–$1,926.54 | $5,533–$8,757 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$773.96–$1,547.70 | $3,518–$7,035 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,760–$2,640 | $8,000–$12,000 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,674.86–$2,512.40 | $7,613–$11,420 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,592.58–$2,826.12 | $7,239–$12,846 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,551.44–$2,365.22 | $7,052–$10,751 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$1,600.28–$2,754.84 | $7,274–$12,522 | varies |
| CTA pelvis (72191) | $1,543.08 | $7,014 | 6.8× |
| Dilation ureters/urethra rs&i (74485) | $1,202.74 | $5,467 | 0.4× |
| Dxa Bone Density Axial (77080) | $218.02 | $991 | 1.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$334.84–$583.88 | $1,522–$2,654 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$318.34–$953.04 | $1,447–$4,332 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$352.88–$850.30 | $1,604–$3,865 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$523.16–$598.62 | $2,378–$2,721 | varies |
| Follow-Up Angiography (75898) | $1,325.72 | $6,026 | 0.3× |
| Foot 2 views (73620) range across 10 matching MRF lines |
$82.72–$357.06 | $376–$1,623 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$149.38–$457.38 | $679–$2,079 | varies |
| Gastric emptying imaging study (78264) | $759 | $3,450 | 1.5× |
| Gastroesophageal Reflux Exam (78262) | $251.46 | $1,143 | 0.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$719.18–$1,104.18 | $3,269–$5,019 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$161.26–$357.06 | $733–$1,623 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,208.58 | $10,039 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$920.04–$1,243.88 | $4,182–$5,654 | varies |
| Hepatobiliary System Imaging (78226) | $620.62 | $2,821 | 1.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,560.02–$2,312.64 | $7,091–$10,512 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$187.88–$628.98 | $854–$2,859 | varies |
| Infant hip ultrasound, limited static exam (76886) | $501.16 | $2,278 | 4.5× |
| Infusion Ivp (74410) | $637.12 | $2,896 | 2.8× |
| Interstitial radiation source applic complex (77778) | $382.80 | $1,740 | 0.4× |
| K Flow/Funct Image Multiple (78709) | $807.84 | $3,672 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $807.84 | $3,672 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $531.08 | $2,414 | 0.8× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$142.56–$465.74 | $648–$2,117 | varies |
| Leveen/Shunt Patency Exam (78291) | $537.24 | $2,442 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $418.88 | $1,904 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $302.06 | $1,373 | 0.6× |
| Liver imaging w/vascular flow (78202) | $763.62 | $3,471 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,151.70 | $5,235 | 1.6× |
| Lung perfusion differential (78597) | $448.80 | $2,040 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,321.98–$1,512.28 | $6,009–$6,874 | varies |
| Lung Ventilation Imaging (78579) | $691.24 | $3,142 | 1.3× |
| Lymph System Imaging (78195) | $889.46 | $4,043 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $916.30 | $4,165 | 3.0× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$293.26–$924.22 | $1,333–$4,201 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $814.44 | $3,702 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,029.06–$2,984.52 | $9,223–$13,566 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,409.10–$2,467.08 | $6,405–$11,214 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,966.36–$2,565.20 | $8,938–$11,660 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,499.08–$2,593.36 | $6,814–$11,788 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,776.72–$2,467.08 | $8,076–$11,214 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,171.28–$2,467.08 | $5,324–$11,214 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,507–$2,763.42 | $6,850–$12,561 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,165.78–$2,752.64 | $5,299–$12,512 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,480.60–$2,220.90 | $6,730–$10,095 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,801.80–$2,702.70 | $8,190–$12,285 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,458.60–$2,404.16 | $6,630–$10,928 | varies |
| MRI bone marrow blood supply (77084) | $925.54 | $4,207 | 3.0× |
| MRI brain functional w/o physician admnistration (70554) | $1,213.08 | $5,514 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,204.28 | $5,474 | 3.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $922.68 | $4,194 | 3.0× |
| MRI cardiac w/o cont stress (75559) | $1,204.28 | $5,474 | 1.7× |
| MRI cardiac w/o contrast (75557) | $1,171.28 | $5,324 | 3.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,386.66–$2,857.80 | $6,303–$12,990 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,255.32–$2,658.70 | $5,706–$12,085 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,069.20–$2,752.42 | $4,860–$12,511 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,056–$2,798.40 | $4,800–$12,720 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,244.32–$3,191.32 | $5,656–$14,506 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,068 | $9,400 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,789.26–$2,684 | $8,133–$12,200 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,139.82–$2,970.88 | $5,181–$13,504 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,389.74–$2,689.50 | $6,317–$12,225 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,912.46–$2,938.32 | $8,693–$13,356 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$880–$2,467.08 | $4,000–$11,214 | varies |
| MRI orbit face neck w contrast (70542) | $1,124.20 | $5,110 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,654.62–$2,983.86 | $7,521–$13,563 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,320–$2,436.28 | $6,000–$11,074 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,729.64–$2,676.52 | $7,862–$12,166 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,162.92–$2,238.72 | $5,286–$10,176 | varies |
| MRI spectroscopy (76390) | $925.54 | $4,207 | 8.2× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,170.40–$2,661.34 | $5,320–$12,097 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$916.30–$2,201.54 | $4,165–$10,007 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,520.86–$2,285.36 | $6,913–$10,388 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,789.26–$2,798.40 | $8,133–$12,720 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,785.30–$2,938.32 | $8,115–$13,356 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,585.98–$2,705.12 | $7,209–$12,296 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,090.10–$2,971.10 | $4,955–$13,505 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,654.62–$2,482.04 | $7,521–$11,282 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,819.84–$2,938.32 | $8,272–$13,356 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,401.52–$3,383.38 | $10,916–$15,379 | varies |
| N-invas est c ffr sw aly CTA (75580) | $727.54 | $3,307 | 0.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$155.76–$256.96 | $708–$1,168 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,727.78 | $12,399 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $138.60 | $630 | 0.5× |
| Optic foramina (70190) range across 4 matching MRF lines |
$103.18–$259.82 | $469–$1,181 | varies |
| Panoramic X-ray of jaws (70355) | $129.58 | $589 | 1.2× |
| Parathyroid Planar Imaging (78070) | $343.42 | $1,561 | 0.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $817.30 | $3,715 | 1.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$207.46–$288.20 | $943–$1,310 | varies |
| Pet Image W/Ct Lmtd (78814) | $1,909.16 | $8,678 | 1.0× |
| PET image w/CT, full body (78816) | $2,205.50 | $10,025 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,068 | $9,400 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $554.62 | $2,521 | 1.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,188.66 | $5,403 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$324.50–$363 | $1,475–$1,650 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $581.90 | $2,645 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$220.22–$464.64 | $1,001–$2,112 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$127.38–$407 | $579–$1,850 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$217.36–$478.94 | $988–$2,177 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$229.90–$391.82 | $1,045–$1,781 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$155.76–$254.98 | $708–$1,159 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$211.86–$462.66 | $963–$2,103 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$223.08–$506.22 | $1,014–$2,301 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$247.28–$388.08 | $1,124–$1,764 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$139.92–$382.14 | $636–$1,737 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$179.30–$353.76 | $815–$1,608 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$231.66–$336.60 | $1,053–$1,530 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$126.28–$462 | $574–$2,100 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$183.26–$267.96 | $833–$1,218 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $525.58 | $2,389 | 2.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$169.84–$200.20 | $772–$910 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$210.98–$343.64 | $959–$1,562 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$233.86–$340.78 | $1,063–$1,549 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$169.84–$565.62 | $772–$2,571 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$126.72–$388.08 | $576–$1,764 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$212.52–$466.62 | $966–$2,121 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,704.40 | $35,020 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $243.76 | $1,108 | 1.9× |
| Radiation treatment delivery level 2 (77407) | $457.60 | $2,080 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $656.04 | $2,982 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$306.24–$399.52 | $1,392–$1,816 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$220–$383.68 | $1,000–$1,744 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$461.12–$786.50 | $2,096–$3,575 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$254.54–$667.26 | $1,157–$3,033 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$275.88–$580.80 | $1,254–$2,640 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$238.48–$302.50 | $1,084–$1,375 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$438.90–$481.58 | $1,995–$2,189 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$402.38–$502.04 | $1,829–$2,282 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$415.36–$645.04 | $1,888–$2,932 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$203.28–$666.60 | $924–$3,030 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$242–$676.50 | $1,100–$3,075 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$178.42–$352.22 | $811–$1,601 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $154.44 | $702 | 1.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $235.40 | $1,070 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$151.58–$542.96 | $689–$2,468 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$263.78–$403.70 | $1,199–$1,835 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$623.70–$1,620.08 | $2,835–$7,364 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$610.94–$5,079.14 | $2,777–$23,087 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,067.22–$5,756.74 | $4,851–$26,167 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $789.80 | $3,590 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,756.74 | $26,167 | 3.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,224.08 | $5,564 | 0.7× |
| Rp Therapy Intravenous Administration (79101) | $340.56 | $1,548 | 1.1× |
| Scapula (73010) range across 4 matching MRF lines |
$234.74–$450.12 | $1,067–$2,046 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$155.76–$233.64 | $708–$1,062 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$626.78–$940.28 | $2,849–$4,274 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$219.78–$300.74 | $999–$1,367 | varies |
| Special dosimetry (77331) | $134.86 | $613 | 0.8× |
| Special Physics Consult (77370) | $562.98 | $2,559 | 3.2× |
| Special teletherapy port plan (77321) | $1,103.30 | $5,015 | 2.3× |
| Special treatment procedure (77470) | $938.30 | $4,265 | 1.3× |
| Speech evaluation, complex (70371) | $845.46 | $3,843 | 2.7× |
| Stereotactic Body Radiation Delivery (77373) | $2,257.20 | $10,260 | 1.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$184.36–$298.98 | $838–$1,359 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $58.08 | $264 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $869.44 | $3,952 | 1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $377.30 | $1,715 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$943.36–$1,270.28 | $4,288–$5,774 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $315.04 | $1,432 | 0.7× |
| Ther rad simulaj-aided field setting simple (77280) | $413.16 | $1,878 | 2.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$237.82–$462.44 | $1,081–$2,102 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$271.48–$602.36 | $1,234–$2,738 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$199.32–$332.64 | $906–$1,512 | varies |
| Thyroid Met Imaging Body (78018) | $571.34 | $2,597 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$414.26–$1,655.06 | $1,883–$7,523 | varies |
| Tx Devices Design & Construction Complex (77334) | $596.42 | $2,711 | 1.2× |
| Tx devices design & construction intermediate (77333) | $272.14 | $1,237 | 1.6× |
| Tx devices design & construction simple (77332) | $272.58 | $1,239 | 1.6× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$245.74–$751.74 | $1,117–$3,417 | varies |
| Ultrasound elastography first target lesion (76982) | $424.16 | $1,928 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $424.16 | $1,928 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$397.98–$432.96 | $1,809–$1,968 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$412.50–$629.64 | $1,875–$2,862 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$78.10–$560.12 | $355–$2,546 | varies |
| Unlisted fluoroscopic procedure (76496) | $103.40 | $470 | 0.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$402.38–$560.78 | $1,829–$2,549 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$205.92–$859.54 | $936–$3,907 | varies |
| Urethrocystography retrograde (74450) | $276.10 | $1,255 | 0.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$422.62–$634.04 | $1,921–$2,882 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$432.96–$612.70 | $1,968–$2,785 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$432.96–$603.90 | $1,968–$2,745 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$245.74–$501.38 | $1,117–$2,279 | varies |
| Us head (76506) range across 2 matching MRF lines |
$211.64–$603.90 | $962–$2,745 | varies |
| Us kidney transplant (76776) | $625.90 | $2,845 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$170.50–$733.26 | $775–$3,333 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$307.78–$464.42 | $1,399–$2,111 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$421.30–$432.96 | $1,915–$1,968 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$429.88–$779.68 | $1,954–$3,544 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$402.38–$787.60 | $1,829–$3,580 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $411.62 | $1,871 | 3.1× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$420.20–$889.90 | $1,910–$4,045 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$419.76–$432.96 | $1,908–$1,968 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$432.96–$628.54 | $1,968–$2,857 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$187.88–$841.28 | $854–$3,824 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$429.88–$726.66 | $1,954–$3,303 | varies |
| Us transrectal (76872) | $190.08 | $864 | 1.4× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$673.20–$1,953.38 | $3,060–$8,879 | varies |
| Venogram Sinus/Jugular (75860) | $1,467.84 | $6,672 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,326.82–$1,665.40 | $6,031–$7,570 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$996.82–$2,730.64 | $4,531–$12,412 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$735.46–$811.36 | $3,343–$3,688 | varies |
| Venography Renal Unilateral (75831) | $1,575.42 | $7,161 | 0.4× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$123.86–$413.16 | $563–$1,878 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$185.02–$300.08 | $841–$1,364 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,794.76–$2,763.42 | $8,158–$12,561 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$250.36–$674.96 | $1,138–$3,068 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$181.28–$362.34 | $824–$1,647 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$264.66–$406.56 | $1,203–$1,848 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$114.40–$323.62 | $520–$1,471 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $226.16 | $1,028 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$193.82–$256.96 | $881–$1,168 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$220.22–$344.30 | $1,001–$1,565 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $414.04 | $1,882 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$246.18–$375.32 | $1,119–$1,706 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $271.70 | $1,235 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $286 | $1,300 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$283.80–$674.96 | $1,290–$3,068 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$220.22–$464.64 | $1,001–$2,112 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$347.60–$674.96 | $1,580–$3,068 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$271.48–$370.70 | $1,234–$1,685 | varies |
| X-ray eye for foreign body (70030) | $128.70 | $585 | 1.1× |
| X-ray humerus (73060) range across 7 matching MRF lines |
$149.38–$450.34 | $679–$2,047 | varies |
| X-ray IV pyelogram (ivp) (74400) | $227.26 | $1,033 | 1.0× |
| X-ray IV pyelogram+tomography (74415) | $952.82 | $4,331 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$210.98–$334.62 | $959–$1,521 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $297 | $1,350 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$113.96–$476.74 | $518–$2,167 | varies |
| X-ray nose-rectum child f.b. (76010) | $291.50 | $1,325 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$304.48–$359.92 | $1,384–$1,636 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$263.56–$332.86 | $1,198–$1,513 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $207.02 | $941 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$165.22–$302.28 | $751–$1,374 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$210.32–$392.70 | $956–$1,785 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$358.38–$491.26 | $1,629–$2,233 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$297–$602.36 | $1,350–$2,738 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $452.32 | $2,056 | 1.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$234.08–$404.80 | $1,064–$1,840 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$526.02–$864.60 | $2,391–$3,930 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$270.38–$610.94 | $1,229–$2,777 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$178.86–$299.64 | $813–$1,362 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$78.10–$313.72 | $355–$1,426 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$80.52–$341.44 | $366–$1,552 | 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.