Imaging prices at Adventist Health Columbia Gorge
The Dalles, OR · every code in this section with a posted price and a Medicare benchmark.
324 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) range across 2 matching MRF lines |
$341.28–$3,742.56 | $711–$7,797 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$13.44–$157.22 | $28–$327.54 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$39.84–$87.51 | $83–$182.32 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$70.08–$635.04 | $146–$1,323 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$37.92–$175.54 | $79–$365.70 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$41.28–$242.40 | $86–$505 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$43.20–$245.28 | $90–$511 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$40.80–$788.64 | $85–$1,643 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$49.44–$381.60 | $103–$795 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$13.92–$214.71 | $29–$447.32 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$72–$883.20 | $150–$1,840 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$44.16–$526.56 | $92–$1,097 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$58.08–$1,032 | $121–$2,150 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$60.48–$827.04 | $126–$1,723 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$50.40–$64.62 | $105–$134.62 | varies |
| Brachytx isodose complex (77318) | $579.84 | $1,208 | 1.4× |
| Brachytx isodose intermed (77317) | $594.24 | $1,238 | 1.4× |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$111.84–$224.38 | $233–$467.46 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$68.64–$586.56 | $143–$1,222 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$26.88–$149.59 | $56–$311.64 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$36–$178.59 | $75–$372.06 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$20.16–$198.43 | $42–$413.40 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$22.08–$367.20 | $46–$765 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$23.04–$205.05 | $48–$427.18 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$37.92–$182.15 | $79–$379.48 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$77.76–$217.77 | $162–$453.68 | varies |
| Continuing medical physics consltj pr wk (77336) | $395.04 | $823 | 2.6× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$23.04–$459.84 | $48–$958 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$46.56–$458.40 | $97–$955 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$143.04–$2,930.40 | $298–$6,105 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$124.32–$653.76 | $259–$1,362 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$91.20–$1,670.88 | $190–$3,481 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$99.84–$1,689.60 | $208–$3,520 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$85.44–$1,268.64 | $178–$2,643 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$156.48–$2,474.88 | $326–$5,156 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$130.08–$1,636.32 | $271–$3,409 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$124.80–$1,627.20 | $260–$3,390 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$134.40–$799.20 | $280–$1,665 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$124.80–$1,698.72 | $260–$3,539 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$128.16–$505.92 | $267–$1,054 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$87.36–$1,404.96 | $182–$2,927 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$71.52–$1,090.08 | $149–$2,271 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$90.72–$1,471.68 | $189–$3,066 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$83.52–$1,103.04 | $174–$2,298 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$89.28–$1,355.52 | $186–$2,824 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$179.04–$412.80 | $373–$860 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$171.36–$229.98 | $357–$479.12 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$81.12–$1,037.76 | $169–$2,162 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$91.20–$1,341.12 | $190–$2,794 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$81.12–$1,144.80 | $169–$2,385 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$90.72–$1,128.96 | $189–$2,352 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$71.52–$693.60 | $149–$1,445 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$83.04–$780.96 | $173–$1,627 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$87.36–$992.16 | $182–$2,067 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$71.52–$914.40 | $149–$1,905 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$80.64–$1,348.32 | $168–$2,809 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$61.44–$891.84 | $128–$1,858 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$115.20–$1,362.72 | $240–$2,839 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$90.72–$1,362.72 | $189–$2,839 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$92.16–$1,066.08 | $192–$2,221 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$86.88–$1,666.56 | $181–$3,472 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$78.24–$1,157.76 | $163–$2,412 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$86.88–$1,297.44 | $181–$2,703 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$90.72–$1,704 | $189–$3,550 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$98.88–$1,212.96 | $206–$2,527 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$91.68–$1,060.80 | $191–$2,210 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$87.84–$1,199.04 | $183–$2,498 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$71.52–$954.72 | $149–$1,989 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$91.20–$1,253.76 | $190–$2,612 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$77.76–$917.28 | $162–$1,911 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$71.52–$912 | $149–$1,900 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$86.88–$1,315.20 | $181–$2,740 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$83.04–$1,061.76 | $173–$2,212 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$168.96–$1,821.12 | $352–$3,794 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$129.60–$1,865.28 | $270–$3,886 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$128.16–$505.92 | $267–$1,054 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $85.92 | $179 | 0.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$14.40–$220.31 | $30–$458.98 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$21.60–$104.81 | $45–$218.36 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$14.40–$70.21 | $30–$146.28 | varies |
| Echo exam uterus (76831) | $52.32 | $109 | 0.2× |
| Echograp Trans R Pros Study (76873) | $268.32 | $559 | 2.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$43.20–$476.64 | $90–$993 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$181.44–$214.71 | $378–$447.32 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$131.04–$167.90 | $273–$349.80 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$22.56–$400.32 | $47–$834 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$137.28–$2,073.60 | $286–$4,320 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$32.64–$150.60 | $68–$313.76 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$33.12–$155.18 | $69–$323.30 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$55.68–$893.76 | $116–$1,862 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$68.64–$722.88 | $143–$1,506 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$69.12–$1,112.16 | $144–$2,317 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 2 matching MRF lines |
$73.44–$927.36 | $153–$1,932 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$36.48–$149.08 | $76–$310.58 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,455.36 | $3,032 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$302.40–$3,484.32 | $630–$7,259 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$155.52–$1,409.28 | $324–$2,936 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$63.36–$1,306.08 | $132–$2,721 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$52.80–$1,059.36 | $110–$2,207 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$96.48–$1,893.60 | $201–$3,945 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$27.84–$414.24 | $58–$863 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$53.28–$90.57 | $111–$188.68 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$44.64–$68.69 | $93–$143.10 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$97.92–$862.56 | $204–$1,797 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$84–$1,078.08 | $175–$2,246 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$66.24–$818.88 | $138–$1,706 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$48.96–$180.12 | $102–$375.24 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$34.56–$827.04 | $72–$1,723 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$38.88–$273.12 | $81–$569 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$58.08–$845.28 | $121–$1,761 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$50.40–$316.32 | $105–$659 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$74.88–$1,134.72 | $156–$2,364 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$34.56–$316.32 | $72–$659 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$83.52–$581.28 | $174–$1,211 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$105.60–$587.52 | $220–$1,224 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$32.16–$211.66 | $67–$440.96 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$26.40–$201.48 | $55–$419.76 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$47.52–$949.44 | $99–$1,978 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$341.76–$907.20 | $712–$1,890 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$106.08–$1,673.28 | $221–$3,486 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$85.92–$1,187.52 | $179–$2,474 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$85.92–$1,506.24 | $179–$3,138 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$107.52–$2,079.84 | $224–$4,333 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$128.64–$2,016.96 | $268–$4,202 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$85.92–$1,902.72 | $179–$3,964 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$123.36–$944.64 | $257–$1,968 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$104.64–$1,268.16 | $218–$2,642 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$116.16–$1,584.96 | $242–$3,302 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$154.08–$2,118.72 | $321–$4,414 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$116.64–$1,682.40 | $243–$3,505 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$128.64–$814.08 | $268–$1,696 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$106.08–$1,325.76 | $221–$2,762 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$104.64–$431.04 | $218–$898 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$123.84–$1,102.56 | $258–$2,297 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$161.76–$1,486.08 | $337–$3,096 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$115.68–$1,380.48 | $241–$2,876 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$153.60–$2,036.16 | $320–$4,242 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$96.48–$1,376.16 | $201–$2,867 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$128.16–$1,398.24 | $267–$2,913 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$164.16–$1,924.80 | $342–$4,010 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$96.48–$1,213.44 | $201–$2,528 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$115.68–$1,436.16 | $241–$2,992 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$153.60–$1,736.16 | $320–$3,617 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$123.36–$1,272.48 | $257–$2,651 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$156.96–$1,923.84 | $327–$4,008 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$105.12–$1,397.28 | $219–$2,911 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$106.08–$1,359.36 | $221–$2,832 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$116.16–$1,417.92 | $242–$2,954 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$97.44–$1,194.24 | $203–$2,488 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$154.08–$1,539.36 | $321–$3,207 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$156.96–$1,704.96 | $327–$3,552 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$164.16–$1,934.40 | $342–$4,030 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$127.20–$1,440.48 | $265–$3,001 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$97.44–$1,176.48 | $203–$2,451 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$154.56–$2,621.28 | $322–$5,461 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$164.16–$2,076 | $342–$4,325 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$65.76–$857.76 | $137–$1,787 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$60.48–$498.24 | $126–$1,038 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$65.28–$500.16 | $136–$1,042 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$48–$1,011.36 | $100–$2,107 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$113.76–$1,859.04 | $237–$3,873 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$35.04–$127.71 | $73–$266.06 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$635.52–$4,204.32 | $1,324–$8,759 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$125.76–$269.76 | $262–$562 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$108.37–$176.64 | $225.78–$368 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$58.56–$217.77 | $122–$453.68 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $46.08 | $96 | 0.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$109.92–$1,205.28 | $229–$2,511 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$56.64–$566.88 | $118–$1,181 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$30.24–$154.17 | $63–$321.18 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$134.40–$2,520.48 | $280–$5,251 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$152.16–$1,634.88 | $317–$3,406 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$171.36–$3,317.28 | $357–$6,911 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$169.44–$1,744.32 | $353–$3,634 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$106.56–$1,634.88 | $222–$3,406 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$137.76–$1,634.88 | $287–$3,406 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$52.32–$273.12 | $109–$569 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$23.04–$277.92 | $48–$579 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$37.44–$349.92 | $78–$729 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$43.68–$167.90 | $91–$349.80 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$32.16–$163.32 | $67–$340.26 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$50.40–$166.38 | $105–$346.62 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$53.76–$131.78 | $112–$274.54 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$48.48–$117.53 | $101–$244.86 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$40.32–$157.22 | $84–$327.54 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$44.64–$155.18 | $93–$323.30 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$36.96–$114.48 | $77–$238.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$24.48–$231.50 | $51–$482.30 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$45.60–$1,019.04 | $95–$2,123 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$40.32–$182.66 | $84–$380.54 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$39.84–$149.08 | $83–$310.58 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$12.96–$51.90 | $27–$108.12 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$25.44–$219.29 | $53–$456.86 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$37.44–$160.27 | $78–$333.90 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$17.76–$114.48 | $37–$238.50 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$35.52–$131.78 | $74–$274.54 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$36.96–$214.71 | $77–$447.32 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$50.40–$138.90 | $105–$289.38 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$30.24–$261.60 | $63–$545 | varies |
| Radiation treatment delivery level 1 (77402) | $87.51 | $182.32 | 0.8× |
| Radiation treatment delivery level 2 (77407) | $410.88 | $856 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $562.08 | $1,171 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$18.24–$231.50 | $38–$482.30 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$19.68–$181.64 | $41–$378.42 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$90.24–$214.71 | $188–$447.32 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$73.92–$407.04 | $154–$848 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$55.68–$191.82 | $116–$399.62 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$46.56–$254.88 | $97–$531 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$57.60–$263.04 | $120–$548 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$38.40–$299.52 | $80–$624 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$64.32–$572.64 | $134–$1,193 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$32.64–$92.09 | $68–$191.86 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$41.28–$173.50 | $86–$361.46 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$40.32–$128.73 | $84–$268.18 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$31.68–$188.26 | $66–$392.20 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$36.96–$143.48 | $77–$298.92 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$46.56–$282.24 | $97–$588 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$46.56–$652.32 | $97–$1,359 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$50.88–$756.48 | $106–$1,576 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$70.56–$2,172.48 | $147–$4,526 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$55.68–$2,172.48 | $116–$4,526 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$75.36–$946.08 | $157–$1,971 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$140.16–$510.24 | $292–$1,063 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$23.52–$151.62 | $49–$315.88 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$43.20–$54.44 | $90–$113.42 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$13.92–$55.46 | $29–$115.54 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$22.08–$127.20 | $46–$265 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$40.32–$320.64 | $84–$668 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$27.36–$248.16 | $57–$517 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.44–$156.71 | $28–$326.48 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$70.08–$224.38 | $146–$467.46 | varies |
| Special Physics Consult (77370) | $568.32 | $1,184 | 3.8× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$75.84–$791.52 | $158–$1,649 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$162.24–$1,425.12 | $338–$2,969 | varies |
| Stereotactic Body Radiation Delivery (77373) | $3,634.08 | $7,571 | 1.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$47.52–$146.53 | $99–$305.28 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$230.88–$1,413.60 | $481–$2,945 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$111.84–$594.24 | $233–$1,238 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$50.88–$579.36 | $106–$1,207 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$124.80–$1,631.52 | $260–$3,399 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $594.24 | $1,238 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$57.12–$656.64 | $119–$1,368 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$36–$201.99 | $75–$420.82 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$44.64–$234.56 | $93–$488.66 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$37.92–$235.07 | $79–$489.72 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$26.40–$286.08 | $55–$596 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$58.08–$1,022.40 | $121–$2,130 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$722.88 | $28–$1,506 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$35.04–$708.48 | $73–$1,476 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$91.68–$653.76 | $191–$1,362 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$60–$515.04 | $125–$1,073 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$36.48–$224.38 | $76–$467.46 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$130.08–$214.71 | $271–$447.32 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$39.36–$214.71 | $82–$447.32 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$132.96–$277.44 | $277–$578 | varies |
| Umbilical-artery Doppler (OB) (76820) | $68.64 | $143 | 0.6× |
| Unlisted Dx Radiographic Procedure (76499) | $349.92 | $729 | 3.6× |
| Unlisted us procedure (76999) | $139.92 | $291.50 | 1.4× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$57.60–$703.68 | $120–$1,466 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$39.84–$403.68 | $83–$841 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$23.52–$267.84 | $49–$558 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$23.52–$388.80 | $49–$810 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$156.96–$277.92 | $327–$579 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$40.80–$214.71 | $85–$447.32 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$65.28–$594.72 | $136–$1,239 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$75.36–$216.24 | $157–$450.50 | varies |
| Us head (76506) range across 2 matching MRF lines |
$47.04–$118.55 | $98–$246.98 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$54.24–$214.71 | $113–$447.32 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$96.96–$281.28 | $202–$586 | varies |
| Us ob detailed single fetus (76811) | $134.88 | $281 | 0.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$123.84–$206.06 | $258–$429.30 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$141.60–$218.78 | $295–$455.80 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$160.80–$355.20 | $335–$740 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$179.52–$240.96 | $374–$502 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$161.80–$168 | $337.08–$350 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$53.28–$360.96 | $111–$752 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$91.20–$195.38 | $190–$407.04 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$45.60–$408.96 | $95–$852 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$79.37–$94.08 | $165.36–$196 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$168.48–$312 | $351–$650 | varies |
| Us transrectal (76872) | $307.68 | $641 | 2.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$73.92–$1,018.56 | $154–$2,122 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$64.80–$613.92 | $135–$1,279 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$39.84–$110.92 | $83–$231.08 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$13.92–$104.30 | $29–$217.30 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$36–$857.76 | $75–$1,787 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$46.08–$114.48 | $96–$238.50 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$32.64–$121.09 | $68–$252.28 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$23.04–$349.92 | $48–$729 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$19.20–$170.45 | $40–$355.10 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$23.04–$212.68 | $48–$443.08 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$26.40–$233.54 | $55–$486.54 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$13.92–$136.87 | $29–$285.14 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$56.64–$218.78 | $118–$455.80 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$20.16–$214.71 | $42–$447.32 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$47.04–$137.38 | $98–$286.20 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$61.44–$210.13 | $128–$437.78 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$72–$241.92 | $150–$504 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$72–$341.76 | $150–$712 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$44.64–$218.78 | $93–$455.80 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$73.92–$275.04 | $154–$573 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$45.60–$207.08 | $95–$431.42 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$12.96–$70.72 | $27–$147.34 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$37.44–$125.16 | $78–$260.76 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$35.52–$296.16 | $74–$617 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$35.04–$280.80 | $73–$585 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$46.56–$114.48 | $97–$238.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$48.96–$87.51 | $102–$182.32 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$45.12–$220.31 | $94–$458.98 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$12.96–$114.48 | $27–$238.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$57.12–$230.49 | $119–$480.18 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$44.16–$215.22 | $92–$448.38 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$38.88–$161.80 | $81–$337.08 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$37.44–$160.27 | $78–$333.90 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$15.84–$246.24 | $33–$513 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$20.64–$273.60 | $43–$570 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$84–$156.71 | $175–$326.48 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$50.40–$267.36 | $105–$557 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$36.96–$448.32 | $77–$934 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$49.44–$185.20 | $103–$385.84 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$39.84–$436.32 | $83–$909 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$62.88–$204.03 | $131–$425.06 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$20.64–$299.52 | $43–$624 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$41.76–$878.40 | $87–$1,830 | 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.