Imaging prices at Adventist Health Delano
Delano, CA · every code in this section with a posted price and a Medicare benchmark.
347 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$42.20–$245.40 | $211–$1,227 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$56.60–$269.80 | $283–$1,349 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$321.60–$1,322.80 | $1,608–$6,614 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $365.40 | $1,827 | 0.2× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$866.40–$1,741 | $4,332–$8,705 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$866.40–$1,623.40 | $4,332–$8,117 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$29.60–$339.60 | $148–$1,698 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,335 | $16,675 | 0.8× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,408.60 | $12,043 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,514 | $7,570 | 0.2× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$106.40–$159.60 | $532–$798 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$158.80–$238.20 | $794–$1,191 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$150.60–$226 | $753–$1,130 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$30.40–$305 | $152–$1,525 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$249.40–$1,489 | $1,247–$7,445 | varies |
| Bone Imaging Limited Area (78300) | $179 | $895 | 0.3× |
| Bone Imaging Multiple Areas (78305) | $155 | $775 | 0.3× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$218.40–$1,251.60 | $1,092–$6,258 | varies |
| Bone marrow imaging limited area (78102) | $116.20 | $581 | 0.2× |
| Bone marrow imaging; multiple areas (78103) | $149.40 | $747 | 0.3× |
| Bone marrow imaging; whole body (78104) | $177.20 | $886 | 0.3× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$63.40–$261 | $317–$1,305 | varies |
| Brain Flow Imaging Only (78610) | $197.20 | $986 | 0.3× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$197.20–$1,361.20 | $986–$6,806 | varies |
| Brain imaging < 4 static views (78600) | $193.40 | $967 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$211.80–$2,138.60 | $1,059–$10,693 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $320.40 | $1,602 | 0.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $639.20 | $3,196 | 1.4× |
| Cardiac Shunt Detection (78428) | $106.20 | $531 | 0.2× |
| Cat Scan Follow-Up Study (76380) | $142.20 | $711 | 1.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $139.20 | $696 | 0.2× |
| Cerebrospinal Fluid Scan (78630) | $368.60 | $1,843 | 0.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$37.60–$236 | $188–$1,180 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$57.40–$309.20 | $287–$1,546 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$60.40–$340 | $302–$1,700 | varies |
| Chest 4 or more views (71048) | $72 | $360 | 0.5× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$58.80–$319.20 | $294–$1,596 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $109.80 | $549 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$866.40–$2,400 | $4,332–$12,000 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$111.80–$484.60 | $559–$2,423 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$106.40–$1,072.20 | $532–$5,361 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$161–$241.60 | $805–$1,208 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $69 | $345 | 0.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$609.60–$4,062.20 | $3,048–$20,311 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$409.20–$2,940.60 | $2,046–$14,703 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$329.60–$1,963.80 | $1,648–$9,819 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$421.40–$2,210.80 | $2,107–$11,054 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$310.60–$1,817.80 | $1,553–$9,089 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$789.60–$2,996.80 | $3,948–$14,984 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$618.80–$2,543.80 | $3,094–$12,719 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$586.40–$2,504.40 | $2,932–$12,522 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$425.80–$3,042.40 | $2,129–$15,212 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$521.20–$2,323.60 | $2,606–$11,618 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$425.80–$2,700 | $2,129–$13,500 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$325.60–$2,447 | $1,628–$12,235 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$282.40–$1,948.60 | $1,412–$9,743 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$397.60–$2,332 | $1,988–$11,660 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$362–$2,014.20 | $1,810–$10,071 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$410–$2,200 | $2,050–$11,000 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$342.20–$1,951.60 | $1,711–$9,758 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$520–$2,120 | $2,600–$10,600 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$456.20–$1,779 | $2,281–$8,895 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$360.80–$3,021.20 | $1,804–$15,106 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$242.40–$1,895.80 | $1,212–$9,479 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$345.60–$2,513.80 | $1,728–$12,569 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$338.40–$2,568.20 | $1,692–$12,841 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$304.40–$2,034.80 | $1,522–$10,174 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$329.60–$1,953.60 | $1,648–$9,768 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$211.80–$1,150 | $1,059–$5,750 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$521.20–$1,965 | $2,606–$9,825 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$482.60–$2,156 | $2,413–$10,780 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$390.80–$1,615.20 | $1,954–$8,076 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$410–$2,036.60 | $2,050–$10,183 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$318.80–$1,777.60 | $1,594–$8,888 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$369.60–$1,760 | $1,848–$8,800 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$376.40–$2,137.60 | $1,882–$10,688 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$362–$1,975.60 | $1,810–$9,878 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$291.60–$1,706.20 | $1,458–$8,531 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$388.80–$2,350 | $1,944–$11,750 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$325.60–$2,033.80 | $1,628–$10,169 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$457.20–$2,544 | $2,286–$12,720 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$282.40–$1,751.40 | $1,412–$8,757 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$242.40–$1,196.40 | $1,212–$5,982 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$485–$1,850 | $2,425–$9,250 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$367.20–$1,734.20 | $1,836–$8,671 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$613.20–$2,569.20 | $3,066–$12,846 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$470.20–$2,150.20 | $2,351–$10,751 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$586.40–$2,504.40 | $2,932–$12,522 | varies |
| CTA pelvis (72191) | $713.80 | $3,569 | 3.2× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $257.80 | $1,289 | 0.4× |
| Dilation ureters/urethra rs&i (74485) | $1,093.40 | $5,467 | 0.4× |
| Discography Cerv/Thor Spine (72285) | $497 | $2,485 | 0.2× |
| Diskography lumbar (72295) | $497 | $2,485 | 0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $63.40 | $317 | 0.5× |
| Dxa Bone Density Axial (77080) | $96.80 | $484 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $25 | $125 | 0.2× |
| Echo exam of fetal heart (76825) | $142 | $710 | 0.2× |
| Echo exam uterus (76831) | $73.60 | $368 | 0.2× |
| Echograp Trans R Pros Study (76873) | $95.40 | $477 | 0.7× |
| Esophageal Motility Study (78258) | $191 | $955 | 0.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$76–$530.80 | $380–$2,654 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$69–$866.40 | $345–$4,332 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$67.40–$773 | $337–$3,865 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$111.20–$544.20 | $556–$2,721 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$37.60–$324.60 | $188–$1,623 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$43.20–$415.80 | $216–$2,079 | varies |
| Gastric emptying imaging study (78264) | $299.20 | $1,496 | 0.6× |
| Gastroesophageal Reflux Exam (78262) | $205.40 | $1,027 | 0.4× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$226.40–$1,003.80 | $1,132–$5,019 | varies |
| Gated Heart, Multiple (78473) | $265.20 | $1,326 | 0.5× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$37.60–$324.60 | $188–$1,623 | varies |
| Heart first pass single,planar (78481) | $438.80 | $2,194 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$216.40–$1,130.80 | $1,082–$5,654 | varies |
| Hepatobiliary System Imaging (78226) | $251.40 | $1,257 | 0.5× |
| Ht Musc Image Planar Mult (78454) | $435.20 | $2,176 | 0.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$619.80–$2,102.40 | $3,099–$10,512 | varies |
| Hysterosalpingogram (74740) | $67.80 | $339 | 0.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$100.20–$571.80 | $501–$2,859 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$83.40–$455.60 | $417–$2,278 | varies |
| Infusion Ivp (74410) | $579.20 | $2,896 | 2.6× |
| Joint Survey Single View (77077) | $39 | $195 | 0.3× |
| K Flow/Funct Image Multiple (78709) | $309.80 | $1,549 | 0.4× |
| K Flow/Funct Image W/Drug (78708) | $333 | $1,665 | 0.5× |
| K Flow/Funct Image W/O Drug (78707) | $251.80 | $1,259 | 0.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $186.40 | $932 | 0.4× |
| Kidney Imaging Morphol (78700) | $186.40 | $932 | 0.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $199.40 | $997 | 0.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$57.80–$423.40 | $289–$2,117 | varies |
| Leveen/Shunt Patency Exam (78291) | $111.80 | $559 | 0.2× |
| Liver & Spleen Imaging Static Only (78215) | $249.80 | $1,249 | 0.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $252.80 | $1,264 | 0.5× |
| Liver imaging static only (78201) | $281 | $1,405 | 0.4× |
| Liver imaging w/vascular flow (78202) | $281 | $1,405 | 0.4× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$342.60–$1,047 | $1,713–$5,235 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$168.60–$1,374.80 | $843–$6,874 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$277.60–$628.40 | $1,388–$3,142 | varies |
| Lymph System Imaging (78195) | $171 | $855 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $620.60 | $3,103 | 2.0× |
| Mammary ductogram or galactogram multiple (77054) | $205.20 | $1,026 | 0.7× |
| Mammary ductogram or galactogram single (77053) | $145.20 | $726 | 0.5× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$181.60–$840.20 | $908–$4,201 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $14.80 | $74 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$801.80–$2,713.20 | $4,009–$13,566 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$612.80–$2,242.80 | $3,064–$11,214 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$670–$2,332 | $3,350–$11,660 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$692.80–$2,357.60 | $3,464–$11,788 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$801.80–$2,242.80 | $4,009–$11,214 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$570.20–$2,242.80 | $2,851–$11,214 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$700–$2,512.20 | $3,500–$12,561 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$510.80–$2,502.40 | $2,554–$12,512 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$658–$1,924.80 | $3,290–$9,624 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$965.40–$2,036.20 | $4,827–$10,181 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$651.60–$2,185.60 | $3,258–$10,928 | varies |
| MRI bone marrow blood supply (77084) | $499.80 | $2,499 | 1.6× |
| MRI cardiac w/o contrast (75557) | $499.80 | $2,499 | 1.6× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$595.40–$2,598 | $2,977–$12,990 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$421.80–$2,417 | $2,109–$12,085 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$510.80–$2,502.20 | $2,554–$12,511 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$570–$2,544 | $2,850–$12,720 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$697.20–$2,901.20 | $3,486–$14,506 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$534.40–$1,880 | $2,672–$9,400 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$965.40–$1,960 | $4,827–$9,800 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$475.20–$2,700.80 | $2,376–$13,504 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$595.40–$2,445 | $2,977–$12,225 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,058–$2,671.20 | $5,290–$13,356 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$431–$2,242.80 | $2,155–$11,214 | varies |
| MRI orbit face neck w contrast (70542) | $620.60 | $3,103 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$801.80–$2,712.60 | $4,009–$13,563 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$720–$2,214.80 | $3,600–$11,074 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,006.80–$2,433.20 | $5,034–$12,166 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$586.80–$2,035.20 | $2,934–$10,176 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$413.60–$2,419.40 | $2,068–$12,097 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$560–$840 | $2,800–$4,200 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$356.40–$2,001.40 | $1,782–$10,007 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$893.80–$2,077.60 | $4,469–$10,388 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,046.60–$2,544 | $5,233–$12,720 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,058–$2,671.20 | $5,290–$13,356 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$567–$2,459.20 | $2,835–$12,296 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$342.60–$2,701 | $1,713–$13,505 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$964–$2,247.20 | $4,820–$11,236 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,058–$2,671.20 | $5,290–$13,356 | varies |
| Myelogram Lumbar (72265) | $206 | $1,030 | 0.2× |
| Myelograpy 2/more regions rs&i (72270) | $286.40 | $1,432 | 0.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $407.40 | $2,037 | 0.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $365.40 | $1,827 | 0.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,192.20–$3,075.80 | $5,961–$15,379 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$39.40–$233.60 | $197–$1,168 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $106.20 | $531 | 0.2× |
| Nm csf leak detection (78650) | $365.40 | $1,827 | 0.2× |
| Nm myocard infarct spect (78469) | $576.80 | $2,884 | 0.8× |
| Nm red cell survival study (78130) | $211.80 | $1,059 | 0.4× |
| Nm whole blood volume (78122) | $211.80 | $1,059 | 0.3× |
| Nonvascular Shunt X-Ray (75809) | $92 | $460 | 0.7× |
| Optic foramina (70190) range across 4 matching MRF lines |
$50.20–$236.20 | $251–$1,181 | varies |
| Parathyroid Planar Imaging (78070) | $115 | $575 | 0.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$45.20–$262 | $226–$1,310 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $231.80 | $1,159 | 0.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $620.60 | $3,103 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$103–$330 | $515–$1,650 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $212.60 | $1,063 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$50.40–$422.40 | $252–$2,112 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$53–$370 | $265–$1,850 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$52–$435.40 | $260–$2,177 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$92–$356.20 | $460–$1,781 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$43.80–$231.80 | $219–$1,159 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$67.40–$420.60 | $337–$2,103 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$50.60–$460.20 | $253–$2,301 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$37.80–$352.80 | $189–$1,764 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$140–$347.40 | $700–$1,737 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$41.20–$321.60 | $206–$1,608 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$60–$306 | $300–$1,530 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$54.80–$420 | $274–$2,100 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$38.60–$243.60 | $193–$1,218 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$103.20–$477.80 | $516–$2,389 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$34–$182 | $170–$910 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$75.80–$312.40 | $379–$1,562 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$82.60–$309.80 | $413–$1,549 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$42.20–$514.20 | $211–$2,571 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$56.80–$352.80 | $284–$1,764 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$52–$424.20 | $260–$2,121 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$87.40–$363.20 | $437–$1,816 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$53.80–$348.80 | $269–$1,744 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$204.20–$715 | $1,021–$3,575 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$123.60–$606.60 | $618–$3,033 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $81.20 | $406 | 0.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$68.60–$528 | $343–$2,640 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$73.40–$275 | $367–$1,375 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$157–$437.80 | $785–$2,189 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$55–$456.40 | $275–$2,282 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$165.80–$586.40 | $829–$2,932 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$24.20–$606 | $121–$3,030 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$54.80–$615 | $274–$3,075 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$36.80–$320.20 | $184–$1,601 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $118.20 | $591 | 0.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $214 | $1,070 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$43.60–$493.60 | $218–$2,468 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $211.80 | $1,059 | 0.4× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$89.80–$367 | $449–$1,835 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$187.60–$1,472.80 | $938–$7,364 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $146.60 | $733 | 0.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $397.80 | $1,989 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$365.40–$4,617.40 | $1,827–$23,087 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$502.80–$5,233.40 | $2,514–$26,167 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,233.40 | $26,167 | 2.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $202.20 | $1,011 | 0.1× |
| Salivary Gland Imaging (78230) | $130.60 | $653 | 0.3× |
| Scapula (73010) range across 4 matching MRF lines |
$75.80–$409.20 | $379–$2,046 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$21.20–$28.20 | $106–$141 | varies |
| Sella turcica (70240) | $58.40 | $292 | 0.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$39.40–$212.20 | $197–$1,061 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$120.40–$180.60 | $602–$903 | varies |
| Sialogram (70390) | $106.80 | $534 | 0.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$54.80–$273.40 | $274–$1,367 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$66.80–$768.60 | $334–$3,843 | varies |
| Spleen Imaging (78185) | $199.20 | $996 | 0.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$46.40–$271.80 | $232–$1,359 | varies |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $53 | $265 | 0.5× |
| Testicular Imaging W/Flow (78761) | $148.20 | $741 | 0.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,154.80 | $5,774 | 2.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $100.20 | $501 | 0.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$57.40–$420.40 | $287–$2,102 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$67.60–$547.60 | $338–$2,738 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$57.40–$302.40 | $287–$1,512 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $130.60 | $653 | 0.3× |
| Thyroid Met Imaging Body (78018) | $264.40 | $1,322 | 0.4× |
| Thyroid Uptake Measurement (78012) | $188.40 | $942 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$199–$1,504.60 | $995–$7,523 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$64.60–$683.40 | $323–$3,417 | varies |
| Ultrasound elastography first target lesion (76982) | $385.60 | $1,928 | 2.9× |
| Ultrasound Elastography Parenchyma (76981) | $385.60 | $1,928 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$76–$361.80 | $380–$1,809 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$88.60–$572.40 | $443–$2,862 | varies |
| Umbilical-artery Doppler (OB) (76820) | $509.20 | $2,546 | 3.8× |
| Unlisted Dx Radiographic Procedure (76499) | $51.20 | $256 | 0.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$137.40–$509.80 | $687–$2,549 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$170–$781.40 | $850–$3,907 | varies |
| Urethrocystography retrograde (74450) | $110.40 | $552 | 0.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$128–$455.60 | $640–$2,278 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$156–$557 | $780–$2,785 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$20.20–$549 | $101–$2,745 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$88.80–$455.80 | $444–$2,279 | varies |
| Us head (76506) range across 2 matching MRF lines |
$202.20–$549 | $1,011–$2,745 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$122.60–$569 | $613–$2,845 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$81.40–$666.60 | $407–$3,333 | varies |
| Us ob detailed single fetus (76811) | $134.40 | $672 | 0.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$88.80–$422.20 | $444–$2,111 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$94.80–$383 | $474–$1,915 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$91.60–$708.80 | $458–$3,544 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$97.60–$716 | $488–$3,580 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $46.40 | $232 | 0.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$88.60–$809 | $443–$4,045 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$85.20–$381.60 | $426–$1,908 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$92.40–$571.40 | $462–$2,857 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$116.20–$764.80 | $581–$3,824 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$177.80–$660.60 | $889–$3,303 | varies |
| Us transrectal (76872) | $95.40 | $477 | 0.7× |
| Vascular Flow Imaging (78445) | $211 | $1,055 | 0.4× |
| Vein X-Ray Chest (75827) | $1,775.80 | $8,879 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $1,514 | $7,570 | 0.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$510–$2,482.40 | $2,550–$12,412 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$445.20–$668.60 | $2,226–$3,343 | varies |
| Venous thrombosis imaging (78457) | $281 | $1,405 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $169 | $845 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $29.60 | $148 | 0.3× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$36.20–$375.60 | $181–$1,878 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$58.20–$272.80 | $291–$1,364 | varies |
| X-ray antegrade pyelogram tube (74425) | $208.80 | $1,044 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,631.60 | $8,158 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$95.80–$613.60 | $479–$3,068 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$30.40–$329.40 | $152–$1,647 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$150.60–$240.60 | $753–$1,203 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $53.40 | $267 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$119.60–$294.20 | $598–$1,471 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$62.20–$233.60 | $311–$1,168 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$78.40–$313 | $392–$1,565 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$83–$376.40 | $415–$1,882 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$102–$341.20 | $510–$1,706 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $109.60 | $548 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $67.80 | $339 | 0.5× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$103.40–$613.60 | $517–$3,068 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$52.40–$422.40 | $262–$2,112 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$91.80–$613.60 | $459–$3,068 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$82.80–$337 | $414–$1,685 | varies |
| X-ray eye for foreign body (70030) | $60.40 | $302 | 0.5× |
| X-ray humerus (73060) range across 7 matching MRF lines |
$31.60–$409.40 | $158–$2,047 | varies |
| X-ray IV pyelogram (ivp) (74400) | $138.40 | $692 | 0.6× |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$172.80–$866.20 | $864–$4,331 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$54.80–$304.20 | $274–$1,521 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$58.40–$270 | $292–$1,350 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$72.80–$433.40 | $364–$2,167 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$32.20–$265 | $161–$1,325 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$94.40–$327.20 | $472–$1,636 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$71.40–$302.60 | $357–$1,513 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$42–$188.20 | $210–$941 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$80.40–$274.80 | $402–$1,374 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$84.40–$357 | $422–$1,785 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$125–$446.60 | $625–$2,233 | varies |
| X-Ray Stress View (77071) | $30.20 | $151 | 0.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$98–$547.60 | $490–$2,738 | varies |
| X-Ray Tmj Unilat (70328) | $48.20 | $241 | 0.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$129.80–$159.80 | $649–$799 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$96–$368 | $480–$1,840 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$189–$786 | $945–$3,930 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$81.80–$555.40 | $409–$2,777 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$60–$272.40 | $300–$1,362 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$125.20–$285.20 | $626–$1,426 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$51.60–$310.40 | $258–$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.