Imaging prices at Adventist Health Hanford
Hanford, CA · every code in this section with a posted price and a Medicare benchmark.
400 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) | $172.33 | $907 | 0.1× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$8.36–$125.78 | $44–$662 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$34.39–$657.78 | $181–$3,462 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$1,375.03 | $138–$7,237 | 0.8× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$851.58 | $211–$4,482 | 0.2× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,326.52 | $298–$17,508 | 0.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,326.52 | $351–$17,508 | 0.8× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,997.66 | $309–$10,514 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$2,165.05 | $231–$11,395 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,583.46 | $203–$8,334 | 0.4× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$5.70–$178.79 | $15–$941 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$3,073.06 | $16,174 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,497.17 | $13,143 | 0.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$3,354.26 | $364–$17,654 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $40.47 | $213 | 0.0× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,066.79 | $16,141 | 0.4× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$20.33–$30.40 | $107–$160 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$20.71–$542.45 | $109–$2,855 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$20.14–$542.45 | $106–$2,855 | varies |
| Basic radiation dosimetry calculation (77300) | $25.08 | $132 | 0.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$6.84–$148.96 | $36–$784 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$35.34–$593.75 | $186–$3,125 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$21.85–$543.97 | $115–$2,863 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$29.07–$543.97 | $153–$2,863 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$29.83–$574.94 | $157–$3,026 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$541.88 | $98–$2,852 | 1.1× |
| Bone marrow imaging; multiple areas (78103) | $22.04 | $116 | 0.0× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$25.08–$206.34 | $132–$1,086 | varies |
| Brachytx isodose complex (77318) | $116.47 | $613 | 0.2× |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$256.88 | $54–$1,352 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $51.30 | $270 | 0.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $91.20 | $480 | 0.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $104.31 | $549 | 0.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$33.44–$459.99 | $176–$2,421 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$481.27 | $124–$2,533 | 0.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$6.46–$109.25 | $34–$575 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$7.79–$134.14 | $41–$706 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$9.88–$125.02 | $52–$658 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$11.02–$156.94 | $58–$826 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$11.40–$244.34 | $60–$1,286 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$6.08–$178.79 | $16–$941 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$38–$88.35 | $200–$465 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,061.88 | $254–$10,852 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$440.80 | $59–$2,320 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$19.19–$542.45 | $101–$2,855 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$22.61–$542.45 | $119–$2,855 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$20.71–$244.34 | $109–$1,286 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$35.34–$1,976.38 | $186–$10,402 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$61.37–$1,192.06 | $323–$6,274 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$22.42–$909.53 | $118–$4,787 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$24.51–$1,020.87 | $129–$5,373 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$20.90–$779.95 | $110–$4,105 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$77.33–$1,890.88 | $407–$9,952 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$64.22–$907.44 | $338–$4,776 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$61.56–$945.44 | $324–$4,976 | varies |
| CT angio hrt w/3d image (75574) | $84.36 | $444 | 0.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$66.50–$1,673.90 | $350–$8,810 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$61.56–$945.44 | $324–$4,976 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$63.08–$1,630.77 | $332–$8,583 | varies |
| CT bone density (77078) | $8.74 | $46 | 0.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$129.77–$359.29 | $683–$1,891 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$42.94–$1,043.29 | $226–$5,491 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$35.15–$745.37 | $185–$3,923 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$44.65–$1,235.19 | $235–$6,501 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$41.23–$834.67 | $217–$4,393 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$44.08–$1,012.70 | $232–$5,330 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$85.12–$670.13 | $448–$3,527 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$39.90–$834.67 | $210–$4,393 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$44.84–$988.19 | $236–$5,201 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $61.18 | $322 | 0.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $20.52 | $108 | 0.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$39.90–$837.52 | $210–$4,408 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$44.65–$1,361.92 | $235–$7,168 | varies |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$17.67–$979.07 | $93–$5,153 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$40.85–$1,258.56 | $215–$6,624 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$42.94–$1,119.29 | $226–$5,891 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$35.15–$742.52 | $185–$3,908 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$39.90–$834.67 | $210–$4,393 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$30.40–$601.16 | $160–$3,164 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$57–$988.19 | $300–$5,201 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$44.65–$988.19 | $235–$5,201 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$45.41–$775.01 | $239–$4,079 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$21.47–$1,116.25 | $113–$5,875 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$19.19–$806.17 | $101–$4,243 | varies |
| CT scan of leg combo (73702) range across 7 matching MRF lines |
$21.28–$2,797.37 | $112–$14,723 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$44.65–$988.19 | $235–$5,201 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$48.64–$834.67 | $256–$4,393 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$45.41–$656.45 | $239–$3,455 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$43.13–$1,153.11 | $227–$6,069 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$35.15–$771.40 | $185–$4,060 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$44.84–$1,894.87 | $236–$9,973 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$38–$653.41 | $200–$3,439 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$35.15–$1,000.35 | $185–$5,265 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$42.56–$1,482.38 | $224–$7,802 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$40.85–$1,252.10 | $215–$6,590 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$83.41–$1,044.24 | $439–$5,496 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$64.03–$970.71 | $337–$5,109 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$61.56–$945.44 | $324–$4,976 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$63.08–$968.62 | $332–$5,098 | varies |
| Dilation ureters/urethra rs&i (74485) | $29.07 | $153 | 0.0× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$1,486.37 | $220–$7,823 | 0.6× |
| Diskography lumbar (72295) | $29.64 | $156 | 0.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$20.71–$103.36 | $109–$544 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $121.22 | $638 | 0.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$7.03–$178.41 | $37–$939 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$7.03–$78.09 | $37–$411 | varies |
| Echo exam of fetal heart (76825) | $561.64 | $2,956 | 0.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$25.84–$258.78 | $136–$1,362 | varies |
| Echo Guide For Artery Repair (76936) | $68.02 | $358 | 0.2× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$57.38–$256.88 | $302–$1,352 | varies |
| Esophageal Motility Study (78258) | $24.70 | $130 | 0.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$21.28–$238.45 | $112–$1,255 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$37.43–$206.91 | $197–$1,089 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$27.17–$258.78 | $143–$1,362 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$11.21–$196.84 | $59–$1,036 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,899.62 | $342–$9,998 | 0.5× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$5.51–$178.79 | $14–$941 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$5.70–$178.79 | $15–$941 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$27.55–$592.99 | $145–$3,121 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$33.82–$515.66 | $178–$2,714 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$24.13–$515.66 | $127–$2,714 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$33.82–$683.81 | $178–$3,599 | varies |
| Gated Heart, Multiple (78473) | $51.11 | $269 | 0.1× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$6.08–$178.79 | $16–$941 | varies |
| Heart first pass single,planar (78481) | $33.63 | $177 | 0.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$1,997.66 | $200–$10,514 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$1,836.35 | $202–$9,665 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$31.35–$750.12 | $82–$3,948 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$25.65–$635.36 | $135–$3,344 | varies |
| Ht Musc Image Planar Mult (78454) | $47.12 | $248 | 0.0× |
| Ht Muscle Image Spect Sing (78451) | $47.50 | $250 | 0.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$13.49–$317.30 | $71–$1,670 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$26.22–$211.28 | $138–$1,112 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$22.04–$206.91 | $116–$1,089 | varies |
| Interstitial radiation source applic complex (77778) | $1,290.86 | $6,794 | 1.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $311.98 | $1,642 | 0.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $311.98 | $1,642 | 0.4× |
| Intracavitary radiation source applic simple (77761) | $311.98 | $1,642 | 0.4× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$12.35–$109.82 | $65–$578 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$48.26–$628.33 | $254–$3,307 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$41.61–$576.84 | $219–$3,036 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$32.87–$511.10 | $173–$2,690 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $511.10 | $2,690 | 1.0× |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$511.10 | $82–$2,690 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$511.10 | $91–$2,690 | 1.0× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$6.84–$193.61 | $36–$1,019 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$593.94 | $90–$3,126 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $20.33 | $107 | 0.0× |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$696.73 | $79–$3,667 | 1.0× |
| Liver imaging w/vascular flow (78202) | $17.67 | $93 | 0.0× |
| Lung Perf&Ventilat Diferentl (78598) | $28.50 | $150 | 0.0× |
| Lung perfusion differential (78597) | $25.08 | $132 | 0.0× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$36.86–$782.61 | $194–$4,119 | varies |
| Lung Ventilation Imaging (78579) | $16.72 | $88 | 0.0× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$41.04–$677.35 | $216–$3,565 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $38.38 | $202 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$51.87–$1,130.88 | $273–$5,952 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$15.77–$233.32 | $83–$1,228 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$12.73–$208.62 | $67–$1,098 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$23.56–$515.66 | $124–$2,714 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $172.33 | $907 | 0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $17.67 | $93 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$52.06–$1,620.89 | $274–$8,531 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$42.18–$1,141.52 | $222–$6,008 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$42.18–$1,226.45 | $222–$6,455 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$52.82–$1,274.14 | $278–$6,706 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$63.46–$2,055.80 | $334–$10,820 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$42.37–$1,141.52 | $223–$6,008 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$60.80–$1,226.45 | $320–$6,455 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$25.65–$1,141.52 | $135–$6,008 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$57.38–$1,839.77 | $302–$9,683 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$76.19–$2,748.92 | $401–$14,468 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$57.38–$1,226.45 | $302–$6,455 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$56.43–$589 | $297–$3,100 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $50.92 | $268 | 0.2× |
| MRI cardiac w/o cont stress (75559) | $102.03 | $537 | 0.1× |
| MRI cardiac w/o contrast (75557) | $82.27 | $433 | 0.3× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$63.46–$1,339.50 | $334–$7,050 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$52.44–$1,141.52 | $276–$6,008 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$51.68–$1,141.52 | $272–$6,008 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$60.80–$1,522.47 | $320–$8,013 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$79.80–$1,688.15 | $420–$8,885 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$57.19–$1,953.20 | $301–$10,280 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$38.19–$2,618.58 | $201–$13,782 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$23.75–$1,712.28 | $125–$9,012 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$63.27–$1,521.71 | $333–$8,009 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$81.13–$1,747.05 | $427–$9,195 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$47.31–$1,141.52 | $249–$6,008 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$57.19–$1,502.90 | $301–$7,910 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$76–$1,590.49 | $400–$8,371 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$60.80–$1,226.45 | $320–$6,455 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$77.71–$1,593.34 | $409–$8,386 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$25.84–$1,141.52 | $136–$6,008 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$52.44–$1,184.84 | $276–$6,236 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$57.19–$85.88 | $301–$452 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$47.88–$1,712.28 | $252–$9,012 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$76.19–$2,544.29 | $401–$13,391 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$77.71–$1,593.34 | $409–$8,386 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$81.13–$1,983.79 | $427–$10,441 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$62.89–$1,341.97 | $331–$7,063 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$47.88–$1,712.28 | $252–$9,012 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$76.19–$2,645.75 | $401–$13,925 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$81.13–$1,751.23 | $427–$9,217 | varies |
| Myelogram Lumbar (72265) | $29.83 | $157 | 0.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $23.75 | $125 | 0.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $34.39 | $181 | 0.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$56.05–$1,103.90 | $295–$5,810 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$19.76–$291.08 | $104–$1,532 | varies |
| Nm csf leak detection (78650) | $26.98 | $142 | 0.0× |
| Nm myocard infarct spect (78469) | $32.11 | $169 | 0.0× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$16.91–$125.02 | $89–$658 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $321.48 | $1,692 | 0.2× |
| Nuclear Rx Intra-Arterial (79445) | $80.75 | $425 | 0.3× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$62.51–$528.58 | $329–$2,782 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$41.99–$258.78 | $221–$1,362 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $22.99 | $121 | 0.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$14.44–$76.95 | $76–$405 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $5.70 | $30 | 0.2× |
| Optic foramina (70190) range across 3 matching MRF lines |
$7.98–$178.79 | $42–$941 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$27.93–$463.41 | $147–$2,439 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$41.42–$535.99 | $218–$2,821 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$6.27–$119.13 | $33–$627 | varies |
| Peritoneogram Rs&I (74190) | $16.15 | $85 | 0.0× |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$2,039.08 | $350–$10,732 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $75.24 | $396 | 0.0× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$84.93–$1,702.78 | $447–$8,962 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$84.17–$2,039.08 | $443–$10,732 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$2,039.08 | $356–$10,732 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$25.65–$410.97 | $135–$2,163 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$11.40–$206.34 | $60–$1,086 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$18.24–$273.98 | $96–$1,442 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$6.27–$197.79 | $33–$1,041 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$5.70–$184.49 | $15–$971 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$6.27–$189.62 | $33–$998 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$9.31–$133.76 | $49–$704 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$4.94–$178.79 | $26–$941 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$6.08–$182.21 | $32–$959 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$6.27–$185.25 | $33–$975 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$5.70–$119.13 | $15–$627 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$12.16–$160.74 | $64–$846 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$6.27–$119.13 | $16–$627 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $214.70 | $1,130 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$7.98–$119.89 | $42–$631 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$6.84–$186.20 | $36–$980 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$6.27–$119.13 | $33–$627 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$41.23–$376.58 | $217–$1,982 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$5.70–$119.13 | $30–$627 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$7.03–$134.52 | $37–$708 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$8.55–$178.98 | $45–$942 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$4.75–$178.79 | $25–$941 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$5.70–$119.13 | $15–$627 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$6.27–$188.48 | $33–$992 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$15.01–$227.24 | $79–$1,196 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$9.12–$126.92 | $48–$668 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$9.50–$119.13 | $50–$627 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$44.27–$383.61 | $233–$2,019 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$36.48–$280.44 | $192–$1,476 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$24.70–$265.81 | $130–$1,399 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$8.36–$212.99 | $44–$1,121 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$9.12–$133 | $48–$700 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$28.50–$244.34 | $150–$1,286 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$18.81–$272.46 | $99–$1,434 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$31.54–$244.34 | $166–$1,286 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$6.08–$171 | $32–$900 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$6.46–$178.79 | $34–$941 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$6.08–$178.79 | $32–$941 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$15.58–$212.99 | $82–$1,121 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $6.08 | $32 | 0.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$5.70–$178.79 | $15–$941 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $58.71 | $309 | 0.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $7.03 | $37 | 0.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$10.26–$178.98 | $54–$942 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$22.61–$440.04 | $119–$2,316 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$25.08–$440.04 | $132–$2,316 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$34.58–$1,107.13 | $182–$5,827 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,320.69 | $145–$6,951 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$37.05–$1,056.59 | $195–$5,561 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$71.63–$1,255.90 | $377–$6,610 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$1,056.78 | $248–$5,562 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $69.35 | $365 | 0.2× |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$515.66 | $83–$2,714 | 1.0× |
| Scapula (73010) range across 4 matching MRF lines |
$6.46–$201.78 | $34–$1,062 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$10.64–$56.81 | $56–$299 | varies |
| Sella turcica (70240) | $6.84 | $36 | 0.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$5.51–$178.79 | $29–$941 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$20.14–$542.45 | $106–$2,855 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$13.49–$286.33 | $71–$1,507 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| Special dosimetry (77331) | $35.15 | $185 | 0.2× |
| Special teletherapy port plan (77321) | $38.19 | $201 | 0.1× |
| Special treatment procedure (77470) | $81.89 | $431 | 0.1× |
| Speech evaluation, complex (70371) | $214.70 | $1,130 | 0.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$7.79–$119.13 | $41–$627 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $116.85 | $615 | 0.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $56.24 | $296 | 0.1× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$25.27–$511.29 | $133–$2,691 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $62.89 | $331 | 0.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $43.13 | $227 | 0.1× |
| Ther rad simulaj-aided field setting simple (77280) | $28.69 | $151 | 0.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$75.43–$244.34 | $397–$1,286 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$7.22–$144.78 | $38–$762 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$7.98–$151.81 | $42–$799 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$7.60–$160.17 | $40–$843 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$23.75–$586.53 | $125–$3,087 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $12.73 | $67 | 0.0× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$28.88–$586.53 | $152–$3,087 | varies |
| Thyroid Uptake Measurement (78012) | $6.46 | $34 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$455.43 | $91–$2,397 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $46.17 | $243 | 0.1× |
| Tx devices design & construction intermediate (77333) | $30.40 | $160 | 0.2× |
| Tx devices design & construction simple (77332) | $18.24 | $96 | 0.1× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$24.13–$201.21 | $127–$1,059 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$21.28–$166.44 | $112–$876 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$19.19–$171 | $101–$900 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$20.71–$258.78 | $109–$1,362 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$17.67–$121.22 | $93–$638 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $9.50 | $50 | 0.1× |
| Unlisted fluoroscopic procedure (76496) | $60.04 | $316 | 0.5× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$184.87–$226.67 | $973–$1,193 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$28.50–$244.34 | $150–$1,286 | varies |
| Ureteral Reflux Study (78740) | $20.14 | $106 | 0.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$275.50 | $61–$1,450 | 0.9× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$372.02 | $61–$1,958 | 1.2× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$26.03–$237.69 | $137–$1,251 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$20.14–$262.77 | $106–$1,383 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$32.11–$258.78 | $169–$1,362 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$17.67–$197.79 | $93–$1,041 | varies |
| Us head (76506) range across 2 matching MRF lines |
$22.42–$206.91 | $118–$1,089 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$26.79–$422.94 | $141–$2,226 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$24.51–$251.18 | $129–$1,322 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$67.45–$443.27 | $355–$2,333 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$22.99–$187.91 | $121–$989 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$26.60–$258.78 | $140–$1,362 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$24.32–$278.73 | $128–$1,467 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$35.15–$258.78 | $185–$1,362 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$30.40–$153.33 | $160–$807 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$26.03–$271.89 | $137–$1,431 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$20.52–$258.78 | $108–$1,362 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$22.61–$258.78 | $119–$1,362 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$45.60–$220.21 | $240–$1,159 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$19.95–$258.78 | $105–$1,362 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$24.13–$263.15 | $127–$1,385 | varies |
| Vascular Flow Imaging (78445) | $17.48 | $92 | 0.0× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,064.57 | $203–$5,603 | 0.5× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$911.62 | $208–$4,798 | 0.2× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,997.66 | $203–$10,514 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,258.56 | $264–$6,624 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$768.74 | $188–$4,046 | 0.4× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,997.66 | $264–$10,514 | 0.5× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,997.66 | $198–$10,514 | 0.5× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$18.62 | $98 | 0.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$31.92–$330.41 | $168–$1,739 | varies |
| Vertebral fracture assessment via dxa (77086) | $6.08 | $32 | 0.1× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$4.56–$178.79 | $16–$941 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$6.84–$223.82 | $36–$1,178 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$18.05–$422.18 | $95–$2,222 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,050.48 | $357–$10,792 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$7.98–$206.34 | $42–$1,086 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$4.56–$178.79 | $16–$941 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$11.21–$168.72 | $59–$888 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$9.31–$119.13 | $49–$627 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$11.21–$137.18 | $59–$722 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$12.92–$227.24 | $68–$1,196 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$6.84–$116.85 | $36–$615 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$7.98–$119.13 | $42–$627 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$9.88–$123.50 | $52–$650 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$7.98–$119.13 | $42–$627 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$10.64–$137.75 | $56–$725 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$11.21–$227.24 | $59–$1,196 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$11.02–$206.34 | $58–$1,086 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$7.98–$146.87 | $42–$773 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$10.64–$244.34 | $56–$1,286 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$9.50–$128.06 | $50–$674 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$6.46–$162.83 | $34–$857 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$5.70–$235.22 | $15–$1,238 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$17.10–$440.80 | $90–$2,320 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$17.29–$440.80 | $91–$2,320 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$6.27–$178.98 | $33–$942 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$7.98–$145.16 | $42–$764 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$11.40–$206.34 | $60–$1,086 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$7.98–$136.61 | $42–$719 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$6.27–$119.13 | $33–$627 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$6.27–$171 | $16–$900 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$7.79–$132.05 | $41–$695 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$10.07–$206.34 | $53–$1,086 | varies |
| X-Ray Stress View (77071) | $42.18 | $222 | 0.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$8.74–$187.53 | $46–$987 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$18.43–$440.80 | $97–$2,320 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$9.69–$171 | $51–$900 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$19.57–$374.68 | $103–$1,972 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$9.88–$215.08 | $52–$1,132 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$7.22–$119.13 | $38–$627 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$6.46–$119.13 | $34–$627 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$10.07–$125.59 | $53–$661 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$20.52–$206.34 | $108–$1,086 | 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.