Imaging prices at Adventist Health Howard Memorial
Willits, CA · every code in this section with a posted price and a Medicare benchmark.
389 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) | $272.10 | $907 | 0.2× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$10.20–$191.70 | $34–$639 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$13.20–$269.70 | $44–$899 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $54.30 | $181 | 0.1× |
| Adrenal Cortex & Medulla Img (78075) | $41.40 | $138 | 0.0× |
| Angio internal mammary (75756) | $63.30 | $211 | 0.0× |
| Angio pulmonary bilat (75743) | $89.40 | $298 | 0.0× |
| Angiography extremity bilateral rs&i (75716) | $105.30 | $351 | 0.0× |
| Angiography extremity unilateral rs&i (75710) | $92.70 | $309 | 0.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $69.30 | $231 | 0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $60.90 | $203 | 0.0× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$4.50–$310.50 | $15–$1,035 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$61.20 | $204 | 0.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $26.40 | $88 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$109.20 | $364 | 0.0× |
| Artery X-Rays Adrenal Gland (75731) | $63.90 | $213 | 0.0× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$59.70 | $199 | 0.0× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$32.10–$48 | $107–$160 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$32.70–$674.10 | $109–$2,247 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$31.80–$1,170 | $106–$3,900 | varies |
| Basic radiation dosimetry calculation (77300) | $39.60 | $132 | 0.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$10.80–$143.70 | $36–$479 | varies |
| Bone Imaging 3 Phase (78315) | $55.80 | $186 | 0.1× |
| Bone Imaging Limited Area (78300) | $34.50 | $115 | 0.1× |
| Bone Imaging Multiple Areas (78305) | $45.90 | $153 | 0.1× |
| Bone Imaging Whole Body (78306) | $47.10 | $157 | 0.1× |
| Bone marrow imaging limited area (78102) | $29.40 | $98 | 0.1× |
| Bone marrow imaging; multiple areas (78103) | $34.80 | $116 | 0.1× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$39.60–$179.70 | $132–$599 | varies |
| Brachytx isodose complex (77318) | $183.90 | $613 | 0.4× |
| Brain Flow Imaging Only (78610) | $16.20 | $54 | 0.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $81 | $270 | 0.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $144 | $480 | 0.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $164.70 | $549 | 0.2× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$52.80–$520.20 | $176–$1,734 | varies |
| Cerebrospinal Fluid Scan (78630) | $37.20 | $124 | 0.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$10.20–$186.90 | $34–$623 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$12.30–$202.20 | $41–$674 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$15.60–$239.10 | $52–$797 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$17.40–$239.10 | $58–$797 | varies |
| Cholecystography Oral Contrast (74290) | $18 | $60 | 0.1× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$4.80–$320.40 | $16–$1,068 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$60–$346.80 | $200–$1,156 | varies |
| Contrast Exam Abdominl Aorta (75625) | $76.20 | $254 | 0.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$374.40 | $59–$1,248 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $30.30 | $101 | 0.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$35.70–$1,251.90 | $119–$4,173 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$32.70–$251.40 | $109–$838 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$55.80–$2,413.80 | $186–$8,046 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$96.90–$2,018.40 | $323–$6,728 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$35.40–$1,348.20 | $118–$4,494 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$38.70–$1,451.70 | $129–$4,839 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$33–$1,094.70 | $110–$3,649 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$122.10–$612.30 | $407–$2,041 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$101.40–$1,783.50 | $338–$5,945 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$97.20–$1,783.50 | $324–$5,945 | varies |
| CT angio hrt w/3d image (75574) | $133.20 | $444 | 0.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$105–$2,996.10 | $350–$9,987 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$97.20–$1,889.70 | $324–$6,299 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$99.60–$2,501.70 | $332–$8,339 | varies |
| CT bone density (77078) | $13.80 | $46 | 0.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $204.90 | $683 | 0.9× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$67.80–$1,502.70 | $226–$5,009 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$55.50–$1,483.50 | $185–$4,945 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$70.50–$1,636.80 | $235–$5,456 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$65.10–$1,308.90 | $217–$4,363 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$69.60–$1,429.20 | $232–$4,764 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$134.40–$708.90 | $448–$2,363 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$63–$1,263 | $210–$4,210 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$70.80–$1,377.30 | $236–$4,591 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $96.60 | $322 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $32.40 | $108 | 0.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$63–$1,311.30 | $210–$4,371 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$70.50–$1,732.50 | $235–$5,775 | varies |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$27.90–$1,565.70 | $93–$5,219 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$64.50–$1,953.60 | $215–$6,512 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$67.80–$1,539.30 | $226–$5,131 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$55.50–$1,387.80 | $185–$4,626 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$63–$1,423.50 | $210–$4,745 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$48–$1,160.10 | $160–$3,867 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$90–$1,200.30 | $300–$4,001 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$70.50–$1,412.70 | $235–$4,709 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$71.70–$992.70 | $239–$3,309 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$33.90–$1,532.70 | $113–$5,109 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$30.30–$1,311.30 | $101–$4,371 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$33.60–$2,391.30 | $112–$7,971 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$70.50–$1,417.50 | $235–$4,725 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$76.80–$1,189.80 | $256–$3,966 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$71.70–$1,005.30 | $239–$3,351 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$68.10–$1,495.50 | $227–$4,985 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$55.50–$1,392.90 | $185–$4,643 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$70.80–$1,650 | $236–$5,500 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$60–$1,057.20 | $200–$3,524 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$55.50–$1,738.50 | $185–$5,795 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$67.20–$2,130 | $224–$7,100 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$64.50–$1,863.90 | $215–$6,213 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$131.70–$2,015.10 | $439–$6,717 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$101.10–$1,783.50 | $337–$5,945 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$97.20–$1,783.50 | $324–$5,945 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$99.60–$1,259.70 | $332–$4,199 | varies |
| Dilation ureters/urethra rs&i (74485) | $45.90 | $153 | 0.0× |
| Discography Cerv/Thor Spine (72285) | $66 | $220 | 0.0× |
| Diskography lumbar (72295) | $46.80 | $156 | 0.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $32.70 | $109 | 0.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$11.10–$286.80 | $37–$956 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $11.10 | $37 | 0.1× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$40.80–$235.50 | $136–$785 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$107.40–$316.50 | $358–$1,055 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$90.60–$111 | $302–$370 | varies |
| Esophageal Motility Study (78258) | $39 | $130 | 0.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$33.60–$266.70 | $112–$889 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$59.10–$270.60 | $197–$902 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$42.90–$105.90 | $143–$353 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$17.70–$362.40 | $59–$1,208 | varies |
| Follow-Up Angiography (75898) | $102.60 | $342 | 0.0× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$6.60–$272.70 | $14–$909 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$4.50–$388.80 | $15–$1,296 | varies |
| Gastric emptying imaging study (78264) | $43.50 | $145 | 0.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $53.40 | $178 | 0.1× |
| Gastroesophageal Reflux Exam (78262) | $38.10 | $127 | 0.1× |
| Gated Heart Planar Single (78472) | $53.40 | $178 | 0.1× |
| Gated Heart, Multiple (78473) | $80.70 | $269 | 0.2× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$7.20–$320.40 | $16–$1,068 | varies |
| Heart first pass single,planar (78481) | $53.10 | $177 | 0.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $60 | $200 | 0.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $60.60 | $202 | 0.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$24.60–$49.50 | $82–$165 | varies |
| Hepatobiliary System Imaging (78226) | $40.50 | $135 | 0.1× |
| Ht Musc Image Planar Mult (78454) | $74.40 | $248 | 0.0× |
| Ht Muscle Image Spect Sing (78451) | $75 | $250 | 0.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$21.30–$254.10 | $71–$847 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $41.40 | $138 | 0.4× |
| Infant hip ultrasound, limited static exam (76886) | $34.80 | $116 | 0.3× |
| Joint Survey Single View (77077) | $19.50 | $65 | 0.1× |
| K Flow/Funct Image Multiple (78709) | $76.20 | $254 | 0.1× |
| K Flow/Funct Image W/Drug (78708) | $65.70 | $219 | 0.1× |
| K Flow/Funct Image W/O Drug (78707) | $51.90 | $173 | 0.1× |
| Kidney Imaging Morphol (78700) | $24.60 | $82 | 0.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $27.30 | $91 | 0.1× |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$10.80–$404.70 | $36–$1,349 | varies |
| Liver & Spleen Imaging Static Only (78215) | $27 | $90 | 0.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $32.10 | $107 | 0.1× |
| Liver imaging static only (78201) | $23.70 | $79 | 0.0× |
| Liver imaging w/vascular flow (78202) | $27.90 | $93 | 0.0× |
| Lung Perf&Ventilat Diferentl (78598) | $45 | $150 | 0.1× |
| Lung perfusion differential (78597) | $39.60 | $132 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) | $58.20 | $194 | 0.1× |
| Lung Ventilation Imaging (78579) | $26.40 | $88 | 0.1× |
| Lymph System Imaging (78195) | $64.80 | $216 | 0.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $60.60 | $202 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$81.90–$1,099.50 | $273–$3,665 | varies |
| Mammary ductogram or galactogram multiple (77054) | $24.90 | $83 | 0.1× |
| Mammary ductogram or galactogram single (77053) | $20.10 | $67 | 0.1× |
| Meckels Divert Exam (78290) | $37.20 | $124 | 0.1× |
| Mlc imrt design & construction per imrt plan (77338) | $272.10 | $907 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$82.20–$1,552.80 | $274–$5,176 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$66.60–$1,275.60 | $222–$4,252 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$66.60–$1,344.30 | $222–$4,481 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$83.40–$1,451.10 | $278–$4,837 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$100.20–$1,825.20 | $334–$6,084 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$66.90–$1,275.60 | $223–$4,252 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$96–$1,613.10 | $320–$5,377 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$40.50–$1,264.50 | $135–$4,215 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$90.60–$2,124.90 | $302–$7,083 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$120.30–$4,196.40 | $401–$13,988 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$90.60–$2,250 | $302–$7,500 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$89.10–$1,158.60 | $297–$3,862 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$80.40–$923.40 | $268–$3,078 | varies |
| MRI cardiac w/o cont stress (75559) | $161.10 | $537 | 0.2× |
| MRI cardiac w/o contrast (75557) | $129.90 | $433 | 0.4× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$100.20–$1,650 | $334–$5,500 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$82.80–$1,327.80 | $276–$4,426 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$81.60–$1,081.50 | $272–$3,605 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$96–$1,344 | $320–$4,480 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$126–$1,807.20 | $420–$6,024 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$90.30–$2,349 | $301–$7,830 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$60.30–$4,758.30 | $201–$15,861 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$37.50–$1,967.40 | $125–$6,558 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$99.90–$1,860 | $333–$6,200 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$128.10–$2,074.80 | $427–$6,916 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$74.70–$1,259.70 | $249–$4,199 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$90.30–$1,503.90 | $301–$5,013 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$120–$2,797.50 | $400–$9,325 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$96–$1,680.30 | $320–$5,601 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$122.70–$2,919.30 | $409–$9,731 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$40.80–$1,264.50 | $136–$4,215 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$82.80–$1,473.30 | $276–$4,911 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$90.30–$2,025 | $301–$6,750 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$75.60–$1,967.40 | $252–$6,558 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$120.30–$2,236.20 | $401–$7,454 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$122.70–$2,919.30 | $409–$9,731 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$128.10–$2,046.60 | $427–$6,822 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$99.30–$1,650 | $331–$5,500 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$75.60–$1,967.40 | $252–$6,558 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$120.30–$2,761.80 | $401–$9,206 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$128.10–$3,213.90 | $427–$10,713 | varies |
| Myelogram Lumbar (72265) | $47.10 | $157 | 0.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $37.50 | $125 | 0.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $54.30 | $181 | 0.0× |
| Myocardial Spect Multiple Studies (78452) | $88.50 | $295 | 0.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$10.20–$191.40 | $34–$638 | varies |
| Nm csf leak detection (78650) | $42.60 | $142 | 0.0× |
| Nm myocard infarct spect (78469) | $50.70 | $169 | 0.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$26.70–$99 | $89–$330 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $507.60 | $1,692 | 0.3× |
| Nuclear Rx Intra-Arterial (79445) | $127.50 | $425 | 0.4× |
| Nuclear Rx Oral Admin (79005) | $98.70 | $329 | 0.3× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$66.30–$139.80 | $221–$466 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $36.30 | $121 | 0.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $58.50 | $195 | 0.4× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$9–$13.50 | $30–$45 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$12.60–$262.50 | $42–$875 | varies |
| Parathyroid Planar Imaging (78070) | $44.10 | $147 | 0.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $65.40 | $218 | 0.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$9.90–$218.40 | $33–$728 | varies |
| Peritoneogram Rs&I (74190) | $25.50 | $85 | 0.0× |
| Pet Image Skull-Thigh (78812) | $105 | $350 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $118.80 | $396 | 0.1× |
| PET image w/CT, full body (78816) | $134.10 | $447 | 0.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $132.90 | $443 | 0.1× |
| PET whole body (78813) | $106.80 | $356 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $40.50 | $135 | 0.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$18–$370.20 | $60–$1,234 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $28.80 | $96 | 0.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$9.90–$412.20 | $33–$1,374 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$4.50–$316.50 | $15–$1,055 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$9.90–$449.70 | $33–$1,499 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$14.70–$300 | $49–$1,000 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$7.80–$276.30 | $26–$921 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$9.60–$374.10 | $32–$1,247 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$9.90–$415.50 | $33–$1,385 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$4.50–$134.70 | $15–$449 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $19.20 | $64 | 0.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$4.80–$207.30 | $16–$691 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$12.60–$220.50 | $42–$735 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$10.80–$404.10 | $36–$1,347 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$9.90–$203.10 | $33–$677 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $65.10 | $217 | 0.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$9–$196.20 | $30–$654 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$11.10–$233.40 | $37–$778 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$13.50–$243.30 | $45–$811 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$7.50–$254.40 | $25–$848 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$9–$120.60 | $15–$402 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$9.90–$414.60 | $33–$1,382 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$23.70–$263.40 | $79–$878 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$14.40–$300.30 | $48–$1,001 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$15–$344.40 | $50–$1,148 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$69.90–$479.40 | $233–$1,598 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$57.60–$504 | $192–$1,680 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$39–$235.50 | $130–$785 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$13.20–$433.50 | $44–$1,445 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$14.40–$273.60 | $48–$912 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$45–$513 | $150–$1,710 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$29.70–$390.90 | $99–$1,303 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$49.80–$444.30 | $166–$1,481 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$9.60–$235.50 | $32–$785 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$10.20–$403.80 | $34–$1,346 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$9.60–$294.30 | $32–$981 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$24.60–$250.50 | $82–$835 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $9.60 | $32 | 0.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 9 matching MRF lines |
$4.50–$369.60 | $15–$1,232 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $92.70 | $309 | 0.3× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $11.10 | $37 | 0.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$16.20–$297.90 | $54–$993 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $35.70 | $119 | 0.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $39.60 | $132 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $54.60 | $182 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $43.50 | $145 | 0.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $58.50 | $195 | 0.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $113.10 | $377 | 0.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $78.90 | $263 | 0.0× |
| Rp Therapy Intravenous Administration (79101) | $109.50 | $365 | 0.4× |
| Salivary Gland Imaging (78230) | $24.90 | $83 | 0.0× |
| Scapula (73010) range across 4 matching MRF lines |
$10.20–$373.20 | $34–$1,244 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$16.80–$95.10 | $56–$317 | varies |
| Sella turcica (70240) | $10.80 | $36 | 0.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$8.70–$274.20 | $29–$914 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$31.80–$725.40 | $106–$2,418 | varies |
| Sialogram (70390) | $21.30 | $71 | 0.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$10.20–$270.60 | $34–$902 | varies |
| Special dosimetry (77331) | $55.50 | $185 | 0.3× |
| Special teletherapy port plan (77321) | $60.30 | $201 | 0.1× |
| Special treatment procedure (77470) | $129.30 | $431 | 0.2× |
| Speech evaluation, complex (70371) | $301.80 | $1,006 | 1.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$12.30–$156.30 | $41–$521 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $184.50 | $615 | 0.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $88.80 | $296 | 0.2× |
| Testicular Imaging W/Flow (78761) | $39.90 | $133 | 0.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $99.30 | $331 | 0.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $68.10 | $227 | 0.1× |
| Ther rad simulaj-aided field setting simple (77280) | $45.30 | $151 | 0.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$119.10–$167.10 | $397–$557 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$11.40–$260.10 | $38–$867 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$12.60–$290.70 | $42–$969 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$12–$253.80 | $40–$846 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $37.50 | $125 | 0.1× |
| Thyroid Imaging With Vascular Flow (78013) | $20.10 | $67 | 0.0× |
| Thyroid Met Imaging Body (78018) | $45.60 | $152 | 0.1× |
| Thyroid Uptake Measurement (78012) | $10.20 | $34 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $27.30 | $91 | 0.1× |
| Tx Devices Design & Construction Complex (77334) | $72.90 | $243 | 0.2× |
| Tx devices design & construction intermediate (77333) | $48 | $160 | 0.3× |
| Tx devices design & construction simple (77332) | $28.80 | $96 | 0.2× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$38.10–$373.20 | $127–$1,244 | varies |
| Ultrasound Elastography Parenchyma (76981) | $33.60 | $112 | 0.2× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$30.30–$133.20 | $101–$444 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$32.70–$359.40 | $109–$1,198 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$27.90–$136.20 | $93–$454 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $15 | $50 | 0.1× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$78.90–$291.90 | $263–$973 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$45–$451.80 | $150–$1,506 | varies |
| Ureteral Reflux Study (78740) | $31.80 | $106 | 0.1× |
| Urethrocystogram voiding (74455) | $18.30 | $61 | 0.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$18.30–$362.40 | $61–$1,208 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$41.10–$452.70 | $137–$1,509 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$31.80–$347.40 | $106–$1,158 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$50.70–$314.70 | $169–$1,049 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$27.90–$241.80 | $93–$806 | varies |
| Us head (76506) range across 2 matching MRF lines |
$35.40–$417 | $118–$1,390 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$42.30–$441.30 | $141–$1,471 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$38.70–$312.90 | $129–$1,043 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$106.50–$758.40 | $355–$2,528 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$36.30–$270.60 | $121–$902 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$42–$436.20 | $140–$1,454 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$38.40–$429.90 | $128–$1,433 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$55.50–$445.20 | $185–$1,484 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$48–$215.40 | $160–$718 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$41.10–$371.10 | $137–$1,237 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$32.40–$353.70 | $108–$1,179 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$35.70–$377.70 | $119–$1,259 | varies |
| Us spinal canal and contents (76800) | $72 | $240 | 0.5× |
| Us thyroid (76536) range across 3 matching MRF lines |
$31.50–$383.40 | $105–$1,278 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$38.10–$246.90 | $127–$823 | varies |
| Vascular Flow Imaging (78445) | $27.60 | $92 | 0.1× |
| Vein X-Ray Chest (75827) | $60.90 | $203 | 0.0× |
| Venogram Sinus/Jugular (75860) | $62.40 | $208 | 0.0× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$60.90–$138.30 | $203–$461 | varies |
| Venography extremity bilateral rs&i (75822) | $79.20 | $264 | 0.0× |
| Venography extremity unilateral rs&i (75820) | $56.40 | $188 | 0.0× |
| Venography Renal Bilateral (75833) | $79.20 | $264 | 0.0× |
| Venography Renal Unilateral (75831) | $59.40 | $198 | 0.0× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$29.40 | $98 | 0.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $50.40 | $168 | 0.1× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$9.60–$78.30 | $32–$261 | varies |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$4.80–$285.30 | $16–$951 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$10.80–$244.80 | $36–$816 | varies |
| X-ray antegrade pyelogram tube (74425) | $28.50 | $95 | 0.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$14.70–$107.10 | $49–$357 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$12.60–$391.20 | $42–$1,304 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$4.80–$333.60 | $16–$1,112 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$472.20 | $59–$1,574 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$14.70–$168 | $49–$560 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$17.70–$198.30 | $59–$661 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$20.40–$211.20 | $68–$704 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$10.80–$220.20 | $36–$734 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$12.60–$258.60 | $42–$862 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$15.60–$307.20 | $52–$1,024 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$12.60–$305.10 | $42–$1,017 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$16.80–$337.50 | $56–$1,125 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$17.70–$373.20 | $59–$1,244 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$17.40–$391.20 | $58–$1,304 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$12.60–$269.10 | $42–$897 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$16.80–$406.50 | $56–$1,355 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$15–$295.80 | $50–$986 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$10.20–$84 | $34–$280 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$4.50–$337.20 | $15–$1,124 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$27–$765.90 | $90–$2,553 | varies |
| X-ray IV pyelogram+tomography (74415) | $27.30 | $91 | 0.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$10.20–$174.60 | $34–$582 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$9.90–$194.40 | $33–$648 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$12.60–$251.70 | $42–$839 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$10.20–$130.50 | $34–$435 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$18–$397.50 | $60–$1,325 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$12.60–$273.60 | $42–$912 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$9.90–$172.20 | $33–$574 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$4.80–$255 | $16–$850 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$12.30–$298.50 | $41–$995 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$15.90–$303.30 | $53–$1,011 | varies |
| X-Ray Stress View (77071) | $66.60 | $222 | 0.6× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$13.80–$308.10 | $46–$1,027 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$10.20–$183.90 | $34–$613 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$29.10–$610.20 | $97–$2,034 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$15.30–$252 | $51–$840 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$30.90–$399.60 | $103–$1,332 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$15.60–$345.30 | $52–$1,151 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$11.40–$285.90 | $38–$953 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$10.20–$132.30 | $34–$441 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$15.90–$314.40 | $53–$1,048 | varies |
| Xr Tomogram Single Plane (76100) | $32.40 | $108 | 0.2× |
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.