Imaging prices at Adventist Health Portland
Portland, OR · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,271.68 | $13,349 | 2.8× |
| Abdomen 1 View (74018) | $140.16 | $438 | 1.4× |
| Abdomen 2 views (74019) | $188.16 | $588 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $947.52 | $2,961 | 2.1× |
| Angio internal mammary (75756) | $3,158.72 | $9,871 | 0.9× |
| Angio pulmonary bilat (75743) | $3,158.72 | $9,871 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,158.72 | $9,871 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $3,158.72 | $9,871 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,158.72 | $9,871 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,194.88 | $9,984 | 0.9× |
| Ankle 2 views (73600) | $125.44 | $392 | 1.3× |
| Aortography thoracic serialography rs&i (75605) | $5,449.60 | $17,030 | 0.9× |
| Artery X-Rays Abdomen (75726) | $5,449.60 | $17,030 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,449.60 | $17,030 | 0.9× |
| Arthrogram hip (73525) | $449.60 | $1,405 | 1.2× |
| Arthrogram Wrist (73115) | $482.88 | $1,509 | 1.2× |
| Basic radiation dosimetry calculation (77300) | $282.24 | $882 | 1.9× |
| Bone age studies (77072) | $145.92 | $456 | 1.3× |
| Bone Imaging 3 Phase (78315) | $671.68 | $2,099 | 1.5× |
| Bone Imaging Limited Area (78300) | $469.76 | $1,468 | 1.1× |
| Bone Imaging Whole Body (78306) | $697.60 | $2,180 | 1.6× |
| Bone survey infant (77076) | $317.12 | $991 | 2.7× |
| Brain Flow Imaging Only (78610) | $475.52 | $1,486 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $475.52 | $1,486 | 0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,674.88 | $5,234 | 4.3× |
| Cat Scan Follow-Up Study (76380) | $104.32 | $326 | 1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $475.52 | $1,486 | 0.8× |
| Chest 1 view (71045) | $181.76 | $568 | 1.9× |
| Chest 2 views (71046) | $206.08 | $644 | 2.1× |
| Chest 3 views (71047) | $209.92 | $656 | 2.2× |
| Chest 4 or more views (71048) | $233.60 | $730 | 2.0× |
| Clavicle complete (73000) | $147.84 | $462 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $262.08 | $819 | 2.3× |
| Continuing medical physics consltj pr wk (77336) | $318.40 | $995 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,949.44 | $9,217 | 0.8× |
| Contrast X-Ray Bladder (74430) | $340.16 | $1,063 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $455.68 | $1,424 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $414.08 | $1,294 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,441.92 | $7,631 | 6.3× |
| CT abdomen and pelvis without contrast (74176) | $1,599.04 | $4,997 | 6.0× |
| CT abdomen w contrast (74160) | $968.96 | $3,028 | 5.0× |
| CT abdomen w wo contrast (74170) | $1,195.84 | $3,737 | 6.1× |
| CT abdomen w/o contrast (74150) | $791.36 | $2,473 | 6.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,933.44 | $9,167 | 7.6× |
| CT Angio Chest (71275) | $1,407.04 | $4,397 | 7.2× |
| CT Angio Head (70496) | $1,244.16 | $3,888 | 6.4× |
| CT angio hrt w/3d image (75574) | $1,156.48 | $3,614 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,224.96 | $3,828 | 6.3× |
| CT Angio Neck (70498) | $1,244.16 | $3,888 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,282.56 | $4,008 | 6.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $801.60 | $2,505 | 4.1× |
| CT cervical spine w/ contrast (72126) | $1,043.20 | $3,260 | 2.7× |
| CT cervical spine w/o contrast (72125) | $840 | $2,625 | 7.2× |
| CT cervical spine w/wo cont (72127) | $1,042.56 | $3,258 | 5.3× |
| CT chest w contrast (71260) | $905.28 | $2,829 | 4.6× |
| CT chest w/wo contrast (71270) | $1,107.84 | $3,462 | 5.7× |
| CT head/brain with contrast (70460) | $885.76 | $2,768 | 4.5× |
| CT head/brain without and with contrast (70470) | $1,033.60 | $3,230 | 5.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $989.76 | $3,093 | 2.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $167.04 | $522 | 1.7× |
| CT iac w contrast (70481) | $959.68 | $2,999 | 4.9× |
| CT lower ext w/o (73700) | $809.92 | $2,531 | 7.0× |
| CT lower extremity w/contrast material (73701) | $961.60 | $3,005 | 4.9× |
| CT lumbar spine w contrast (72132) | $998.40 | $3,120 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $911.04 | $2,847 | 7.8× |
| CT maxillofacial w contrast (70487) | $874.88 | $2,734 | 4.5× |
| CT maxillofacial wo contrast (70486) | $565.44 | $1,767 | 4.9× |
| CT neck tissue combo (70492) | $1,024 | $3,200 | 5.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,004.48 | $3,139 | 5.2× |
| CT orbits w/o contrast (70480) | $593.60 | $1,855 | 5.1× |
| CT pelvis w&w/o contrast (72194) | $1,068.48 | $3,339 | 5.5× |
| CT pelvis w/o contrast (72192) | $749.44 | $2,342 | 6.4× |
| CT scan of leg combo (73702) | $1,264.32 | $3,951 | 6.5× |
| CT soft tissue neck w contrast (70491) | $866.56 | $2,708 | 4.4× |
| CT soft tissue neck w/o contrast (70490) | $744.64 | $2,327 | 6.4× |
| CT thoracic spine w contrast (72129) | $1,140.80 | $3,565 | 5.9× |
| CT thoracic spine w/o contrast (72128) | $904.64 | $2,827 | 7.8× |
| CT thorax w/o contrast (71250) | $848.32 | $2,651 | 7.3× |
| CT unlisted procedure (76497) | $104.32 | $326 | 1.1× |
| CT upper ext wo (73200) | $752.64 | $2,352 | 6.5× |
| CT upper extremity with contrast (73201) | $1,005.12 | $3,141 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,484.80 | $4,640 | 7.6× |
| Cta Abdomen (74175) | $1,484.80 | $4,640 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $801.60 | $2,505 | 2.1× |
| CTA pelvis (72191) | $1,382.72 | $4,321 | 7.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $172.80 | $540 | 1.5× |
| Dxa Bone Density Axial (77080) | $158.08 | $494 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $113.28 | $354 | 1.2× |
| Echo exam uterus (76831) | $391.36 | $1,223 | 1.5× |
| Echograp Trans R Pros Study (76873) | $376.64 | $1,177 | 3.2× |
| Esophagram (74220) | $288.96 | $903 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $294.72 | $921 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $233.28 | $729 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $357.44 | $1,117 | 1.3× |
| Foot 2 views (73620) | $138.88 | $434 | 1.4× |
| Forearm 2 views (73090) | $144.32 | $451 | 1.5× |
| Gastric emptying imaging study (78264) | $829.12 | $2,591 | 1.9× |
| Gated Heart Planar Single (78472) | $541.44 | $1,692 | 1.2× |
| Hand 2 views (73120) | $159.68 | $499 | 1.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,158.72 | $9,871 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,158.72 | $9,871 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $820.48 | $2,564 | 1.4× |
| Hepatobiliary System Imaging (78226) | $765.44 | $2,392 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $1,491.84 | $4,662 | 1.0× |
| Hysterosalpingogram (74740) | $388.48 | $1,214 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $122.88 | $384 | 1.3× |
| Joint Survey Single View (77077) | $315.84 | $987 | 2.7× |
| K Flow/Funct Image Multiple (78709) | $475.52 | $1,486 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $567.04 | $1,772 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $567.04 | $1,772 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $478.40 | $1,495 | 1.1× |
| Knee 3 Views (73562) | $179.52 | $561 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $440.64 | $1,377 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $858.88 | $2,684 | 1.4× |
| Lung perfusion differential (78597) | $572.48 | $1,789 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $836.80 | $2,615 | 1.4× |
| Lymph System Imaging (78195) | $710.40 | $2,220 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $837.12 | $2,616 | 3.2× |
| Meckels Divert Exam (78290) | $440.64 | $1,377 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,712 | $5,350 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,461.76 | $4,568 | 3.8× |
| MRA head w/o contrast (70544) | $938.56 | $2,933 | 3.5× |
| MRA neck w contrast (70548) | $1,100.16 | $3,438 | 2.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,856.64 | $5,802 | 4.8× |
| MRA neck w/o contrast (70547) | $924.80 | $2,890 | 3.5× |
| MRI abdomen w/o contrast (74181) | $1,224.32 | $3,826 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,562.56 | $4,883 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,854.40 | $5,795 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,411.52 | $4,411 | 1.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,406.40 | $4,395 | 5.3× |
| MRI cardiac w/o contrast (75557) | $961.60 | $3,005 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,138.24 | $3,557 | 4.3× |
| MRI chest w/o contrast (71550) | $287.68 | $899 | 1.1× |
| MRI chest wo w contrast (71552) | $1,806.40 | $5,645 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,854.40 | $5,795 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $953.92 | $2,981 | 3.6× |
| MRI lumbar spine w contrast (72149) | $1,459.84 | $4,562 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,985.92 | $6,206 | 5.1× |
| MRI orbit face &/neck w/o contrast (70540) | $958.72 | $2,996 | 3.6× |
| MRI orbit face neck w contrast (70542) | $1,150.08 | $3,594 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,877.76 | $5,868 | 4.8× |
| MRI pelvis w contrast (72196) | $1,278.72 | $3,996 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $2,194.88 | $6,859 | 5.7× |
| MRI pelvis w/o contrast (72195) | $1,278.72 | $3,996 | 4.8× |
| MRI thoracic spine w/o contrast (72146) | $1,170.24 | $3,657 | 4.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,108.80 | $3,465 | 2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $923.84 | $2,887 | 3.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,005.12 | $6,266 | 5.2× |
| MRI, abdomen, combo (74183) | $2,075.52 | $6,486 | 5.4× |
| MRI, dorsal spine combo (72157) | $1,940.80 | $6,065 | 5.0× |
| MRI, dorsal spine contrast (72147) | $1,287.68 | $4,024 | 3.3× |
| MRI, joint upper extrem (73221) | $898.88 | $2,809 | 3.4× |
| MRI, joint upper extrem combo (73223) | $1,804.80 | $5,640 | 4.7× |
| MRI, lumbar spine combo (72158) | $1,926.72 | $6,021 | 5.0× |
| Myocardial Spect Multiple Studies (78452) | $1,834.24 | $5,732 | 1.3× |
| Neck soft tissue (70360) | $120.96 | $378 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $412.16 | $1,288 | 0.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,239.36 | $16,373 | 3.4× |
| Nuclear Rx Intra-Arterial (79445) | $419.52 | $1,311 | 1.6× |
| Nuclear Rx Oral Admin (79005) | $489.92 | $1,531 | 1.9× |
| Ob us nuchal meas 1 gest (76813) | $169.60 | $530 | 1.5× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $405.44 | $1,267 | 2.7× |
| Optic foramina (70190) | $104.32 | $326 | 1.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,169.92 | $3,656 | 1.9× |
| Pelvis 1 or 2 views (72170) | $165.12 | $516 | 1.4× |
| PET image w/CT, full body (78816) | $2,911.68 | $9,099 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,911.68 | $9,099 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,949.44 | $9,217 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $243.20 | $760 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $650.56 | $2,033 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $199.04 | $622 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $128.64 | $402 | 1.3× |
| Radex elbow complete minimum 3 views (73080) | $152 | $475 | 1.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $200.96 | $628 | 1.7× |
| Radex fingr minimum 2 views (73140) | $129.28 | $404 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $202.88 | $634 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $166.40 | $520 | 1.7× |
| Radex lower extremity infant minimum 2 views (73592) | $110.72 | $346 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $154.56 | $483 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $152.96 | $478 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) | $186.88 | $584 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $104.32 | $326 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $129.28 | $404 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $149.44 | $467 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $155.20 | $485 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $110.72 | $346 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $127.04 | $397 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $162.88 | $509 | 1.7× |
| Radiation treatment delivery level 2 (77407) | $867.84 | $2,712 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $1,243.20 | $3,885 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $185.28 | $579 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $188.16 | $588 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $388.80 | $1,215 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $334.72 | $1,046 | 1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $288.96 | $903 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $288.64 | $902 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $215.04 | $672 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $355.52 | $1,111 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $270.72 | $846 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $355.52 | $1,111 | 1.8× |
| Radiologic examination femur 1 view (73551) | $137.60 | $430 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $163.52 | $511 | 1.7× |
| Radiologic examination knee 1/2 views (73560) | $152.96 | $478 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $159.68 | $499 | 1.7× |
| Ribs bilateral 3 views (71110) | $208.64 | $652 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,326.08 | $4,144 | 2.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,636.80 | $5,115 | 1.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,491.84 | $4,662 | 1.0× |
| Scapula (73010) | $151.04 | $472 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $65.60 | $205 | 2.8× |
| Shoulder 1 view (73020) | $148.48 | $464 | 1.5× |
| Shoulder Arthrography (73040) | $480.32 | $1,501 | 1.2× |
| Skull less than 4 views (70250) | $164.80 | $515 | 1.4× |
| Special dosimetry (77331) | $269.76 | $843 | 1.8× |
| Special Physics Consult (77370) | $700.48 | $2,189 | 4.7× |
| Special teletherapy port plan (77321) | $768 | $2,400 | 1.8× |
| Special treatment procedure (77470) | $1,373.76 | $4,293 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $2,961.60 | $9,255 | 1.5× |
| Sternoclavicular joints (71130) | $162.88 | $509 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $810.24 | $2,532 | 1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $470.40 | $1,470 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $966.40 | $3,020 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $465.28 | $1,454 | 3.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $191.36 | $598 | 1.0× |
| Thoracic spine 2 views (72070) | $156.16 | $488 | 1.3× |
| Thoracic spine 3 views (72072) | $196.80 | $615 | 1.7× |
| Thoracolumbar 2 views (72080) | $186.56 | $583 | 1.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $440.64 | $1,377 | 1.0× |
| Thyroid Met Imaging Body (78018) | $475.20 | $1,485 | 0.8× |
| Thyroid Uptake Measurement (78012) | $440.64 | $1,377 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $537.92 | $1,681 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $470.40 | $1,470 | 1.1× |
| Tx devices design & construction intermediate (77333) | $172.16 | $538 | 1.2× |
| Tx devices design & construction simple (77332) | $156.48 | $489 | 1.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$208.96–$271.68 | $653–$849 | varies |
| Ultrasound Elastography Parenchyma (76981) | $157.76 | $493 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) | $137.60 | $430 | 1.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $202.88 | $634 | 0.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$265.60–$345.28 | $830–$1,079 | varies |
| Umbilical-artery Doppler (OB) (76820) | $172.80 | $540 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$104.32–$2,757.44 | $326–$8,617 | varies |
| Unlisted fluoroscopic procedure (76496) | $104.32 | $326 | 1.1× |
| Unlisted magnetic resonance procedure (76498) | $242.88 | $759 | 2.5× |
| Unlisted us procedure (76999) | $150.40 | $470 | 1.6× |
| Upper gi w/o kub (74240) | $312.96 | $978 | 1.6× |
| Urethrocystogram voiding (74455) | $401.92 | $1,256 | 1.5× |
| Urethrocystography retrograde (74450) | $287.68 | $899 | 1.1× |
| Us breast unilateral complete (76641) | $474.56 | $1,483 | 4.1× |
| Us chest (76604) range across 2 matching MRF lines |
$198.08–$257.60 | $619–$805 | varies |
| Us complete joint (76881) | $216 | $675 | 1.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$156.80–$203.84 | $490–$637 | varies |
| Us head (76506) | $208 | $650 | 1.8× |
| Us kidney transplant (76776) | $310.40 | $970 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$199.68–$272 | $624–$850 | varies |
| Us ob detailed single fetus (76811) | $309.76 | $968 | 1.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$195.52–$261.44 | $611–$817 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$190.72–$248 | $596–$775 | varies |
| Us pelvic non ob complete (76856) | $375.04 | $1,172 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $233.28 | $729 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $189.76 | $593 | 1.6× |
| Us retroperitoneal complete (76770) | $334.08 | $1,044 | 2.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$247.04–$321.28 | $772–$1,004 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$259.52–$337.28 | $811–$1,054 | varies |
| Us spinal canal and contents (76800) | $179.84 | $562 | 1.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$328.64–$427.52 | $1,027–$1,336 | varies |
| Us transrectal (76872) | $137.60 | $430 | 1.2× |
| Vein X-Ray Chest (75827) | $1,672.32 | $5,226 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,194.88 | $9,984 | 0.9× |
| Venogram Sinus/Jugular (75860) | $3,158.72 | $9,871 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $3,158.72 | $9,871 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,577.60 | $4,930 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,413.76 | $4,418 | 0.8× |
| Venography Renal Bilateral (75833) | $3,158.72 | $9,871 | 0.9× |
| Venography Renal Unilateral (75831) | $3,158.72 | $9,871 | 0.9× |
| Venous sampling by catheter (75893) | $5,150.40 | $16,095 | 0.8× |
| Wrist 2 views (73100) | $134.72 | $421 | 1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $159.04 | $497 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,949.44 | $9,217 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $127.04 | $397 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $128.32 | $401 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $650.56 | $2,033 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $104.32 | $326 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $216 | $675 | 1.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $275.84 | $862 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $137.60 | $430 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $203.20 | $635 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $258.56 | $808 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $215.36 | $673 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $277.44 | $867 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $286.08 | $894 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $264.64 | $827 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $163.52 | $511 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $262.40 | $820 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $223.36 | $698 | 1.9× |
| X-ray eye for foreign body (70030) | $104.32 | $326 | 1.1× |
| X-ray humerus (73060) | $151.68 | $474 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $148.16 | $463 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $104.32 | $326 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $200.32 | $626 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $207.68 | $649 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $266.24 | $832 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $200.32 | $626 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $127.04 | $397 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $147.52 | $461 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $161.60 | $505 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $197.76 | $618 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $242.88 | $759 | 2.1× |
| X-Ray Tmj Unilat (70328) | $104.32 | $326 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $368.32 | $1,151 | 0.9× |
| X-Rays Bone Length Studies (77073) | $245.44 | $767 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $203.52 | $636 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $229.44 | $717 | 2.0× |
| Xr facial bones less than 3 views (70140) | $136 | $425 | 1.4× |
| Xr orbits complete 4 views (70200) | $163.20 | $510 | 1.4× |
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.