Imaging prices at Adventist Health Simi Valley
Simi Valley, CA · every code in this section with a posted price and a Medicare benchmark.
350 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $128 | $800 | 1.1× |
| Abdomen 2 views (74019) | $178.72 | $1,117 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $686.40 | $4,290 | 1.3× |
| Angio internal mammary (75756) | $684 | $4,275 | 0.2× |
| Angio pulmonary bilat (75743) | $1,045.60 | $6,535 | 0.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,425.60 | $8,910 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,939.68 | $12,123 | 0.5× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,103.68–$1,471.52 | $6,898–$9,197 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,045.60 | $6,535 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,045.60 | $6,535 | 0.3× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$5.44–$194.24 | $34–$1,214 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,360.48 | $8,503 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $994.88 | $6,218 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,835.84 | $11,474 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $999.52 | $6,247 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,554.88 | $9,718 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,292.96 | $8,081 | 0.2× |
| Arthrogram ankle (73615) | $286.08 | $1,788 | 0.6× |
| Arthrogram hip (73525) | $250.56 | $1,566 | 0.6× |
| Arthrogram Wrist (73115) | $204.32 | $1,277 | 0.5× |
| Bone age studies (77072) | $82.40 | $515 | 0.6× |
| Bone Imaging 3 Phase (78315) | $805.76 | $5,036 | 1.6× |
| Bone Imaging Limited Area (78300) | $229.12 | $1,432 | 0.4× |
| Bone Imaging Whole Body (78306) | $727.68 | $4,548 | 1.4× |
| Bone marrow imaging limited area (78102) | $462.08 | $2,888 | 0.9× |
| Bone marrow imaging; multiple areas (78103) | $253.60 | $1,585 | 0.5× |
| Bone survey infant (77076) | $52.64 | $329 | 0.4× |
| Brain Flow Imaging Only (78610) | $243.20 | $1,520 | 0.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $286.88 | $1,793 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $938.72 | $5,867 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $303.52 | $1,897 | 2.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $291.84 | $1,824 | 0.4× |
| Cerebrospinal Fluid Scan (78630) | $498.08 | $3,113 | 0.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$5.92–$143.36 | $37–$896 | varies |
| Chest 2 views (71046) | $169.12 | $1,057 | 1.5× |
| Chest 3 views (71047) | $173.28 | $1,083 | 1.5× |
| Chest 4 or more views (71048) | $180.80 | $1,130 | 1.3× |
| Cholecystography Oral Contrast (74290) | $57.44 | $359 | 0.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $146.24 | $914 | 1.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$5.60–$237.44 | $35–$1,484 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120.48 | $753 | 0.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,485.44 | $9,284 | 0.4× |
| Contrast X-Ray Bladder (74430) | $284.48 | $1,778 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $405.12 | $2,532 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$327.68–$491.52 | $2,048–$3,072 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $103.36 | $646 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,605.12 | $10,032 | 3.6× |
| CT abdomen and pelvis without contrast (74176) | $1,355.52 | $8,472 | 4.4× |
| CT abdomen w contrast (74160) | $830.72 | $5,192 | 3.7× |
| CT abdomen w wo contrast (74170) | $935.52 | $5,847 | 4.1× |
| CT abdomen w/o contrast (74150) | $642.88 | $4,018 | 4.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,687.36 | $10,546 | 3.8× |
| CT Angio Chest (71275) | $1,152.16 | $7,201 | 5.1× |
| CT Angio Head (70496) | $1,271.04 | $7,944 | 5.6× |
| CT angio hrt w/3d image (75574) | $1,077.12 | $6,732 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$864.80–$1,297.28 | $5,405–$8,108 | varies |
| CT Angio Neck (70498) | $1,264.64 | $7,904 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,034.88–$1,552.32 | $6,468–$9,702 | varies |
| CT bone density (77078) | $200.16 | $1,251 | 1.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $691.36 | $4,321 | 3.1× |
| CT cervical spine w/ contrast (72126) | $1,107.84 | $6,924 | 2.5× |
| CT cervical spine w/o contrast (72125) | $1,005.92 | $6,287 | 7.5× |
| CT cervical spine w/wo cont (72127) | $1,246.24 | $7,789 | 5.5× |
| CT chest w contrast (71260) | $898.72 | $5,617 | 4.0× |
| CT chest w/wo contrast (71270) | $966.40 | $6,040 | 4.3× |
| CT colonography screening (74263) | $933.76 | $5,836 | 3.0× |
| CT head/brain with contrast (70460) | $920 | $5,750 | 4.1× |
| CT head/brain without and with contrast (70470) | $1,021.28 | $6,383 | 4.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $135.84 | $849 | 1.2× |
| CT iac w contrast (70481) | $833.76 | $5,211 | 3.7× |
| CT l-spine w&w/o contrast (72133) | $1,258.72 | $7,867 | 5.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$628.16–$942.24 | $3,926–$5,889 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$705.92–$1,058.88 | $4,412–$6,618 | varies |
| CT lumbar spine w contrast (72132) | $996.80 | $6,230 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $901.28 | $5,633 | 6.7× |
| CT maxillofacial w contrast (70487) | $939.52 | $5,872 | 4.2× |
| CT maxillofacial wo contrast (70486) | $817.76 | $5,111 | 6.1× |
| CT neck tissue combo (70492) | $880 | $5,500 | 3.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $820.80 | $5,130 | 3.6× |
| CT orbits w/o contrast (70480) | $791.84 | $4,949 | 5.9× |
| CT pelvis w&w/o contrast (72194) | $1,203.68 | $7,523 | 5.3× |
| CT pelvis w/o contrast (72192) | $780.80 | $4,880 | 5.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$800–$1,200 | $5,000–$7,500 | varies |
| CT scans face/jaw combo (70488) | $1,064 | $6,650 | 4.7× |
| CT soft tissue neck w contrast (70491) | $964.80 | $6,030 | 4.3× |
| CT soft tissue neck w/o contrast (70490) | $773.76 | $4,836 | 5.8× |
| CT thoracic spine w contrast (72129) | $960 | $6,000 | 4.3× |
| CT thoracic spine w/o contrast (72128) | $933.76 | $5,836 | 6.9× |
| CT thoracic spine w/wo cont (72130) | $1,034.88 | $6,468 | 4.6× |
| CT thorax w/o contrast (71250) | $755.84 | $4,724 | 5.6× |
| CT unlisted procedure (76497) | $555.52 | $3,472 | 5.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$577.28–$865.92 | $3,608–$5,412 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $689.92 | $4,312 | 3.1× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$629.12–$943.68 | $3,932–$5,898 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,063.52 | $6,647 | 4.7× |
| Cta Abdomen (74175) | $1,045.76 | $6,536 | 4.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,271.04 | $7,944 | 2.8× |
| CTA pelvis (72191) | $876.48 | $5,478 | 3.9× |
| Dilation ureters/urethra rs&i (74485) | $520.64 | $3,254 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $732.16 | $4,576 | 0.3× |
| Diskography lumbar (72295) | $732.16 | $4,576 | 0.3× |
| Dxa Bone Density Axial (77080) | $215.20 | $1,345 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $170.40 | $1,065 | 1.5× |
| Echo exam uterus (76831) | $146.72 | $917 | 0.5× |
| Echo Guide For Artery Repair (76936) | $187.84 | $1,174 | 0.7× |
| Esophagram (74220) | $268.48 | $1,678 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$203.68–$271.52 | $1,273–$1,697 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $222.08 | $1,388 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $399.36 | $2,496 | 1.3× |
| Follow-Up Angiography (75898) | $840.32 | $5,252 | 0.2× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$5.12–$198.24 | $32–$1,239 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$5.44–$212.64 | $34–$1,329 | varies |
| Gastric emptying imaging study (78264) | $709.44 | $4,434 | 1.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $326.72 | $2,042 | 0.6× |
| Gastroesophageal Reflux Exam (78262) | $269.92 | $1,687 | 0.5× |
| Gated Heart Planar Single (78472) | $641.44 | $4,009 | 1.2× |
| Gated Heart, Multiple (78473) | $668.32 | $4,177 | 1.3× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$5.60–$228.96 | $35–$1,431 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,325.76 | $8,286 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $819.84 | $5,124 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$617.92–$823.84 | $3,862–$5,149 | varies |
| Hepatobiliary System Imaging (78226) | $862.40 | $5,390 | 1.7× |
| Ht Musc Image Planar Mult (78454) | $465.92 | $2,912 | 0.3× |
| Ht Muscle Image Spect Sing (78451) | $1,010.24 | $6,314 | 0.6× |
| Hysterosalpingogram (74740) | $180.48 | $1,128 | 0.6× |
| Infant hip ultrasound, limited static exam (76886) | $91.52 | $572 | 0.8× |
| Infusion Ivp (74410) | $114.40 | $715 | 0.5× |
| Joint Survey Single View (77077) | $773.76 | $4,836 | 5.8× |
| K Flow/Funct Image Multiple (78709) | $537.28 | $3,358 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $759.68 | $4,748 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $759.68 | $4,748 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $425.92 | $2,662 | 0.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$6.40–$242.72 | $40–$1,517 | varies |
| Liver & Spleen Imaging Static Only (78215) | $351.68 | $2,198 | 0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $387.36 | $2,421 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $809.44 | $5,059 | 1.2× |
| Lung Ventilation Imaging (78579) | $514.72 | $3,217 | 1.0× |
| Lymph System Imaging (78195) | $508.64 | $3,179 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $577.44 | $3,609 | 1.9× |
| Mammary ductogram or galactogram multiple (77054) | $534.88 | $3,343 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $250.08 | $1,563 | 0.8× |
| Meckels Divert Exam (78290) | $443.20 | $2,770 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,443.68 | $9,023 | 3.2× |
| MRA head w/o contrast (70544) | $802.88 | $5,018 | 2.6× |
| MRA head with contrast (70545) | $1,004 | $6,275 | 2.2× |
| MRA neck w contrast (70548) | $961.92 | $6,012 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,316.16 | $8,226 | 2.9× |
| MRA neck w/o contrast (70547) | $802.88 | $5,018 | 2.6× |
| MRI abdomen w contrast (74182) | $1,076.32 | $6,727 | 2.4× |
| MRI abdomen w/o contrast (74181) | $895.68 | $5,598 | 2.9× |
| MRI any jt lower extrem w/contrast material (73722) | $938.08 | $5,863 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,668.64–$2,502.88 | $10,429–$15,643 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $951.84 | $5,949 | 0.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $829.76 | $5,186 | 2.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $563.36 | $3,521 | 1.8× |
| MRI cervical spine w contrast (72142) | $1,118.08 | $6,988 | 2.5× |
| MRI cervical spine w/o cont (72141) | $793.60 | $4,960 | 2.6× |
| MRI chest w/o contrast (71550) | $651.04 | $4,069 | 2.1× |
| MRI chest with contrast (71551) | $795.20 | $4,970 | 0.8× |
| MRI chest wo w contrast (71552) | $1,462.24 | $9,139 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $938.08 | $5,863 | 2.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,581.92–$2,373.12 | $9,887–$14,832 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$567.52–$1,135.04 | $3,547–$7,094 | varies |
| MRI lumbar spine w contrast (72149) | $1,222.08 | $7,638 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,419.36 | $8,871 | 3.2× |
| MRI orbit face &/neck w/o contrast (70540) | $650.72 | $4,067 | 2.1× |
| MRI orbit face neck w contrast (70542) | $793.44 | $4,959 | 1.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,468.64 | $9,179 | 3.3× |
| MRI pelvis w contrast (72196) | $888.80 | $5,555 | 2.0× |
| MRI pelvis w/o & w contrast (72197) | $1,471.04 | $9,194 | 3.3× |
| MRI pelvis w/o contrast (72195) | $663.84 | $4,149 | 2.2× |
| MRI spectroscopy (76390) | $658.72 | $4,117 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $801.60 | $5,010 | 2.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $797.44 | $4,984 | 1.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$661.60–$992.48 | $4,135–$6,203 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,058.72–$1,588.16 | $6,617–$9,926 | varies |
| MRI, abdomen, combo (74183) | $1,633.12 | $10,207 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,281.12 | $8,007 | 2.9× |
| MRI, dorsal spine contrast (72147) | $1,133.28 | $7,083 | 2.5× |
| MRI, joint upper extrem (73221) | $726.56 | $4,541 | 2.4× |
| MRI, joint upper extrem combo (73223) | $1,468.64 | $9,179 | 3.3× |
| MRI, lumbar spine combo (72158) | $1,447.04 | $9,044 | 3.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $554.24 | $3,464 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $1,866.88 | $11,668 | 1.1× |
| Neck soft tissue (70360) | $146.40 | $915 | 1.3× |
| Nm csf leak detection (78650) | $284 | $1,775 | 0.2× |
| Nm myocard infarct spect (78469) | $681.92 | $4,262 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $185.28 | $1,158 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $454.40 | $2,840 | 1.5× |
| Ob us nuchal meas 1 gest (76813) | $172.64 | $1,079 | 1.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $156.80 | $980 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $22.08 | $138 | 0.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $11.52 | $72 | 0.3× |
| Parathyroid Planar Imaging (78070) | $384.96 | $2,406 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$5.92–$132.48 | $37–$828 | varies |
| Pet Image W/Ct Lmtd (78814) | $1,348.80 | $8,430 | 0.7× |
| PET image w/CT, full body (78816) | $1,750.08 | $10,938 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,470.56 | $9,191 | 0.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,036.80 | $6,480 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $606.56 | $3,791 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $262.72 | $1,642 | 2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $301.28 | $1,883 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$5.92–$240.32 | $37–$1,502 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$5.44–$196.32 | $34–$1,227 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$5.92–$256.16 | $37–$1,601 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $220.16 | $1,376 | 1.6× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$4.64–$182.88 | $29–$1,143 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$5.60–$232.32 | $35–$1,452 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$5.92–$245.12 | $37–$1,532 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$44.32–$59.04 | $277–$369 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $121.92 | $762 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$114.24–$152.32 | $714–$952 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $121.28 | $758 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $169.92 | $1,062 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$6.40–$277.44 | $40–$1,734 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $73.76 | $461 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $132 | $825 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $177.60 | $1,110 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $135.20 | $845 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$4.48–$194.88 | $28–$1,218 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$44.32–$59.04 | $277–$369 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$5.92–$233.28 | $37–$1,458 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $224 | $1,400 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $174.88 | $1,093 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $267.04 | $1,669 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $428 | $2,675 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $354.88 | $2,218 | 1.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $280 | $1,750 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$7.84–$320.96 | $49–$2,006 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $138.88 | $868 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $317.28 | $1,983 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $342.40 | $2,140 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $305.28 | $1,908 | 1.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$134.08–$201.12 | $838–$1,257 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$6.08–$281.60 | $38–$1,760 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$5.60–$227.84 | $35–$1,424 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $174.56 | $1,091 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$5.44–$266.88 | $34–$1,668 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $112.64 | $704 | 0.2× |
| Renal Cyst Study (74470) | $264.96 | $1,656 | 0.4× |
| Ribs bilateral 3 views (71110) | $209.44 | $1,309 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $477.12 | $2,982 | 0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $932.16 | $5,826 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,023.84 | $6,399 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $861.76 | $5,386 | 1.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $593.60 | $3,710 | 0.9× |
| Scapula (73010) range across 4 matching MRF lines |
$6.24–$243.36 | $39–$1,521 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $54.24 | $339 | 2.3× |
| Sella turcica (70240) | $160.32 | $1,002 | 1.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$5.12–$185.76 | $32–$1,161 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$278.56–$417.92 | $1,741–$2,612 | varies |
| Sialogram (70390) | $195.84 | $1,224 | 0.6× |
| Skull less than 4 views (70250) | $200.64 | $1,254 | 1.5× |
| Speech evaluation, complex (70371) | $127.04 | $794 | 0.4× |
| Sternoclavicular joints (71130) | $69.76 | $436 | 0.6× |
| Testicular Imaging W/Flow (78761) | $291.36 | $1,821 | 0.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $198.56 | $1,241 | 0.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$6.88–$146.56 | $43–$916 | varies |
| Thoracic spine 3 views (72072) | $208.32 | $1,302 | 1.5× |
| Thoracolumbar 2 views (72080) | $223.04 | $1,394 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $285.92 | $1,787 | 0.6× |
| Thyroid Met Imaging Body (78018) | $567.36 | $3,546 | 0.8× |
| Thyroid Uptake Measurement (78012) | $192.96 | $1,206 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $480.96 | $3,006 | 0.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$156.32–$234.56 | $977–$1,466 | varies |
| Ultrasound Exam Aaa Screen (76706) | $206.40 | $1,290 | 1.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$19.20–$301.28 | $120–$1,883 | varies |
| Unlisted magnetic resonance procedure (76498) | $329.28 | $2,058 | 2.9× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $96.96 | $606 | 0.2× |
| Unlisted us procedure (76999) | $64 | $400 | 0.6× |
| Upper gi w/o kub (74240) | $147.20 | $920 | 0.7× |
| Ureteral Reflux Study (78740) | $347.04 | $2,169 | 0.7× |
| Urethrocystogram voiding (74455) | $297.60 | $1,860 | 1.0× |
| Urethrocystography retrograde (74450) | $236.48 | $1,478 | 0.8× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$24.16–$328.80 | $151–$2,055 | varies |
| Us chest (76604) | $282.08 | $1,763 | 2.1× |
| Us complete joint (76881) | $279.04 | $1,744 | 2.1× |
| Us exam, pelvic, limited (76857) | $221.76 | $1,386 | 1.6× |
| Us head (76506) | $165.28 | $1,033 | 1.2× |
| Us kidney transplant (76776) | $313.92 | $1,962 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $22.72 | $142 | 0.2× |
| Us ob detailed single fetus (76811) | $268.94 | $1,680.88 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $154.24 | $964 | 1.1× |
| Us ob transvaginal (76817) | $237.12 | $1,482 | 1.8× |
| Us pelvic non ob complete (76856) | $360.80 | $2,255 | 2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $249.76 | $1,561 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $238.72 | $1,492 | 1.8× |
| Us retroperitoneal complete (76770) | $375.68 | $2,348 | 2.8× |
| Us retroperitoneal limited (76775) | $229.92 | $1,437 | 1.7× |
| Us scrotum and contents (76870) | $380.80 | $2,380 | 2.8× |
| Us spinal canal and contents (76800) | $137.28 | $858 | 1.0× |
| Us thyroid (76536) | $325.12 | $2,032 | 2.4× |
| Us transrectal (76872) range across 2 matching MRF lines |
$22.72–$298.24 | $142–$1,864 | varies |
| Vascular Flow Imaging (78445) | $205.60 | $1,285 | 0.4× |
| Vein X-Ray Chest (75827) | $736.64 | $4,604 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $829.60 | $5,185 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $1,253.28 | $7,833 | 0.3× |
| Venogram Sinus/Jugular (75860) | $694.56 | $4,341 | 0.2× |
| Venography Adrenal Unilateral (75840) | $934.88 | $5,843 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,043.20 | $6,520 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $530.08 | $3,313 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $656.80 | $4,105 | 0.3× |
| Venography Renal Bilateral (75833) | $1,015.52 | $6,347 | 0.3× |
| Venography Renal Unilateral (75831) | $813.28 | $5,083 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,373.76 | $8,586 | 0.2× |
| Venous thrombosis imaging (78457) | $391.68 | $2,448 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $637.12 | $3,982 | 1.2× |
| Vertebral fracture assessment via dxa (77086) | $160 | $1,000 | 1.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$5.60–$212.16 | $35–$1,326 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $136.32 | $852 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $323.36 | $2,021 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $1,848.64 | $11,554 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$7.52–$341.44 | $47–$2,134 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$5.60–$230.88 | $35–$1,443 | varies |
| X-Ray Exam Breast Specimen (76098) | $270.24 | $1,689 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $73.60 | $460 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $157.60 | $985 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $197.76 | $1,236 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $119.20 | $745 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$7.52–$173.12 | $47–$1,082 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$9.28–$206.72 | $58–$1,292 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$7.52–$177.92 | $47–$1,112 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$9.92–$196.48 | $62–$1,228 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$10.56–$251.68 | $66–$1,573 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $341.44 | $2,134 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$7.52–$187.36 | $47–$1,171 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $259.20 | $1,620 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $176.32 | $1,102 | 1.3× |
| X-ray eye for foreign body (70030) | $152 | $950 | 1.4× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$5.44–$235.04 | $34–$1,469 | varies |
| X-ray IV pyelogram+tomography (74415) | $183.52 | $1,147 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $77.60 | $485 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$5.76–$99.20 | $36–$620 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$7.52–$204.16 | $47–$1,276 | varies |
| X-ray nose-rectum child f.b. (76010) | $60.80 | $380 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $244.16 | $1,526 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $115.36 | $721 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$134.08–$178.72 | $838–$1,117 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $154.08 | $963 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $244.64 | $1,529 | 1.8× |
| X-Ray Stress View (77071) | $42.72 | $267 | 0.4× |
| X-ray thoracic spine 4 vw (72074) | $436 | $2,725 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $337.60 | $2,110 | 0.8× |
| X-Rays Bone Length Studies (77073) | $156.32 | $977 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $378.08 | $2,363 | 2.8× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$8.96–$202.24 | $56–$1,264 | varies |
| Xr facial bones less than 3 views (70140) | $125.28 | $783 | 1.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $70.56 | $441 | 0.5× |
| Xr orbits complete 4 views (70200) | $151.36 | $946 | 1.1× |
| Xr Tomogram Single Plane (76100) | $242.40 | $1,515 | 1.8× |
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.