Imaging prices at Adventist Health Sonora
Sonora, CA · every code in this section with a posted price and a Medicare benchmark.
415 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) range across 2 matching MRF lines |
$154.19–$1,478.15 | $907–$8,695 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$5.78–$101.83 | $34–$599 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$7.48–$112.88 | $44–$664 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$30.77–$247.69 | $181–$1,457 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $332.69 | $1,957 | 0.2× |
| Adrenal Cortex & Medulla Img (78075) | $23.46 | $138 | 0.0× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,066.24 | $211–$6,272 | 0.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$50.66–$959.99 | $298–$5,647 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,066.24 | $6,272 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,528.64 | $351–$8,992 | 0.4× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$52.53–$1,019.15 | $309–$5,995 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$836.06 | $231–$4,918 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,066.24 | $203–$6,272 | 0.3× |
| Ankle 2 views (73600) range across 12 matching MRF lines |
$5.10–$139.40 | $15–$820 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,287.58 | $7,574 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $757.86 | $4,458 | 0.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines likely a partial charge, not the full procedure |
$1,250.18 | $364–$7,354 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$777.58 | $213–$4,574 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,250.18 | $7,354 | 0.2× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$18.19–$202.13 | $107–$1,189 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$18.53–$448.80 | $109–$2,640 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$18.02–$278.29 | $106–$1,637 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$22.44–$198.56 | $132–$1,168 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$6.12–$87.04 | $36–$512 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$31.62–$384.03 | $186–$2,259 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$19.55–$250.24 | $115–$1,472 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$26.01–$298.18 | $153–$1,754 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$26.69–$421.43 | $157–$2,479 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$16.66–$156.40 | $98–$920 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$19.72–$185.64 | $116–$1,092 | varies |
| Bone marrow imaging; whole body (78104) | $433.16 | $2,548 | 0.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$22.44–$129.03 | $132–$759 | varies |
| Brachytx isodose complex (77318) | $104.21 | $613 | 0.2× |
| Brain Flow Imaging Only (78610) | $9.18 | $54 | 0.0× |
| Brain Image W/Flow < 4 Views (78601) | $256.36 | $1,508 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$45.90–$874.99 | $270–$5,147 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $81.60 | $480 | 0.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $93.33 | $549 | 0.1× |
| Cardiac Shunt Detection (78428) | $334.22 | $1,966 | 0.7× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$29.92–$248.88 | $176–$1,464 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $236.64 | $1,392 | 0.3× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$21.08–$275.91 | $124–$1,623 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$5.78–$81.77 | $34–$481 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$6.97–$100.13 | $41–$589 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$8.84–$125.63 | $52–$739 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$9.86–$134.81 | $58–$793 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$10.20–$147.22 | $60–$866 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $149.43 | $879 | 1.1× |
| Clavicle complete (73000) range across 8 matching MRF lines |
$5.44–$152.15 | $16–$895 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$34–$172.55 | $200–$1,015 | varies |
| Continuing medical physics consltj pr wk (77336) | $277.27 | $1,631 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,528.64 | $254–$8,992 | 0.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$10.03–$137.70 | $59–$810 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$17.17–$289.34 | $101–$1,702 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$20.23–$287.64 | $119–$1,692 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$18.53–$125.46 | $109–$738 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$31.62–$1,594.94 | $186–$9,382 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$54.91–$1,448.91 | $323–$8,523 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$20.06–$918.34 | $118–$5,402 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$21.93–$987.87 | $129–$5,811 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$18.70–$724.20 | $110–$4,260 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$69.19–$1,216.01 | $407–$7,153 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$57.46–$1,048.73 | $338–$6,169 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$55.08–$1,161.61 | $324–$6,833 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$75.48–$425 | $444–$2,500 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$59.50–$1,362.55 | $350–$8,015 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$55.08–$1,025.61 | $324–$6,033 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$56.44–$1,417.12 | $332–$8,336 | varies |
| CT bone density (77078) | $7.82 | $46 | 0.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $116.11 | $683 | 0.5× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$38.42–$995.35 | $226–$5,855 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$31.45–$950.98 | $185–$5,594 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$39.95–$1,062.50 | $235–$6,250 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$36.89–$943.16 | $217–$5,548 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$39.44–$1,037 | $232–$6,100 | varies |
| CT colonography screening (74263) | $76.16 | $448 | 0.2× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$35.70–$981.24 | $210–$5,772 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$40.12–$1,028.67 | $236–$6,051 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$54.74–$288.32 | $322–$1,696 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$18.36–$141.10 | $108–$830 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$35.70–$767.04 | $210–$4,512 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$39.95–$1,045.50 | $235–$6,150 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$15.81–$1,218.22 | $93–$7,166 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$36.55–$1,396.21 | $215–$8,213 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$38.42–$986.85 | $226–$5,805 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$31.45–$861.22 | $185–$5,066 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$35.70–$772.65 | $210–$4,545 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$27.20–$738.31 | $160–$4,343 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$51–$1,059.78 | $300–$6,234 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$39.95–$934.32 | $235–$5,496 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$40.63–$675.41 | $239–$3,973 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$19.21–$997.39 | $113–$5,867 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$17.17–$847.45 | $101–$4,985 | varies |
| CT scan of leg combo (73702) range across 7 matching MRF lines |
$19.04–$1,428 | $112–$8,400 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$39.95–$824.50 | $235–$4,850 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$43.52–$973.08 | $256–$5,724 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$40.63–$904.23 | $239–$5,319 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$38.59–$986.85 | $227–$5,805 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$31.45–$867.34 | $185–$5,102 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$40.12–$1,062.50 | $236–$6,250 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$34–$861.90 | $200–$5,070 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$31.45–$1,088.34 | $185–$6,402 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$38.08–$918 | $224–$5,400 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$36.55–$1,275 | $215–$7,500 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$74.63–$963.05 | $439–$5,665 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$57.29–$963.05 | $337–$5,665 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$55.08–$1,161.61 | $324–$6,833 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$56.44–$764.49 | $332–$4,497 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$26.01–$477.19 | $153–$2,807 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$1,250.01 | $220–$7,353 | 0.5× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$1,250.01 | $156–$7,353 | 0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $18.53 | $109 | 0.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $78.37 | $461 | 0.6× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$6.29–$163.20 | $37–$960 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$6.29–$56.44 | $37–$332 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$23.12–$137.36 | $136–$808 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$60.86–$352.58 | $358–$2,074 | varies |
| Echograp Trans R Pros Study (76873) | $51.34 | $302 | 0.4× |
| Esophageal Motility Study (78258) | $22.10 | $130 | 0.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$19.04–$150.96 | $112–$888 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$28.39–$237.66 | $167–$1,398 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$24.31–$256.87 | $143–$1,511 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$10.03–$198.39 | $59–$1,167 | varies |
| Follow-Up Angiography (75898) | $58.14 | $342 | 0.0× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$4.93–$139.40 | $14–$820 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$5.10–$148.24 | $15–$872 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$24.65–$253.81 | $145–$1,493 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $30.26 | $178 | 0.1× |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$21.59–$169.32 | $127–$996 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$30.26–$204.85 | $178–$1,205 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$45.73–$375.70 | $269–$2,210 | varies |
| Hand 2 views (73120) range across 9 matching MRF lines |
$5.44–$122.74 | $16–$722 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$30.09–$258.06 | $177–$1,518 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $34 | $200 | 0.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $34.34 | $202 | 0.0× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$28.05–$488.92 | $82–$2,876 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$22.95–$153.85 | $135–$905 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$42.16–$541.28 | $248–$3,184 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$952.85 | $250–$5,605 | 0.6× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$12.07–$181.90 | $71–$1,070 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$23.46–$90.95 | $138–$535 | varies |
| Infant hip ultrasound, limited static exam (76886) | $19.72 | $116 | 0.2× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$11.05–$81.77 | $65–$481 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$43.18–$490.62 | $254–$2,886 | varies |
| K Flow/Funct Image W/Drug (78708) | $37.23 | $219 | 0.1× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$29.41–$443.19 | $173–$2,607 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$13.94–$205.19 | $82–$1,207 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$15.47–$187 | $91–$1,100 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$6.12–$181.90 | $36–$1,070 | varies |
| Leveen/Shunt Patency Exam (78291) | $201.96 | $1,188 | 0.4× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$15.30–$182.58 | $90–$1,074 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$18.19–$218.62 | $107–$1,286 | varies |
| Liver imaging static only (78201) | $13.43 | $79 | 0.0× |
| Liver imaging w/vascular flow (78202) | $15.81 | $93 | 0.0× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$25.50–$165.92 | $150–$976 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$22.44–$96.56 | $132–$568 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$32.98–$453.05 | $194–$2,665 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$14.96–$96.56 | $88–$568 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$36.72–$438.77 | $216–$2,581 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $34.34 | $202 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$46.41–$592.28 | $273–$3,484 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$14.11–$175.27 | $83–$1,031 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$11.39–$119.85 | $67–$705 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$21.08–$153.68 | $124–$904 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$154.19–$1,104.83 | $907–$6,499 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$46.58–$1,194.42 | $274–$7,026 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$37.74–$669.97 | $222–$3,941 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$37.74–$991.27 | $222–$5,831 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$47.26–$830.96 | $278–$4,888 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$56.78–$1,242.19 | $334–$7,307 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$37.91–$669.97 | $223–$3,941 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$54.40–$833 | $320–$4,900 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$22.95–$599.76 | $135–$3,528 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$51.34–$779.11 | $302–$4,583 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$68.17–$1,091.23 | $401–$6,419 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$51.34–$734.23 | $302–$4,319 | varies |
| MRI bone marrow blood supply (77084) | $470.73 | $2,769 | 1.5× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$50.49–$804.44 | $297–$4,732 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$45.56–$689.01 | $268–$4,053 | varies |
| MRI cardiac w/o cont stress (75559) | $91.29 | $537 | 0.1× |
| MRI cardiac w/o contrast (75557) | $73.61 | $433 | 0.2× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$56.78–$944.35 | $334–$5,555 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$46.92–$707.20 | $276–$4,160 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$46.24–$485.86 | $272–$2,858 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$54.40–$554.37 | $320–$3,261 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$71.40–$772.82 | $420–$4,546 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$51.17–$717.23 | $301–$4,219 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$34.17–$1,421.20 | $201–$8,360 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$21.25–$896.41 | $125–$5,273 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$56.61–$944.35 | $333–$5,555 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$72.59–$1,384.48 | $427–$8,144 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$42.33–$641.41 | $249–$3,773 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$51.17–$887.74 | $301–$5,222 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$68–$1,421.20 | $400–$8,360 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$54.40–$781.15 | $320–$4,595 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$69.53–$1,424.43 | $409–$8,379 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$23.12–$617.61 | $136–$3,633 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$46.92–$707.20 | $276–$4,160 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$51.17–$790.50 | $301–$4,650 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$42.84–$615.40 | $252–$3,620 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$68.17–$1,048.73 | $401–$6,169 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$69.53–$1,329.91 | $409–$7,823 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$72.59–$1,384.48 | $427–$8,144 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$56.27–$944.35 | $331–$5,555 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$42.84–$921.91 | $252–$5,423 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$68.17–$1,091.23 | $401–$6,419 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$72.59–$1,439.90 | $427–$8,470 | varies |
| Myelogram Lumbar (72265) | $26.69 | $157 | 0.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$21.25–$340.17 | $125–$2,001 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$30.77–$392.87 | $181–$2,311 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,188.98 | $295–$6,994 | 0.7× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$5.78–$81.77 | $34–$481 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$24.14–$332.69 | $142–$1,957 | varies |
| Nm myocard infarct spect (78469) | $28.73 | $169 | 0.0× |
| Nonvascular Shunt X-Ray (75809) | $15.13 | $89 | 0.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$287.64–$1,616.19 | $1,692–$9,507 | varies |
| Nuclear Rx Intra-Arterial (79445) | $72.25 | $425 | 0.2× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$55.93–$233.58 | $329–$1,374 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$30.94–$129.20 | $182–$760 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $20.57 | $121 | 0.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $33.15 | $195 | 0.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$5.10–$7.65 | $30–$45 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$7.14–$115.77 | $42–$681 | varies |
| Panoramic X-ray of jaws (70355) | $48.79 | $287 | 0.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $269.45 | $1,585 | 0.4× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$24.99–$182.07 | $147–$1,071 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$37.06–$568.14 | $218–$3,342 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$5.61–$99.96 | $33–$588 | varies |
| Peritoneogram Rs&I (74190) | $14.45 | $85 | 0.0× |
| Pet Image Skull-Thigh (78812) | $59.50 | $350 | 0.0× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$67.32–$794.07 | $396–$4,671 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$75.99–$1,496.34 | $447–$8,802 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$75.31–$2,070.60 | $443–$12,180 | varies |
| PET whole body (78813) | $60.52 | $356 | 0.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$22.95–$326.74 | $135–$1,922 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$10.20–$150.45 | $60–$885 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$16.32–$300.05 | $96–$1,765 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$5.61–$170.68 | $33–$1,004 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$5.10–$139.40 | $15–$820 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$5.61–$185.47 | $33–$1,091 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$8.33–$164.05 | $49–$965 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$6.63–$137.70 | $26–$810 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$5.44–$170.68 | $32–$1,004 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$5.61–$169.32 | $33–$996 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$5.10–$66.98 | $15–$394 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$10.88–$176.12 | $64–$1,036 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$5.61–$100.13 | $16–$589 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$7.14–$99.28 | $42–$584 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$6.12–$181.90 | $36–$1,070 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$5.61–$100.13 | $33–$589 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$36.89–$261.63 | $217–$1,539 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$5.10–$110.84 | $30–$652 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$6.29–$98.60 | $37–$580 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$7.65–$137.36 | $45–$808 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$6.29–$122.74 | $25–$722 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$5.10–$66.98 | $15–$394 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$5.61–$190.40 | $33–$1,120 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$13.43–$263.67 | $79–$1,551 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$2,391.56 | $14,068 | 0.3× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$59.50–$174.76 | $350–$1,028 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$205.02–$252.96 | $1,206–$1,488 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$391–$417.86 | $2,300–$2,458 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$8.16–$151.81 | $48–$893 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$8.50–$142.46 | $50–$838 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$39.61–$269.62 | $233–$1,586 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$32.64–$221.51 | $192–$1,303 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$22.10–$115.43 | $130–$679 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$7.48–$195.67 | $44–$1,151 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$6.12–$125.63 | $36–$739 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$25.50–$220.49 | $150–$1,297 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$16.83–$246.84 | $99–$1,452 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$28.22–$231.54 | $166–$1,362 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$5.44–$78.20 | $32–$460 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$5.78–$186.66 | $34–$1,098 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$5.44–$163.37 | $32–$961 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$13.94–$183.77 | $82–$1,081 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$5.44–$89.42 | $32–$526 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$5.10–$152.32 | $15–$896 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $264.35 | $1,555 | 0.4× |
| Radiopharm Dacryocystography (78660) | $161.33 | $949 | 0.3× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $52.53 | $309 | 0.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $6.29 | $37 | 0.0× |
| Renal Cyst Study (74470) | $129.20 | $760 | 0.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$9.18–$187 | $54–$1,100 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$20.23–$220.32 | $119–$1,296 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$22.44–$246.67 | $132–$1,451 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $30.94 | $182 | 0.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$24.65–$436.05 | $145–$2,565 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$33.15–$436.05 | $195–$2,565 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $852.38 | $5,014 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $64.09 | $377 | 0.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$44.71–$811.41 | $263–$4,773 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$62.05–$363.12 | $365–$2,136 | varies |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$14.11–$174.59 | $83–$1,027 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$5.78–$182.07 | $34–$1,071 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$9.52–$48.62 | $56–$286 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$6.12–$76.67 | $36–$451 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$4.93–$136.51 | $29–$803 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$18.02–$278.29 | $106–$1,637 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$12.07–$118.32 | $71–$696 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$5.78–$98.60 | $34–$580 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$31.45–$136.34 | $185–$802 | varies |
| Special Physics Consult (77370) | $384.03 | $2,259 | 2.2× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$34.17–$377.57 | $201–$2,221 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$73.27–$773.50 | $431–$4,550 | varies |
| Spleen Imaging (78185) | $183.60 | $1,080 | 0.4× |
| Stereotactic Body Radiation Delivery (77373) | $1,160.25 | $6,825 | 0.5× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$6.97–$91.12 | $41–$536 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$104.55–$421.43 | $615–$2,479 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$50.32–$261.46 | $296–$1,538 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$22.61–$173.23 | $133–$1,019 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$56.27–$376.72 | $331–$2,216 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$38.59–$170.68 | $227–$1,004 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$25.67–$295.12 | $151–$1,736 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $67.49 | $397 | 0.3× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$6.46–$155.21 | $38–$913 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$7.14–$171.70 | $42–$1,010 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$6.80–$104.38 | $40–$614 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$21.25–$198.56 | $125–$1,168 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$11.39–$96.56 | $67–$568 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$527.68 | $152–$3,104 | 0.8× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$126.65 | $34–$745 | 0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$15.47–$195.16 | $91–$1,148 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$41.31–$506.77 | $243–$2,981 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$27.20–$204.51 | $160–$1,203 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$16.32–$228.65 | $96–$1,345 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$21.59–$156.57 | $127–$921 | varies |
| Ultrasound Elastography Parenchyma (76981) | $19.04 | $112 | 0.1× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$17.17–$250.75 | $101–$1,475 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$18.53–$357.34 | $109–$2,102 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$15.81–$94.18 | $93–$554 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$8.50–$22.95 | $50–$135 | varies |
| Unlisted fluoroscopic procedure (76496) | $126.82 | $746 | 1.1× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$44.71–$238.17 | $263–$1,401 | varies |
| Upper gi w/o kub (74240) | $25.50 | $150 | 0.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $118.66 | $698 | 10.7× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$18.02–$185.64 | $106–$1,092 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$10.37–$207.23 | $61–$1,219 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$10.37–$144.50 | $61–$850 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$23.29–$134.30 | $137–$790 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$15.81–$269.96 | $93–$1,588 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$28.73–$183.60 | $169–$1,080 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$15.81–$169.15 | $93–$995 | varies |
| Us head (76506) range across 2 matching MRF lines |
$20.06–$95.54 | $118–$562 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$23.97–$292.57 | $141–$1,721 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$21.93–$225.76 | $129–$1,328 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$44.71–$123.76 | $263–$728 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$18.36–$351.90 | $108–$2,070 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$18.36–$164.90 | $108–$970 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$21.76–$401.88 | $128–$2,364 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$24.99–$315.86 | $147–$1,858 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$18.36–$120.87 | $108–$711 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$23.29–$296.82 | $137–$1,746 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$18.36–$198.56 | $108–$1,168 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$20.23–$264.35 | $119–$1,555 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$40.80–$75.99 | $240–$447 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$17.85–$290.36 | $105–$1,708 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$21.59–$139.91 | $127–$823 | varies |
| Vascular Flow Imaging (78445) | $15.64 | $92 | 0.0× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$924.80 | $203–$5,440 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $1,977.95 | $11,635 | 0.5× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$746.81 | $208–$4,393 | 0.2× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$78.37–$1,168.75 | $203–$6,875 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$44.88–$364.31 | $264–$2,143 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$31.96–$364.31 | $188–$2,143 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,387.20 | $264–$8,160 | 0.3× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$924.80 | $198–$5,440 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$16.66 | $98 | 0.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$28.56–$207.06 | $168–$1,218 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$5.44–$60.86 | $32–$358 | varies |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$5.44–$136.51 | $16–$803 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$6.12–$113.73 | $36–$669 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$16.15–$295.46 | $95–$1,738 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$60.69–$1,062.50 | $357–$6,250 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$7.14–$118.15 | $42–$695 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 11 matching MRF lines |
$5.44–$139.23 | $16–$819 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$10.03–$125.46 | $59–$738 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$8.33–$81.77 | $49–$481 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$10.03–$143.65 | $59–$845 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$11.56–$230.01 | $68–$1,353 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$6.12–$81.77 | $36–$481 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$7.14–$111.69 | $42–$657 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$8.84–$139.74 | $52–$822 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$7.14–$139.74 | $42–$822 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$9.52–$185.47 | $56–$1,091 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$10.03–$209.44 | $59–$1,232 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$9.86–$231.20 | $58–$1,360 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$7.14–$135.66 | $42–$798 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$9.52–$235.62 | $56–$1,386 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$8.50–$111.69 | $50–$657 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$5.78–$123.59 | $34–$727 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$5.10–$152.32 | $15–$896 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$15.30–$316.37 | $90–$1,861 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$15.47–$348.33 | $91–$2,049 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$5.78–$90.95 | $34–$535 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$5.61–$104.72 | $33–$616 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$7.14–$155.21 | $42–$913 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$5.78–$71.23 | $34–$419 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$10.20–$204 | $60–$1,200 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$7.14–$132.09 | $42–$777 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$5.61–$90.95 | $33–$535 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$5.61–$105.57 | $16–$621 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$6.97–$164.05 | $41–$965 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$9.01–$183.26 | $53–$1,078 | varies |
| X-Ray Stress View (77071) | $37.74 | $222 | 0.3× |
| X-ray thoracic spine 4 vw (72074) | $7.82 | $46 | 0.1× |
| X-Ray Tmj Unilat (70328) | $5.78 | $34 | 0.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$16.49–$245.48 | $97–$1,444 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$8.67–$159.80 | $51–$940 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$17.51–$269.28 | $103–$1,584 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$8.84–$210.97 | $52–$1,241 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$6.46–$115.77 | $38–$681 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$5.78–$38.08 | $34–$224 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$9.01–$81.77 | $53–$481 | varies |
| Xr Tomogram Single Plane (76100) | $18.36 | $108 | 0.1× |
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.