Imaging prices at Adventist Health St. Helena
Saint Helena, CA · every code in this section with a posted price and a Medicare benchmark.
363 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 |
$150.90–$2,604.30 | $1,006–$17,362 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$5.70–$156.90 | $38–$1,046 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$7.05–$181.35 | $47–$1,209 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$30–$925.50 | $200–$6,170 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 3 matching MRF lines |
$946.50–$1,325.25 | $152–$8,835 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,933.05 | $231–$12,887 | 0.5× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,933.05 | $326–$12,887 | 0.5× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,488.95 | $386–$16,593 | 0.6× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$1,449.75–$2,706.15 | $341–$18,041 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,933.05 | $255–$12,887 | 0.5× |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$5.10–$263.25 | $25–$1,755 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,205.65–$4,488 | $21,371–$29,920 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$1,933.05–$2,706.15 | $12,887–$18,041 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines unusually low: confirm this is the full procedure |
$3,205.65 | $397–$21,371 | 0.4× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,205.65–$4,488 | $21,371–$29,920 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$18–$359.40 | $120–$2,396 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$18.45–$557.55 | $123–$3,717 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$266.40–$372.75 | $118–$2,485 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$21.75–$448.95 | $145–$2,993 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$6–$109.35 | $40–$729 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$30.90–$1,381.20 | $206–$9,208 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$423.60–$542.10 | $126–$3,614 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$25.05–$566.40 | $167–$3,776 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$25.95–$992.10 | $173–$6,614 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$21.75–$164.85 | $145–$1,099 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$101.70–$1,093.80 | $678–$7,292 | varies |
| Brachytx isodose intermed (77317) | $64.65 | $431 | 0.1× |
| Brachytx Isodose Plan Simple (77316) | $49.35 | $329 | 0.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 3 matching MRF lines |
$351.15–$491.55 | $129–$3,277 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$2,142.60–$2,999.70 | $297–$19,998 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$79.65–$1,796.10 | $531–$11,974 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines |
$91.20–$2,749.65 | $608–$18,331 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$273.90–$383.40 | $1,826–$2,556 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$29.25–$511.65 | $195–$3,411 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$386.40–$540.90 | $114–$3,606 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$523.05–$732.15 | $3,487–$4,881 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$5.55–$181.35 | $37–$1,209 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$6.90–$188.85 | $46–$1,259 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$8.70–$205.95 | $58–$1,373 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$9.60–$159.90 | $64–$1,066 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$9.90–$178.05 | $66–$1,187 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$100.80–$141.15 | $672–$941 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$5.25–$181.35 | $35–$1,209 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$33.45–$165.90 | $223–$1,106 | varies |
| Continuing medical physics consltj pr wk (77336) | $458.25 | $3,055 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$2,903.70–$3,513.30 | $277–$23,422 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$327.15–$457.95 | $66–$3,053 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$19.95–$451.65 | $133–$3,011 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$61.80–$2,029.05 | $412–$13,527 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$53.70–$1,103.40 | $358–$7,356 | varies |
| CT abdomen w contrast (74160) range across 6 matching MRF lines |
$29.55–$1,316.70 | $197–$8,778 | varies |
| CT abdomen w wo contrast (74170) range across 6 matching MRF lines |
$32.40–$1,460.70 | $216–$9,738 | varies |
| CT abdomen w/o contrast (74150) range across 6 matching MRF lines |
$27.60–$964.50 | $184–$6,430 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$67.35–$1,809.45 | $449–$12,063 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$55.95–$1,913.70 | $373–$12,758 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$53.85–$2,006.70 | $359–$13,378 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$73.50–$1,467.60 | $490–$9,784 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$57.90–$2,370.90 | $386–$15,806 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$53.85–$1,875.15 | $359–$12,501 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$55.05–$2,811.15 | $367–$18,741 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$234–$327.60 | $1,560–$2,184 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$37.65–$1,492.50 | $251–$9,950 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$30.75–$1,245.90 | $205–$8,306 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$39.15–$1,515.15 | $261–$10,101 | varies |
| CT chest w contrast (71260) range across 5 matching MRF lines |
$36.15–$1,412.85 | $241–$9,419 | varies |
| CT chest w/wo contrast (71270) range across 5 matching MRF lines |
$38.55–$1,587.75 | $257–$10,585 | varies |
| CT head/brain with contrast (70460) range across 5 matching MRF lines |
$34.95–$1,233.60 | $233–$8,224 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$39.30–$1,285.05 | $262–$8,567 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$53.55–$360 | $357–$2,400 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$17.85–$260.10 | $119–$1,734 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$34.95–$1,254.45 | $233–$8,363 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$39.15–$1,753.65 | $261–$11,691 | varies |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$23.10–$1,513.20 | $154–$10,088 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$35.85–$1,876.95 | $239–$12,513 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$37.65–$1,494.75 | $251–$9,965 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$30.75–$1,283.55 | $205–$8,557 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$34.65–$1,254.30 | $231–$8,362 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$26.55–$941.10 | $177–$6,274 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$49.65–$1,219.35 | $331–$8,129 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$39.15–$1,219.35 | $261–$8,129 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$39.75–$1,070.40 | $265–$7,136 | varies |
| CT pelvis w&w/o contrast (72194) range across 6 matching MRF lines |
$28.05–$1,767.30 | $187–$11,782 | varies |
| CT pelvis w/o contrast (72192) range across 6 matching MRF lines |
$25.20–$1,348.35 | $168–$8,989 | varies |
| CT scan of leg combo (73702) range across 7 matching MRF lines |
$28.05–$1,350 | $187–$9,000 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$39.15–$1,360.20 | $261–$9,068 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$42.75–$1,316.70 | $285–$8,778 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$39.60–$1,054.35 | $264–$7,029 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$37.80–$1,474.65 | $252–$9,831 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$30.75–$1,265.55 | $205–$8,437 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$39.30–$1,303.95 | $262–$8,693 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$33.45–$1,145.10 | $223–$7,634 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$201.30–$281.70 | $1,342–$1,878 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$30.75–$1,094.25 | $205–$7,295 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$37.35–$1,372.20 | $249–$9,148 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$35.85–$1,278.90 | $239–$8,526 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$72.75–$2,029.35 | $485–$13,529 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$55.65–$2,406.75 | $371–$16,045 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$53.85–$2,006.70 | $359–$13,378 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$55.05–$1,878 | $367–$12,520 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,235.55 | $170–$8,237 | 0.4× |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$1,199.25–$1,678.80 | $245–$11,192 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$1,199.25–$1,678.80 | $172–$11,192 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$6.15–$181.50 | $41–$1,210 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$22.80–$301.80 | $152–$2,012 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$58.95–$819.45 | $393–$5,463 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$50.40–$457.95 | $336–$3,053 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$18.45–$273.15 | $123–$1,821 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$33.15–$393.60 | $221–$2,624 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$24–$252.90 | $160–$1,686 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$127.95–$380.55 | $64–$2,537 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$1,137.60 | $369–$7,584 | 0.3× |
| Foot 2 views (73620) range across 9 matching MRF lines |
$4.80–$244.35 | $24–$1,629 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$5.10–$178.20 | $25–$1,188 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$23.85–$1,143.60 | $159–$7,624 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$29.70–$810.75 | $198–$5,405 | varies |
| Gated Heart, Multiple (78473) range across 3 matching MRF lines |
$44.40–$1,093.05 | $296–$7,287 | varies |
| Hand 2 views (73120) range across 12 matching MRF lines |
$6–$257.85 | $27–$1,719 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,082.15 | $13,881 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$993.60–$1,391.10 | $136–$9,274 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$22.65–$1,117.20 | $151–$7,448 | varies |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$946.50–$1,325.25 | $274–$8,835 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,230.60–$1,722.90 | $278–$11,486 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$134.55–$295.95 | $79–$1,973 | varies |
| Image fusion (77399) | $438 | $2,920 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$22.80–$49.20 | $152–$328 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$230.85–$323.25 | $1,539–$2,155 | varies |
| Interstitial radiation source applic complex (77778) | $308.10 | $2,054 | 0.3× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$10.80–$145.65 | $72–$971 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$36.30–$1,043.25 | $242–$6,955 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$28.50–$929.55 | $190–$6,197 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$331.35–$463.80 | $2,209–$3,092 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$400.05–$559.95 | $100–$3,733 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$6–$308.55 | $40–$2,057 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$374.40–$524.40 | $98–$3,496 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$391.95–$548.70 | $116–$3,658 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$827.55–$1,158.60 | $167–$7,724 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$21.60–$674.85 | $144–$4,499 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$32.25–$1,285.80 | $215–$8,572 | varies |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$449.70–$629.70 | $98–$4,198 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$35.85–$937.05 | $239–$6,247 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$45.45–$974.25 | $303–$6,495 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$162.60–$227.55 | $75–$1,517 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$507.90–$711 | $136–$4,740 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$151.20–$793.95 | $1,008–$5,293 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$45.75–$2,303.70 | $305–$15,358 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$36.90–$1,446.30 | $246–$9,642 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$36.90–$1,393.50 | $246–$9,290 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$46.35–$1,393.50 | $309–$9,290 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$55.50–$2,355.15 | $370–$15,701 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$36.90–$1,483.95 | $246–$9,893 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$53.25–$1,984.95 | $355–$13,233 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$45–$1,547.40 | $300–$10,316 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$50.25–$1,372.95 | $335–$9,153 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$66.45–$2,567.55 | $443–$17,117 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$50.55–$1,372.95 | $337–$9,153 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 4 matching MRF lines |
$19.95–$1,580.70 | $133–$10,538 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$44.70–$1,540.50 | $298–$10,270 | varies |
| MRI cardiac w/o cont stress (75559) range across 3 matching MRF lines |
$89.70–$1,402.95 | $598–$9,353 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$71.85–$1,108.95 | $479–$7,393 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$55.35–$1,383.90 | $369–$9,226 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$45.75–$1,379.40 | $305–$9,196 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$45–$1,278.90 | $300–$8,526 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$53.40–$1,377.45 | $356–$9,183 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$69.60–$2,115.75 | $464–$14,105 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$49.95–$1,669.50 | $333–$11,130 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$49.65–$2,069.85 | $331–$13,799 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$31.20–$1,105.05 | $208–$7,367 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$55.20–$1,627.65 | $368–$10,851 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$70.80–$2,022.15 | $472–$13,481 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$41.55–$1,382.55 | $277–$9,217 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$49.95–$1,662.60 | $333–$11,084 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$66.15–$2,274 | $441–$15,160 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$53.25–$1,674.45 | $355–$11,163 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$60–$2,441.55 | $400–$16,277 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$33.90–$1,529.10 | $226–$10,194 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$678.75–$950.25 | $4,525–$6,335 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$45.75–$1,273.95 | $305–$8,493 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$50.25–$1,379.70 | $335–$9,198 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$42.15–$1,142.70 | $281–$7,618 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$66.45–$1,931.85 | $443–$12,879 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$67.80–$2,304.30 | $452–$15,362 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$70.80–$2,153.55 | $472–$14,357 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$55.05–$1,536 | $367–$10,240 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$42.15–$1,706.85 | $281–$11,379 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$66.75–$2,131.05 | $445–$14,207 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$70.80–$2,149.20 | $472–$14,328 | varies |
| Musculoskeletal Nuclear Exam (78399) range across 2 matching MRF lines |
$792.90–$1,110 | $5,286–$7,400 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$20.85–$469.95 | $139–$3,133 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$946.50–$1,325.25 | $197–$8,835 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$687.45–$2,577.45 | $328–$17,183 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$832.65 | $149–$5,551 | 0.7× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$5.70–$159.30 | $38–$1,062 | varies |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$27.90–$1,325.25 | $186–$8,835 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$14.70–$148.95 | $98–$993 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$330.75–$4,208.70 | $2,205–$28,058 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$54.45–$943.35 | $363–$6,289 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$37.05–$272.85 | $247–$1,819 | varies |
| Optic foramina (70190) range across 6 matching MRF lines |
$7.20–$267.30 | $48–$1,782 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $446.25 | $2,975 | 0.6× |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$24.45–$603.15 | $163–$4,021 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$36.15–$1,306.50 | $241–$8,710 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$5.55–$205.80 | $37–$1,372 | varies |
| Pet Image Skull-Thigh (78812) range across 3 matching MRF lines |
$1,357.35–$1,672.35 | $386–$11,149 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$2,080.80–$2,913.15 | $437–$19,421 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$73.80–$3,979.95 | $492–$26,533 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$73.05–$3,126.90 | $487–$20,846 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 3 matching MRF lines |
$2,021.70–$2,830.35 | $306–$18,869 | varies |
| PET whole body (78813) range across 3 matching MRF lines |
$2,842.80–$3,979.95 | $394–$26,533 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$22.35–$624.90 | $149–$4,166 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $589.50 | $3,930 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$9.90–$293.40 | $66–$1,956 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$475.35–$665.40 | $105–$4,436 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$5.55–$276.75 | $37–$1,845 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$5.10–$184.35 | $25–$1,229 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$5.55–$302.85 | $37–$2,019 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$8.25–$240.15 | $55–$1,601 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$6.60–$207.90 | $29–$1,386 | varies |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$5.25–$270.30 | $35–$1,802 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$5.55–$278.40 | $37–$1,856 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$5.10–$94.65 | $25–$631 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$5.40–$204 | $26–$1,360 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$6.90–$208.80 | $46–$1,392 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$6–$305.85 | $40–$2,039 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$5.55–$156.15 | $37–$1,041 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$5.10–$159.30 | $34–$1,062 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$6.15–$257.10 | $41–$1,714 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$7.50–$240.75 | $50–$1,605 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$6.30–$139.20 | $28–$928 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$55.50–$109.35 | $25–$729 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$5.55–$287.85 | $37–$1,919 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$13.05–$192.90 | $87–$1,286 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,872 | $52,480 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $240 | $1,600 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $942.75 | $6,285 | 1.8× |
| Radiation treatment delivery level 3 (77412) | $1,425 | $9,500 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$7.80–$246.30 | $52–$1,642 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$8.40–$215.40 | $56–$1,436 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$38.85–$492.75 | $259–$3,285 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$31.95–$520.50 | $213–$3,470 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 3 matching MRF lines |
$21.45–$271.80 | $143–$1,812 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$7.35–$360.75 | $49–$2,405 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$7.95–$243.45 | $53–$1,623 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$24.90–$365.70 | $166–$2,438 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$16.50–$343.95 | $110–$2,293 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$27.60–$490.95 | $184–$3,273 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$4.05–$21.90 | $27–$146 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$5.70–$293.85 | $38–$1,959 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$5.25–$262.80 | $35–$1,752 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$13.65–$197.25 | $91–$1,315 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$5.10–$259.65 | $25–$1,731 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$9.15–$294.60 | $61–$1,964 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$490.95–$687.30 | $131–$4,582 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$21.90–$744.60 | $146–$4,964 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$30.30–$1,395.30 | $202–$9,302 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,489.05–$2,084.70 | $159–$13,898 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$32.40–$1,722.90 | $216–$11,486 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 3 matching MRF lines |
$1,073.70–$1,593.15 | $415–$10,621 | varies |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$61.05–$255.60 | $407–$1,704 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$5.85–$285.30 | $39–$1,902 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$18.45–$69.45 | $123–$463 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$6–$77.85 | $40–$519 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$4.80–$185.40 | $32–$1,236 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$25.80–$394.80 | $117–$2,632 | varies |
| Sialogram (70390) range across 4 matching MRF lines |
$184.50–$314.25 | $78–$2,095 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$5.70–$221.55 | $38–$1,477 | varies |
| Special dosimetry (77331) | $30.90 | $206 | 0.2× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$271.80–$380.70 | $1,812–$2,538 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$33.60–$562.35 | $224–$3,749 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$71.55–$1,039.80 | $477–$6,932 | varies |
| Srs Multisource (77371) | $5,275.80 | $35,172 | 0.5× |
| Stereotactic Body Radiation Delivery (77373) | $6,273.30 | $41,822 | 2.6× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$6.90–$177.45 | $46–$1,183 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$102–$389.40 | $680–$2,596 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $49.35 | $329 | 0.1× |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$21.90–$505.50 | $146–$3,370 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$96.45–$1,297.65 | $643–$8,651 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $67.05 | $447 | 0.1× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$44.25–$508.80 | $295–$3,392 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$6.45–$189 | $43–$1,260 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$7.05–$202.35 | $47–$1,349 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$6.60–$203.70 | $44–$1,358 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$258.45 | $74–$1,723 | 0.5× |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$743.85–$1,041.45 | $167–$6,943 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$643.95–$901.65 | $100–$6,011 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$40.50–$624.75 | $270–$4,165 | varies |
| Tx devices design & construction intermediate (77333) | $26.40 | $176 | 0.1× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$16.05–$226.05 | $107–$1,507 | varies |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$21–$309 | $140–$2,060 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$16.95–$427.95 | $113–$2,853 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$18–$363.45 | $120–$2,423 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 5 matching MRF lines |
$7.65–$101.40 | $51–$676 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$305.70–$427.95 | $2,038–$2,853 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$24.90–$403.65 | $166–$2,691 | varies |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$273.90–$383.40 | $115–$2,556 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$312.30–$437.25 | $68–$2,915 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$287.55–$402.60 | $68–$2,684 | varies |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$22.65–$339.15 | $151–$2,261 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$17.55–$343.05 | $117–$2,287 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$28.35–$403.80 | $189–$2,692 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$15.15–$268.65 | $101–$1,791 | varies |
| Us head (76506) range across 3 matching MRF lines |
$19.95–$266.55 | $133–$1,777 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$23.25–$542.85 | $155–$3,619 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$21.30–$318.90 | $28–$2,126 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$20.10–$385.65 | $134–$2,571 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$23.55–$302.85 | $157–$2,019 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$21.15–$393.30 | $141–$2,622 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$30.75–$487.80 | $205–$3,252 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$26.85–$208.35 | $179–$1,389 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$22.80–$478.65 | $152–$3,191 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$17.85–$282 | $119–$1,880 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$19.65–$429.60 | $131–$2,864 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$17.40–$310.50 | $116–$2,070 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$21.30–$659.10 | $142–$4,394 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,488.60 | $224–$9,924 | 0.7× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$2,269.05 | $217–$15,127 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$61.80–$1,137.60 | $291–$7,584 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$772.65–$934.95 | $209–$6,233 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,933.05 | $217–$12,887 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 3 matching MRF lines |
$27.90–$575.10 | $186–$3,834 | varies |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$5.25–$233.40 | $27–$1,556 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$6–$168.15 | $40–$1,121 | varies |
| X-ray antegrade pyelogram tube (74425) | $289.05 | $1,927 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$2,594.40–$4,463.40 | $392–$29,756 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 6 matching MRF lines |
$7.05–$342.60 | $47–$2,284 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$5.25–$180.60 | $35–$1,204 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$336–$470.25 | $66–$3,135 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$8.25–$135.60 | $55–$904 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$9.90–$171.90 | $66–$1,146 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$11.40–$179.55 | $76–$1,197 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$6–$185.40 | $40–$1,236 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$7.05–$209.85 | $47–$1,399 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$8.70–$223.35 | $58–$1,489 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$7.05–$266.70 | $47–$1,778 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$9.30–$285.45 | $62–$1,903 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$9.90–$239.70 | $66–$1,598 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$9.45–$359.70 | $63–$2,398 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$7.05–$212.70 | $47–$1,418 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$9.45–$318.75 | $63–$2,125 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$8.40–$226.65 | $56–$1,511 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$5.55–$128.85 | $37–$859 | varies |
| X-ray humerus (73060) range across 9 matching MRF lines |
$5.10–$277.95 | $25–$1,853 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$15.15–$297 | $101–$1,980 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$15–$313.05 | $100–$2,087 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$5.70–$168.60 | $38–$1,124 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$5.40–$183.75 | $36–$1,225 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$7.05–$232.05 | $47–$1,547 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$5.55–$102.45 | $37–$683 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$10.05–$293.55 | $67–$1,957 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$7.05–$188.85 | $47–$1,259 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$5.40–$144 | $36–$960 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$5.55–$199.35 | $28–$1,329 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$6.90–$200.70 | $46–$1,338 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$8.85–$272.55 | $59–$1,817 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$23.70–$40.05 | $158–$267 | varies |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$7.80–$213.75 | $52–$1,425 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$418.95–$586.65 | $106–$3,911 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$8.55–$182.10 | $57–$1,214 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$17.10–$319.95 | $114–$2,133 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$8.40–$283.95 | $56–$1,893 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$6.30–$156.15 | $42–$1,041 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$5.70–$120.30 | $38–$802 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$8.85–$240.30 | $59–$1,602 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$18–$220.35 | $120–$1,469 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.