Imaging prices at Adventist Health Tehachapi Valley
Tehachapi, CA · every code in this section with a posted price and a Medicare benchmark.
391 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) | $244.89 | $907 | 0.1× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$9.18–$137.16 | $34–$508 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$11.88–$186.30 | $44–$690 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $48.87 | $181 | 0.1× |
| Adrenal Cortex & Medulla Img (78075) | $37.26 | $138 | 0.0× |
| Angio internal mammary (75756) | $56.97 | $211 | 0.0× |
| Angio pulmonary bilat (75743) | $80.46 | $298 | 0.0× |
| Angiography extremity bilateral rs&i (75716) | $94.77 | $351 | 0.0× |
| Angiography extremity unilateral rs&i (75710) | $83.43 | $309 | 0.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $62.37 | $231 | 0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $54.81 | $203 | 0.0× |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$6.21–$211.41 | $15–$783 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$55.08 | $204 | 0.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $23.76 | $88 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$98.28 | $364 | 0.0× |
| Artery X-Rays Adrenal Gland (75731) | $57.51 | $213 | 0.0× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$53.73 | $199 | 0.0× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$28.89–$43.20 | $107–$160 | varies |
| Arthrogram hip (73525) | $29.43 | $109 | 0.1× |
| Arthrogram Wrist (73115) | $28.62 | $106 | 0.1× |
| Basic radiation dosimetry calculation (77300) | $35.64 | $132 | 0.2× |
| Bone age studies (77072) range across 3 matching MRF lines |
$9.72–$141.75 | $36–$525 | varies |
| Bone Imaging 3 Phase (78315) | $50.22 | $186 | 0.1× |
| Bone Imaging Limited Area (78300) | $31.05 | $115 | 0.1× |
| Bone Imaging Multiple Areas (78305) | $41.31 | $153 | 0.1× |
| Bone Imaging Whole Body (78306) | $42.39 | $157 | 0.1× |
| Bone marrow imaging limited area (78102) | $26.46 | $98 | 0.1× |
| Bone marrow imaging; multiple areas (78103) | $31.32 | $116 | 0.1× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$35.64–$204.66 | $132–$758 | varies |
| Brachytx isodose complex (77318) | $165.51 | $613 | 0.3× |
| Brain Flow Imaging Only (78610) | $14.58 | $54 | 0.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $72.90 | $270 | 0.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $129.60 | $480 | 0.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $148.23 | $549 | 0.1× |
| Cat Scan Follow-Up Study (76380) | $47.52 | $176 | 0.4× |
| Cerebrospinal Fluid Scan (78630) | $33.48 | $124 | 0.0× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$9.18–$146.88 | $34–$544 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$11.07–$190.62 | $41–$706 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$14.04–$166.05 | $52–$615 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$15.66–$174.42 | $58–$646 | varies |
| Cholecystography Oral Contrast (74290) | $16.20 | $60 | 0.1× |
| Clavicle complete (73000) range across 10 matching MRF lines |
$8.64–$189.27 | $16–$701 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$54–$99.09 | $200–$367 | varies |
| Contrast Exam Abdominl Aorta (75625) | $68.58 | $254 | 0.0× |
| Contrast X-Ray Bladder (74430) | $15.93 | $59 | 0.0× |
| Contrast X-Ray Of Elbow (73085) | $27.27 | $101 | 0.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$32.13–$48.06 | $119–$178 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$29.43–$186.57 | $109–$691 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$50.22–$2,501.55 | $186–$9,265 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$87.21–$1,536.30 | $323–$5,690 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$31.86–$1,301.67 | $118–$4,821 | varies |
| CT abdomen w wo contrast (74170) range across 5 matching MRF lines |
$34.83–$1,709.10 | $129–$6,330 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$29.70–$1,015.20 | $110–$3,760 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$109.89–$1,427.76 | $407–$5,288 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$91.26–$1,246.05 | $338–$4,615 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$87.48–$1,516.05 | $324–$5,615 | varies |
| CT angio hrt w/3d image (75574) | $119.88 | $444 | 0.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$94.50–$1,984.23 | $350–$7,349 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$87.48–$1,364.04 | $324–$5,052 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$89.64–$1,402.11 | $332–$5,193 | varies |
| CT bone density (77078) | $12.42 | $46 | 0.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $184.41 | $683 | 0.8× |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$61.02–$1,489.05 | $226–$5,515 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$49.95–$1,066.23 | $185–$3,949 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$63.45–$1,911.33 | $235–$7,079 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$58.59–$1,270.08 | $217–$4,704 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$62.64–$1,378.35 | $232–$5,105 | varies |
| CT colonography screening (74263) | $120.96 | $448 | 0.4× |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$56.70–$1,180.71 | $210–$4,373 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$63.72–$1,448.01 | $236–$5,363 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $86.94 | $322 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $29.16 | $108 | 0.3× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$56.70–$935.55 | $210–$3,465 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$63.45–$1,560.33 | $235–$5,779 | varies |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$25.11–$1,073.79 | $93–$3,977 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$58.05–$1,337.31 | $215–$4,953 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$61.02–$1,447.47 | $226–$5,361 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$49.95–$1,066.23 | $185–$3,949 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$56.70–$1,036.53 | $210–$3,839 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$43.20–$894.78 | $160–$3,314 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$81–$1,135.08 | $300–$4,204 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$63.45–$1,120.50 | $235–$4,150 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$64.53–$816.48 | $239–$3,024 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$30.51–$1,350 | $113–$5,000 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$27.27–$962.28 | $101–$3,564 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$30.24–$1,032.48 | $112–$3,824 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$63.45–$1,319.49 | $235–$4,887 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$69.12–$1,050.03 | $256–$3,889 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$64.53–$831.33 | $239–$3,079 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$61.29–$1,398.60 | $227–$5,180 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$49.95–$1,004.94 | $185–$3,722 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$63.72–$1,794.42 | $236–$6,646 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$54–$777.06 | $200–$2,878 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$49.95–$1,087.56 | $185–$4,028 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$60.48–$1,460.43 | $224–$5,409 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$58.05–$921.24 | $215–$3,412 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$118.53–$1,324.89 | $439–$4,907 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$90.99–$797.85 | $337–$2,955 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$87.48–$1,516.05 | $324–$5,615 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$89.64–$1,370.79 | $332–$5,077 | varies |
| Dilation ureters/urethra rs&i (74485) | $41.31 | $153 | 0.0× |
| Discography Cerv/Thor Spine (72285) | $59.40 | $220 | 0.0× |
| Diskography lumbar (72295) | $42.12 | $156 | 0.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $29.43 | $109 | 0.2× |
| Dxa Bone Density Axial (77080) | $9.99 | $37 | 0.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $9.99 | $37 | 0.1× |
| Echo exam uterus (76831) | $36.72 | $136 | 0.1× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$96.66–$284.85 | $358–$1,055 | varies |
| Echograp Trans R Pros Study (76873) | $81.54 | $302 | 0.6× |
| Esophageal Motility Study (78258) | $35.10 | $130 | 0.1× |
| Esophagram (74220) range across 3 matching MRF lines |
$30.24–$225.99 | $112–$837 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$48.06–$132.03 | $178–$489 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$38.61–$95.31 | $143–$353 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$15.93–$376.92 | $59–$1,396 | varies |
| Follow-Up Angiography (75898) | $92.34 | $342 | 0.0× |
| Foot 2 views (73620) range across 11 matching MRF lines |
$5.94–$227.34 | $14–$842 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$8.10–$214.65 | $15–$795 | varies |
| Gastric emptying imaging study (78264) | $39.15 | $145 | 0.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $48.06 | $178 | 0.1× |
| Gastroesophageal Reflux Exam (78262) | $34.29 | $127 | 0.1× |
| Gated Heart Planar Single (78472) | $48.06 | $178 | 0.1× |
| Gated Heart, Multiple (78473) | $72.63 | $269 | 0.1× |
| Hand 2 views (73120) range across 12 matching MRF lines |
$6.48–$212.76 | $16–$788 | varies |
| Heart first pass single,planar (78481) | $47.79 | $177 | 0.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $54 | $200 | 0.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $54.54 | $202 | 0.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$22.14–$44.55 | $82–$165 | varies |
| Hepatobiliary System Imaging (78226) | $36.45 | $135 | 0.1× |
| Ht Musc Image Planar Mult (78454) | $66.96 | $248 | 0.0× |
| Ht Muscle Image Spect Sing (78451) | $67.50 | $250 | 0.0× |
| Hysterosalpingogram (74740) | $19.17 | $71 | 0.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $37.26 | $138 | 0.3× |
| Infant hip ultrasound, limited static exam (76886) | $31.32 | $116 | 0.3× |
| Joint Survey Single View (77077) | $17.55 | $65 | 0.1× |
| K Flow/Funct Image Multiple (78709) | $68.58 | $254 | 0.1× |
| K Flow/Funct Image W/Drug (78708) | $59.13 | $219 | 0.1× |
| K Flow/Funct Image W/O Drug (78707) | $46.71 | $173 | 0.1× |
| Kidney Imaging Morphol (78700) | $22.14 | $82 | 0.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $24.57 | $91 | 0.0× |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$9.72–$261.36 | $36–$968 | varies |
| Liver & Spleen Imaging Static Only (78215) | $24.30 | $90 | 0.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $28.89 | $107 | 0.1× |
| Liver imaging static only (78201) | $21.33 | $79 | 0.0× |
| Liver imaging w/vascular flow (78202) | $25.11 | $93 | 0.0× |
| Lung Perf&Ventilat Diferentl (78598) | $40.50 | $150 | 0.1× |
| Lung perfusion differential (78597) | $35.64 | $132 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) | $52.38 | $194 | 0.1× |
| Lung Ventilation Imaging (78579) | $23.76 | $88 | 0.0× |
| Lymph System Imaging (78195) | $58.32 | $216 | 0.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $54.54 | $202 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$73.71–$332.10 | $273–$1,230 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$22.41–$343.44 | $83–$1,272 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$18.09–$246.78 | $67–$914 | varies |
| Meckels Divert Exam (78290) | $33.48 | $124 | 0.1× |
| Mlc imrt design & construction per imrt plan (77338) | $244.89 | $907 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $19.98 | $74 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$73.98–$776.25 | $274–$2,875 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$59.94–$607.50 | $222–$2,250 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$59.94–$1,339.20 | $222–$4,960 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$75.06–$531.36 | $278–$1,968 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$90.18–$623.70 | $334–$2,310 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$60.21–$332.10 | $223–$1,230 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$86.40–$459 | $320–$1,700 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$36.45–$332.10 | $135–$1,230 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$81.54–$1,151.55 | $302–$4,265 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$108.27–$1,652.40 | $401–$6,120 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$81.54–$632.61 | $302–$2,343 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $80.19 | $297 | 0.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $72.36 | $268 | 0.2× |
| MRI cardiac w/o cont stress (75559) | $144.99 | $537 | 0.2× |
| MRI cardiac w/o contrast (75557) | $116.91 | $433 | 0.4× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$90.18–$675 | $334–$2,500 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$74.52–$607.50 | $276–$2,250 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$73.44–$197.64 | $272–$732 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$86.40–$613.98 | $320–$2,274 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$113.40–$702 | $420–$2,600 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$81.27–$432 | $301–$1,600 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 11 matching MRF lines |
$54.27–$991.44 | $201–$3,672 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$33.75–$648 | $125–$2,400 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$89.91–$675 | $333–$2,500 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$115.29–$810 | $427–$3,000 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$67.23–$456.57 | $249–$1,691 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$81.27–$513 | $301–$1,900 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$108–$623.70 | $400–$2,310 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$86.40–$702 | $320–$2,600 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$110.43–$810 | $409–$3,000 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$36.72–$607.50 | $136–$2,250 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$74.52–$607.50 | $276–$2,250 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$81.27–$445.50 | $301–$1,650 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$68.04–$332.10 | $252–$1,230 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$108.27–$648 | $401–$2,400 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$110.43–$531.36 | $409–$1,968 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$115.29–$810 | $427–$3,000 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$89.37–$675 | $331–$2,500 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$68.04–$919.62 | $252–$3,406 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$108.27–$963.36 | $401–$3,568 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$115.29–$810 | $427–$3,000 | varies |
| Myelogram Lumbar (72265) | $42.39 | $157 | 0.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $33.75 | $125 | 0.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $48.87 | $181 | 0.0× |
| Myocardial Spect Multiple Studies (78452) | $79.65 | $295 | 0.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$9.18–$139.32 | $34–$516 | varies |
| Nm csf leak detection (78650) | $38.34 | $142 | 0.0× |
| Nm myocard infarct spect (78469) | $45.63 | $169 | 0.1× |
| Nonvascular Shunt X-Ray (75809) | $24.03 | $89 | 0.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $456.84 | $1,692 | 0.3× |
| Nuclear Rx Intra-Arterial (79445) | $114.75 | $425 | 0.4× |
| Nuclear Rx Oral Admin (79005) | $88.83 | $329 | 0.3× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$59.67–$125.82 | $221–$466 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $32.67 | $121 | 0.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $52.65 | $195 | 0.4× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$8.10–$12.15 | $30–$45 | varies |
| Optic foramina (70190) range across 5 matching MRF lines |
$11.34–$135 | $42–$500 | varies |
| Parathyroid Planar Imaging (78070) | $39.69 | $147 | 0.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $58.86 | $218 | 0.1× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$8.91–$158.22 | $33–$586 | varies |
| Peritoneogram Rs&I (74190) | $22.95 | $85 | 0.0× |
| Pet Image Skull-Thigh (78812) | $94.50 | $350 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $106.92 | $396 | 0.1× |
| PET image w/CT, full body (78816) | $120.69 | $447 | 0.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $119.61 | $443 | 0.1× |
| PET whole body (78813) | $96.12 | $356 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $36.45 | $135 | 0.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $837.81 | $3,103 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$16.20–$256.50 | $60–$950 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $25.92 | $96 | 0.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$8.91–$324 | $33–$1,200 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$8.10–$177.93 | $15–$659 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$8.91–$244.62 | $33–$906 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$13.23–$209.79 | $49–$777 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$7.02–$180.63 | $26–$669 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$8.64–$243.81 | $32–$903 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$8.91–$236.52 | $33–$876 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$8.10–$176.31 | $15–$653 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$17.28–$117.72 | $64–$436 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 6 matching MRF lines |
$8.91–$119.88 | $16–$444 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$11.34–$189 | $42–$700 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$9.72–$256.77 | $36–$951 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$8.91–$91.26 | $33–$338 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $58.59 | $217 | 0.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$8.10–$118.80 | $30–$440 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$9.99–$126.90 | $37–$470 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$12.15–$198.99 | $45–$737 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$6.75–$161.19 | $25–$597 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$8.10–$120.15 | $15–$445 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$8.91–$246.24 | $33–$912 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $21.33 | $79 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$12.96–$182.52 | $48–$676 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$13.50–$218.16 | $50–$808 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$62.91–$389.07 | $233–$1,441 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$51.84–$330.48 | $192–$1,224 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 3 matching MRF lines |
$35.10–$224.91 | $130–$833 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$11.88–$323.73 | $44–$1,199 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $12.96 | $48 | 0.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$40.50–$295.92 | $150–$1,096 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$26.73–$257.58 | $99–$954 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $44.82 | $166 | 0.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$8.64–$12.69 | $32–$47 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$9.18–$194.94 | $34–$722 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$8.64–$216.81 | $32–$803 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $22.14 | $82 | 0.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $8.64 | $32 | 0.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$6.21–$217.08 | $15–$804 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $83.43 | $309 | 0.3× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $9.99 | $37 | 0.0× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$14.58–$196.83 | $54–$729 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $32.13 | $119 | 0.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $35.64 | $132 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $49.14 | $182 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $39.15 | $145 | 0.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $52.65 | $195 | 0.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $101.79 | $377 | 0.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $71.01 | $263 | 0.0× |
| Rp Therapy Intravenous Administration (79101) | $98.55 | $365 | 0.3× |
| Salivary Gland Imaging (78230) | $22.41 | $83 | 0.0× |
| Scapula (73010) range across 6 matching MRF lines |
$9.18–$231.66 | $34–$858 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$15.12–$62.37 | $56–$231 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$9.72–$122.58 | $36–$454 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$7.83–$203.04 | $29–$752 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$28.62–$42.66 | $106–$158 | varies |
| Sialogram (70390) | $19.17 | $71 | 0.1× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$9.18–$172.26 | $34–$638 | varies |
| Special dosimetry (77331) | $49.95 | $185 | 0.3× |
| Special teletherapy port plan (77321) | $54.27 | $201 | 0.1× |
| Special treatment procedure (77470) | $116.37 | $431 | 0.2× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$11.07–$94.50 | $41–$350 | varies |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $71.55 | $265 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $166.05 | $615 | 0.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $79.92 | $296 | 0.2× |
| Testicular Imaging W/Flow (78761) | $35.91 | $133 | 0.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $89.37 | $331 | 0.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $61.29 | $227 | 0.1× |
| Ther rad simulaj-aided field setting simple (77280) | $40.77 | $151 | 0.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $107.19 | $397 | 0.5× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$10.26–$183.06 | $38–$678 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$11.34–$201.15 | $42–$745 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$10.80–$151.20 | $40–$560 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $33.75 | $125 | 0.1× |
| Thyroid Imaging With Vascular Flow (78013) | $18.09 | $67 | 0.0× |
| Thyroid Met Imaging Body (78018) | $41.04 | $152 | 0.1× |
| Thyroid Uptake Measurement (78012) | $9.18 | $34 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $24.57 | $91 | 0.0× |
| Tx Devices Design & Construction Complex (77334) | $65.61 | $243 | 0.1× |
| Tx devices design & construction intermediate (77333) | $43.20 | $160 | 0.2× |
| Tx devices design & construction simple (77332) | $25.92 | $96 | 0.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$34.29–$167.40 | $127–$620 | varies |
| Ultrasound Elastography Parenchyma (76981) | $30.24 | $112 | 0.2× |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$27.27–$120.42 | $101–$446 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$29.43–$361.26 | $109–$1,338 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$25.11–$48.60 | $93–$180 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $13.50 | $50 | 0.1× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$71.01–$262.71 | $263–$973 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$40.50–$252.45 | $150–$935 | varies |
| Ureteral Reflux Study (78740) | $28.62 | $106 | 0.1× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$16.47–$332.64 | $61–$1,232 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$16.47–$380.16 | $61–$1,408 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$36.99–$279.99 | $137–$1,037 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$28.62–$239.49 | $106–$887 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$45.63–$254.61 | $169–$943 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$25.11–$275.13 | $93–$1,019 | varies |
| Us head (76506) | $31.86 | $118 | 0.2× |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$38.07–$452.52 | $141–$1,676 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$34.83–$305.10 | $129–$1,130 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$95.85–$196.56 | $355–$728 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$32.67–$216.81 | $121–$803 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$37.80–$228.96 | $140–$848 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$34.56–$410.94 | $128–$1,522 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$49.95–$388.80 | $185–$1,440 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$43.20–$203.58 | $160–$754 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$36.99–$346.41 | $137–$1,283 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$29.16–$232.74 | $108–$862 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$32.13–$393.66 | $119–$1,458 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$50.49–$139.05 | $187–$515 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$28.35–$303.48 | $105–$1,124 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$34.29–$222.21 | $127–$823 | varies |
| Vascular Flow Imaging (78445) | $24.84 | $92 | 0.0× |
| Vein X-Ray Chest (75827) | $54.81 | $203 | 0.0× |
| Venogram Sinus/Jugular (75860) | $56.16 | $208 | 0.0× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$54.81–$124.47 | $203–$461 | varies |
| Venography extremity bilateral rs&i (75822) | $71.28 | $264 | 0.0× |
| Venography extremity unilateral rs&i (75820) | $50.76 | $188 | 0.0× |
| Venography Renal Bilateral (75833) | $71.28 | $264 | 0.0× |
| Venography Renal Unilateral (75831) | $53.46 | $198 | 0.0× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$26.46 | $98 | 0.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $45.36 | $168 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $8.64 | $32 | 0.1× |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$6.48–$220.32 | $16–$816 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$9.72–$98.01 | $36–$363 | varies |
| X-ray antegrade pyelogram tube (74425) | $25.65 | $95 | 0.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$13.23–$96.39 | $49–$357 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$11.34–$214.38 | $42–$794 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$6.48–$200.88 | $16–$744 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$187.11–$373.95 | $59–$1,385 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$13.23–$76.68 | $49–$284 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$15.93–$128.25 | $59–$475 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $18.36 | $68 | 0.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$9.72–$128.79 | $36–$477 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$11.34–$173.07 | $42–$641 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$14.04–$121.23 | $52–$449 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$11.34–$186.57 | $42–$691 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$15.12–$239.49 | $56–$887 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $15.93 | $59 | 0.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$15.66–$215.46 | $58–$798 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$11.34–$193.32 | $42–$716 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$15.12–$281.61 | $56–$1,043 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$13.50–$244.62 | $50–$906 | varies |
| X-ray eye for foreign body (70030) | $9.18 | $34 | 0.1× |
| X-ray humerus (73060) range across 10 matching MRF lines |
$6.21–$218.70 | $15–$810 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$24.30–$493.02 | $90–$1,826 | varies |
| X-ray IV pyelogram+tomography (74415) | $24.57 | $91 | 0.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$9.18–$160.92 | $34–$596 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$8.91–$146.88 | $33–$544 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$11.34–$227.61 | $42–$843 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$9.18–$58.59 | $34–$217 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$16.20–$290.52 | $60–$1,076 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$11.34–$180.63 | $42–$669 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$8.91–$124.74 | $33–$462 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$8.91–$165.24 | $16–$612 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$11.07–$196.56 | $41–$728 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$14.31–$247.32 | $53–$916 | varies |
| X-Ray Stress View (77071) | $59.94 | $222 | 0.5× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$12.42–$216 | $46–$800 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$9.18–$109.89 | $34–$407 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$26.19–$477.09 | $97–$1,767 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$13.77–$144.72 | $51–$536 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$27.81–$296.19 | $103–$1,097 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$14.04–$263.25 | $52–$975 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$10.26–$149.58 | $38–$554 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$9.18–$93.42 | $34–$346 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$14.31–$258.12 | $53–$956 | varies |
| Xr Tomogram Single Plane (76100) | $29.16 | $108 | 0.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.