Imaging prices at Adventist Health Tillamook
Tillamook, OR · every code in this section with a posted price and a Medicare benchmark.
280 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$32.40–$235.44 | $60–$436 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$41.58–$278.10 | $77–$515 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$171.72–$889.38 | $318–$1,647 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$297.54–$4,603.50 | $551–$8,525 | varies |
| Ankle 2 views (73600) range across 18 matching MRF lines |
$23.76–$354.24 | $44–$656 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$100.44–$532.44 | $186–$986 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$103.14–$1,056.78 | $191–$1,957 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$100.44–$831.60 | $186–$1,540 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$34.02–$329.40 | $63–$610 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$177.12–$1,308.42 | $328–$2,423 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$109.62–$793.80 | $203–$1,470 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$149.04–$1,084.86 | $276–$2,009 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$124.74–$342.90 | $231–$635 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$168.48–$468.18 | $312–$867 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$118.80–$1,288.44 | $220–$2,386 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$32.40–$220.32 | $60–$408 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$38.88–$258.12 | $72–$478 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$49.14–$274.86 | $91–$509 | varies |
| Chest 4 or more views (71048) | $55.08 | $102 | 0.5× |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$57.24–$307.26 | $106–$569 | varies |
| Clavicle complete (73000) range across 15 matching MRF lines |
$29.70–$352.62 | $55–$653 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$191.16–$716.58 | $354–$1,327 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$56.16–$777.06 | $104–$1,439 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$100.44–$532.44 | $186–$986 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$111.24–$779.22 | $206–$1,443 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$363.15–$2,829.60 | $672.50–$5,240 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$317.25–$1,807.38 | $587.50–$3,347 | varies |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$224.64–$1,392.12 | $416–$2,578 | varies |
| CT abdomen w wo contrast (74170) range across 6 matching MRF lines |
$198.72–$1,622.70 | $368–$3,005 | varies |
| CT abdomen w/o contrast (74150) range across 6 matching MRF lines |
$169.56–$1,096.20 | $314–$2,030 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$525.15–$2,964.06 | $972.50–$5,489 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$321.30–$2,948.94 | $595–$5,461 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$309.42–$2,309.04 | $573–$4,276 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$332.64–$3,879.36 | $616–$7,184 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$309.42–$2,309.04 | $573–$4,276 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$43.74–$248.94 | $81–$461 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$215.46–$1,542.24 | $399–$2,856 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$175.50–$988.20 | $325–$1,830 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$223.56–$1,920.24 | $414–$3,556 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$206.28–$1,251.18 | $382–$2,317 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$220.32–$1,447.74 | $408–$2,681 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$199.80–$1,185.30 | $370–$2,195 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$224.64–$1,559.52 | $416–$2,888 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$103.14–$417.96 | $191–$774 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$199.80–$1,186.92 | $370–$2,198 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$224.64–$2,150.82 | $416–$3,983 | varies |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$155.25–$1,539 | $287.50–$2,850 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$205.20–$1,711.80 | $380–$3,170 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$215.46–$2,099.52 | $399–$3,888 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$175.50–$1,016.28 | $325–$1,882 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$199.80–$1,287.90 | $370–$2,385 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$162.81–$933.66 | $301.50–$1,729 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$285.12–$1,287.90 | $528–$2,385 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$223.56–$1,473.12 | $414–$2,728 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$227.34–$978.48 | $421–$1,812 | varies |
| CT pelvis w&w/o contrast (72194) range across 5 matching MRF lines |
$215.46–$1,687.50 | $399–$3,125 | varies |
| CT pelvis w/o contrast (72192) range across 6 matching MRF lines |
$155.25–$965.52 | $287.50–$1,788 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$213.84–$1,533.06 | $396–$2,839 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$224.64–$1,442.34 | $416–$2,671 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$245.16–$1,117.26 | $454–$2,069 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$227.34–$978.48 | $421–$1,812 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$216–$1,790.64 | $400–$3,316 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$175.50–$1,018.44 | $325–$1,886 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$224.64–$2,150.82 | $416–$3,983 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$191.16–$1,096.20 | $354–$2,030 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$315.90–$338.04 | $585–$626 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$175.50–$1,415.88 | $325–$2,622 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$215.46–$1,412.64 | $399–$2,616 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$205.20–$1,543.86 | $380–$2,859 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$416.88–$4,132.62 | $772–$7,653 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$319.68–$2,958.66 | $592–$5,479 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$309.42–$2,309.04 | $573–$4,276 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$315.90–$2,868.48 | $585–$5,312 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$103.14–$335.88 | $191–$622 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$35.10–$312.12 | $65–$578 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$36.18–$123.12 | $67–$228 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$128.52–$520.02 | $238–$963 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$106.92–$460.62 | $198–$853 | varies |
| Fetal Biophys Profile W/Nst (76818) | $188.46 | $349 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$136.08–$484.38 | $252–$897 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$56.16–$575.10 | $104–$1,065 | varies |
| Foot 2 views (73620) range across 17 matching MRF lines |
$23.76–$340.20 | $44–$630 | varies |
| Forearm 2 views (73090) range across 12 matching MRF lines |
$23.76–$221.94 | $44–$411 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$137.70–$1,084.86 | $255–$2,009 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$169.56–$1,197.18 | $314–$2,217 | varies |
| Gated Heart, Multiple (78473) range across 3 matching MRF lines |
$253.26–$1,843.02 | $469–$3,413 | varies |
| Hand 2 views (73120) range across 18 matching MRF lines |
$23.76–$359.64 | $44–$666 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$665.82–$1,168.56 | $1,233–$2,164 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 6 matching MRF lines |
$119.88–$1,689.12 | $222–$3,128 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$128.52–$1,341.90 | $238–$2,485 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$238.14–$2,462.40 | $441–$4,560 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$67.50–$946.08 | $125–$1,752 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$243.54–$967.14 | $451–$1,791 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$207.36–$845.64 | $384–$1,566 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$164.16–$915.30 | $304–$1,695 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$77.76–$717.12 | $144–$1,328 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$86.40–$871.02 | $160–$1,613 | varies |
| Knee 3 Views (73562) range across 12 matching MRF lines |
$33.48–$423.90 | $62–$785 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$85.32–$769.50 | $158–$1,425 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$145.26–$1,363.50 | $269–$2,525 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$126.36–$842.40 | $234–$1,560 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$184.68–$1,341.90 | $342–$2,485 | varies |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$85.32–$533.52 | $158–$988 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$206.28–$1,246.32 | $382–$2,308 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$259.74–$1,635.66 | $481–$3,029 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$118.80–$854.82 | $220–$1,583 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$261.36–$2,311.20 | $484–$4,280 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$212.76–$1,742.58 | $394–$3,227 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$211.68–$1,944 | $392–$3,600 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$253.80–$1,839.24 | $470–$3,406 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$318.60–$2,265.30 | $590–$4,195 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$212.76–$1,382.40 | $394–$2,560 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$305.64–$1,809 | $566–$3,350 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$258.66–$1,613.52 | $479–$2,988 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$287.82–$2,241.54 | $533–$4,151 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$380.16–$3,675.24 | $704–$6,806 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$287.82–$1,793.88 | $533–$3,322 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,850.04 | $3,426 | 7.0× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$371.52–$1,257.12 | $688–$2,328 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$316.98–$1,785.78 | $587–$3,307 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$262.44–$1,467.18 | $486–$2,717 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$258.66–$1,710.72 | $479–$3,168 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$305.64–$1,961.82 | $566–$3,633 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$400.14–$2,322 | $741–$4,300 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$286.74–$1,944.54 | $531–$3,601 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$380.16–$3,277.26 | $704–$6,069 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$238.68–$2,172.42 | $442–$4,023 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$315.90–$1,754.46 | $585–$3,249 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$405–$2,278.80 | $750–$4,220 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 5 matching MRF lines |
$237.60–$1,529.82 | $440–$2,833 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$286.74–$1,627.56 | $531–$3,014 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$379.08–$2,299.32 | $702–$4,258 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$307.26–$2,052 | $569–$3,800 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$387.72–$2,860.92 | $718–$5,298 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$258.66–$1,669.68 | $479–$3,092 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$262.44–$1,569.24 | $486–$2,906 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$286.74–$1,765.80 | $531–$3,270 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$240.30–$1,539.54 | $445–$2,851 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$380.16–$2,428.38 | $704–$4,497 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$387.72–$2,844.72 | $718–$5,268 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$405–$2,416.50 | $750–$4,475 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$315.90–$1,697.22 | $585–$3,143 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$241.38–$2,014.74 | $447–$3,731 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$380.16–$2,409.48 | $704–$4,462 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$405–$2,824.74 | $750–$5,231 | varies |
| Myelogram Lumbar (72265) | $147.42 | $273 | 0.2× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$281.34–$2,462.40 | $521–$4,560 | varies |
| Neck soft tissue (70360) range across 6 matching MRF lines |
$32.40–$206.28 | $60–$382 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$312.66–$657.72 | $579–$1,218 | varies |
| Optic foramina (70190) range across 5 matching MRF lines |
$39.96–$258.66 | $74–$479 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$138.78–$704.70 | $257–$1,305 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$31.32–$247.86 | $58–$459 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$379.62–$3,262.14 | $703–$6,041 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$424.44–$3,671.46 | $786–$6,799 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$421.20–$3,815.64 | $780–$7,066 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$128.52–$905.58 | $238–$1,677 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$57.24–$363.42 | $106–$673 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$91.80–$607.50 | $170–$1,125 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 13 matching MRF lines |
$31.32–$406.08 | $58–$752 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 14 matching MRF lines |
$23.76–$363.96 | $44–$674 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$31.32–$261.36 | $58–$484 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 6 matching MRF lines |
$46.44–$305.64 | $86–$566 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$24.84–$240.30 | $46–$445 | varies |
| Radex foot complete minimum 3 views (73630) range across 12 matching MRF lines |
$29.70–$411.48 | $55–$762 | varies |
| Radex Hand Minimum 3 Views (73130) range across 12 matching MRF lines |
$31.32–$393.12 | $58–$728 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$23.76–$152.28 | $44–$282 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$61.02–$415.80 | $113–$770 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 9 matching MRF lines |
$26.19–$245.16 | $48.50–$454 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$39.96–$269.46 | $74–$499 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$33.48–$410.94 | $62–$761 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$31.32–$200.88 | $58–$372 | varies |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$28.62–$212.76 | $53–$394 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 6 matching MRF lines |
$35.10–$280.80 | $65–$520 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$42.66–$296.46 | $79–$549 | varies |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$23.76–$341.82 | $44–$633 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$28.62–$150.66 | $53–$279 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 12 matching MRF lines |
$31.32–$414.72 | $58–$768 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 6 matching MRF lines |
$43.74–$282.42 | $81–$523 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$47.52–$246.78 | $88–$457 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$222.48–$818.10 | $412–$1,515 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$183.06–$768.96 | $339–$1,424 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$41.58–$282.42 | $77–$523 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 6 matching MRF lines |
$45.36–$285.66 | $84–$529 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$142.56–$480.06 | $264–$889 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$94.50–$542.16 | $175–$1,004 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$157.68–$536.76 | $292–$994 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$29.70–$213.84 | $55–$396 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$32.40–$203.04 | $60–$376 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$29.70–$374.22 | $55–$693 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$77.76–$276.48 | $144–$512 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$28.62–$335.34 | $53–$621 | varies |
| Ribs bilateral 3 views (71110) range across 6 matching MRF lines |
$51.30–$307.80 | $95–$570 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$112.32–$760.86 | $208–$1,409 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$126.36–$1,081.62 | $234–$2,003 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$173.34–$1,917.54 | $321–$3,551 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$137.70–$1,796.04 | $255–$3,326 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$185.76–$1,467.18 | $344–$2,717 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$201.15–$1,834.38 | $372.50–$3,397 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$32.40–$264.06 | $60–$489 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$55.62–$139.32 | $103–$258 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$27.54–$312.12 | $51–$578 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$99.36–$849.42 | $184–$1,573 | varies |
| Skull less than 4 views (70250) range across 6 matching MRF lines |
$35.10–$268.38 | $65–$497 | varies |
| Sternoclavicular joints (71130) range across 6 matching MRF lines |
$38.88–$292.14 | $72–$541 | varies |
| Thoracic spine 2 views (72070) range across 6 matching MRF lines |
$36.18–$254.88 | $67–$472 | varies |
| Thoracic spine 3 views (72072) range across 6 matching MRF lines |
$39.96–$283.50 | $74–$525 | varies |
| Thoracolumbar 2 views (72080) range across 7 matching MRF lines |
$37.80–$282.42 | $70–$523 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$86.40–$718.20 | $160–$1,330 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$120.96–$461.70 | $224–$855 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$97.20–$345.60 | $180–$640 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$104.76–$447.66 | $194–$829 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$75.06–$250.56 | $139–$464 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$142.56–$524.88 | $264–$972 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$57.78–$777.06 | $107–$1,439 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$58.86–$777.06 | $109–$1,439 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$130.14–$481.14 | $241–$891 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$102.06–$408.78 | $189–$757 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$160.38–$387.72 | $297–$718 | varies |
| Us exam, pelvic, limited (76857) range across 8 matching MRF lines |
$57.78–$431.46 | $107–$799 | varies |
| Us head (76506) range across 3 matching MRF lines |
$112.32–$736.02 | $208–$1,363 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$446.58–$496.26 | $827–$919 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$122.58–$505.44 | $227–$936 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$338.04–$915.30 | $626–$1,695 | varies |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$116.10–$319.68 | $215–$592 | varies |
| Us ob transvaginal (76817) range across 6 matching MRF lines |
$133.92–$375.30 | $248–$695 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$122.58–$482.76 | $227–$894 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 8 matching MRF lines |
$101.25–$526.50 | $187.50–$975 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 6 matching MRF lines |
$151.20–$409.32 | $280–$758 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$130.14–$464.40 | $241–$860 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$102.06–$383.94 | $189–$711 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$113.40–$444.42 | $210–$823 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$219.24–$333.72 | $406–$618 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$100.98–$419.04 | $187–$776 | varies |
| Us transrectal (76872) | $119.34 | $221 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $250.56 | $464 | 0.1× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$181.44–$2,365.74 | $336–$4,381 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$29.70–$122.04 | $55–$226 | varies |
| Wrist 2 views (73100) range across 19 matching MRF lines |
$23.76–$320.22 | $44–$593 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
$33.48–$282.42 | $62–$523 | varies |
| X-ray antegrade pyelogram tube (74425) | $89.10 | $165 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) range across 7 matching MRF lines |
$39.96–$456.84 | $74–$846 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 13 matching MRF lines |
$29.70–$214.38 | $55–$397 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$54–$380.16 | $100–$704 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$46.44–$156.60 | $86–$290 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$56.16–$402.84 | $104–$746 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$64.26–$636.12 | $119–$1,178 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 7 matching MRF lines |
$33.48–$213.30 | $62–$395 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$39.96–$264.60 | $74–$490 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$49.14–$363.96 | $91–$674 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 6 matching MRF lines |
$39.96–$282.42 | $74–$523 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$52.92–$436.86 | $98–$809 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$64.80–$420.12 | $120–$778 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$54.54–$456.84 | $101–$846 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$39.96–$282.42 | $74–$523 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 6 matching MRF lines |
$53.46–$360.18 | $99–$667 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$47.52–$163.08 | $88–$302 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$122.58–$150.12 | $227–$278 | varies |
| X-ray humerus (73060) range across 14 matching MRF lines |
$26.19–$239.22 | $48.50–$443 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$86.94–$777.06 | $161–$1,439 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$86.40–$777.06 | $160–$1,439 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$32.40–$163.62 | $60–$303 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 6 matching MRF lines |
$31.32–$204.12 | $58–$378 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$39.96–$282.42 | $74–$523 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$32.40–$129.06 | $60–$239 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 6 matching MRF lines |
$57.24–$348.84 | $106–$646 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 6 matching MRF lines |
$39.96–$282.42 | $74–$523 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 6 matching MRF lines |
$30.24–$199.26 | $56–$369 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 10 matching MRF lines |
$26.19–$243.54 | $48.50–$451 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$38.88–$312.66 | $72–$579 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$50.22–$342.90 | $93–$635 | varies |
| X-ray thoracic spine 4 vw (72074) range across 6 matching MRF lines |
$43.74–$474.12 | $81–$878 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$32.40–$117.72 | $60–$218 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$90.18–$777.06 | $167–$1,439 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$48.60–$282.42 | $90–$523 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$98.28–$502.20 | $182–$930 | varies |
| Xr c-spine 4 or 5 views (72050) range across 6 matching MRF lines |
$49.14–$342.90 | $91–$635 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$36.18–$240.84 | $67–$446 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$162.54–$172.26 | $301–$319 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$186.84–$280.80 | $346–$520 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$104.76–$538.92 | $194–$998 | 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.