Imaging prices at Ahmc Anaheim Regional Medical Center
Anaheim, CA · every code in this section with a posted price and a Medicare benchmark.
383 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) | $479 | $479 | 4.3× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$759–$1,003 | $759–$1,003 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,964 | $1,964 | 3.8× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $2,467 | $2,467 | 1.5× |
| Angio pulmonary bilat (75743) | $8,353 | $8,353 | 2.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$3,320–$4,700 | $3,320–$4,700 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,591–$4,102 | $2,591–$4,102 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$1,523–$2,591 | $1,523–$2,591 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,353 | $8,353 | 2.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,324–$2,399 | $2,324–$2,399 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$465–$927 | $465–$927 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,928 | $14,928 | 2.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,433 | $4,433 | 1.1× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$3,494–$14,928 | $3,494–$14,928 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,591 | $2,591 | 0.6× |
| Artery X-Rays Pelvis (75736) | $14,928 | $14,928 | 2.1× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$2,219–$14,928 | $2,219–$14,928 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$955–$1,904 | $955–$1,904 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$769–$1,541 | $769–$1,541 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$800–$1,595 | $800–$1,595 | varies |
| Bone age studies (77072) | $284 | $284 | 2.1× |
| Bone Imaging 3 Phase (78315) | $2,254 | $2,254 | 4.4× |
| Bone Imaging Limited Area (78300) | $2,022 | $2,022 | 3.9× |
| Bone Imaging Multiple Areas (78305) | $2,133 | $2,133 | 4.1× |
| Bone Imaging Whole Body (78306) | $4,090 | $4,090 | 8.0× |
| Bone marrow imaging limited area (78102) | $811 | $811 | 1.6× |
| Bone marrow imaging; multiple areas (78103) | $1,733 | $1,733 | 3.4× |
| Bone marrow imaging; whole body (78104) | $2,492 | $2,492 | 4.8× |
| Bone survey infant (77076) | $1,109 | $1,109 | 8.2× |
| Brachytx isodose complex (77318) | $1,877 | $1,877 | 3.9× |
| Brachytx isodose intermed (77317) | $1,330 | $1,330 | 2.8× |
| Brachytx Isodose Plan Simple (77316) | $919 | $919 | 1.9× |
| Brain Flow Imaging Only (78610) | $971 | $971 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $2,030 | $2,030 | 3.9× |
| Brain imaging < 4 static views (78600) | $1,825 | $1,825 | 3.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,211 | $2,211 | 3.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,192 | $2,192 | 3.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $5,095 | $5,095 | 9.9× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $4,415 | $4,415 | 6.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,403 | $5,403 | 12.0× |
| Cardiac Shunt Detection (78428) | $1,963 | $1,963 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $1,273 | $1,273 | 11.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,799 | $1,799 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $2,494 | $2,494 | 3.6× |
| Chest 1 view (71045) | $590 | $590 | 5.3× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$642–$692 | $642–$692 | varies |
| Chest 3 views (71047) | $586 | $586 | 5.2× |
| Chest 4 or more views (71048) | $747 | $747 | 5.6× |
| Cholecystography Oral Contrast (74290) | $324 | $324 | 1.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $390 | $390 | 2.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$465–$910 | $465–$910 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$711–$4,272 | $711–$4,272 | varies |
| Contrast Exam Abdominl Aorta (75625) | $5,432 | $5,432 | 1.3× |
| Contrast X-Ray Bladder (74430) | $557 | $557 | 1.2× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$671–$1,341 | $671–$1,341 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$955–$1,904 | $955–$1,904 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $434 | $434 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $5,371 | $5,371 | 12.0× |
| CT abdomen and pelvis without contrast (74176) | $5,235 | $5,235 | 17.1× |
| CT abdomen w contrast (74160) | $5,032 | $5,032 | 22.3× |
| CT abdomen w wo contrast (74170) | $5,032 | $5,032 | 22.3× |
| CT abdomen w/o contrast (74150) | $4,240 | $4,240 | 31.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,439 | $2,439 | 5.4× |
| CT Angio Chest (71275) | $6,360 | $6,360 | 28.2× |
| CT Angio Head (70496) | $5,039 | $5,039 | 22.3× |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$5,816–$7,530 | $5,816–$7,530 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$6,444–$7,407 | $6,444–$7,407 | varies |
| CT Angio Neck (70498) | $5,023 | $5,023 | 22.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$4,757–$5,460 | $4,757–$5,460 | varies |
| CT bone density (77078) | $887 | $887 | 7.9× |
| CT cervical spine w/ contrast (72126) | $4,752 | $4,752 | 10.6× |
| CT cervical spine w/o contrast (72125) | $5,525 | $5,525 | 41.1× |
| CT cervical spine w/wo cont (72127) | $4,982 | $4,982 | 22.1× |
| CT chest w contrast (71260) | $5,376 | $5,376 | 23.8× |
| CT chest w/wo contrast (71270) | $4,548 | $4,548 | 20.2× |
| CT colonography screening (74263) | $1,455 | $1,455 | 4.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,132 | $1,132 | 5.0× |
| CT head/brain with contrast (70460) | $3,231 | $3,231 | 14.3× |
| CT head/brain without and with contrast (70470) | $6,172 | $6,172 | 27.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,242 | $1,242 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$669–$8,665 | $669–$8,665 | varies |
| CT hrt w/3d image congen (75573) | $6,100 | $6,100 | 13.6× |
| CT iac w contrast (70481) | $3,624 | $3,624 | 16.1× |
| CT l-spine w&w/o contrast (72133) | $4,648 | $4,648 | 20.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,528–$8,026 | $4,528–$8,026 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,988–$7,176 | $3,988–$7,176 | varies |
| CT lumbar spine w contrast (72132) | $4,711 | $4,711 | 10.5× |
| CT lumbar spine w/o contrast (72131) | $4,170 | $4,170 | 31.0× |
| CT maxillofacial w contrast (70487) | $3,705 | $3,705 | 16.4× |
| CT maxillofacial wo contrast (70486) | $3,397 | $3,397 | 25.3× |
| CT neck tissue combo (70492) | $3,830 | $3,830 | 17.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,536 | $3,536 | 15.7× |
| CT orbits w/o contrast (70480) | $4,001 | $4,001 | 29.8× |
| CT pelvis w&w/o contrast (72194) | $5,371 | $5,371 | 23.8× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,589–$4,473 | $3,589–$4,473 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,455–$6,270 | $3,455–$6,270 | varies |
| CT scans face/jaw combo (70488) | $3,315 | $3,315 | 14.7× |
| CT soft tissue neck w contrast (70491) | $3,711 | $3,711 | 16.5× |
| CT soft tissue neck w/o contrast (70490) | $3,455 | $3,455 | 25.7× |
| CT thoracic spine w contrast (72129) | $3,867 | $3,867 | 17.1× |
| CT thoracic spine w/o contrast (72128) | $3,825 | $3,825 | 28.4× |
| CT thoracic spine w/wo cont (72130) | $4,648 | $4,648 | 20.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$4,196–$4,272 | $4,196–$4,272 | varies |
| CT unlisted procedure (76497) | $5,012 | $5,012 | 44.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$4,240–$7,581 | $4,240–$7,581 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$4,055–$6,857 | $4,055–$6,857 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$3,146–$5,843 | $3,146–$5,843 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,849 | $6,849 | 30.4× |
| Cta Abdomen (74175) | $6,294 | $6,294 | 27.9× |
| CTA pelvis (72191) | $6,247 | $6,247 | 27.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $531 | $531 | 1.7× |
| Dilation ureters/urethra rs&i (74485) | $1,381 | $1,381 | 0.5× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$630–$1,358 | $630–$1,358 | varies |
| Dxa bone density study (77085) | $633 | $633 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $633 | $633 | 5.7× |
| Echo exam of fetal heart (76825) | $772 | $772 | 1.1× |
| Echo exam uterus (76831) | $884 | $884 | 2.9× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$879–$1,900 | $879–$1,900 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $666 | $666 | 2.2× |
| Echograp Trans R Pros Study (76873) | $570 | $570 | 4.2× |
| Esophagram (74220) | $679 | $679 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$436–$886 | $436–$886 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$587–$1,011 | $587–$1,011 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$467–$1,748 | $467–$1,748 | varies |
| Follow-Up Angiography (75898) | $1,372 | $1,372 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$323–$635 | $323–$635 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$481–$964 | $481–$964 | varies |
| Gastric emptying imaging study (78264) | $3,034 | $3,034 | 5.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,034 | $3,034 | 5.9× |
| Gastric Mucosa Imaging (78261) | $3,711 | $3,711 | 7.2× |
| Gastroesophageal Reflux Exam (78262) | $2,295 | $2,295 | 4.5× |
| Gated Heart Planar Single (78472) | $2,506 | $2,506 | 4.9× |
| Gated Heart, Multiple (78473) | $5,072 | $5,072 | 9.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,034 | $3,034 | 4.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$284–$564 | $284–$564 | varies |
| Heart first pass single,planar (78481) | $3,204 | $3,204 | 4.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,289 | $2,289 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,907 | $1,907 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $3,712 | $3,712 | 5.3× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$3,607–$3,711 | $3,607–$3,711 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,016–$4,002 | $1,016–$4,002 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,016–$2,792 | $1,016–$2,792 | varies |
| Hysterosalpingogram (74740) | $1,039 | $1,039 | 3.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $986 | $986 | 8.8× |
| Infant hip ultrasound, limited static exam (76886) | $664 | $664 | 5.9× |
| Infusion Ivp (74410) | $1,377 | $1,377 | 6.1× |
| Joint Survey Single View (77077) | $931 | $931 | 6.9× |
| K Flow/Funct Image Multiple (78709) | $3,167 | $3,167 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $3,746 | $3,746 | 5.4× |
| K Flow/Funct Image W/O Drug (78707) | $3,777 | $3,777 | 5.4× |
| Kidney Imaging Morphol (78700) | $1,226 | $1,226 | 2.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,087 | $2,087 | 4.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$725–$1,451 | $725–$1,451 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,501 | $1,501 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $3,054 | $3,054 | 5.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,492 | $2,492 | 4.8× |
| Liver imaging static only (78201) | $1,825 | $1,825 | 2.6× |
| Liver imaging w/vascular flow (78202) | $2,030 | $2,030 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$1,329–$2,722 | $1,329–$2,722 | varies |
| Lung perfusion differential (78597) | $851 | $851 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$1,878–$2,606 | $1,878–$2,606 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$992–$2,284 | $992–$2,284 | varies |
| Lymph System Imaging (78195) | $1,615 | $1,615 | 2.3× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$5,143–$6,221 | $5,143–$6,221 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$2,489–$2,532 | $2,489–$2,532 | varies |
| Mammary ductogram or galactogram single (77053) | $1,752 | $1,752 | 5.7× |
| Meckels Divert Exam (78290) | $1,922 | $1,922 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $5,822 | $5,822 | 13.0× |
| MRA head w/o contrast (70544) | $5,070 | $5,070 | 16.5× |
| MRA head with contrast (70545) | $5,467 | $5,467 | 12.2× |
| MRA neck w contrast (70548) | $5,374 | $5,374 | 12.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,264 | $5,264 | 11.7× |
| MRA neck w/o contrast (70547) | $5,070 | $5,070 | 16.5× |
| MRI abdomen w contrast (74182) | $4,671 | $4,671 | 10.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,313–$5,691 | $5,313–$5,691 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,270–$4,345 | $4,270–$4,345 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,558–$5,811 | $3,558–$5,811 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,163–$5,374 | $3,163–$5,374 | varies |
| MRI bone marrow blood supply (77084) | $3,606 | $3,606 | 11.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,030 | $3,030 | 9.9× |
| MRI cardiac w/o contrast (75557) | $5,403 | $5,403 | 17.6× |
| MRI cervical spine w contrast (72142) | $5,287 | $5,287 | 11.8× |
| MRI cervical spine w/o cont (72141) | $6,156 | $6,156 | 20.1× |
| MRI chest w/o contrast (71550) | $5,662 | $5,662 | 18.5× |
| MRI chest with contrast (71551) | $5,348 | $5,348 | 5.3× |
| MRI chest wo w contrast (71552) | $7,895 | $7,895 | 17.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$4,886–$7,984 | $4,886–$7,984 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,886–$7,984 | $4,886–$7,984 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,345–$7,253 | $4,345–$7,253 | varies |
| MRI lumbar spine w contrast (72149) | $5,497 | $5,497 | 12.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,436 | $9,436 | 21.0× |
| MRI orbit face &/neck w/o contrast (70540) | $6,608 | $6,608 | 21.5× |
| MRI orbit face neck w contrast (70542) | $6,691 | $6,691 | 14.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,914 | $7,914 | 17.6× |
| MRI pelvis w contrast (72196) | $4,216 | $4,216 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $7,346 | $7,346 | 16.4× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,305–$5,302 | $3,305–$5,302 | varies |
| MRI spectroscopy (76390) | $3,872 | $3,872 | 34.6× |
| MRI thoracic spine w/o contrast (72146) | $6,374 | $6,374 | 20.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$4,345–$7,253 | $4,345–$7,253 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$4,345–$7,253 | $4,345–$7,253 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,886–$7,984 | $4,886–$7,984 | varies |
| MRI, abdomen, combo (74183) | $6,841 | $6,841 | 15.2× |
| MRI, dorsal spine combo (72157) | $6,991 | $6,991 | 15.6× |
| MRI, dorsal spine contrast (72147) | $5,497 | $5,497 | 12.3× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$4,345–$7,380 | $4,345–$7,380 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$4,886–$7,845 | $4,886–$7,845 | varies |
| MRI, lumbar spine combo (72158) | $9,436 | $9,436 | 21.0× |
| Myelogram cervical (72240) | $1,840 | $1,840 | 1.8× |
| Myelogram Lumbar (72265) | $1,840 | $1,840 | 1.8× |
| Myelography thoracic (72255) | $1,364 | $1,364 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,754 | $1,754 | 1.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,507 | $2,507 | 4.9× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,877 | $2,877 | 4.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$3,212–$4,063 | $3,212–$4,063 | varies |
| Myocardial Spect Multiple Studies (78452) | $6,697 | $6,697 | 4.0× |
| Neck soft tissue (70360) | $433 | $433 | 3.9× |
| Nm csf leak detection (78650) | $2,041 | $2,041 | 1.2× |
| Nm myocard infarct spect (78469) | $2,900 | $2,900 | 4.2× |
| Nm red cell survival study (78130) | $2,216 | $2,216 | 4.3× |
| Nuclear Rx Intra-Arterial (79445) | $2,674 | $2,674 | 8.9× |
| Nuclear Rx Oral Admin (79005) range across 5 matching MRF lines |
$2,371–$4,434 | $2,371–$4,434 | varies |
| Ob us nuchal meas 1 gest (76813) | $520 | $520 | 3.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $777 | $777 | 5.8× |
| Optic foramina (70190) | $394 | $394 | 3.5× |
| Panoramic X-ray of jaws (70355) | $480 | $480 | 4.3× |
| Parathyroid Planar Imaging (78070) | $2,928 | $2,928 | 5.7× |
| Pelvis 1 or 2 views (72170) | $776 | $776 | 5.8× |
| Perineogram (74775) | $794 | $794 | 2.6× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $2,192 | $2,192 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,456 | $1,456 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,053 | $3,053 | 5.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,205 | $1,205 | 9.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$947–$1,567 | $947–$1,567 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$612–$1,199 | $612–$1,199 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$433–$860 | $433–$860 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$627–$1,254 | $627–$1,254 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $929 | $929 | 6.9× |
| Radex fingr minimum 2 views (73140) | $394 | $394 | 3.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$612–$1,226 | $612–$1,226 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$575–$1,148 | $575–$1,148 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$374–$759 | $374–$759 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $747 | $747 | 5.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $693 | $693 | 6.2× |
| Radex Ribs Unilateral 2 Views (71100) | $642 | $642 | 5.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$627–$1,254 | $627–$1,254 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $503 | $503 | 4.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,106 | $1,106 | 4.9× |
| Radex Spine 1 View Specify Level (72020) | $328 | $328 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $580 | $580 | 5.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $542 | $542 | 4.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$369–$743 | $369–$743 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$234–$468 | $234–$468 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$627–$1,254 | $627–$1,254 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $665 | $665 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $802 | $802 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $1,824 | $1,824 | 8.1× |
| Radiologic exam colon single contrast study (74270) | $1,286 | $1,286 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$751–$1,501 | $751–$1,501 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,097 | $1,097 | 8.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,418 | $1,418 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $745 | $745 | 3.3× |
| Radiologic examination femur 1 view (73551) | $400 | $400 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$678–$1,356 | $678–$1,356 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$366–$871 | $366–$871 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $931 | $931 | 6.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $475 | $475 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$478–$952 | $478–$952 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $607 | $607 | 0.9× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,078 | $1,078 | 3.6× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $2,250 | $2,250 | 4.4× |
| Ribs bilateral 3 views (71110) | $811 | $811 | 6.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,963 | $1,963 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,674 | $2,674 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,351 | $5,351 | 7.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,354 | $3,354 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$2,818–$4,109 | $2,818–$4,109 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,264 | $2,264 | 7.5× |
| Salivary Gland Imaging Serial Images (78231) | $3,711 | $3,711 | 7.2× |
| Scapula (73010) range across 3 matching MRF lines |
$541–$1,061 | $541–$1,061 | varies |
| Sella turcica (70240) | $394 | $394 | 3.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$366–$718 | $366–$718 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$919–$2,115 | $919–$2,115 | varies |
| Sialogram (70390) | $578 | $578 | 1.9× |
| Skull less than 4 views (70250) | $586 | $586 | 4.4× |
| Spleen Imaging (78185) | $1,894 | $1,894 | 3.7× |
| Sternoclavicular joints (71130) | $410 | $410 | 3.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $478 | $478 | 1.6× |
| Testicular Imaging W/Flow (78761) | $2,030 | $2,030 | 3.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,692 | $1,692 | 7.5× |
| Thoracic spine 2 views (72070) | $556 | $556 | 4.1× |
| Thoracic spine 3 views (72072) | $725 | $725 | 5.4× |
| Thoracolumbar 2 views (72080) | $665 | $665 | 5.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,200 | $1,200 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$650–$789 | $650–$789 | varies |
| Thyroid Met Imaging Body (78018) | $2,296 | $2,296 | 3.3× |
| Thyroid Uptake Measurement (78012) range across 6 matching MRF lines |
$460–$2,932 | $460–$2,932 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$811–$950 | $811–$950 | varies |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$450–$1,550 | $450–$1,550 | varies |
| Ultrasound Exam Aaa Screen (76706) | $407 | $407 | 3.0× |
| Ultrasound, abdomen limited (76705) | $1,209 | $1,209 | 9.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$693–$1,407 | $693–$1,407 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$853–$1,099 | $853–$1,099 | varies |
| Ureteral Reflux Study (78740) | $2,284 | $2,284 | 4.4× |
| Urethrocystogram voiding (74455) | $557 | $557 | 1.8× |
| Urethrocystography retrograde (74450) | $416 | $416 | 1.4× |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$550–$773 | $550–$773 | varies |
| Us chest (76604) range across 6 matching MRF lines |
$814–$1,627 | $814–$1,627 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$1,008–$2,012 | $1,008–$2,012 | varies |
| Us exam, pelvic, limited (76857) | $1,302 | $1,302 | 9.7× |
| Us head (76506) | $1,047 | $1,047 | 7.8× |
| Us kidney transplant (76776) | $1,582 | $1,582 | 11.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,008–$1,411 | $1,008–$1,411 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$587–$762 | $587–$762 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$587–$1,088 | $587–$1,088 | varies |
| Us pelvic non ob complete (76856) | $1,875 | $1,875 | 13.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,815 | $1,815 | 13.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$697–$1,048 | $697–$1,048 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,685–$2,237 | $1,685–$2,237 | varies |
| Us retroperitoneal limited (76775) | $882 | $882 | 6.6× |
| Us scrotum and contents (76870) | $1,764 | $1,764 | 13.1× |
| Us spinal canal and contents (76800) | $1,666 | $1,666 | 12.4× |
| Us thyroid (76536) range across 3 matching MRF lines |
$1,888–$1,890 | $1,888–$1,890 | varies |
| Us transrectal (76872) | $1,218 | $1,218 | 9.1× |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$1,417–$6,432 | $1,417–$6,432 | varies |
| Vein X-Ray Chest (75827) | $2,175 | $2,175 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,456 | $1,456 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $3,990 | $3,990 | 1.0× |
| Venogram Sinus/Jugular (75860) | $3,987 | $3,987 | 1.0× |
| Venography Adrenal Unilateral (75840) | $1,296 | $1,296 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,328–$5,466 | $2,328–$5,466 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,974–$3,200 | $1,974–$3,200 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,203–$1,655 | $1,203–$1,655 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$3,202–$6,599 | $3,202–$6,599 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$1,779–$3,000 | $1,779–$3,000 | varies |
| Venous sampling by catheter (75893) | $14,928 | $14,928 | 2.1× |
| Venous thrombosis imaging (78457) | $1,335 | $1,335 | 1.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,573 | $2,573 | 5.0× |
| Vertebral fracture assessment via dxa (77086) | $773 | $773 | 6.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$374–$745 | $374–$745 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $664 | $664 | 5.9× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$1,244–$1,489 | $1,244–$1,489 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$7,223–$7,822 | $7,223–$7,822 | varies |
| X-Ray Bend Only L-S Spine (72120) | $765 | $765 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$359–$623 | $359–$623 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$581–$720 | $581–$720 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$300–$493 | $300–$493 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$400–$923 | $400–$923 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $500 | $500 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines |
$267–$600 | $267–$600 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$400–$1,463 | $400–$1,463 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $500 | $500 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$800–$1,097 | $800–$1,097 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,000 | $1,000 | 7.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,200 | $1,200 | 8.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,111 | $1,111 | 8.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$627–$1,019 | $627–$1,019 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,286 | $1,286 | 9.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $802 | $802 | 6.0× |
| X-ray eye for foreign body (70030) | $397 | $397 | 3.5× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$473–$940 | $473–$940 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,667–$1,916 | $1,667–$1,916 | varies |
| X-ray IV pyelogram+tomography (74415) | $2,029 | $2,029 | 9.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $535 | $535 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $303 | $303 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $693 | $693 | 5.2× |
| X-ray nose-rectum child f.b. (76010) | $347 | $347 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $822 | $822 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $737 | $737 | 5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $768 | $768 | 5.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $612 | $612 | 5.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $712 | $712 | 6.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,029 | $1,029 | 7.7× |
| X-Ray Stress View (77071) | $241 | $241 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $846 | $846 | 6.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $853 | $853 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$665–$1,060 | $665–$1,060 | varies |
| X-Rays Bone Survey Complete (77075) | $1,821 | $1,821 | 13.5× |
| Xr c-spine 4 or 5 views (72050) | $1,123 | $1,123 | 8.4× |
| Xr facial bones less than 3 views (70140) | $718 | $718 | 6.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $590 | $590 | 4.4× |
| Xr orbits complete 4 views (70200) | $532 | $532 | 4.0× |
| Xr Tomogram Single Plane (76100) | $847 | $847 | 6.3× |
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.