Imaging prices at Alaska Native Medical Center (Anchorage, AK)

331 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
Abdomen 1 View (74018) range across 2 matching MRF lines	$47–$94	$47–$94	varies
Abdomen 2 views (74019) range across 2 matching MRF lines	$60–$156	$60–$156	varies
Angio internal mammary (75756)	$685	$685	0.2×
Angio pulmonary bilat (75743)	$755	$755	0.2×
Angiography Adrenal Bilateral Slctv Rs&I (75733)	$607	$607	0.2×
Angiography extremity bilateral rs&i (75716)	$601	$601	0.2×
Angiography extremity unilateral rs&i (75710)	$518	$518	0.1×
Angiography pulmonary unilateral slctv rs&i (75741)	$607	$607	0.2×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746)	$580	$580	0.2×
Ankle 2 views (73600) range across 2 matching MRF lines	$54–$658	$54–$658	varies
Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure	$461	$461	0.1×
Aortography thoracic w/o serialography rs&i (75600)	$255	$255	0.1×
Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure	$522	$522	0.1×
Artery X-Rays Adrenal Gland (75731)	$553	$553	0.2×
Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure	$778	$778	0.1×
Artery X-Rays Spine (75705) likely a partial charge, not the full procedure	$1,049	$1,049	0.2×
Arthrogram ankle (73615) range across 2 matching MRF lines	$153–$972	$153–$972	varies
Arthrogram hip (73525) range across 2 matching MRF lines	$204–$2,053	$204–$2,053	varies
Arthrogram Wrist (73115) range across 2 matching MRF lines	$168–$1,038	$168–$1,038	varies
Bone age studies (77072) range across 2 matching MRF lines	$81–$669	$81–$669	varies
Bone survey infant (77076) range across 2 matching MRF lines	$263–$436	$263–$436	varies
Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines	$395–$1,803	$395–$1,803	varies
Chest 1 view (71045) range across 2 matching MRF lines	$70–$728	$70–$728	varies
Chest 2 views (71046) range across 2 matching MRF lines	$56–$845	$56–$845	varies
Chest 3 views (71047) range across 2 matching MRF lines	$88–$598	$88–$598	varies
Chest 4 or more views (71048) range across 2 matching MRF lines	$143–$598	$143–$598	varies
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 2 matching MRF lines	$1,182–$1,224	$1,182–$1,224	varies
Cholecystography Oral Contrast (74290) range across 2 matching MRF lines	$80–$886	$80–$886	varies
Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines	$376–$864	$376–$864	varies
Clavicle complete (73000) range across 2 matching MRF lines	$100–$756	$100–$756	varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines	$312–$494	$312–$494	varies
Contrast Exam Abdominl Aorta (75625)	$721	$721	0.2×
Contrast X-Ray Bladder (74430) range across 2 matching MRF lines	$181–$1,248	$181–$1,248	varies
Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines	$208–$2,705	$208–$2,705	varies
Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines	$208–$1,129	$208–$1,129	varies
Contrast Xray Throat/Cerv Esopha (74210)	$1,084	$1,084	5.6×
CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines	$1,070–$8,888	$1,070–$8,888	varies
CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines	$1,410–$6,601	$1,410–$6,601	varies
CT abdomen w contrast (74160) range across 2 matching MRF lines	$633–$4,423	$633–$4,423	varies
CT abdomen w wo contrast (74170) range across 2 matching MRF lines	$944–$5,321	$944–$5,321	varies
CT abdomen w/o contrast (74150) range across 2 matching MRF lines	$680–$3,263	$680–$3,263	varies
CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines	$1,230–$9,950	$1,230–$9,950	varies
CT Angio Chest (71275) range across 2 matching MRF lines	$901–$6,240	$901–$6,240	varies
CT Angio Head (70496) range across 2 matching MRF lines	$1,126–$6,413	$1,126–$6,413	varies
CT angio hrt w/3d image (75574) range across 2 matching MRF lines	$1,004–$2,040	$1,004–$2,040	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines	$974–$11,234	$974–$11,234	varies
CT Angio Neck (70498) range across 2 matching MRF lines	$904–$6,240	$904–$6,240	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines	$945–$11,234	$945–$11,234	varies
CT cervical spine w/ contrast (72126) range across 2 matching MRF lines	$544–$4,189	$544–$4,189	varies
CT cervical spine w/o contrast (72125) range across 2 matching MRF lines	$572–$3,912	$572–$3,912	varies
CT cervical spine w/wo cont (72127) range across 2 matching MRF lines	$948–$5,200	$948–$5,200	varies
CT chest w contrast (71260) range across 2 matching MRF lines	$711–$4,438	$711–$4,438	varies
CT chest w/wo contrast (71270) range across 2 matching MRF lines	$894–$2,860	$894–$2,860	varies
CT head/brain with contrast (70460) range across 2 matching MRF lines	$637–$4,321	$637–$4,321	varies
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$760–$5,703	$760–$5,703	varies
CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines	$679–$1,499	$679–$1,499	varies
CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines	$222–$526	$222–$526	varies
CT hrt w/3d image congen (75573) range across 2 matching MRF lines	$580–$660	$580–$660	varies
CT iac w contrast (70481) range across 2 matching MRF lines	$779–$3,912	$779–$3,912	varies
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$872–$4,680	$872–$4,680	varies
CT lower ext w/o (73700) range across 2 matching MRF lines	$579–$3,454	$579–$3,454	varies
CT lower extremity w/contrast material (73701) range across 2 matching MRF lines	$614–$3,543	$614–$3,543	varies
CT lumbar spine w contrast (72132) range across 2 matching MRF lines	$593–$4,564	$593–$4,564	varies
CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines	$508–$3,458	$508–$3,458	varies
CT maxillofacial w contrast (70487) range across 2 matching MRF lines	$652–$3,807	$652–$3,807	varies
CT maxillofacial wo contrast (70486) range across 2 matching MRF lines	$514–$3,509	$514–$3,509	varies
CT neck tissue combo (70492) range across 2 matching MRF lines	$799–$5,200	$799–$5,200	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines	$905–$4,390	$905–$4,390	varies
CT orbits w/o contrast (70480) range across 2 matching MRF lines	$526–$3,640	$526–$3,640	varies
CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines	$625–$4,117	$625–$4,117	varies
CT pelvis w/o contrast (72192) range across 2 matching MRF lines	$695–$3,640	$695–$3,640	varies
CT scan of leg combo (73702) range across 2 matching MRF lines	$978–$4,680	$978–$4,680	varies
CT scans face/jaw combo (70488) range across 2 matching MRF lines	$813–$4,044	$813–$4,044	varies
CT soft tissue neck w contrast (70491) range across 2 matching MRF lines	$632–$4,457	$632–$4,457	varies
CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines	$615–$3,541	$615–$3,541	varies
CT thoracic spine w contrast (72129) range across 2 matching MRF lines	$644–$4,952	$644–$4,952	varies
CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines	$522–$3,757	$522–$3,757	varies
CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines	$920–$5,912	$920–$5,912	varies
CT thorax w/o contrast (71250) range across 2 matching MRF lines	$517–$3,596	$517–$3,596	varies
CT upper ext wo (73200) range across 2 matching MRF lines	$622–$3,120	$622–$3,120	varies
CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines	$551–$4,640	$551–$4,640	varies
CT upper extremity with contrast (73201) range across 2 matching MRF lines	$716–$3,605	$716–$3,605	varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines	$1,221–$6,803	$1,221–$6,803	varies
Cta Abdomen (74175) range across 2 matching MRF lines	$1,044–$6,574	$1,044–$6,574	varies
CTA pelvis (72191) range across 2 matching MRF lines	$1,114–$2,600	$1,114–$2,600	varies
Dilation ureters/urethra rs&i (74485)	$132	$132	0.1×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines	$263–$416	$263–$416	varies
Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines	$326–$520	$326–$520	varies
Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines	$312–$348	$312–$348	varies
Dxa Bone Density Axial (77080) range across 2 matching MRF lines	$208–$801	$208–$801	varies
Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines	$118–$709	$118–$709	varies
Echo exam of fetal heart (76825) range across 2 matching MRF lines	$444–$1,040	$444–$1,040	varies
Echo exam uterus (76831) range across 2 matching MRF lines	$269–$884	$269–$884	varies
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines	$226–$676	$226–$676	varies
Esophagram (74220) range across 2 matching MRF lines	$144–$1,279	$144–$1,279	varies
Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines	$352–$1,543	$352–$1,543	varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines	$311–$1,144	$311–$1,144	varies
Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines	$130–$1,248	$130–$1,248	varies
Follow-Up Angiography (75898)	$564	$564	0.2×
Foot 2 views (73620) range across 2 matching MRF lines	$51–$583	$51–$583	varies
Forearm 2 views (73090) range across 2 matching MRF lines	$81–$821	$81–$821	varies
Hand 2 views (73120) range across 2 matching MRF lines	$58–$676	$58–$676	varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889)	$279	$279	0.1×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891)	$281	$281	0.1×
Hysterosalpingogram (74740) range across 2 matching MRF lines	$213–$1,248	$213–$1,248	varies
Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines	$304–$903	$304–$903	varies
Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines	$205–$387	$205–$387	varies
Infusion Ivp (74410) range across 2 matching MRF lines	$229–$1,007	$229–$1,007	varies
Interstitial radiation source applic complex (77778)	$3,555	$3,555	4.6×
Joint Survey Single View (77077) range across 2 matching MRF lines	$159–$678	$159–$678	varies
Knee 3 Views (73562) range across 2 matching MRF lines	$72–$988	$72–$988	varies
Lymphangiography Extremity Only Bilateral Rs&I (75803)	$294	$294	0.2×
Lymphangiography extremity only unilateral rs&i (75801)	$213	$213	0.3×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807)	$295	$295	0.1×
Lymphangiography, pelvic/abdominal, unilateral (75805)	$204	$204	0.1×
Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines	$990–$3,910	$990–$3,910	varies
Magnetic Resonance Elastography (76391) range across 2 matching MRF lines	$998–$3,245	$998–$3,245	varies
Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines	$249–$858	$249–$858	varies
Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines	$203–$957	$203–$957	varies
Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines	$1,040–$8,461	$1,040–$8,461	varies
MRA head w/o contrast (70544) range across 2 matching MRF lines	$533–$5,552	$533–$5,552	varies
MRA head with contrast (70545) range across 2 matching MRF lines	$624–$6,750	$624–$6,750	varies
MRA neck w contrast (70548) range across 2 matching MRF lines	$624–$6,523	$624–$6,523	varies
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$936–$7,177	$936–$7,177	varies
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$624–$6,029	$624–$6,029	varies
MRI abdomen w contrast (74182) range across 2 matching MRF lines	$1,040–$5,696	$1,040–$5,696	varies
MRI abdomen w/o contrast (74181) range across 2 matching MRF lines	$710–$5,357	$710–$5,357	varies
MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines	$861–$5,554	$861–$5,554	varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines	$1,560–$11,510	$1,560–$11,510	varies
MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines	$1,040–$5,919	$1,040–$5,919	varies
MRI bone marrow blood supply (77084) range across 2 matching MRF lines	$1,005–$3,444	$1,005–$3,444	varies
MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines	$2,096–$5,200	$2,096–$5,200	varies
MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines	$926–$2,704	$926–$2,704	varies
MRI cervical spine w contrast (72142) range across 2 matching MRF lines	$1,427–$6,271	$1,427–$6,271	varies
MRI cervical spine w/o cont (72141) range across 2 matching MRF lines	$1,071–$5,329	$1,071–$5,329	varies
MRI chest w/o contrast (71550) range across 2 matching MRF lines	$728–$4,382	$728–$4,382	varies
MRI chest with contrast (71551) range across 2 matching MRF lines	$709–$5,902	$709–$5,902	varies
MRI chest wo w contrast (71552) range across 2 matching MRF lines	$1,248–$4,847	$1,248–$4,847	varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines	$936–$5,328	$936–$5,328	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines	$1,078–$9,909	$1,078–$9,909	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines	$832–$5,200	$832–$5,200	varies
MRI lumbar spine w contrast (72149) range across 2 matching MRF lines	$1,438–$6,336	$1,438–$6,336	varies
Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines	$1,631–$7,335	$1,631–$7,335	varies
MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines	$936–$4,291	$936–$4,291	varies
MRI orbit face neck w contrast (70542) range across 2 matching MRF lines	$1,040–$7,724	$1,040–$7,724	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines	$1,183–$8,277	$1,183–$8,277	varies
MRI pelvis w contrast (72196) range across 2 matching MRF lines	$1,355–$6,334	$1,355–$6,334	varies
MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines	$1,266–$7,280	$1,266–$7,280	varies
MRI pelvis w/o contrast (72195) range across 2 matching MRF lines	$654–$6,227	$654–$6,227	varies
MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines	$1,069–$5,604	$1,069–$5,604	varies
MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines	$988–$7,754	$988–$7,754	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines	$780–$7,511	$780–$7,511	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines	$1,352–$8,184	$1,352–$8,184	varies
MRI, abdomen, combo (74183) range across 2 matching MRF lines	$1,246–$6,606	$1,246–$6,606	varies
MRI, dorsal spine combo (72157) range across 2 matching MRF lines	$1,645–$7,720	$1,645–$7,720	varies
MRI, dorsal spine contrast (72147) range across 2 matching MRF lines	$1,399–$7,118	$1,399–$7,118	varies
MRI, joint upper extrem (73221) range across 2 matching MRF lines	$1,194–$5,578	$1,194–$5,578	varies
MRI, joint upper extrem combo (73223) range across 4 matching MRF lines	$1,560–$11,989	$1,560–$11,989	varies
MRI, lumbar spine combo (72158) range across 2 matching MRF lines	$1,666–$7,409	$1,666–$7,409	varies
Myelogram cervical (72240) range across 2 matching MRF lines	$444–$2,895	$444–$2,895	varies
Myelogram Lumbar (72265) range across 2 matching MRF lines	$403–$2,712	$403–$2,712	varies
Myelography thoracic (72255) range across 2 matching MRF lines	$412–$3,950	$412–$3,950	varies
Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines	$598–$4,851	$598–$4,851	varies
Neck soft tissue (70360) range across 2 matching MRF lines	$58–$760	$58–$760	varies
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines	$383–$416	$383–$416	varies
Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines	$154–$697	$154–$697	varies
Nuclear Rx Intra-Arterial (79445)	$581	$581	2.2×
Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines	$530–$911	$530–$911	varies
Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines	$193–$676	$193–$676	varies
Oph us dx ant sgm us immersion b-scan/hr biom (76513)	$379	$379	3.3×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510)	$547	$547	3.7×
Ophthalmic Biometry US Echograpy a-Scan (76516)	$323	$323	2.8×
Ophthalmic Ultrasonic Foreign Body Localization (76529)	$587	$587	6.1×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines	$416–$2,080	$416–$2,080	varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines	$93–$164	$93–$164	varies
Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines	$439–$693	$439–$693	varies
Optic foramina (70190) range across 2 matching MRF lines	$73–$271	$73–$271	varies
Panoramic X-ray of jaws (70355) range across 2 matching MRF lines	$216–$494	$216–$494	varies
Pelvis 1 or 2 views (72170) range across 2 matching MRF lines	$84–$796	$84–$796	varies
Perineogram (74775)	$733	$733	2.8×
Peritoneogram Rs&I (74190)	$170	$170	0.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines	$849–$5,549	$849–$5,549	varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines	$123–$1,248	$123–$1,248	varies
Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines	$218–$1,615	$218–$1,615	varies
Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines	$94–$928	$94–$928	varies
Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines	$68–$709	$68–$709	varies
Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines	$71–$840	$71–$840	varies
Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines	$117–$1,139	$117–$1,139	varies
Radex fingr minimum 2 views (73140) range across 2 matching MRF lines	$66–$923	$66–$923	varies
Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines	$58–$806	$58–$806	varies
Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines	$66–$1,028	$66–$1,028	varies
Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines	$73–$320	$73–$320	varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines	$122–$416	$122–$416	varies
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines	$60–$963	$60–$963	varies
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines	$100–$1,544	$100–$1,544	varies
Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines	$86–$671	$86–$671	varies
Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines	$83–$806	$83–$806	varies
Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines	$71–$531	$71–$531	varies
Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines	$60–$776	$60–$776	varies
Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines	$81–$655	$81–$655	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines	$135–$468	$135–$468	varies
Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines	$51–$676	$51–$676	varies
Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines	$72–$364	$72–$364	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines	$78–$667	$78–$667	varies
Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines	$99–$468	$99–$468	varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines	$83–$250	$83–$250	varies
Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines	$272–$2,600	$272–$2,600	varies
Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines	$275–$1,914	$275–$1,914	varies
Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines	$424–$988	$424–$988	varies
Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines	$151–$1,118	$151–$1,118	varies
Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines	$103–$1,144	$103–$1,144	varies
Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines	$194–$1,517	$194–$1,517	varies
Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines	$156–$1,248	$156–$1,248	varies
Radiologic exam teeth complete full mouth (70320)	$459	$459	1.7×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310)	$910	$910	3.4×
Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines	$281–$468	$281–$468	varies
Radiologic examination femur 1 view (73551) range across 2 matching MRF lines	$84–$208	$84–$208	varies
Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines	$67–$862	$67–$862	varies
Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines	$105–$806	$105–$806	varies
Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines	$176–$1,729	$176–$1,729	varies
Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines	$68–$731	$68–$731	varies
Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines	$96–$884	$96–$884	varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines	$129–$459	$129–$459	varies
Radiologic examination, teeth; single view Non-Facility (70300)	$169	$169	1.7×
Renal Cyst Study (74470) range across 2 matching MRF lines	$191–$979	$191–$979	varies
Ribs bilateral 3 views (71110) range across 2 matching MRF lines	$113–$1,248	$113–$1,248	varies
Scapula (73010) range across 2 matching MRF lines	$83–$656	$83–$656	varies
Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines	$193–$328	$193–$328	varies
Sella turcica (70240) range across 2 matching MRF lines	$68–$468	$68–$468	varies
Shoulder 1 view (73020) range across 2 matching MRF lines	$67–$594	$67–$594	varies
Shoulder Arthrography (73040) range across 2 matching MRF lines	$217–$1,954	$217–$1,954	varies
Sialogram (70390) range across 2 matching MRF lines	$108–$1,261	$108–$1,261	varies
Skull less than 4 views (70250) range across 2 matching MRF lines	$92–$987	$92–$987	varies
Speech evaluation, complex (70371) range across 2 matching MRF lines	$277–$709	$277–$709	varies
Sternoclavicular joints (71130) range across 2 matching MRF lines	$100–$291	$100–$291	varies
Superior sagittal sinus venogram (75870)	$674	$674	0.2×
Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines	$210–$2,143	$210–$2,143	varies
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines	$561–$1,507	$561–$1,507	varies
Thoracic spine 2 views (72070) range across 2 matching MRF lines	$90–$920	$90–$920	varies
Thoracic spine 3 views (72072) range across 2 matching MRF lines	$97–$963	$97–$963	varies
Thoracolumbar 2 views (72080) range across 2 matching MRF lines	$102–$896	$102–$896	varies
Ultrasound Breast Limited (76642) range across 3 matching MRF lines	$217–$468	$217–$468	varies
Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines	$182–$669	$182–$669	varies
Ultrasound, abdomen limited (76705) range across 3 matching MRF lines	$215–$1,105	$215–$1,105	varies
Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines	$314–$945	$314–$945	varies
Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines	$160–$430	$160–$430	varies
Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines	$1,511–$4,056	$1,511–$4,056	varies
Unlisted us procedure (76999)	$833	$833	8.6×
Upper gi w/o kub (74240) range across 2 matching MRF lines	$539–$1,248	$539–$1,248	varies
Urea breath test c-14 isotopic analysis (78268)	$449	$449	4.8×
Urethrocystogram voiding (74455) range across 2 matching MRF lines	$288–$884	$288–$884	varies
Urethrocystography retrograde (74450) range across 2 matching MRF lines	$189–$585	$189–$585	varies
Us bone density measurement (76977)	$137	$137	1.2×
Us breast unilateral complete (76641) range across 3 matching MRF lines	$237–$1,144	$237–$1,144	varies
Us chest (76604) range across 2 matching MRF lines	$189–$1,206	$189–$1,206	varies
Us complete joint (76881) range across 2 matching MRF lines	$210–$995	$210–$995	varies
Us exam, pelvic, limited (76857) range across 2 matching MRF lines	$242–$934	$242–$934	varies
Us head (76506) range across 2 matching MRF lines	$246–$676	$246–$676	varies
Us kidney transplant (76776) range across 2 matching MRF lines	$278–$1,239	$278–$1,239	varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines	$188–$667	$188–$667	varies
Us ob detailed single fetus (76811) range across 2 matching MRF lines	$922–$1,248	$922–$1,248	varies
Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines	$309–$700	$309–$700	varies
Us ob transvaginal (76817) range across 2 matching MRF lines	$410–$861	$410–$861	varies
Us pelvic non ob complete (76856) range across 2 matching MRF lines	$216–$1,541	$216–$1,541	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines	$334–$1,168	$334–$1,168	varies
Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines	$245–$845	$245–$845	varies
Us retroperitoneal complete (76770) range across 2 matching MRF lines	$247–$1,277	$247–$1,277	varies
Us retroperitoneal limited (76775) range across 3 matching MRF lines	$305–$891	$305–$891	varies
Us scrotum and contents (76870) range across 2 matching MRF lines	$335–$1,646	$335–$1,646	varies
Us spinal canal and contents (76800) range across 2 matching MRF lines	$270–$834	$270–$834	varies
Us thyroid (76536) range across 2 matching MRF lines	$242–$1,263	$242–$1,263	varies
Us transrectal (76872) range across 2 matching MRF lines	$331–$1,558	$331–$1,558	varies
Vascular Flow Imaging (78445)	$131	$131	0.3×
Vein X-Ray Chest (75827)	$712	$712	0.4×
Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines	$855–$2,684	$855–$2,684	varies
Vein X-Ray Skull Epidural (75872)	$626	$626	0.9×
Vein X-Ray Spleen/Liver (75810)	$287	$287	0.1×
Venogram Sinus/Jugular (75860)	$798	$798	0.2×
Venography Adrenal Unilateral (75840)	$286	$286	0.1×
Venography caval inferior serialography rs&i (75825)	$610	$610	0.2×
Venography extremity bilateral rs&i (75822)	$319	$319	0.2×
Venography extremity unilateral rs&i (75820)	$222	$222	0.1×
Venography Orbital Rs&I (75880)	$181	$181	0.3×
Venography Renal Bilateral (75833)	$359	$359	0.1×
Venography Renal Unilateral (75831)	$279	$279	0.1×
Venous sampling by catheter (75893) likely a partial charge, not the full procedure	$135	$135	0.0×
Venous thrombosis imaging (78457)	$188	$188	0.3×
Venous Thrombosis Imaging Venogram Bilateral (78458)	$251	$251	0.6×
Wrist 2 views (73100) range across 2 matching MRF lines	$57–$591	$57–$591	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines	$91–$546	$91–$546	varies
X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines	$153–$1,644	$153–$1,644	varies
X-Ray Aorta Leg Arteries (75630)	$633	$633	0.2×
X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines	$108–$580	$108–$580	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines	$56–$749	$56–$749	varies
X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines	$83–$494	$83–$494	varies
X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines	$116–$286	$116–$286	varies
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines	$135–$592	$135–$592	varies
X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines	$88–$707	$88–$707	varies
X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines	$80–$893	$80–$893	varies
X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines	$136–$416	$136–$416	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines	$119–$1,251	$119–$1,251	varies
X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines	$149–$1,228	$149–$1,228	varies
X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines	$156–$520	$156–$520	varies
X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines	$151–$780	$151–$780	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines	$87–$1,003	$87–$1,003	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines	$148–$1,144	$148–$1,144	varies
X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines	$109–$1,033	$109–$1,033	varies
X-ray eye for foreign body (70030) range across 2 matching MRF lines	$90–$187	$90–$187	varies
X-ray humerus (73060) range across 2 matching MRF lines	$72–$676	$72–$676	varies
X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines	$170–$1,288	$170–$1,288	varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines	$54–$715	$54–$715	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines	$92–$322	$92–$322	varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines	$87–$884	$87–$884	varies
X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines	$73–$276	$73–$276	varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines	$121–$926	$121–$926	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines	$82–$816	$82–$816	varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines	$80–$452	$80–$452	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines	$81–$800	$81–$800	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines	$92–$1,040	$92–$1,040	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines	$128–$1,033	$128–$1,033	varies
X-Ray Stress View (77071) range across 2 matching MRF lines	$277–$358	$277–$358	varies
X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines	$124–$1,204	$124–$1,204	varies
X-Ray Tmj Unilat (70328) range across 2 matching MRF lines	$96–$312	$96–$312	varies
X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines	$236–$1,568	$236–$1,568	varies
X-Rays Bone Length Studies (77073) range across 2 matching MRF lines	$125–$942	$125–$942	varies
X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines	$238–$1,248	$238–$1,248	varies
Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines	$164–$1,103	$164–$1,103	varies
Xr facial bones less than 3 views (70140) range across 2 matching MRF lines	$86–$330	$86–$330	varies
XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines	$75–$291	$75–$291	varies
Xr myelogram posterior fossa (70010) range across 2 matching MRF lines	$247–$910	$247–$910	varies
Xr orbits complete 4 views (70200) range across 2 matching MRF lines	$100–$913	$100–$913	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.