Imaging prices at Alta Vista Regional Hospital
Las Vegas, NM · every code in this section with a posted price and a Medicare benchmark.
289 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) | $249.87 | $499.74 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $930.05 | $1,860.11 | 2.4× |
| Adrenal Cortex & Medulla Img (78075) | $1,023.05 | $2,046.10 | 0.8× |
| Ankle 2 views (73600) | $152.38 | $304.77 | 1.8× |
| Arthrogram hip (73525) | $1,213.42 | $2,426.84 | 3.5× |
| Arthrogram Wrist (73115) | $934.20 | $1,868.41 | 2.7× |
| Bone age studies (77072) | $249.87 | $499.74 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,997.55 | $3,995.10 | 5.0× |
| Bone Imaging Limited Area (78300) | $1,028.82 | $2,057.65 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,072.45 | $2,144.90 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,802.49 | $3,604.99 | 4.6× |
| Bone marrow imaging limited area (78102) | $1,362.15 | $2,724.31 | 3.4× |
| Bone marrow imaging; multiple areas (78103) | $1,362.15 | $2,724.31 | 3.4× |
| Bone marrow imaging; whole body (78104) | $1,861.75 | $3,723.50 | 4.7× |
| Bone survey infant (77076) | $313.31 | $626.62 | 3.0× |
| Brain Image W/Flow < 4 Views (78601) | $1,396.72 | $2,793.44 | 3.5× |
| Brain imaging < 4 static views (78600) | $1,396.72 | $2,793.44 | 3.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,896.31 | $3,792.63 | 3.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,396.72 | $2,793.44 | 2.6× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,523.48 | $3,046.96 | 2.8× |
| Cardiac Shunt Detection (78428) | $1,023.05 | $2,046.10 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $1,270.78 | $2,541.56 | 14.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,507.84 | $3,015.68 | 2.8× |
| Cerebrospinal Fluid Scan (78630) | $1,507.84 | $3,015.68 | 2.8× |
| Chest 1 view (71045) | $249.87 | $499.74 | 2.9× |
| Chest 2 views (71046) | $327.50 | $655 | 3.8× |
| Chest 4 or more views (71048) | $393 | $786 | 3.8× |
| Cholecystography Oral Contrast (74290) | $406.04 | $812.09 | 2.3× |
| Clavicle complete (73000) | $327.50 | $655 | 3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $219.72 | $439.44 | 2.1× |
| Contrast X-Ray Bladder (74430) | $287.74 | $575.48 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $658.77 | $1,317.54 | 1.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $313.31 | $626.62 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,623.92 | $11,247.85 | 16.3× |
| CT abdomen and pelvis without contrast (74176) | $4,000.05 | $8,000.11 | 16.9× |
| CT abdomen w contrast (74160) | $3,056.83 | $6,113.66 | 17.6× |
| CT abdomen w wo contrast (74170) | $3,307.85 | $6,615.71 | 19.1× |
| CT abdomen w/o contrast (74150) | $2,437.06 | $4,874.13 | 23.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,431.32 | $6,862.64 | 9.9× |
| CT Angio Chest (71275) | $3,431.32 | $6,862.64 | 19.8× |
| CT Angio Head (70496) | $2,655.83 | $5,311.66 | 15.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,614.83 | $3,229.67 | 9.3× |
| CT Angio Neck (70498) | $1,031.13 | $2,062.26 | 5.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,614.83 | $3,229.67 | 9.3× |
| CT cervical spine w/ contrast (72126) | $3,795.93 | $7,591.87 | 11.0× |
| CT cervical spine w/o contrast (72125) | $3,179.46 | $6,358.93 | 30.7× |
| CT cervical spine w/wo cont (72127) | $4,555.12 | $9,110.24 | 26.2× |
| CT chest w contrast (71260) | $2,595.08 | $5,190.17 | 14.9× |
| CT chest w/wo contrast (71270) | $2,511.15 | $5,022.30 | 14.5× |
| CT head/brain with contrast (70460) | $2,415.66 | $4,831.33 | 13.9× |
| CT head/brain without and with contrast (70470) | $3,255.19 | $6,510.38 | 18.7× |
| CT iac w contrast (70481) | $1,614.83 | $3,229.67 | 9.3× |
| CT l-spine w&w/o contrast (72133) | $3,189.33 | $6,378.67 | 18.4× |
| CT lower ext w/o (73700) | $2,745.05 | $5,490.11 | 26.5× |
| CT lower extremity w/contrast material (73701) | $3,431.32 | $6,862.64 | 19.8× |
| CT lumbar spine w contrast (72132) | $2,539.62 | $5,079.24 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $2,031.69 | $4,063.39 | 19.6× |
| CT maxillofacial w contrast (70487) | $2,415.66 | $4,831.33 | 13.9× |
| CT maxillofacial wo contrast (70486) | $2,213.19 | $4,426.38 | 21.4× |
| CT neck tissue combo (70492) | $1,055.98 | $2,111.97 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,555.58 | $3,111.17 | 9.0× |
| CT orbits w/o contrast (70480) | $1,345.69 | $2,691.39 | 13.0× |
| CT pelvis w&w/o contrast (72194) | $2,316.90 | $4,633.80 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,562.98 | $3,125.96 | 15.1× |
| CT scans face/jaw combo (70488) | $2,463.39 | $4,926.79 | 14.2× |
| CT soft tissue neck w contrast (70491) | $859.27 | $1,718.55 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $704.54 | $1,409.08 | 6.8× |
| CT thoracic spine w contrast (72129) | $3,815.36 | $7,630.72 | 22.0× |
| CT thoracic spine w/o contrast (72128) | $3,179.46 | $6,358.93 | 30.7× |
| CT thoracic spine w/wo cont (72130) | $4,578.42 | $9,156.85 | 26.4× |
| CT thorax w/o contrast (71250) | $1,997.55 | $3,995.10 | 19.3× |
| CT upper ext wo (73200) | $2,140.31 | $4,280.63 | 20.7× |
| CT upper extremity w/o & w/contrast material (73202) | $3,344.24 | $6,688.49 | 19.3× |
| CT upper extremity with contrast (73201) | $2,675.39 | $5,350.79 | 7.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,786.87 | $5,573.74 | 16.0× |
| Cta Abdomen (74175) | $2,437.06 | $4,874.13 | 14.0× |
| Dxa Bone Density Axial (77080) | $252.71 | $505.42 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $150.49 | $300.99 | 1.7× |
| Echo exam uterus (76831) | $367.90 | $735.81 | 1.6× |
| Esophageal Motility Study (78258) | $1,023.05 | $2,046.10 | 2.6× |
| Esophagram (74220) | $374.82 | $749.64 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $727.57 | $1,455.14 | 7.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $727.57 | $1,455.14 | 7.0× |
| Foot 2 views (73620) | $165 | $330 | 1.9× |
| Forearm 2 views (73090) | $287.74 | $575.48 | 3.3× |
| Gastric emptying imaging study (78264) | $1,023.05 | $2,046.10 | 2.6× |
| Gastric Mucosa Imaging (78261) | $1,023.05 | $2,046.10 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $1,023.05 | $2,046.10 | 2.6× |
| Gated Heart Planar Single (78472) | $1,507.84 | $3,015.68 | 3.8× |
| Gated Heart, Multiple (78473) | $2,336.65 | $4,673.30 | 5.9× |
| Hand 2 views (73120) | $160 | $320 | 1.5× |
| Heart first pass single,planar (78481) | $1,023.05 | $2,046.10 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,366.28 | $2,732.56 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,366.28 | $2,732.56 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $948.15 | $1,896.31 | 0.7× |
| Infant hip ultrasound, limited static exam (76886) | $280.66 | $561.33 | 3.3× |
| K Flow/Funct Image Multiple (78709) | $1,823.07 | $3,646.15 | 3.4× |
| K Flow/Funct Image W/Drug (78708) | $1,523.48 | $3,046.96 | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,147.33 | $2,294.67 | 2.1× |
| Kidney Imaging Morphol (78700) | $707.01 | $1,414.02 | 1.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,041.16 | $2,082.32 | 2.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$423.09–$720.18 | $846.18–$1,440.37 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,023.05 | $2,046.10 | 2.6× |
| Leveen/Shunt Patency Exam (78291) | $1,023.05 | $2,046.10 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $999.18 | $1,998.37 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,023.05 | $2,046.10 | 2.6× |
| Liver imaging static only (78201) | $1,023.05 | $2,046.10 | 1.9× |
| Liver imaging w/vascular flow (78202) | $1,023.05 | $2,046.10 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,299.61 | $2,599.22 | 2.4× |
| Lung Ventilation Imaging (78579) | $1,305.37 | $2,610.74 | 3.3× |
| Lymph System Imaging (78195) | $1,023.05 | $2,046.10 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $3,686.46 | $7,372.93 | 15.6× |
| Mammary ductogram or galactogram multiple (77054) | $1,173.68 | $2,347.36 | 5.0× |
| Mammary ductogram or galactogram single (77053) | $855.64 | $1,711.28 | 3.6× |
| Meckels Divert Exam (78290) | $888.90 | $1,777.80 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $4,379.47 | $8,758.94 | 12.7× |
| MRA head w/o contrast (70544) | $3,814.03 | $7,628.07 | 16.1× |
| MRA head with contrast (70545) | $4,051.08 | $8,102.17 | 11.7× |
| MRA neck w contrast (70548) | $2,582.75 | $5,165.50 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,037.90 | $10,075.81 | 14.6× |
| MRA neck w/o contrast (70547) | $2,971.22 | $5,942.45 | 12.6× |
| MRI abdomen w contrast (74182) | $3,249.42 | $6,498.84 | 9.4× |
| MRI abdomen w/o contrast (74181) | $2,907.03 | $5,814.06 | 12.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,351.47 | $6,702.95 | 4.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,021.77 | $8,043.54 | 11.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,351.47 | $6,702.95 | 4.3× |
| MRI cardiac w/o contrast (75557) | $3,686.46 | $7,372.93 | 15.6× |
| MRI cervical spine w contrast (72142) | $4,379.47 | $8,758.94 | 12.7× |
| MRI cervical spine w/o cont (72141) | $3,909.50 | $7,819 | 16.6× |
| MRI chest w/o contrast (71550) | $3,686.46 | $7,372.93 | 15.6× |
| MRI chest wo w contrast (71552) | $4,423.76 | $8,847.52 | 12.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,021.77 | $8,043.54 | 11.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,620.63 | $7,241.26 | 10.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,351.47 | $6,702.95 | 14.2× |
| MRI lumbar spine w contrast (72149) | $4,203.34 | $8,406.68 | 12.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,530.08 | $9,060.17 | 13.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,686.46 | $7,372.93 | 15.6× |
| MRI orbit face neck w contrast (70542) | $3,981.11 | $7,962.22 | 11.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,777.33 | $9,554.66 | 13.8× |
| MRI pelvis w contrast (72196) | $3,909.50 | $7,819 | 11.3× |
| MRI pelvis w/o & w contrast (72197) | $4,691.40 | $9,382.80 | 13.6× |
| MRI pelvis w/o contrast (72195) | $3,553.95 | $7,107.90 | 15.0× |
| MRI thoracic spine w/o contrast (72146) | $3,909.50 | $7,819 | 16.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,021.77 | $8,043.54 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,351.47 | $6,702.95 | 14.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,021.77 | $8,043.54 | 11.6× |
| MRI, abdomen, combo (74183) | $3,973.71 | $7,947.42 | 11.5× |
| MRI, dorsal spine combo (72157) | $7,005.83 | $14,011.67 | 20.3× |
| MRI, dorsal spine contrast (72147) | $3,893.87 | $7,787.75 | 11.3× |
| MRI, joint upper extrem (73221) | $3,139.95 | $6,279.90 | 13.3× |
| MRI, joint upper extrem combo (73223) | $4,021.77 | $8,043.54 | 11.6× |
| MRI, lumbar spine combo (72158) | $4,530.08 | $9,060.17 | 13.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,204.95 | $2,409.91 | 3.0× |
| Myocardial Spect Multiple Studies (78452) | $1,896.31 | $3,792.63 | 1.5× |
| Neck soft tissue (70360) | $249.87 | $499.74 | 2.9× |
| Nm csf leak detection (78650) | $1,507.84 | $3,015.68 | 1.2× |
| Nm red cell survival study (78130) | $1,023.05 | $2,046.10 | 2.6× |
| Nm whole blood volume (78122) | $1,023.05 | $2,046.10 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,023.05 | $2,046.10 | 2.6× |
| Pelvis 1 or 2 views (72170) | $287.74 | $575.48 | 2.8× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $1,023.05 | $2,046.10 | 0.8× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $1,023.05 | $2,046.10 | 0.8× |
| Platelet survival study Non-Facility (78191) | $545.68 | $1,091.37 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,299.61 | $2,599.22 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $446.76 | $893.52 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$313.31–$351.16 | $626.62–$702.33 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $374.82 | $749.64 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $209.16 | $418.33 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $249.87 | $499.74 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $538.56 | $1,077.13 | 5.2× |
| Radex fingr minimum 2 views (73140) | $249.87 | $499.74 | 2.9× |
| Radex foot complete minimum 3 views (73630) | $374.82 | $749.64 | 4.4× |
| Radex Hand Minimum 3 Views (73130) | $327.50 | $655 | 3.8× |
| Radex lower extremity infant minimum 2 views (73592) | $148.60 | $297.20 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $455.26 | $910.53 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $327.50 | $655 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $152.38 | $304.77 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$327.50–$654.99 | $655–$1,309.99 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $140 | $280 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $455.26 | $910.53 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $145 | $290 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $287.74 | $575.48 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $140.08 | $280.16 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $249.87 | $499.74 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $166.58 | $333.17 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $327.50 | $655 | 3.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,145.58 | $2,291.16 | 11.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $165 | $330 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $374.82 | $749.64 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $812.11 | $1,624.23 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $618.07 | $1,236.15 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$477.03–$954.07 | $954.07–$1,908.15 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $314.24 | $628.48 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $275.43 | $550.86 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,186.92 | $2,373.84 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $327.50 | $655 | 3.8× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$327.50–$654.99 | $655–$1,309.99 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $265.03 | $530.07 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $337.90 | $675.80 | 3.9× |
| Radiopharm Dacryocystography (78660) | $1,023.05 | $2,046.10 | 2.6× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,023.05 | $2,046.10 | 2.6× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,023.05 | $2,046.10 | 1.9× |
| Ribs bilateral 3 views (71110) | $182.86 | $365.72 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,067.51 | $2,135.02 | 2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,023.05 | $2,046.10 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,674.10 | $5,348.21 | 5.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,467.51 | $2,935.02 | 2.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,023.05 | $2,046.10 | 1.9× |
| Salivary Gland Function Study (78232) | $1,023.05 | $2,046.10 | 2.6× |
| Salivary Gland Imaging (78230) | $1,023.05 | $2,046.10 | 2.6× |
| Salivary Gland Imaging Serial Images (78231) | $1,023.05 | $2,046.10 | 2.6× |
| Scapula (73010) | $287.74 | $575.48 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.53 | $135.06 | 2.9× |
| Sella turcica (70240) | $278.27 | $556.55 | 3.2× |
| Shoulder 1 view (73020) | $135 | $270 | 1.6× |
| Shoulder Arthrography (73040) | $586.83 | $1,173.67 | 1.7× |
| Skull less than 4 views (70250) | $444.86 | $889.73 | 4.3× |
| Spleen Imaging (78185) | $1,023.05 | $2,046.10 | 2.6× |
| Sternoclavicular joints (71130) | $341.68 | $683.36 | 4.0× |
| Testicular Imaging W/Flow (78761) | $1,023.05 | $2,046.10 | 2.6× |
| Thoracic spine 2 views (72070) | $327.50 | $655 | 3.2× |
| Thoracolumbar 2 views (72080) | $311.40 | $622.81 | 3.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $493.02 | $986.04 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,362.15 | $2,724.31 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,216.49 | $2,432.98 | 3.1× |
| Ultrasound Breast Limited (76642) | $264.34 | $528.68 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $301.24 | $602.49 | 2.9× |
| Ultrasound, abdomen limited (76705) | $270.78 | $541.57 | 2.6× |
| Unlisted us procedure (76999) | $1,051.03 | $2,102.06 | 12.2× |
| Upper gi w/o kub (74240) | $989.10 | $1,978.20 | 5.7× |
| Ureteral Reflux Study (78740) | $1,023.05 | $2,046.10 | 2.6× |
| Urethrocystography retrograde (74450) | $278.27 | $556.55 | 1.2× |
| Us breast unilateral complete (76641) | $264.34 | $528.68 | 2.6× |
| Us chest (76604) | $399.18 | $798.37 | 3.9× |
| Us complete joint (76881) | $467.49 | $934.98 | 4.5× |
| Us exam, pelvic, limited (76857) | $395.88 | $791.77 | 3.8× |
| Us head (76506) | $434.57 | $869.15 | 4.2× |
| Us kidney transplant (76776) | $345.54 | $691.08 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $344.86 | $689.72 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $439.52 | $879.05 | 4.2× |
| Us ob transvaginal (76817) | $293.82 | $587.65 | 2.8× |
| Us pelvic non ob complete (76856) | $395.88 | $791.77 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $250.73 | $501.47 | 2.4× |
| Us retroperitoneal complete (76770) | $467.49 | $934.98 | 4.5× |
| Us scrotum and contents (76870) | $512.76 | $1,025.52 | 5.0× |
| Us thyroid (76536) | $512.76 | $1,025.52 | 5.0× |
| Us transrectal (76872) | $636.21 | $1,272.43 | 6.1× |
| Vascular Flow Imaging (78445) | $345.68 | $691.36 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,823.93 | $3,647.87 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,306.18 | $2,612.36 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $575.32 | $1,150.64 | 1.5× |
| Wrist 2 views (73100) | $152.38 | $304.77 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $374.82 | $749.64 | 4.4× |
| X-ray antegrade pyelogram tube (74425) | $698.53 | $1,397.06 | 2.0× |
| X-Ray Bend Only L-S Spine (72120) | $348.31 | $696.62 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $152.38 | $304.77 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $231.90 | $463.80 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $572.79 | $1,145.58 | 6.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $572.79 | $1,145.58 | 5.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,145.58 | $2,291.16 | 11.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $152.38 | $304.77 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $322.70 | $645.41 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $484.43 | $968.87 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $455.24 | $910.48 | 4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $455.24 | $910.48 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $910.47 | $1,820.94 | 8.8× |
| X-Ray Exam L-S Spine Bending (72114) | $265.03 | $530.07 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $249.87 | $499.74 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $265.03 | $530.07 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $409.83 | $819.67 | 4.0× |
| X-ray humerus (73060) | $287.74 | $575.48 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $1,005.19 | $2,010.39 | 5.8× |
| X-ray IV pyelogram+tomography (74415) | $973.01 | $1,946.03 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $538.56 | $1,077.13 | 6.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $550.01 | $1,100.03 | 6.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $327.50 | $655 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $151.44 | $302.88 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $538.56 | $1,077.13 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $261.23 | $522.46 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $287.74 | $575.48 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $538.56 | $1,077.13 | 6.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $538.56 | $1,077.13 | 5.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $698.53 | $1,397.06 | 2.0× |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$227.15–$261.23 | $454.31–$522.46 | varies |
| X-Rays Bone Survey Complete (77075) | $709.88 | $1,419.77 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $491.23 | $982.47 | 4.7× |
| Xr facial bones less than 3 views (70140) | $287.74 | $575.48 | 3.3× |
| Xr orbits complete 4 views (70200) | $538.56 | $1,077.13 | 5.2× |
| Xr Tomogram Single Plane (76100) | $327.50 | $655 | 3.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.