Imaging prices at Antelope Valley Hospital
Lancaster, CA · every code in this section with a posted price and a Medicare benchmark.
300 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 3 matching MRF lines |
$492–$564 | $492–$564 | varies |
| Abdomen 2 views (74019) | $656 | $656 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,247 | $2,247 | 4.4× |
| Adrenal Cortex & Medulla Img (78075) | $7,298 | $7,298 | 4.4× |
| Angio internal mammary (75756) | $17,597 | $17,597 | 4.3× |
| Angio pulmonary bilat (75743) | $17,597 | $17,597 | 4.3× |
| Angiography extremity bilateral rs&i (75716) | $17,597 | $17,597 | 4.3× |
| Angiography extremity unilateral rs&i (75710) | $17,597 | $17,597 | 4.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,597 | $17,597 | 4.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$473–$946 | $473–$946 | varies |
| Aortography thoracic serialography rs&i (75605) | $30,221 | $30,221 | 4.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $17,597 | $17,597 | 4.3× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$24,311–$30,221 | $24,311–$30,221 | varies |
| Artery X-Rays Pelvis (75736) | $30,221 | $30,221 | 4.2× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$30,221–$302,210 | $30,221–$302,210 | varies |
| Arthrogram ankle (73615) | $1,997 | $1,997 | 4.5× |
| Arthrogram hip (73525) | $2,020 | $2,020 | 4.5× |
| Arthrogram Wrist (73115) | $1,997 | $1,997 | 4.5× |
| Bone age studies (77072) | $609 | $609 | 4.5× |
| Bone Imaging 3 Phase (78315) | $2,599 | $2,599 | 5.1× |
| Bone Imaging Limited Area (78300) | $2,599 | $2,599 | 5.1× |
| Bone Imaging Multiple Areas (78305) | $2,247 | $2,247 | 4.4× |
| Bone Imaging Whole Body (78306) | $2,599 | $2,599 | 5.1× |
| Bone marrow imaging limited area (78102) | $2,247 | $2,247 | 4.4× |
| Bone marrow imaging; whole body (78104) | $2,247 | $2,247 | 4.4× |
| Bone survey infant (77076) | $623 | $623 | 4.6× |
| Brain Flow Imaging Only (78610) | $3,009 | $3,009 | 4.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,009 | $3,009 | 4.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,009 | $3,009 | 4.3× |
| Cerebrospinal Fluid Scan (78630) | $3,009 | $3,009 | 4.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$420–$840 | $420–$840 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$420–$492 | $420–$492 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$420–$492 | $420–$492 | varies |
| Chest 4 or more views (71048) | $623 | $623 | 4.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $595 | $595 | 4.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$376–$738 | $376–$738 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$10,030–$17,597 | $10,030–$17,597 | varies |
| Contrast X-Ray Bladder (74430) | $2,121 | $2,121 | 4.7× |
| Contrast X-Ray Of Elbow (73085) | $1,997 | $1,997 | 4.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,997 | $1,997 | 4.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,997–$2,100 | $1,997–$2,100 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,100 | $2,100 | 6.8× |
| CT abdomen w contrast (74160) | $1,050 | $1,050 | 4.7× |
| CT abdomen w wo contrast (74170) | $1,260 | $1,260 | 5.6× |
| CT abdomen w/o contrast (74150) | $840 | $840 | 6.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,998–$2,038 | $1,998–$2,038 | varies |
| CT Angio Chest (71275) | $1,260 | $1,260 | 5.6× |
| CT Angio Head (70496) | $1,155 | $1,155 | 5.1× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$966–$1,997 | $966–$1,997 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,050 | $1,050 | 4.7× |
| CT Angio Neck (70498) | $1,260 | $1,260 | 5.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,050–$1,997 | $1,050–$1,997 | varies |
| CT cervical spine w/o contrast (72125) | $840 | $840 | 6.2× |
| CT cervical spine w/wo cont (72127) | $1,260 | $1,260 | 5.6× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$996–$1,050 | $996–$1,050 | varies |
| CT chest w/wo contrast (71270) | $1,260 | $1,260 | 5.6× |
| CT head/brain with contrast (70460) | $1,050 | $1,050 | 4.7× |
| CT head/brain without and with contrast (70470) | $1,260 | $1,260 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$439–$492 | $439–$492 | varies |
| CT iac w contrast (70481) | $1,050 | $1,050 | 4.7× |
| CT l-spine w&w/o contrast (72133) | $1,260 | $1,260 | 5.6× |
| CT lower ext w/o (73700) | $840 | $840 | 6.2× |
| CT lower extremity w/contrast material (73701) | $1,050 | $1,050 | 4.7× |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,050–$1,997 | $1,050–$1,997 | varies |
| CT lumbar spine w/o contrast (72131) | $840 | $840 | 6.2× |
| CT maxillofacial w contrast (70487) | $1,050 | $1,050 | 4.7× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$623–$840 | $623–$840 | varies |
| CT neck tissue combo (70492) | $1,260 | $1,260 | 5.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,260 | $1,260 | 5.6× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$623–$840 | $623–$840 | varies |
| CT pelvis w&w/o contrast (72194) | $1,260 | $1,260 | 5.6× |
| CT pelvis w/o contrast (72192) | $840 | $840 | 6.2× |
| CT scan of leg combo (73702) | $1,260 | $1,260 | 5.6× |
| CT scans face/jaw combo (70488) | $1,260 | $1,260 | 5.6× |
| CT soft tissue neck w contrast (70491) | $1,050 | $1,050 | 4.7× |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$623–$840 | $623–$840 | varies |
| CT thoracic spine w contrast (72129) | $1,050 | $1,050 | 4.7× |
| CT thoracic spine w/o contrast (72128) | $840 | $840 | 6.2× |
| CT thoracic spine w/wo cont (72130) | $1,260 | $1,260 | 5.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$595–$840 | $595–$840 | varies |
| CT upper ext wo (73200) | $840 | $840 | 6.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,260 | $1,260 | 5.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,050–$1,997 | $1,050–$1,997 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,050 | $1,050 | 4.7× |
| Cta Abdomen (74175) | $1,470 | $1,470 | 6.5× |
| CTA pelvis (72191) | $1,000 | $1,000 | 4.4× |
| Dilation ureters/urethra rs&i (74485) | $11,453 | $11,453 | 4.3× |
| Discography Cerv/Thor Spine (72285) | $10,917 | $10,917 | 4.3× |
| Diskography lumbar (72295) | $10,917 | $10,917 | 4.3× |
| Echo exam uterus (76831) | $1,351 | $1,351 | 4.4× |
| Echo Guide For Artery Repair (76936) | $1,741 | $1,741 | 6.3× |
| Esophagram (74220) | $995 | $995 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $623 | $623 | 4.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,233–$1,351 | $1,233–$1,351 | varies |
| Follow-Up Angiography (75898) | $17,597 | $17,597 | 4.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$376–$752 | $376–$752 | varies |
| Gastric emptying imaging study (78264) | $2,599 | $2,599 | 5.1× |
| Gated Heart Planar Single (78472) | $2,247 | $2,247 | 4.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$427–$893 | $427–$893 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,009 | $3,009 | 4.3× |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$2,046–$2,247 | $2,046–$2,247 | varies |
| Ht Musc Image Planar Mult (78454) | $7,298 | $7,298 | 4.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$7,066–$7,298 | $7,066–$7,298 | varies |
| Hysterosalpingogram (74740) | $1,351 | $1,351 | 4.4× |
| Infusion Ivp (74410) | $995 | $995 | 4.4× |
| Joint Survey Single View (77077) | $595 | $595 | 4.4× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,896–$3,009 | $2,896–$3,009 | varies |
| K Flow/Funct Image W/O Drug (78707) | $3,009 | $3,009 | 4.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$525–$1,050 | $525–$1,050 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,247 | $2,247 | 4.4× |
| Liver & Spleen Imaging Static Only (78215) | $2,247 | $2,247 | 4.4× |
| Liver imaging static only (78201) | $3,009 | $3,009 | 4.3× |
| Lung Perf&Ventilat Diferentl (78598) | $3,009 | $3,009 | 4.3× |
| Lung perfusion differential (78597) | $2,247 | $2,247 | 4.4× |
| Lung Ventilat&Perfus Imaging (78582) | $3,332 | $3,332 | 4.8× |
| Lung Ventilation Imaging (78579) | $2,247 | $2,247 | 4.4× |
| Lymph System Imaging (78195) | $3,009 | $3,009 | 4.3× |
| Magnetic Image Jaw Joint (70336) | $1,351 | $1,351 | 4.4× |
| Meckels Divert Exam (78290) | $2,247 | $2,247 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRA head with contrast (70545) | $1,997 | $1,997 | 4.5× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,575–$1,997 | $1,575–$1,997 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,417 | $4,417 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,417 | $4,417 | 4.4× |
| MRI cervical spine w contrast (72142) | $1,997 | $1,997 | 4.5× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI chest with contrast (71551) | $4,417 | $4,417 | 4.4× |
| MRI chest wo w contrast (71552) | $1,997 | $1,997 | 4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,996 | $2,996 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,890–$2,996 | $1,890–$2,996 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,260–$2,027 | $1,260–$2,027 | varies |
| MRI lumbar spine w contrast (72149) | $1,997 | $1,997 | 4.5× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI orbit face neck w contrast (70542) | $1,997 | $1,997 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$1,890–$2,087.30 | $1,890–$2,087.30 | varies |
| MRI pelvis w contrast (72196) | $1,997 | $1,997 | 4.5× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,351–$1,890 | $1,351–$1,890 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,997 | $1,997 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,260–$1,351 | $1,260–$1,351 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$1,260–$1,997 | $1,260–$1,997 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| MRI, dorsal spine contrast (72147) | $1,997 | $1,997 | 4.5× |
| MRI, joint upper extrem (73221) | $1,890 | $1,890 | 6.2× |
| MRI, joint upper extrem combo (73223) | $1,997 | $1,997 | 4.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,890–$1,997 | $1,890–$1,997 | varies |
| Myelogram cervical (72240) | $4,417 | $4,417 | 4.4× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$3,521–$4,417 | $3,521–$4,417 | varies |
| Myelography thoracic (72255) | $4,417 | $4,417 | 4.4× |
| Myelograpy 2/more regions rs&i (72270) | $4,417 | $4,417 | 4.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,247 | $2,247 | 4.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $7,298 | $7,298 | 4.4× |
| Myocardial Spect Multiple Studies (78452) | $7,298 | $7,298 | 4.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$420–$492 | $420–$492 | varies |
| Nm csf leak detection (78650) | $7,298 | $7,298 | 4.4× |
| Nm whole blood volume (78122) | $3,009 | $3,009 | 4.3× |
| Nonvascular Shunt X-Ray (75809) | $595 | $595 | 4.4× |
| Nuclear Rx Oral Admin (79005) | $1,253 | $1,253 | 4.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$595–$1,156 | $595–$1,156 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,046–$2,247 | $2,046–$2,247 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,247 | $2,247 | 4.4× |
| Pelvis 1 or 2 views (72170) | $641 | $641 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$2,046–$2,247 | $2,046–$2,247 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$595–$623 | $595–$623 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$376–$738 | $376–$738 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $623 | $623 | 4.6× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$433–$492 | $433–$492 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$492–$738 | $492–$738 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $738 | $738 | 6.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $595 | $595 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$492–$564 | $492–$564 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$492–$984 | $492–$984 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$422–$492 | $422–$492 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $995 | $995 | 4.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$422–$492 | $422–$492 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$422–$738 | $422–$738 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$473–$492 | $473–$492 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $623 | $623 | 4.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$492–$738 | $492–$738 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $595 | $595 | 4.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $623 | $623 | 4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $792 | $792 | 5.9× |
| Radiologic exam colon double contrast study (74280) | $995 | $995 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $995 | $995 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$792–$893 | $792–$893 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$623–$641 | $623–$641 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$700–$995 | $700–$995 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,187 | $1,187 | 5.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $995 | $995 | 4.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$450–$492 | $450–$492 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$473–$492 | $473–$492 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$473–$738 | $473–$738 | varies |
| Ribs bilateral 3 views (71110) | $623 | $623 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,247 | $2,247 | 4.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,247 | $2,247 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,298 | $7,298 | 10.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,298 | $7,298 | 10.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,298 | $7,298 | 10.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,298 | $7,298 | 4.4× |
| Scapula (73010) | $623 | $623 | 4.6× |
| Sella turcica (70240) | $492 | $492 | 4.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| Shoulder Arthrography (73040) | $2,020 | $2,020 | 4.5× |
| Sialogram (70390) | $1,351 | $1,351 | 4.4× |
| Skull less than 4 views (70250) | $623 | $623 | 4.6× |
| Sternoclavicular joints (71130) | $738 | $738 | 6.6× |
| Testicular Imaging W/Flow (78761) | $2,247 | $2,247 | 4.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $995 | $995 | 4.4× |
| Thoracic spine 2 views (72070) | $623 | $623 | 4.6× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$623–$792 | $623–$792 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,247 | $2,247 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $2,247 | $2,247 | 4.4× |
| Thyroid Met Imaging Body (78018) | $3,009 | $3,009 | 4.3× |
| Thyroid Uptake Measurement (78012) | $2,247 | $2,247 | 4.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,247 | $2,247 | 4.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$469–$492 | $469–$492 | varies |
| Ultrasound, abdomen limited (76705) | $630 | $630 | 4.7× |
| Umbilical-artery Doppler (OB) (76820) | $595 | $595 | 4.4× |
| Unlisted us procedure (76999) | $492 | $492 | 4.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$700–$995 | $700–$995 | varies |
| Urethrocystogram voiding (74455) | $1,351 | $1,351 | 4.4× |
| Urethrocystography retrograde (74450) | $909 | $909 | 3.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$785–$1,570 | $785–$1,570 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$593–$623 | $593–$623 | varies |
| Us complete joint (76881) | $623 | $623 | 4.6× |
| Us exam, pelvic, limited (76857) | $666 | $666 | 5.0× |
| Us head (76506) | $623 | $623 | 4.6× |
| Us kidney transplant (76776) | $623 | $623 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $754 | $754 | 5.6× |
| Us ob limited 1 or more fetuses (76815) | $623 | $623 | 4.6× |
| Us ob transvaginal (76817) | $623 | $623 | 4.6× |
| Us pelvic non ob complete (76856) | $792 | $792 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $595 | $595 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $623 | $623 | 4.6× |
| Us retroperitoneal complete (76770) | $792 | $792 | 5.9× |
| Us retroperitoneal limited (76775) | $792 | $792 | 5.9× |
| Us scrotum and contents (76870) | $792 | $792 | 5.9× |
| Us spinal canal and contents (76800) | $623 | $623 | 4.6× |
| Us thyroid (76536) range across 2 matching MRF lines |
$632–$1,264 | $632–$1,264 | varies |
| Us transrectal (76872) | $595 | $595 | 4.4× |
| Vascular Flow Imaging (78445) | $2,247 | $2,247 | 4.4× |
| Vein X-Ray Chest (75827) | $8,685 | $8,685 | 4.3× |
| Venogram Sinus/Jugular (75860) | $17,597 | $17,597 | 4.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$14,659–$17,597 | $14,659–$17,597 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$13,025–$13,028 | $13,025–$13,028 | varies |
| Venography extremity unilateral rs&i (75820) | $8,685 | $8,685 | 4.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$542–$738 | $542–$738 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $738 | $738 | 6.6× |
| X-ray antegrade pyelogram tube (74425) | $2,020 | $2,020 | 4.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$14,659–$17,597 | $14,659–$17,597 | varies |
| X-Ray Bend Only L-S Spine (72120) | $595 | $595 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$376–$738 | $376–$738 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$2,490–$3,065 | $2,490–$3,065 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $492 | $492 | 4.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $609 | $609 | 4.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$492–$1,036 | $492–$1,036 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$492–$1,128 | $492–$1,128 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $651 | $651 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$623–$893 | $623–$893 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$623–$893 | $623–$893 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$593–$893 | $593–$893 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $630 | $630 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$492–$564 | $492–$564 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $623 | $623 | 4.6× |
| X-ray eye for foreign body (70030) | $492 | $492 | 4.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$492–$1,128 | $492–$1,128 | varies |
| X-ray IV pyelogram (ivp) (74400) | $995 | $995 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $738 | $738 | 6.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $630 | $630 | 4.7× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $595 | $595 | 4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$444–$492 | $444–$492 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $492 | $492 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $623 | $623 | 4.6× |
| X-ray thoracic spine 4 vw (72074) | $623 | $623 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,020 | $2,020 | 4.5× |
| X-Rays Bone Length Studies (77073) | $595 | $595 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $623 | $623 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $623 | $623 | 4.6× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$444–$492 | $444–$492 | 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.