Imaging prices at Arrowhead Regional Medical Center
Colton, CA · every code in this section with a posted price and a Medicare benchmark.
323 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $6,111 | $6,111 | 3.4× |
| Abdomen 1 View (74018) | $402 | $402 | 3.6× |
| Abdomen 2 views (74019) | $402 | $402 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,111 | $2,111 | 4.1× |
| Angio internal mammary (75756) | $5,537 | $5,537 | 1.4× |
| Angio pulmonary bilat (75743) | $8,917 | $8,917 | 2.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $9,563 | $9,563 | 2.4× |
| Angiography extremity bilateral rs&i (75716) | $17,833 | $17,833 | 4.4× |
| Angiography extremity unilateral rs&i (75710) | $8,917 | $8,917 | 2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,720 | $7,720 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,545 | $5,545 | 1.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,917 | $8,917 | 1.2× |
| Artery X-Rays Abdomen (75726) | $15,320 | $15,320 | 2.1× |
| Artery X-Rays Adrenal Gland (75731) | $6,375 | $6,375 | 1.6× |
| Artery X-Rays Pelvis (75736) | $8,917 | $8,917 | 1.2× |
| Artery X-Rays Spine (75705) | $15,320 | $15,320 | 2.1× |
| Arthrogram ankle (73615) | $2,308 | $2,308 | 5.1× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,423–$4,843 | $2,423–$4,843 | varies |
| Arthrogram Wrist (73115) | $2,098 | $2,098 | 4.7× |
| Basic radiation dosimetry calculation (77300) | $925 | $925 | 5.4× |
| Bone age studies (77072) | $402 | $402 | 3.0× |
| Bone Imaging 3 Phase (78315) | $2,155 | $2,155 | 4.2× |
| Bone Imaging Limited Area (78300) | $2,155 | $2,155 | 4.2× |
| Bone Imaging Multiple Areas (78305) | $1,196 | $1,196 | 2.3× |
| Bone Imaging Whole Body (78306) | $2,155 | $2,155 | 4.2× |
| Bone survey infant (77076) | $675 | $675 | 5.0× |
| Brain Flow Imaging Only (78610) | $2,119 | $2,119 | 3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,111 | $9,111 | 5.0× |
| Cat Scan Follow-Up Study (76380) | $1,124 | $1,124 | 10.0× |
| Cerebrospinal Fluid Scan (78630) | $4,376 | $4,376 | 6.3× |
| Chest 1 view (71045) | $402 | $402 | 3.6× |
| Chest 2 views (71046) | $402 | $402 | 3.6× |
| Chest 3 views (71047) | $402 | $402 | 3.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,380 | $2,380 | 17.7× |
| Continuing medical physics consltj pr wk (77336) | $925 | $925 | 5.4× |
| Contrast Exam Abdominl Aorta (75625) | $8,917 | $8,917 | 2.2× |
| Contrast X-Ray Bladder (74430) | $1,554 | $1,554 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,516 | $5,516 | 12.3× |
| CT abdomen and pelvis without contrast (74176) | $3,202 | $3,202 | 10.4× |
| CT abdomen w contrast (74160) | $4,947 | $4,947 | 21.9× |
| CT abdomen w wo contrast (74170) | $5,516 | $5,516 | 24.5× |
| CT abdomen w/o contrast (74150) | $3,202 | $3,202 | 23.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,497 | $6,497 | 14.5× |
| CT Angio Chest (71275) | $5,585 | $5,585 | 24.8× |
| CT Angio Head (70496) | $5,585 | $5,585 | 24.8× |
| CT angio hrt w/3d image (75574) | $3,394 | $3,394 | 7.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,585–$11,170 | $5,585–$11,170 | varies |
| CT Angio Neck (70498) | $5,585 | $5,585 | 24.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,585 | $5,585 | 24.8× |
| CT cervical spine w/ contrast (72126) | $4,947 | $4,947 | 11.0× |
| CT cervical spine w/o contrast (72125) | $3,202 | $3,202 | 23.8× |
| CT cervical spine w/wo cont (72127) | $5,516 | $5,516 | 24.5× |
| CT chest w contrast (71260) | $4,947 | $4,947 | 21.9× |
| CT chest w/wo contrast (71270) | $5,516 | $5,516 | 24.5× |
| CT head/brain with contrast (70460) | $4,947 | $4,947 | 21.9× |
| CT head/brain without and with contrast (70470) | $5,516 | $5,516 | 24.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $465 | $465 | 4.2× |
| CT iac w contrast (70481) | $4,947 | $4,947 | 21.9× |
| CT l-spine w&w/o contrast (72133) | $5,516 | $5,516 | 24.5× |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$3,202–$6,401 | $3,202–$6,401 | varies |
| CT lower extremity w/contrast material (73701) range across 15 matching MRF lines |
$4,947–$9,891 | $4,947–$9,891 | varies |
| CT lumbar spine w contrast (72132) | $4,947 | $4,947 | 11.0× |
| CT lumbar spine w/o contrast (72131) | $3,202 | $3,202 | 23.8× |
| CT maxillofacial w contrast (70487) | $4,947 | $4,947 | 21.9× |
| CT maxillofacial wo contrast (70486) | $3,202 | $3,202 | 23.8× |
| CT neck tissue combo (70492) | $5,516 | $5,516 | 24.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,516 | $5,516 | 24.5× |
| CT orbits w/o contrast (70480) | $3,202 | $3,202 | 23.8× |
| CT pelvis w&w/o contrast (72194) | $5,516 | $5,516 | 24.5× |
| CT pelvis w/o contrast (72192) | $3,202 | $3,202 | 23.8× |
| CT scan of leg combo (73702) range across 12 matching MRF lines |
$5,516–$11,032 | $5,516–$11,032 | varies |
| CT scans face/jaw combo (70488) | $5,516 | $5,516 | 24.5× |
| CT soft tissue neck w contrast (70491) | $2,605 | $2,605 | 11.5× |
| CT soft tissue neck w/o contrast (70490) | $3,202 | $3,202 | 23.8× |
| CT thoracic spine w contrast (72129) | $4,947 | $4,947 | 21.9× |
| CT thoracic spine w/o contrast (72128) | $3,202 | $3,202 | 23.8× |
| CT thoracic spine w/wo cont (72130) | $5,516 | $5,516 | 24.5× |
| CT thorax w/o contrast (71250) | $3,202 | $3,202 | 23.8× |
| CT unlisted procedure (76497) | $372 | $372 | 3.3× |
| CT upper ext wo (73200) range across 18 matching MRF lines |
$3,202–$6,401 | $3,202–$6,401 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $5,516 | $5,516 | 24.5× |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$4,947–$9,891 | $4,947–$9,891 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,585 | $5,585 | 24.8× |
| Cta Abdomen (74175) | $5,585 | $5,585 | 24.8× |
| CTA pelvis (72191) | $5,585 | $5,585 | 24.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $691 | $691 | 5.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $691 | $691 | 5.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $691 | $691 | 5.1× |
| Dxa Bone Density Axial (77080) | $626 | $626 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $291 | $291 | 2.6× |
| Echo exam of fetal heart (76825) | $5,567 | $5,567 | 7.9× |
| Echo exam uterus (76831) | $1,685 | $1,685 | 5.5× |
| Echo Guide For Artery Repair (76936) | $1,185 | $1,185 | 4.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $525 | $525 | 1.7× |
| Esophagram (74220) | $772 | $772 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $993 | $993 | 3.2× |
| Follow-Up Angiography (75898) | $1,913 | $1,913 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Gastric emptying imaging study (78264) | $2,111 | $2,111 | 4.1× |
| Gated Heart Planar Single (78472) | $1,939 | $1,939 | 3.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,712 | $2,712 | 3.9× |
| Hepatobiliary System Imaging (78226) | $2,712 | $2,712 | 5.3× |
| Ht Muscle Image Spect Sing (78451) | $5,853 | $5,853 | 3.5× |
| Hysterosalpingogram (74740) | $2,027 | $2,027 | 6.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $691 | $691 | 6.2× |
| Infant hip ultrasound, limited static exam (76886) | $1,380 | $1,380 | 12.3× |
| K Flow/Funct Image W/Drug (78708) | $2,832 | $2,832 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,832 | $2,832 | 4.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$402–$804 | $402–$804 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,338 | $2,338 | 4.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,922 | $2,922 | 4.2× |
| Lymph System Imaging (78195) | $2,263 | $2,263 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $4,152 | $4,152 | 13.5× |
| Mammary ductogram or galactogram multiple (77054) | $1,930 | $1,930 | 6.3× |
| Mammary ductogram or galactogram single (77053) | $1,930 | $1,930 | 6.3× |
| Mlc imrt design & construction per imrt plan (77338) | $5,098 | $5,098 | 10.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,111 | $4,111 | 9.2× |
| MRA head w/o contrast (70544) | $4,112 | $4,112 | 13.4× |
| MRA head with contrast (70545) | $3,847 | $3,847 | 8.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,111 | $4,111 | 9.2× |
| MRA neck w/o contrast (70547) | $4,152 | $4,152 | 13.5× |
| MRI abdomen w contrast (74182) | $6,455 | $6,455 | 14.4× |
| MRI abdomen w/o contrast (74181) | $4,152 | $4,152 | 13.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$5,288–$10,574 | $5,288–$10,574 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$6,455–$12,909 | $6,455–$12,909 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$4,579–$5,288 | $4,579–$5,288 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $8,488 | $8,488 | 27.7× |
| MRI cervical spine w contrast (72142) | $5,288 | $5,288 | 11.8× |
| MRI cervical spine w/o cont (72141) | $4,152 | $4,152 | 13.5× |
| MRI chest w/o contrast (71550) | $4,152 | $4,152 | 13.5× |
| MRI chest wo w contrast (71552) | $6,455 | $6,455 | 14.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines |
$6,455–$12,906 | $6,455–$12,906 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines |
$4,152–$8,302 | $4,152–$8,302 | varies |
| MRI lumbar spine w contrast (72149) | $5,288 | $5,288 | 11.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,455 | $6,455 | 14.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,152 | $4,152 | 13.5× |
| MRI orbit face neck w contrast (70542) | $5,288 | $5,288 | 11.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,455 | $6,455 | 14.4× |
| MRI pelvis w/o & w contrast (72197) | $6,455 | $6,455 | 14.4× |
| MRI pelvis w/o contrast (72195) | $4,152 | $4,152 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $4,152 | $4,152 | 13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,152 | $4,152 | 13.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$6,455–$12,906 | $6,455–$12,906 | varies |
| MRI, abdomen, combo (74183) | $6,455 | $6,455 | 14.4× |
| MRI, dorsal spine combo (72157) | $6,455 | $6,455 | 14.4× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$4,152–$8,302 | $4,152–$8,302 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$6,455–$12,906 | $6,455–$12,906 | varies |
| MRI, lumbar spine combo (72158) | $6,455 | $6,455 | 14.4× |
| Musculoskeletal Nuclear Exam (78399) | $1,196 | $1,196 | 2.3× |
| Myelogram cervical (72240) | $3,664 | $3,664 | 3.6× |
| Myelogram Lumbar (72265) | $3,664 | $3,664 | 3.6× |
| Myelography thoracic (72255) | $3,664 | $3,664 | 3.6× |
| Myelograpy 2/more regions rs&i (72270) | $3,664 | $3,664 | 3.6× |
| Myocardial Spect Multiple Studies (78452) | $5,853 | $5,853 | 3.5× |
| Neck soft tissue (70360) | $402 | $402 | 3.6× |
| Nm csf leak detection (78650) | $4,376 | $4,376 | 2.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,111 | $6,111 | 3.4× |
| Nuclear Rx Oral Admin (79005) | $1,979 | $1,979 | 6.6× |
| Ob us nuchal meas 1 gest (76813) | $691 | $691 | 5.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 4 matching MRF lines |
$748–$1,495 | $748–$1,495 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 3 matching MRF lines |
$748–$1,495 | $748–$1,495 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
$748–$1,495 | $748–$1,495 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $147 | $147 | 4.0× |
| Panoramic X-ray of jaws (70355) | $1,156 | $1,156 | 10.3× |
| Parathyroid Planar Imaging (78070) | $1,939 | $1,939 | 3.8× |
| Pelvis 1 or 2 views (72170) | $402 | $402 | 3.0× |
| Pet Image Skull-Thigh (78812) | $9,111 | $9,111 | 5.0× |
| Pet Image W/Ct Lmtd (78814) | $9,111 | $9,111 | 5.0× |
| PET image w/CT, full body (78816) | $9,111 | $9,111 | 5.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,111 | $9,111 | 5.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $9,111 | $9,111 | 5.5× |
| PET whole body (78813) | $9,111 | $9,111 | 5.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,503 | $1,503 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $675 | $675 | 5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,027 | $2,027 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $402 | $402 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $402 | $402 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $402 | $402 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $402 | $402 | 3.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $693 | $693 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $402 | $402 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $402 | $402 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $402 | $402 | 3.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,342 | $1,342 | 10.0× |
| Radiation treatment delivery level 3 (77412) | $1,531 | $1,531 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $402 | $402 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $402 | $402 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $1,254 | $1,254 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $772 | $772 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $402 | $402 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $772 | $772 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $772 | $772 | 3.4× |
| Radiologic exam teeth complete full mouth (70320) | $1,156 | $1,156 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,570 | $1,570 | 7.0× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $675 | $675 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $145 | $145 | 1.3× |
| Ribs bilateral 3 views (71110) | $802 | $802 | 6.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,196 | $1,196 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,196 | $1,196 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,079 | $8,079 | 11.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,486 | $5,486 | 7.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,504 | $3,504 | 5.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,357 | $3,357 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,766 | $3,766 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,357 | $3,357 | 2.0× |
| Scapula (73010) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$366–$731 | $366–$731 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| Shoulder Arthrography (73040) | $2,423 | $2,423 | 5.4× |
| Skull less than 4 views (70250) | $402 | $402 | 3.0× |
| Special Physics Consult (77370) | $925 | $925 | 5.4× |
| Special treatment procedure (77470) | $3,421 | $3,421 | 4.8× |
| Sternoclavicular joints (71130) | $402 | $402 | 3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $899 | $899 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,394 | $2,394 | 5.0× |
| Ther rad simulaj-aided field setting simple (77280) | $925 | $925 | 5.4× |
| Thoracic spine 2 views (72070) | $402 | $402 | 3.0× |
| Thoracic spine 3 views (72072) | $402 | $402 | 3.0× |
| Thoracolumbar 2 views (72080) | $402 | $402 | 3.6× |
| Thyroid Met Imaging Body (78018) | $2,559 | $2,559 | 3.7× |
| Thyroid Uptake Measurement (78012) | $1,080 | $1,080 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,939 | $1,939 | 3.8× |
| Tx Devices Design & Construction Complex (77334) | $1,760 | $1,760 | 3.7× |
| Ultrasound Breast Limited (76642) | $572 | $572 | 5.1× |
| Ultrasound Exam Aaa Screen (76706) | $707 | $707 | 5.3× |
| Ultrasound, abdomen limited (76705) | $691 | $691 | 5.1× |
| Umbilical-artery Doppler (OB) (76820) | $691 | $691 | 5.1× |
| Unlisted Dx Radiographic Procedure (76499) | $315 | $315 | 2.8× |
| Unlisted fluoroscopic procedure (76496) | $776 | $776 | 6.9× |
| Unlisted us procedure (76999) | $586 | $586 | 5.2× |
| Upper gi w/o kub (74240) | $772 | $772 | 3.4× |
| Urethrocystogram voiding (74455) | $1,554 | $1,554 | 5.1× |
| Us breast unilateral complete (76641) | $572 | $572 | 4.3× |
| Us chest (76604) | $691 | $691 | 5.1× |
| Us complete joint (76881) | $1,064 | $1,064 | 7.9× |
| Us exam, pelvic, limited (76857) | $691 | $691 | 5.1× |
| Us head (76506) | $691 | $691 | 5.1× |
| Us kidney transplant (76776) | $1,064 | $1,064 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $691 | $691 | 5.1× |
| Us ob detailed single fetus (76811) | $1,685 | $1,685 | 5.5× |
| Us ob limited 1 or more fetuses (76815) | $691 | $691 | 5.1× |
| Us ob transvaginal (76817) | $691 | $691 | 5.1× |
| Us pelvic non ob complete (76856) | $1,064 | $1,064 | 7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,064 | $1,064 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $691 | $691 | 5.1× |
| Us retroperitoneal complete (76770) | $1,064 | $1,064 | 7.9× |
| Us retroperitoneal limited (76775) | $691 | $691 | 5.1× |
| Us scrotum and contents (76870) | $1,064 | $1,064 | 7.9× |
| Us spinal canal and contents (76800) | $1,064 | $1,064 | 7.9× |
| Us thyroid (76536) | $1,055 | $1,055 | 7.8× |
| Us transrectal (76872) | $1,064 | $1,064 | 7.9× |
| Vein X-Ray Chest (75827) | $5,537 | $5,537 | 2.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,537 | $5,537 | 1.4× |
| Venogram Sinus/Jugular (75860) | $8,825 | $8,825 | 2.2× |
| Venography Adrenal Unilateral (75840) | $8,825 | $8,825 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $8,917 | $8,917 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $5,537 | $5,537 | 2.7× |
| Venography extremity unilateral rs&i (75820) | $5,537 | $5,537 | 2.7× |
| Venography Renal Bilateral (75833) | $13,507 | $13,507 | 3.3× |
| Venography Renal Unilateral (75831) | $9,004 | $9,004 | 2.2× |
| Venous sampling by catheter (75893) | $8,492 | $8,492 | 1.2× |
| Venous thrombosis imaging (78457) | $2,288 | $2,288 | 3.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,526 | $3,526 | 6.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $402 | $402 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $1,554 | $1,554 | 3.5× |
| X-Ray Aorta Leg Arteries (75630) | $13,375 | $13,375 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| X-Ray Exam Breast Specimen (76098) | $3,584 | $3,584 | 5.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $428 | $428 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $707 | $707 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,342 | $1,342 | 10.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $402 | $402 | 3.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $402 | $402 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $707 | $707 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $398 | $398 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $707 | $707 | 5.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,342 | $1,342 | 10.0× |
| X-Ray Exam L-S Spine Bending (72114) | $675 | $675 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $402 | $402 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $402 | $402 | 3.0× |
| X-ray eye for foreign body (70030) | $322 | $322 | 2.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$402–$802 | $402–$802 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,554 | $1,554 | 6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $402 | $402 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $402 | $402 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $402 | $402 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $402 | $402 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $802 | $802 | 6.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $402 | $402 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $402 | $402 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $402 | $402 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $402 | $402 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $675 | $675 | 5.0× |
| X-Ray Stress View (77071) | $402 | $402 | 3.6× |
| X-ray thoracic spine 4 vw (72074) | $402 | $402 | 3.0× |
| X-Ray Tmj Unilat (70328) | $402 | $402 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,554 | $1,554 | 3.5× |
| X-Rays Bone Length Studies (77073) | $402 | $402 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $675 | $675 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $675 | $675 | 5.0× |
| Xr facial bones less than 3 views (70140) | $402 | $402 | 3.6× |
| Xr orbits complete 4 views (70200) | $402 | $402 | 3.0× |
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.