Imaging prices at Artesia General Hospital
Artesia, NM · every code in this section with a posted price and a Medicare benchmark.
277 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) | $289.20 | $482 | 3.4× |
| Abdomen 2 views (74019) | $357.60 | $596 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,442.40 | $2,404 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $4,374.60 | $7,291 | 1.4× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$192.60–$305.40 | $321–$509 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$868.80–$905.40 | $1,448–$1,509 | varies |
| Arthrogram Wrist (73115) | $900 | $1,500 | 2.6× |
| Bone age studies (77072) range across 4 matching MRF lines |
$208.80–$302.40 | $348–$504 | varies |
| Bone Imaging 3 Phase (78315) | $1,852.80 | $3,088 | 4.7× |
| Bone Imaging Limited Area (78300) | $1,193.40 | $1,989 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,118.40 | $1,864 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,723.20 | $2,872 | 4.4× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$204.60–$550.80 | $341–$918 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,624.80 | $7,708 | 3.3× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$279.60–$292.20 | $466–$487 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$243–$342.36 | $405–$570.60 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$353.40–$362.40 | $589–$604 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$237.60–$431.40 | $396–$719 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$333–$511.80 | $555–$853 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$278.40–$331.20 | $464–$552 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $715.20 | $1,192 | 6.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$635.40–$693.60 | $1,059–$1,156 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$730.20–$936 | $1,217–$1,560 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,213.80 | $7,023 | 12.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,340.60–$3,261 | $3,901–$5,435 | varies |
| CT abdomen w contrast (74160) | $2,107.80 | $3,513 | 12.1× |
| CT abdomen w wo contrast (74170) | $2,548.80 | $4,248 | 14.7× |
| CT abdomen w/o contrast (74150) | $1,778.40 | $2,964 | 17.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,929.40 | $6,549 | 11.4× |
| CT Angio Chest (71275) | $2,653.44 | $4,422.40 | 15.3× |
| CT Angio Head (70496) | $2,452.20 | $4,087 | 14.1× |
| CT angio hrt w/3d image (75574) | $2,046.60 | $3,411 | 5.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,387.40 | $3,979 | 13.7× |
| CT Angio Neck (70498) | $2,488.56 | $4,147.60 | 14.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,190.60 | $3,651 | 12.6× |
| CT cervical spine w/ contrast (72126) | $2,200.20 | $3,667 | 6.4× |
| CT cervical spine w/o contrast (72125) | $2,067.84 | $3,446.40 | 20.0× |
| CT cervical spine w/wo cont (72127) | $2,511.60 | $4,186 | 14.5× |
| CT chest w contrast (71260) | $2,118.60 | $3,531 | 12.2× |
| CT chest w/wo contrast (71270) | $2,483.40 | $4,139 | 14.3× |
| CT head/brain with contrast (70460) | $1,858.20 | $3,097 | 10.7× |
| CT head/brain without and with contrast (70470) | $2,252.40 | $3,754 | 13.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,737 | $2,895 | 5.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $120 | $200 | 1.4× |
| CT l-spine w&w/o contrast (72133) | $2,455.20 | $4,092 | 14.1× |
| CT lower ext w/o (73700) | $1,643.40 | $2,739 | 15.9× |
| CT lower extremity w/contrast material (73701) | $1,926.60 | $3,211 | 11.1× |
| CT lumbar spine w contrast (72132) | $2,202.60 | $3,671 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $1,944 | $3,240 | 18.8× |
| CT maxillofacial w contrast (70487) | $1,981.80 | $3,303 | 11.4× |
| CT maxillofacial wo contrast (70486) | $1,674 | $2,790 | 16.2× |
| CT neck tissue combo (70492) | $2,300.40 | $3,834 | 13.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,129.40 | $3,549 | 12.3× |
| CT orbits w/o contrast (70480) | $1,630.80 | $2,718 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $2,436 | $4,060 | 14.0× |
| CT pelvis w/o contrast (72192) | $1,732.20 | $2,887 | 16.7× |
| CT scan of leg combo (73702) | $2,056.20 | $3,427 | 11.8× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,193.60–$3,025.20 | $3,656–$5,042 | varies |
| CT soft tissue neck w contrast (70491) | $2,034.60 | $3,391 | 11.7× |
| CT soft tissue neck w/o contrast (70490) | $1,682.40 | $2,804 | 16.3× |
| CT thoracic spine w contrast (72129) | $2,071.80 | $3,453 | 11.9× |
| CT thoracic spine w/o contrast (72128) | $1,881.60 | $3,136 | 18.2× |
| CT thoracic spine w/wo cont (72130) | $2,274 | $3,790 | 13.1× |
| CT thorax w/o contrast (71250) | $1,810.14 | $3,016.90 | 17.5× |
| CT upper ext wo (73200) | $1,613.40 | $2,689 | 15.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,139 | $3,565 | 12.3× |
| CT upper extremity with contrast (73201) | $1,837.80 | $3,063 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,544 | $4,240 | 14.7× |
| Cta Abdomen (74175) | $2,411.40 | $4,019 | 13.9× |
| CTA pelvis (72191) | $2,170.80 | $3,618 | 12.5× |
| Dilation ureters/urethra rs&i (74485) | $2,944.20 | $4,907 | 1.4× |
| Dxa Bone Density Axial (77080) | $456 | $760 | 4.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $228.60 | $381 | 2.7× |
| Echo exam uterus (76831) | $633 | $1,055 | 2.7× |
| Echo Guide For Artery Repair (76936) | $1,167 | $1,945 | 5.5× |
| Echograp Trans R Pros Study (76873) | $295.20 | $492 | 2.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$555.60–$684 | $926–$1,140 | varies |
| Fetal Biophys Profile W/Nst (76818) | $741.60 | $1,236 | 7.2× |
| Fluoroscopy up to 1 hr (76000) | $603.60 | $1,006 | 2.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$191.40–$313.20 | $319–$522 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$246–$330 | $410–$550 | varies |
| Gastric emptying imaging study (78264) | $1,602 | $2,670 | 4.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $792 | $1,320 | 2.0× |
| Gated Heart Planar Single (78472) | $1,613.40 | $2,689 | 4.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,035.60 | $1,726 | 1.9× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$192.60–$335.40 | $321–$559 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,827.72 | $3,046.20 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,627.20 | $2,712 | 4.1× |
| Ht Muscle Image Spect Sing (78451) | $2,909.40 | $4,849 | 2.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$533.40–$757.80 | $889–$1,263 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $300 | $500 | 3.5× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$224.40–$290.40 | $374–$484 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,614 | $2,690 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,586.40 | $2,644 | 3.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,248.60 | $2,081 | 3.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$391.20–$400.80 | $652–$668 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,338.60 | $2,231 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,671.60 | $2,786 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,797.60 | $2,996 | 3.3× |
| Lung Ventilation Imaging (78579) | $1,204.80 | $2,008 | 3.0× |
| Lymph System Imaging (78195) | $1,594.20 | $2,657 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,157.60 | $3,596 | 9.1× |
| Meckels Divert Exam (78290) | $1,037.40 | $1,729 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$3,121.20–$3,244.80 | $5,202–$5,408 | varies |
| MRA head w/o contrast (70544) | $2,329.80 | $3,883 | 9.9× |
| MRA head with contrast (70545) | $2,506.80 | $4,178 | 7.3× |
| MRA neck w contrast (70548) | $2,436 | $4,060 | 7.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,009.60 | $5,016 | 8.7× |
| MRA neck w/o contrast (70547) | $2,292 | $3,820 | 9.7× |
| MRI abdomen w contrast (74182) | $2,701.80 | $4,503 | 7.8× |
| MRI abdomen w/o contrast (74181) | $2,460 | $4,100 | 10.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,651.40–$3,020.05 | $4,419–$5,033.41 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,219.60 | $5,366 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,471.80–$2,566.20 | $2,453–$4,277 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,677.20 | $4,462 | 11.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,620 | $2,700 | 6.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,732.40–$3,441.60 | $4,554–$5,736 | varies |
| MRI cervical spine w/o cont (72141) | $2,627.16 | $4,378.60 | 11.1× |
| MRI chest w/o contrast (71550) | $2,328.60 | $3,881 | 9.9× |
| MRI chest with contrast (71551) | $2,382.60 | $3,971 | 3.1× |
| MRI chest wo w contrast (71552) | $3,205.80 | $5,343 | 9.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,436–$2,662.80 | $4,060–$4,438 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,120.60 | $5,201 | 9.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,491.60–$2,367.60 | $2,486–$3,946 | varies |
| MRI lumbar spine w contrast (72149) | $2,906.40 | $4,844 | 8.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,501 | $5,835 | 10.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,413.20 | $4,022 | 10.2× |
| MRI orbit face neck w contrast (70542) | $2,778 | $4,630 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,304.80 | $5,508 | 9.6× |
| MRI pelvis w contrast (72196) | $2,719.80 | $4,533 | 7.9× |
| MRI pelvis w/o & w contrast (72197) | $3,268.80 | $5,448 | 9.5× |
| MRI pelvis w/o contrast (72195) | $2,346 | $3,910 | 9.9× |
| MRI thoracic spine w/o contrast (72146) | $2,463 | $4,105 | 10.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,280.60 | $3,801 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,158–$2,314.20 | $1,930–$3,857 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,024 | $5,040 | 8.8× |
| MRI, abdomen, combo (74183) | $3,345.60 | $5,576 | 9.7× |
| MRI, dorsal spine combo (72157) | $3,433.20 | $5,722 | 9.9× |
| MRI, dorsal spine contrast (72147) | $2,728.80 | $4,548 | 7.9× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,314–$2,400 | $2,190–$4,000 | varies |
| MRI, joint upper extrem combo (73223) | $3,175.80 | $5,293 | 9.2× |
| MRI, lumbar spine combo (72158) | $3,544.20 | $5,907 | 10.3× |
| Myelogram cervical (72240) | $1,566 | $2,610 | 2.0× |
| Myelogram Lumbar (72265) | $1,455 | $2,425 | 1.9× |
| Myelography thoracic (72255) | $1,372.80 | $2,288 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $2,087.40 | $3,479 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $3,912 | $6,520 | 3.1× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$134.40–$314.40 | $224–$524 | varies |
| Nonvascular Shunt X-Ray (75809) | $494.28 | $823.80 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $1,527 | $2,545 | 6.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $334.20 | $557 | 3.2× |
| Optic foramina (70190) range across 3 matching MRF lines |
$190.80–$273 | $318–$455 | varies |
| Parathyroid Planar Imaging (78070) | $1,309.80 | $2,183 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$187.20–$326.40 | $312–$544 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,527.60 | $7,546 | 3.2× |
| PET image w/CT, full body (78816) | $5,340 | $8,900 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,157.60 | $8,596 | 3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,227 | $2,045 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $511.80 | $853 | 4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $720.60 | $1,201 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$259.80–$369.60 | $433–$616 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$245.40–$280.80 | $409–$468 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$194.40–$372.60 | $324–$621 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $436.20 | $727 | 4.2× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$137.40–$282 | $229–$470 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$262.80–$363 | $438–$605 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$254.40–$369.60 | $424–$616 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $88.80 | $148 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$285.60–$369.60 | $476–$616 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$302.40–$357.60 | $504–$596 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $104.40 | $174 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$240.60–$373.80 | $401–$623 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$211.80–$265.20 | $353–$442 | varies |
| Radex Spine 1 View Specify Level (72020) | $294.60 | $491 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$244.80–$343.80 | $408–$573 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$269.40–$380.40 | $449–$634 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$189.60–$273.60 | $316–$456 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $86.40 | $144 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$265.20–$373.20 | $442–$622 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$396–$567 | $660–$945 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$377.40–$423.60 | $629–$706 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $420.60 | $701 | 4.1× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$916.80–$958.20 | $1,528–$1,597 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$712.80–$768 | $1,188–$1,280 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$126.60–$458.40 | $211–$764 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$364.80–$399 | $608–$665 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$608.40–$699.60 | $1,014–$1,166 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$531.60–$580.20 | $886–$967 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$622.20–$715.20 | $1,037–$1,192 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$61.20–$271.20 | $102–$452 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$76.20–$339.60 | $127–$566 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$219–$320.40 | $365–$534 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$517.20–$575.40 | $862–$959 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$277.80–$342 | $463–$570 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$466.20–$697.80 | $777–$1,163 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,075.40 | $3,459 | 3.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,992.60 | $3,321 | 3.7× |
| Scapula (73010) range across 6 matching MRF lines |
$285.60–$340.80 | $476–$568 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $179.40 | $299 | 7.7× |
| Sella turcica (70240) range across 3 matching MRF lines |
$145.80–$178.80 | $243–$298 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$160.80–$289.20 | $268–$482 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$805.80–$937.20 | $1,343–$1,562 | varies |
| Sialogram (70390) | $561 | $935 | 2.4× |
| Skull less than 4 views (70250) | $353.40 | $589 | 3.4× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$187.80–$295.80 | $313–$493 | varies |
| Tbs technical calculation only (77091) | $155.84 | $259.74 | 1.8× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$358.20–$376.80 | $597–$628 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$357–$440.40 | $595–$734 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$337.80–$358.20 | $563–$597 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $808.80 | $1,348 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,859.40 | $3,099 | 3.5× |
| Thyroid Uptake Measurement (78012) | $912.60 | $1,521 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,164.60 | $1,941 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$411.60–$431.40 | $686–$719 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$421.20–$435 | $702–$725 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$711–$742.98 | $1,185–$1,238.30 | varies |
| Unlisted us procedure (76999) | $53.40 | $89 | 0.6× |
| Upper gi w/o kub (74240) | $669 | $1,115 | 3.9× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$292.80–$743.40 | $488–$1,239 | varies |
| Urethrocystography retrograde (74450) | $707.40 | $1,179 | 3.0× |
| Us breast unilateral complete (76641) | $546.60 | $911 | 5.3× |
| Us chest (76604) | $496.80 | $828 | 4.8× |
| Us complete joint (76881) range across 3 matching MRF lines |
$622.80–$824.40 | $1,038–$1,374 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$477–$504.60 | $795–$841 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$432.60–$438.60 | $721–$731 | varies |
| Us ob limited 1 or more fetuses (76815) | $487.20 | $812 | 4.7× |
| Us ob transvaginal (76817) | $570 | $950 | 5.5× |
| Us pelvic non ob complete (76856) | $775.20 | $1,292 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $652.80 | $1,088 | 6.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $431.40 | $719 | 4.2× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$678–$754.80 | $1,130–$1,258 | varies |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$589.80–$607.80 | $983–$1,013 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$632.40–$718.20 | $1,054–$1,197 | varies |
| Us spinal canal and contents (76800) | $254.81 | $424.68 | 2.5× |
| Us thyroid (76536) range across 4 matching MRF lines |
$204–$689.10 | $340–$1,148.50 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$391.20–$602.40 | $652–$1,004 | varies |
| Venography extremity bilateral rs&i (75822) | $1,944 | $3,240 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,592.40 | $2,654 | 1.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$193.80–$305.40 | $323–$509 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$311.40–$347.40 | $519–$579 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$712.20–$769.80 | $1,187–$1,283 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$142.80–$392.40 | $238–$654 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$193.20–$295.80 | $322–$493 | varies |
| X-Ray Exam Breast Specimen (76098) | $621.60 | $1,036 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$136.80–$299.40 | $228–$499 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$213–$505.80 | $355–$843 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$396–$541.20 | $660–$902 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$61.20–$280.80 | $102–$468 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$76.20–$352.20 | $127–$587 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
$76.20–$462.60 | $127–$771 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$243.60–$433.20 | $406–$722 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$243.60–$493.20 | $406–$822 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$441.60–$599.40 | $736–$999 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$563.40–$639.60 | $939–$1,066 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$327–$382.20 | $545–$637 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$409.20–$608.40 | $682–$1,014 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$288.60–$452.40 | $481–$754 | varies |
| X-ray eye for foreign body (70030) | $237 | $395 | 2.8× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$247.80–$333 | $413–$555 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$660.60–$925.80 | $1,101–$1,543 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$123–$318.60 | $205–$531 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$280.80–$376.80 | $468–$628 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$316.20–$436.38 | $527–$727.30 | varies |
| X-ray nose-rectum child f.b. (76010) | $145.80 | $243 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$577.20–$760.20 | $962–$1,267 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$346.20–$350.40 | $577–$584 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $270 | $450 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$297–$357 | $495–$595 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$53.40–$427.80 | $89–$713 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$429–$486.60 | $715–$811 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$304.80–$876 | $508–$1,460 | varies |
| X-Rays Bone Length Studies (77073) range across 5 matching MRF lines |
$247.20–$412.20 | $412–$687 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$645–$786 | $1,075–$1,310 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$404.40–$537 | $674–$895 | varies |
| Xr facial bones less than 3 views (70140) | $288.60 | $481 | 3.3× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$204.60–$285 | $341–$475 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$279–$434.40 | $465–$724 | 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.