Imaging prices at Astria Sunnyside Hospital
Sunnyside, WA · every code in this section with a posted price and a Medicare benchmark.
307 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) | $336.87 | $591 | 3.5× |
| Abdomen 2 views (74019) | $615.60 | $1,080 | 5.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,059.06 | $1,858 | 2.4× |
| Angio internal mammary (75756) | $6,194.19 | $10,867 | 1.8× |
| Angio pulmonary bilat (75743) | $5,623.05 | $9,865 | 1.6× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$82.08–$550.05 | $144–$965 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$87.21–$413.25 | $153–$725 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,623.05 | $9,865 | 1.6× |
| Ankle 2 views (73600) | $231.42 | $406 | 2.4× |
| Aortography thoracic serialography rs&i (75605) | $5,624.19 | $9,867 | 0.9× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$177.27 | $311 | 0.0× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$72.96–$406.41 | $128–$713 | varies |
| Arthrogram hip (73525) | $963.87 | $1,691 | 2.5× |
| Arthrogram Wrist (73115) | $764.94 | $1,342 | 2.0× |
| Bone age studies (77072) | $300.39 | $527 | 2.6× |
| Bone Imaging 3 Phase (78315) | $825.36 | $1,448 | 1.9× |
| Bone Imaging Limited Area (78300) | $94.62 | $166 | 0.2× |
| Bone Imaging Multiple Areas (78305) | $129.39 | $227 | 0.3× |
| Bone Imaging Whole Body (78306) | $165.30 | $290 | 0.4× |
| Bone marrow imaging limited area (78102) | $877.23 | $1,539 | 2.0× |
| Bone survey infant (77076) | $536.37 | $941 | 4.6× |
| Brain Image W/Flow < 4 Views (78601) | $2,216.16 | $3,888 | 5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,180.38 | $7,334 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $1,315.56 | $2,308 | 13.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,353.18 | $2,374 | 2.2× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$265.05–$290.70 | $465–$510 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$364.23–$565.44 | $639–$992 | varies |
| Chest 3 views (71047) | $581.40 | $1,020 | 6.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$581.40–$843.03 | $1,020–$1,479 | varies |
| Clavicle complete (73000) | $754.11 | $1,323 | 7.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $677.73 | $1,189 | 5.8× |
| Contrast Exam Abdominl Aorta (75625) | $408.69 | $717 | 0.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$611.04–$648.09 | $1,072–$1,137 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $421.80 | $740 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,500.94–$4,007.10 | $6,142–$7,030 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,932.30–$2,211.03 | $3,390–$3,879 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,282.85–$2,726.88 | $4,005–$4,784 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$3,169.20–$3,626.91 | $5,560–$6,363 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,655.28–$2,107.86 | $2,904–$3,698 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,345.20–$2,705.79 | $2,360–$4,747 | varies |
| CT Angio Chest (71275) | $3,950.67 | $6,931 | 20.2× |
| CT Angio Head (70496) | $3,067.17 | $5,381 | 15.7× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,686.63–$3,734.64 | $2,959–$6,552 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,651.07–$3,090.54 | $4,651–$5,422 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,099.66–$3,547.11 | $5,438–$6,223 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,040.03–$4,475.64 | $3,579–$7,852 | varies |
| CT cervical spine w/ contrast (72126) | $2,076.51 | $3,643 | 5.3× |
| CT cervical spine w/o contrast (72125) | $1,674.66 | $2,938 | 14.4× |
| CT cervical spine w/wo cont (72127) | $2,530.23 | $4,439 | 12.9× |
| CT chest w contrast (71260) range across 5 matching MRF lines |
$2,633.40–$3,013.02 | $4,620–$5,286 | varies |
| CT chest w/wo contrast (71270) range across 5 matching MRF lines |
$2,796.99–$3,626.91 | $4,907–$6,363 | varies |
| CT head/brain with contrast (70460) | $1,761.87 | $3,091 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,975.05 | $3,465 | 10.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,686.98 | $4,714 | 6.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $612.75 | $1,075 | 6.3× |
| CT hrt w/3d image congen (75573) | $1,253.43 | $2,199 | 3.2× |
| CT iac w contrast (70481) | $2,351.82 | $4,126 | 12.0× |
| CT l-spine w&w/o contrast (72133) | $3,076.86 | $5,398 | 15.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,940.06–$3,427.41 | $5,158–$6,013 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,040.03–$4,317.18 | $3,579–$7,574 | varies |
| CT lumbar spine w contrast (72132) | $2,309.07 | $4,051 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $2,020.08 | $3,544 | 17.3× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,351.82–$2,691.54 | $4,126–$4,722 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,388.52–$1,528.17 | $2,436–$2,681 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$2,022.36–$2,314.20 | $3,548–$4,060 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$730.17–$2,565.57 | $1,281–$4,501 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,440.39–$1,573.20 | $2,527–$2,760 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,796.99–$2,880.78 | $4,907–$5,054 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,736.22–$1,896.96 | $3,046–$3,328 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,291.40–$4,535.49 | $4,020–$7,957 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,457.84–$2,936.07 | $4,312–$5,151 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$2,020.08–$2,312.49 | $3,544–$4,057 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$1,613.67–$1,846.80 | $2,831–$3,240 | varies |
| CT thoracic spine w contrast (72129) | $2,620.86 | $4,598 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $2,000.70 | $3,510 | 17.2× |
| CT thoracic spine w/wo cont (72130) | $2,725.74 | $4,782 | 13.9× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$1,841.67–$2,107.86 | $3,231–$3,698 | varies |
| CT upper ext wo (73200) | $3,427.41 | $6,013 | 29.4× |
| CT upper extremity w/o & w/contrast material (73202) | $4,402.68 | $7,724 | 22.5× |
| CT upper extremity with contrast (73201) | $4,317.18 | $7,574 | 11.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$928.53–$3,183.45 | $1,629–$5,585 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,263.60–$4,391.28 | $7,480–$7,704 | varies |
| CTA pelvis (72191) | $3,893.67 | $6,831 | 19.9× |
| Dilation ureters/urethra rs&i (74485) | $3,058.05 | $5,365 | 1.3× |
| Diskography lumbar (72295) | $205.77 | $361 | 0.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$439.47–$471.96 | $771–$828 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $298.11 | $523 | 3.1× |
| Echo exam uterus (76831) | $369.93 | $649 | 1.4× |
| Echo Guide For Artery Repair (76936) | $1,943.13 | $3,409 | 8.1× |
| Esophagram (74220) | $653.22 | $1,146 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$657.78–$751.83 | $1,154–$1,319 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$158.46–$304.95 | $278–$535 | varies |
| Follow-Up Angiography (75898) | $1,804.62 | $3,166 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$231.42–$457.14 | $406–$802 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$725.61–$849.30 | $1,273–$1,490 | varies |
| Gastric emptying imaging study (78264) | $934.80 | $1,640 | 2.1× |
| Gastroesophageal Reflux Exam (78262) | $1,059.06 | $1,858 | 2.4× |
| Gated Heart Planar Single (78472) | $1,503.09 | $2,637 | 3.4× |
| Hand 2 views (73120) | $457.14 | $802 | 3.9× |
| Heart first pass single,planar (78481) | $1,446.09 | $2,537 | 2.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,623.05 | $9,865 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $3,058.62 | $5,366 | 5.1× |
| Ht Muscle Image Spect Sing (78451) | $2,808.96 | $4,928 | 1.9× |
| Hysterosalpingogram (74740) | $496.47 | $871 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $353.97 | $621 | 3.6× |
| Interstitial radiation source applic complex (77778) | $6,226.68 | $10,924 | 8.0× |
| K Flow/Funct Image W/Drug (78708) | $1,583.46 | $2,778 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$434.34–$1,437.54 | $762–$2,522 | varies |
| Liver imaging static only (78201) | $1,824 | $3,200 | 3.0× |
| Lung Perf&Ventilat Diferentl (78598) | $3,221.64 | $5,652 | 5.3× |
| Lung perfusion differential (78597) | $2,635.68 | $4,624 | 5.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,929.23 | $5,139 | 4.8× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$59.28–$947.34 | $104–$1,662 | varies |
| Magnetic Image Jaw Joint (70336) | $1,684.35 | $2,955 | 6.3× |
| Mammary ductogram or galactogram single (77053) | $657.78 | $1,154 | 2.5× |
| Meckels Divert Exam (78290) | $1,059.06 | $1,858 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,901.30 | $5,090 | 7.5× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,637.39–$2,901.30 | $4,627–$5,090 | varies |
| MRA head with contrast (70545) | $2,901.30 | $5,090 | 7.5× |
| MRA neck w contrast (70548) | $2,901.30 | $5,090 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,901.30 | $5,090 | 7.5× |
| MRA neck w/o contrast (70547) | $2,901.30 | $5,090 | 10.9× |
| MRI abdomen w contrast (74182) | $1,684.35 | $2,955 | 4.3× |
| MRI abdomen w/o contrast (74181) | $1,684.35 | $2,955 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,684.35 | $2,955 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,684.35 | $2,955 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,684.35 | $2,955 | 1.9× |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$481.65–$487.92 | $845–$856 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,419.87 | $2,491 | 5.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $808.26 | $1,418 | 3.0× |
| MRI cervical spine w contrast (72142) | $1,684.35 | $2,955 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,733.94 | $3,042 | 6.5× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,589.16–$1,684.35 | $2,788–$2,955 | varies |
| MRI chest wo w contrast (71552) | $1,047.66 | $1,838 | 2.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 12 matching MRF lines |
$1,531.59–$1,684.35 | $2,687–$2,955 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$1,531.59–$1,684.35 | $2,687–$2,955 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$1,531.59–$1,684.35 | $2,687–$2,955 | varies |
| MRI lumbar spine w contrast (72149) | $1,684.35 | $2,955 | 4.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,276.01 | $3,993 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,684.35 | $2,955 | 6.3× |
| MRI orbit face neck w contrast (70542) | $1,684.35 | $2,955 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,684.35 | $2,955 | 4.3× |
| MRI pelvis w contrast (72196) | $1,684.35 | $2,955 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $1,684.35 | $2,955 | 4.3× |
| MRI pelvis w/o contrast (72195) | $1,684.35 | $2,955 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $1,684.35 | $2,955 | 6.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 10 matching MRF lines |
$1,444.95–$1,684.35 | $2,535–$2,955 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$1,531.59–$1,684.35 | $2,687–$2,955 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$1,531.59–$1,684.35 | $2,687–$2,955 | varies |
| MRI, abdomen, combo (74183) | $1,684.35 | $2,955 | 4.3× |
| MRI, dorsal spine combo (72157) | $2,276.01 | $3,993 | 5.9× |
| MRI, dorsal spine contrast (72147) | $1,684.35 | $2,955 | 4.3× |
| MRI, joint upper extrem (73221) | $1,684.35 | $2,955 | 6.3× |
| MRI, joint upper extrem combo (73223) | $1,684.35 | $2,955 | 4.3× |
| MRI, lumbar spine combo (72158) | $2,276.01 | $3,993 | 5.9× |
| Myelogram cervical (72240) | $314.07 | $551 | 0.4× |
| Myelography thoracic (72255) | $331.17 | $581 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $430.92 | $756 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $1,236.33 | $2,169 | 0.9× |
| Neck soft tissue (70360) | $300.39 | $527 | 3.1× |
| Nm csf leak detection (78650) | $1,702.59 | $2,987 | 1.2× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$420.09–$463.41 | $737–$813 | varies |
| Ob us nuchal meas 1 gest (76813) | $568.29 | $997 | 4.9× |
| Parathyroid Planar Imaging (78070) | $637.83 | $1,119 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,111.50 | $1,950 | 2.5× |
| Pelvis 1 or 2 views (72170) | $280.44 | $492 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $2,567.85 | $4,505 | 1.6× |
| PET image w/CT, full body (78816) | $2,781.60 | $4,880 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,674.44 | $4,692 | 1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,623.05 | $9,865 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $389.31 | $683 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $791.16 | $1,388 | 6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$475.95–$1,344.63 | $835–$2,359 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$922.26–$1,437.54 | $1,618–$2,522 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $468.54 | $822 | 4.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$922.26–$1,437.54 | $1,618–$2,522 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $673.74 | $1,182 | 5.8× |
| Radex fingr minimum 2 views (73140) | $273.60 | $480 | 2.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$861.27–$1,437.54 | $1,511–$2,522 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$922.26–$1,437.54 | $1,618–$2,522 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$320.91–$629.28 | $563–$1,104 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $691.41 | $1,213 | 5.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $473.67 | $831 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$442.89–$723.90 | $777–$1,270 | varies |
| Radex shoulder complete minimum 2 views (73030) | $464.55 | $815 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $300.39 | $527 | 3.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,884.99 | $3,307 | 9.6× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$274.17–$301.53 | $481–$529 | varies |
| Radex Sternum Minimum 2 Views (71120) | $464.55 | $815 | 4.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $566.01 | $993 | 5.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$536.94–$552.90 | $942–$970 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$311.79–$619.02 | $547–$1,086 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$922.26–$1,437.54 | $1,618–$2,522 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,403.91 | $2,463 | 12.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $623.01 | $1,093 | 5.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $615.60 | $1,080 | 5.3× |
| Radiologic exam colon double contrast study (74280) | $1,145.70 | $2,010 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $836.76 | $1,468 | 4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $653.22 | $1,146 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$482.79–$972.42 | $847–$1,706 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $499.32 | $876 | 4.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $657.78 | $1,154 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $653.22 | $1,146 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,058.49–$1,875.30 | $1,857–$3,290 | varies |
| Radiologic examination femur minimum 2 views (73552) | $347.13 | $609 | 3.6× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$329.46–$652.65 | $578–$1,145 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $320.91 | $563 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$754.11–$1,437.54 | $1,323–$2,522 | varies |
| Ribs bilateral 3 views (71110) | $1,091.55 | $1,915 | 9.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $957.60 | $1,680 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $122.55 | $215 | 0.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $10,324.41 | $18,113 | 17.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,710.92 | $4,756 | 4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,457.49–$3,330.51 | $2,557–$5,843 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,622 | $4,600 | 1.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,710.92 | $4,756 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,664.97 | $2,921 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $1,049.37 | $1,841 | 4.0× |
| Scapula (73010) | $922.26 | $1,618 | 7.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$129.39–$132.81 | $227–$233 | varies |
| Shoulder 1 view (73020) | $329.46 | $578 | 3.4× |
| Shoulder Arthrography (73040) | $764.94 | $1,342 | 2.0× |
| Sialogram (70390) | $859.56 | $1,508 | 3.2× |
| Skull less than 4 views (70250) | $464.55 | $815 | 4.0× |
| Spleen Imaging (78185) | $925.11 | $1,623 | 2.1× |
| Sternoclavicular joints (71130) | $449.16 | $788 | 4.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,800.63 | $3,159 | 9.2× |
| Thoracic spine 2 views (72070) | $536.37 | $941 | 4.6× |
| Thoracic spine 3 views (72072) | $600.21 | $1,053 | 5.2× |
| Thoracolumbar 2 views (72080) | $462.84 | $812 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $771.21 | $1,353 | 1.7× |
| Thyroid Met Imaging Body (78018) | $2,147.76 | $3,768 | 3.5× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$235.41–$807.12 | $413–$1,416 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,664.97 | $2,921 | 3.7× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$418.38–$837.33 | $734–$1,469 | varies |
| Ultrasound elastography first target lesion (76982) | $213.18 | $374 | 1.8× |
| Ultrasound Elastography Parenchyma (76981) | $213.18 | $374 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $743.28 | $1,304 | 6.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$326.04–$817.38 | $572–$1,434 | varies |
| Umbilical-artery Doppler (OB) (76820) | $120.27 | $211 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $590.52 | $1,036 | 6.1× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$904.02–$1,843.38 | $1,586–$3,234 | varies |
| Urethrocystogram voiding (74455) | $691.41 | $1,213 | 2.6× |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
$364.80–$1,156.53 | $640–$2,029 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$326.04–$332.88 | $572–$584 | varies |
| Us complete joint (76881) | $392.16 | $688 | 3.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$118.56–$427.50 | $208–$750 | varies |
| Us head (76506) | $491.34 | $862 | 4.2× |
| Us kidney transplant (76776) | $449.73 | $789 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$326.04–$594.51 | $572–$1,043 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$471.96–$595.08 | $828–$1,044 | varies |
| Us ob transvaginal (76817) | $345.99 | $607 | 3.0× |
| Us pelvic non ob complete (76856) | $817.38 | $1,434 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $568.29 | $997 | 4.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$535.23–$595.08 | $939–$1,044 | varies |
| Us retroperitoneal complete (76770) | $1,024.29 | $1,797 | 8.8× |
| Us retroperitoneal limited (76775) | $349.98 | $614 | 3.0× |
| Us scrotum and contents (76870) | $817.38 | $1,434 | 7.0× |
| Us spinal canal and contents (76800) | $415.53 | $729 | 3.6× |
| Us thyroid (76536) | $817.38 | $1,434 | 7.0× |
| Vein X-Ray Chest (75827) | $392.73 | $689 | 0.2× |
| Venogram Sinus/Jugular (75860) | $511.29 | $897 | 0.1× |
| Venography Adrenal Unilateral (75840) | $5,623.05 | $9,865 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $5,624.19 | $9,867 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,533.30–$1,613.67 | $2,690–$2,831 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$271.89–$391.59 | $477–$687 | varies |
| Venography Renal Bilateral (75833) | $551.76 | $968 | 0.2× |
| Venography Renal Unilateral (75831) | $5,623.05 | $9,865 | 1.6× |
| Venous sampling by catheter (75893) | $5,623.05 | $9,865 | 0.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$231.42–$457.14 | $406–$802 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$457.14–$922.26 | $802–$1,618 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,723.68–$1,987.02 | $3,024–$3,486 | varies |
| X-Ray Aorta Leg Arteries (75630) | $539.79 | $947 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) | $820.80 | $1,440 | 7.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$288.42–$568.86 | $506–$998 | varies |
| X-Ray Exam Breast Specimen (76098) | $207.48 | $364 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $702.24 | $1,232 | 7.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $464.55 | $815 | 4.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,403.91 | $2,463 | 12.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $363.66 | $638 | 3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $504.45 | $885 | 5.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $962.16 | $1,688 | 8.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $687.99 | $1,207 | 5.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $673.74 | $1,182 | 5.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,346.91 | $2,363 | 11.6× |
| X-Ray Exam L-S Spine Bending (72114) | $774.06 | $1,358 | 6.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $464.55 | $815 | 4.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $800.85 | $1,405 | 6.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$442.89–$469.68 | $777–$824 | varies |
| X-ray eye for foreign body (70030) | $525.54 | $922 | 5.4× |
| X-ray humerus (73060) | $379.62 | $666 | 3.9× |
| X-ray IV pyelogram (ivp) (74400) | $615.60 | $1,080 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $392.73 | $689 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $536.37 | $941 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $255.93 | $449 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $615.60 | $1,080 | 5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $497.61 | $873 | 5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $632.70 | $1,110 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $621.87 | $1,091 | 5.3× |
| X-Ray Stress View (77071) | $144.21 | $253 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $954.18 | $1,674 | 8.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$22.80–$448.59 | $40–$787 | varies |
| X-Rays Bone Length Studies (77073) | $475.95 | $835 | 4.1× |
| X-Rays Bone Survey Complete (77075) | $847.02 | $1,486 | 7.3× |
| Xr c-spine 4 or 5 views (72050) | $627 | $1,100 | 5.4× |
| Xr facial bones less than 3 views (70140) | $273.03 | $479 | 2.8× |
| Xr orbits complete 4 views (70200) | $673.74 | $1,182 | 5.8× |
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.