Imaging prices at Astria Toppenish Hospital
Toppenish, WA · every code in this section with a posted price and a Medicare benchmark.
296 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) | $629.20 | $968 | 6.5× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,032.85–$1,167.40 | $1,589–$1,796 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,040.35 | $3,139 | 4.6× |
| Angio internal mammary (75756) | $7,276.75 | $11,195 | 2.1× |
| Angio pulmonary bilat (75743) | $6,605.30 | $10,162 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $6,606.60 | $10,164 | 1.9× |
| Angiography extremity unilateral rs&i (75710) | $7,138.95 | $10,983 | 2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,605.30 | $10,162 | 1.9× |
| Ankle 2 views (73600) | $436.15 | $671 | 4.5× |
| Aortography thoracic serialography rs&i (75605) | $6,606.60 | $10,164 | 1.1× |
| Artery X-Rays Abdomen (75726) | $11,575.20 | $17,808 | 1.9× |
| Artery X-Rays Pelvis (75736) | $6,605.30 | $10,162 | 1.1× |
| Arthrogram hip (73525) | $1,132.95 | $1,743 | 2.9× |
| Arthrogram Wrist (73115) | $943.80 | $1,452 | 2.4× |
| Bone age studies (77072) | $928.85 | $1,429 | 8.0× |
| Bone Imaging 3 Phase (78315) | $1,985.75 | $3,055 | 4.5× |
| Bone Imaging Limited Area (78300) | $1,263.60 | $1,944 | 2.8× |
| Bone Imaging Multiple Areas (78305) | $1,792.05 | $2,757 | 4.0× |
| Bone Imaging Whole Body (78306) | $2,084.55 | $3,207 | 4.7× |
| Bone marrow imaging limited area (78102) | $1,030.25 | $1,585 | 2.3× |
| Bone survey infant (77076) | $1,296.10 | $1,994 | 11.1× |
| Brain Image W/Flow < 4 Views (78601) | $2,603.25 | $4,005 | 5.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,912.05 | $7,557 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $1,391.65 | $2,141 | 14.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,589.90 | $2,446 | 2.6× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$672.10–$806 | $1,034–$1,240 | varies |
| Chest 2 views (71046) | $672.10 | $1,034 | 6.9× |
| Chest 3 views (71047) | $1,441.05 | $2,217 | 14.9× |
| Chest 4 or more views (71048) | $989.95 | $1,523 | 8.5× |
| Clavicle complete (73000) | $655.85 | $1,009 | 6.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $716.30 | $1,102 | 6.1× |
| Contrast X-Ray Bladder (74430) | $739.70 | $1,138 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $943.80 | $1,452 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $5,980 | $9,200 | 15.4× |
| CT abdomen and pelvis without contrast (74176) | $3,869.45 | $5,953 | 14.6× |
| CT abdomen w contrast (74160) | $3,149.90 | $4,846 | 16.1× |
| CT abdomen w wo contrast (74170) | $3,740.10 | $5,754 | 19.1× |
| CT abdomen w/o contrast (74150) | $2,193.75 | $3,375 | 18.8× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,640.30–$4,947.80 | $4,062–$7,612 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,640.30–$5,666.70 | $4,062–$8,718 | varies |
| CT Angio Head (70496) | $3,382.60 | $5,204 | 17.3× |
| CT angio hrt w/3d image (75574) | $1,385.80 | $2,132 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,510.35–$6,425.25 | $6,939–$9,885 | varies |
| CT Angio Neck (70498) | $3,594.50 | $5,530 | 18.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$4,510.35–$6,425.25 | $6,939–$9,885 | varies |
| CT cervical spine w/ contrast (72126) | $2,639 | $4,060 | 6.8× |
| CT cervical spine w/o contrast (72125) | $2,065.70 | $3,178 | 17.7× |
| CT cervical spine w/wo cont (72127) | $2,675.40 | $4,116 | 13.7× |
| CT chest w contrast (71260) | $3,226.60 | $4,964 | 16.5× |
| CT chest w/wo contrast (71270) | $4,086.55 | $6,287 | 20.9× |
| CT head/brain with contrast (70460) | $2,482.35 | $3,819 | 12.7× |
| CT head/brain without and with contrast (70470) | $2,839.85 | $4,369 | 14.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $586.30 | $902 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,385.15 | $2,131 | 14.3× |
| CT hrt w/3d image congen (75573) | $1,157.65 | $1,781 | 3.0× |
| CT iac w contrast (70481) | $2,128.75 | $3,275 | 10.9× |
| CT l-spine w&w/o contrast (72133) | $2,779.40 | $4,276 | 14.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,338.05–$3,318.90 | $3,597–$5,106 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,933.80–$4,180.15 | $6,052–$6,431 | varies |
| CT lumbar spine w contrast (72132) | $3,341 | $5,140 | 8.6× |
| CT lumbar spine w/o contrast (72131) | $2,339.35 | $3,599 | 20.1× |
| CT maxillofacial w contrast (70487) | $1,775.15 | $2,731 | 9.1× |
| CT maxillofacial wo contrast (70486) | $739.05 | $1,137 | 6.3× |
| CT neck tissue combo (70492) | $2,918.50 | $4,490 | 14.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,829.45 | $4,353 | 14.5× |
| CT orbits w/o contrast (70480) | $2,613.65 | $4,021 | 22.4× |
| CT pelvis w&w/o contrast (72194) | $2,789.15 | $4,291 | 14.3× |
| CT pelvis w/o contrast (72192) | $2,205.45 | $3,393 | 18.9× |
| CT scan of leg combo (73702) | $3,355.95 | $5,163 | 17.2× |
| CT scans face/jaw combo (70488) | $1,883.70 | $2,898 | 9.6× |
| CT soft tissue neck w contrast (70491) | $2,739.10 | $4,214 | 14.0× |
| CT soft tissue neck w/o contrast (70490) | $2,109.25 | $3,245 | 18.1× |
| CT thoracic spine w contrast (72129) | $2,771.60 | $4,264 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $3,064.75 | $4,715 | 26.3× |
| CT thoracic spine w/wo cont (72130) | $2,780.05 | $4,277 | 14.2× |
| CT thorax w/o contrast (71250) | $2,305.55 | $3,547 | 19.8× |
| CT upper ext wo (73200) | $2,720.25 | $4,185 | 23.3× |
| CT upper extremity w/o & w/contrast material (73202) | $3,638.70 | $5,598 | 18.6× |
| CT upper extremity with contrast (73201) | $3,233.10 | $4,974 | 8.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,484.70 | $8,438 | 28.1× |
| Cta Abdomen (74175) | $4,683.25 | $7,205 | 24.0× |
| CTA pelvis (72191) | $3,701.10 | $5,694 | 18.9× |
| Diskography lumbar (72295) | $206.05 | $317 | 0.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$382.20–$515.45 | $588–$793 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $165.10 | $254 | 1.7× |
| Echo exam uterus (76831) | $413.40 | $636 | 1.6× |
| Echo Guide For Artery Repair (76936) | $1,980.55 | $3,047 | 8.2× |
| Esophagram (74220) | $902.85 | $1,389 | 4.6× |
| Fetal Biophys Profile W/Nst (76818) | $358.15 | $551 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$102.05–$1,147.25 | $157–$1,765 | varies |
| Follow-Up Angiography (75898) | $2,119.65 | $3,261 | 0.6× |
| Foot 2 views (73620) | $547.95 | $843 | 5.7× |
| Forearm 2 views (73090) | $466.05 | $717 | 4.8× |
| Gastric emptying imaging study (78264) | $1,926.60 | $2,964 | 4.3× |
| Gastroesophageal Reflux Exam (78262) | $1,571.70 | $2,418 | 3.5× |
| Gated Heart Planar Single (78472) | $1,765.40 | $2,716 | 4.0× |
| Hand 2 views (73120) | $523.90 | $806 | 4.5× |
| Heart first pass single,planar (78481) | $1,697.80 | $2,612 | 2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,605.30 | $10,162 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $3,593.20 | $5,528 | 5.9× |
| Ht Muscle Image Spect Sing (78451) | $3,300.70 | $5,078 | 2.3× |
| Hysterosalpingogram (74740) | $566.15 | $871 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $394.55 | $607 | 4.1× |
| Interstitial radiation source applic complex (77778) | $7,314.45 | $11,253 | 9.4× |
| K Flow/Funct Image W/Drug (78708) | $2,484.95 | $3,823 | 4.1× |
| Knee 3 Views (73562) | $828.10 | $1,274 | 8.5× |
| Liver imaging static only (78201) | $2,143.05 | $3,297 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $3,785.60 | $5,824 | 6.3× |
| Lung perfusion differential (78597) | $3,097.25 | $4,765 | 7.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,441.10 | $5,294 | 5.7× |
| Lymph System Imaging (78195) | $1,113.45 | $1,713 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $423.80 | $652 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $939.90 | $1,446 | 3.5× |
| Meckels Divert Exam (78290) | $1,871.35 | $2,879 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,458.30 | $3,782 | 6.3× |
| MRA head w/o contrast (70544) | $2,022.80 | $3,112 | 7.6× |
| MRA head with contrast (70545) | $2,458.30 | $3,782 | 6.3× |
| MRA neck w contrast (70548) | $2,458.30 | $3,782 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,811.90 | $4,326 | 7.2× |
| MRA neck w/o contrast (70547) | $2,234.70 | $3,438 | 8.4× |
| MRI abdomen w contrast (74182) | $1,022.45 | $1,573 | 2.6× |
| MRI abdomen w/o contrast (74181) | $704.60 | $1,084 | 2.7× |
| MRI any jt lower extrem w/contrast material (73722) | $831.35 | $1,279 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $967.20 | $1,488 | 2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $872.95 | $1,343 | 1.0× |
| MRI bone marrow blood supply (77084) | $1,756.95 | $2,703 | 6.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,120.60 | $1,724 | 4.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $872.30 | $1,342 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,114.10 | $1,714 | 2.9× |
| MRI cervical spine w/o cont (72141) | $1,064.05 | $1,637 | 4.0× |
| MRI chest w/o contrast (71550) | $696.80 | $1,072 | 2.6× |
| MRI chest wo w contrast (71552) | $1,064.05 | $1,637 | 2.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $761.15 | $1,171 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $732.55 | $1,127 | 1.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $572 | $880 | 2.2× |
| MRI lumbar spine w contrast (72149) | $876.20 | $1,348 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,223.95 | $1,883 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $750.75 | $1,155 | 2.8× |
| MRI orbit face neck w contrast (70542) | $1,012.70 | $1,558 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,012.70 | $1,558 | 2.6× |
| MRI pelvis w contrast (72196) | $766.35 | $1,179 | 2.0× |
| MRI pelvis w/o & w contrast (72197) | $766.35 | $1,179 | 2.0× |
| MRI pelvis w/o contrast (72195) | $732.55 | $1,127 | 2.8× |
| MRI thoracic spine w/o contrast (72146) | $975.65 | $1,501 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $761.15 | $1,171 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $572 | $880 | 2.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $898.30 | $1,382 | 2.3× |
| MRI, abdomen, combo (74183) | $1,022.45 | $1,573 | 2.6× |
| MRI, dorsal spine combo (72157) | $1,123.85 | $1,729 | 2.9× |
| MRI, dorsal spine contrast (72147) | $971.10 | $1,494 | 2.5× |
| MRI, joint upper extrem (73221) | $719.55 | $1,107 | 2.7× |
| MRI, joint upper extrem combo (73223) | $1,014.65 | $1,561 | 2.6× |
| MRI, lumbar spine combo (72158) | $975.65 | $1,501 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $3,865.55 | $5,947 | 2.7× |
| Neck soft tissue (70360) | $530.40 | $816 | 5.5× |
| Nm csf leak detection (78650) | $2,000.70 | $3,078 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $1,187.55 | $1,827 | 4.6× |
| Ob us nuchal meas 1 gest (76813) | $634.40 | $976 | 5.4× |
| Parathyroid Planar Imaging (78070) | $1,721.20 | $2,648 | 3.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,305.85 | $2,009 | 2.9× |
| Pelvis 1 or 2 views (72170) | $552.50 | $850 | 4.7× |
| Pet Image W/Ct Lmtd (78814) | $427.70 | $658 | 0.3× |
| PET image w/CT, full body (78816) | $6,433.05 | $9,897 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,000.45 | $7,693 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $456.30 | $702 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,508.65 | $2,321 | 12.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,274 | $1,960 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $762.45 | $1,173 | 7.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $441.35 | $679 | 4.6× |
| Radex elbow complete minimum 3 views (73080) | $704.60 | $1,084 | 7.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $912.60 | $1,404 | 7.8× |
| Radex fingr minimum 2 views (73140) | $473.85 | $729 | 4.9× |
| Radex foot complete minimum 3 views (73630) | $757.25 | $1,165 | 7.8× |
| Radex Hand Minimum 3 Views (73130) | $712.40 | $1,096 | 7.3× |
| Radex lower extremity infant minimum 2 views (73592) | $265.85 | $409 | 2.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $756.60 | $1,164 | 6.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $912.60 | $1,404 | 9.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$849.55–$1,094.60 | $1,307–$1,684 | varies |
| Radex shoulder complete minimum 2 views (73030) | $830.70 | $1,278 | 8.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $227.50 | $350 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,214.55 | $3,407 | 11.3× |
| Radex Spine 1 View Specify Level (72020) | $469.95 | $723 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $748.80 | $1,152 | 7.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,246.05 | $1,917 | 12.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$508.95–$630.50 | $783–$970 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $265.85 | $409 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $697.45 | $1,073 | 7.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,648.40 | $2,536 | 14.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $774.80 | $1,192 | 6.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,225.25 | $1,885 | 10.5× |
| Radiologic exam colon double contrast study (74280) | $2,213.25 | $3,405 | 11.3× |
| Radiologic exam colon single contrast study (74270) | $1,891.50 | $2,910 | 9.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $902.85 | $1,389 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) | $953.55 | $1,467 | 8.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $729.95 | $1,123 | 6.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,886.30 | $2,902 | 9.7× |
| Radiologic exam swallow function contrast study (74230) | $856.05 | $1,317 | 4.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,982.50–$2,246.40 | $3,050–$3,456 | varies |
| Radiologic examination femur minimum 2 views (73552) | $593.45 | $913 | 6.1× |
| Radiologic examination knee 1/2 views (73560) | $670.15 | $1,031 | 6.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $377 | $580 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $714.35 | $1,099 | 7.4× |
| Ribs bilateral 3 views (71110) | $884.65 | $1,361 | 7.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,614.95 | $4,023 | 5.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,029 | $4,660 | 6.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,130.30 | $18,662 | 20.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,185 | $4,900 | 5.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$2,080.65–$3,913 | $3,201–$6,020 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,029 | $4,660 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,185 | $4,900 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,429.70 | $3,738 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $1,233.05 | $1,897 | 4.7× |
| Scapula (73010) | $656.50 | $1,010 | 5.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$105.95–$140.40 | $163–$216 | varies |
| Shoulder 1 view (73020) | $502.45 | $773 | 5.2× |
| Shoulder Arthrography (73040) | $943.80 | $1,452 | 2.4× |
| Sialogram (70390) | $1,008.80 | $1,552 | 3.8× |
| Skull less than 4 views (70250) | $632.45 | $973 | 5.4× |
| Spleen Imaging (78185) | $1,087.45 | $1,673 | 2.4× |
| Sternoclavicular joints (71130) | $1,080.30 | $1,662 | 11.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,115.75 | $3,255 | 10.8× |
| Thoracic spine 2 views (72070) | $834.60 | $1,284 | 7.2× |
| Thoracic spine 3 views (72072) | $1,008.80 | $1,552 | 8.7× |
| Thoracolumbar 2 views (72080) | $748.80 | $1,152 | 7.7× |
| Thyroid Imaging With Vascular Flow (78013) | $2,851.55 | $4,387 | 6.4× |
| Thyroid Met Imaging Body (78018) | $2,522.65 | $3,881 | 4.2× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$895.70–$947.70 | $1,378–$1,458 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,159 | $4,860 | 7.1× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$466.70–$954.85 | $718–$1,469 | varies |
| Ultrasound elastography first target lesion (76982) | $243.10 | $374 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) | $243.10 | $374 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $911.95 | $1,403 | 7.8× |
| Ultrasound, abdomen limited (76705) | $386.10 | $594 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $693.55 | $1,067 | 7.2× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$728–$2,165.15 | $1,120–$3,331 | varies |
| Urethrocystogram voiding (74455) | $911.30 | $1,402 | 3.4× |
| Us breast unilateral complete (76641) range across 9 matching MRF lines |
$466.70–$1,318.85 | $718–$2,029 | varies |
| Us chest (76604) | $386.75 | $595 | 3.3× |
| Us complete joint (76881) | $438.10 | $674 | 3.8× |
| Us exam, pelvic, limited (76857) | $332.80 | $512 | 2.9× |
| Us head (76506) | $547.95 | $843 | 4.7× |
| Us kidney transplant (76776) | $358.15 | $551 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $289.25 | $445 | 2.5× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$205.40–$465.40 | $316–$716 | varies |
| Us ob transvaginal (76817) | $376.35 | $579 | 3.2× |
| Us pelvic non ob complete (76856) | $696.15 | $1,071 | 6.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $358.15 | $551 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $663.65 | $1,021 | 5.7× |
| Us retroperitoneal complete (76770) | $889.20 | $1,368 | 7.6× |
| Us retroperitoneal limited (76775) | $586.95 | $903 | 5.0× |
| Us scrotum and contents (76870) | $667.55 | $1,027 | 5.7× |
| Us spinal canal and contents (76800) | $526.50 | $810 | 4.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$381.55–$401.05 | $587–$617 | varies |
| Vein X-Ray Chest (75827) | $131.30 | $202 | 0.1× |
| Venogram Sinus/Jugular (75860) | $7,276.75 | $11,195 | 2.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$187.20–$1,894.10 | $288–$2,914 | varies |
| Venography extremity unilateral rs&i (75820) | $2,306.85 | $3,549 | 1.3× |
| Venous sampling by catheter (75893) | $6,605.30 | $10,162 | 1.1× |
| Wrist 2 views (73100) | $503.10 | $774 | 5.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $789.75 | $1,215 | 8.1× |
| X-ray antegrade pyelogram tube (74425) | $2,026.05 | $3,117 | 5.2× |
| X-Ray Bend Only L-S Spine (72120) | $963.95 | $1,483 | 8.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $501.15 | $771 | 5.2× |
| X-Ray Exam Breast Specimen (76098) | $1,465.75 | $2,255 | 2.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $824.20 | $1,268 | 8.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $824.20 | $1,268 | 7.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,648.40 | $2,536 | 14.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $508.30 | $782 | 5.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $753.35 | $1,159 | 7.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,130.35 | $1,739 | 9.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $791.05 | $1,217 | 6.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $791.05 | $1,217 | 6.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,582.75 | $2,435 | 13.6× |
| X-Ray Exam L-S Spine Bending (72114) | $1,582.10 | $2,434 | 13.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $955.50 | $1,470 | 9.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,223.30 | $1,882 | 10.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,094.60 | $1,684 | 9.4× |
| X-ray eye for foreign body (70030) | $873.60 | $1,344 | 9.0× |
| X-ray humerus (73060) | $549.25 | $845 | 5.7× |
| X-ray IV pyelogram (ivp) (74400) | $772.85 | $1,189 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $462.15 | $711 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $784.55 | $1,207 | 8.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,242.15 | $1,911 | 10.7× |
| X-ray nose-rectum child f.b. (76010) | $596.70 | $918 | 6.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $612.30 | $942 | 5.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $735.15 | $1,131 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,086.15 | $1,671 | 11.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,262.95 | $1,943 | 10.8× |
| X-Ray Stress View (77071) | $181.35 | $279 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $1,120.60 | $1,724 | 9.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,454.70 | $2,238 | 3.7× |
| X-Rays Bone Length Studies (77073) | $701.35 | $1,079 | 6.0× |
| X-Rays Bone Survey Complete (77075) | $1,130.35 | $1,739 | 9.7× |
| Xr c-spine 4 or 5 views (72050) | $1,339.65 | $2,061 | 11.5× |
| Xr facial bones less than 3 views (70140) | $365.95 | $563 | 3.8× |
| Xr orbits complete 4 views (70200) | $916.50 | $1,410 | 7.9× |
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.