Imaging prices at Barstow Community Hospital
Barstow, CA · every code in this section with a posted price and a Medicare benchmark.
337 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) | $486.10 | $810.16 | 4.3× |
| Abdomen 2 views (74019) | $654.58 | $1,090.96 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,345.08 | $3,908.47 | 4.6× |
| Adrenal Cortex & Medulla Img (78075) | $2,354.42 | $3,924.04 | 1.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$439.92–$580.94 | $733.20–$968.24 | varies |
| Arthrogram ankle (73615) | $1,037.09 | $1,728.48 | 2.3× |
| Arthrogram hip (73525) | $1,088.88 | $1,814.80 | 2.4× |
| Arthrogram Wrist (73115) | $1,346.59 | $2,244.32 | 3.0× |
| Bone age studies (77072) | $574.70 | $957.84 | 4.3× |
| Bone Imaging 3 Phase (78315) | $1,921.44 | $3,202.40 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,828.51 | $3,047.51 | 3.6× |
| Bone Imaging Whole Body (78306) | $2,794.69 | $4,657.81 | 5.4× |
| Bone marrow imaging limited area (78102) | $699.84 | $1,166.40 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $2,002.95 | $3,338.25 | 3.9× |
| Bone survey infant (77076) | $740.06 | $1,233.44 | 5.5× |
| Brain Flow Imaging Only (78610) | $1,109.98 | $1,849.97 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,607.26 | $4,345.43 | 3.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,197.64 | $3,662.73 | 3.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $807.31 | $1,345.51 | 1.6× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $4,619.56 | $7,699.27 | 6.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,109.98 | $1,849.97 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,109.98 | $1,849.97 | 1.6× |
| Chest 1 view (71045) | $414.96 | $691.60 | 3.7× |
| Chest 2 views (71046) | $637.10 | $1,061.84 | 5.7× |
| Chest 3 views (71047) | $321.36 | $535.60 | 2.9× |
| Chest 4 or more views (71048) | $1,030.85 | $1,718.08 | 7.7× |
| Cholecystography Oral Contrast (74290) | $926.02 | $1,543.36 | 4.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $373.15 | $621.92 | 2.8× |
| Cisternography Positive Contrast Rs&I (70015) | $1,497.60 | $2,496 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$532.90–$1,030.85 | $888.16–$1,718.08 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $300 | $500 | 2.2× |
| Contrast X-Ray Bladder (74430) | $926.02 | $1,543.36 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,037.09 | $1,728.48 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,589.33 | $2,648.88 | 3.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $861.74 | $1,436.24 | 3.8× |
| Corpora cavernosography (74445) | $890.45 | $1,484.08 | 6.6× |
| CT abdomen and pelvis without and with contrast (74178) | $11,622 | $19,370 | 25.9× |
| CT abdomen and pelvis without contrast (74176) | $9,104.78 | $15,174.64 | 29.7× |
| CT abdomen w contrast (74160) | $5,162.98 | $8,604.96 | 22.9× |
| CT abdomen w wo contrast (74170) | $5,779.49 | $9,632.48 | 25.6× |
| CT abdomen w/o contrast (74150) | $4,292.50 | $7,154.16 | 31.9× |
| CT Angio Abdomen and Pelvis (74174) | $9,625.20 | $16,042 | 21.5× |
| CT Angio Chest (71275) | $4,812.91 | $8,021.52 | 21.3× |
| CT Angio Head (70496) | $4,812.91 | $8,021.52 | 21.3× |
| CT angio hrt w/3d image (75574) | $4,643.18 | $7,738.64 | 10.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$4,421.66–$4,812.91 | $7,369.44–$8,021.52 | varies |
| CT Angio Neck (70498) | $4,812.91 | $8,021.52 | 21.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,983.70–$4,812.91 | $3,306.16–$8,021.52 | varies |
| CT bone density (77078) | $3,889.39 | $6,482.32 | 34.7× |
| CT cervical spine w/ contrast (72126) | $5,418.19 | $9,030.32 | 12.1× |
| CT cervical spine w/o contrast (72125) | $5,697.74 | $9,496.24 | 42.4× |
| CT cervical spine w/wo cont (72127) | $5,596.03 | $9,326.72 | 24.8× |
| CT chest w contrast (71260) | $5,697.74 | $9,496.24 | 25.3× |
| CT chest w/wo contrast (71270) | $5,841.89 | $9,736.48 | 25.9× |
| CT colonography screening (74263) | $1,963.73 | $3,272.88 | 6.4× |
| CT head/brain with contrast (70460) | $4,718.06 | $7,863.44 | 20.9× |
| CT head/brain without and with contrast (70470) | $5,316.48 | $8,860.80 | 23.6× |
| CT hrt w/3d image congen (75573) | $4,812.91 | $8,021.52 | 10.7× |
| CT iac w contrast (70481) | $5,418.19 | $9,030.32 | 24.0× |
| CT l-spine w&w/o contrast (72133) | $5,841.89 | $9,736.48 | 25.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$4,642.56–$8,908.85 | $7,737.60–$14,848.08 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,152.18–$5,418.19 | $3,586.96–$9,030.32 | varies |
| CT lumbar spine w contrast (72132) | $5,697.74 | $9,496.24 | 12.7× |
| CT lumbar spine w/o contrast (72131) | $5,697.74 | $9,496.24 | 42.4× |
| CT maxillofacial w contrast (70487) | $5,418.19 | $9,030.32 | 24.0× |
| CT maxillofacial wo contrast (70486) | $4,643.18 | $7,738.64 | 34.5× |
| CT neck tissue combo (70492) | $5,418.19 | $9,030.32 | 24.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,841.89 | $9,736.48 | 25.9× |
| CT orbits w/o contrast (70480) | $4,642.56 | $7,737.60 | 34.5× |
| CT pelvis w&w/o contrast (72194) | $5,841.89 | $9,736.48 | 25.9× |
| CT pelvis w/o contrast (72192) | $4,812.91 | $8,021.52 | 35.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$4,421.66–$5,779.49 | $7,369.44–$9,632.48 | varies |
| CT scans face/jaw combo (70488) | $5,418.19 | $9,030.32 | 24.0× |
| CT soft tissue neck w contrast (70491) | $4,829.14 | $8,048.56 | 21.4× |
| CT soft tissue neck w/o contrast (70490) | $4,255.68 | $7,092.80 | 31.7× |
| CT thoracic spine w contrast (72129) | $5,418.19 | $9,030.32 | 24.0× |
| CT thoracic spine w/o contrast (72128) | $5,418.19 | $9,030.32 | 40.3× |
| CT thoracic spine w/wo cont (72130) | $5,841.89 | $9,736.48 | 25.9× |
| CT thorax w/o contrast (71250) | $4,643.18 | $7,738.64 | 34.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$4,642.56–$8,908.85 | $7,737.60–$14,848.08 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,983.70–$5,418.19 | $3,306.16–$9,030.32 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,114.74–$5,418.19 | $3,524.56–$9,030.32 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,812.91 | $8,021.52 | 21.3× |
| Cta Abdomen (74175) | $4,812.91 | $8,021.52 | 21.3× |
| CTA pelvis (72191) | $4,812.91 | $8,021.52 | 21.3× |
| Discography Cerv/Thor Spine (72285) | $6,442.18 | $10,736.96 | 2.6× |
| Dxa Bone Density Axial (77080) | $1,010.88 | $1,684.80 | 7.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $281.42 | $469.04 | 2.5× |
| Esophageal Motility Study (78258) | $662.46 | $1,104.10 | 1.3× |
| Esophagram (74220) | $926.02 | $1,543.36 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $2,123.72 | $3,539.54 | 15.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,123.72 | $3,539.54 | 15.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$396.86–$610.90 | $661.44–$1,018.16 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$512.93–$976.56 | $854.88–$1,627.60 | varies |
| Gastric emptying imaging study (78264) | $2,309.26 | $3,848.77 | 4.5× |
| Gastric Mucosa Imaging (78261) | $662.46 | $1,104.10 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $1,975.95 | $3,293.25 | 3.8× |
| Gated Heart Planar Single (78472) | $3,877.15 | $6,461.92 | 7.5× |
| Gated Heart, Multiple (78473) | $807.31 | $1,345.51 | 1.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$272.69–$396.86 | $454.48–$661.44 | varies |
| Heart first pass single,planar (78481) | $1,560.10 | $2,600.17 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,854.99 | $3,091.65 | 2.7× |
| Hepatobiliary System Imaging (78226) | $4,316.36 | $7,193.94 | 8.4× |
| Ht Musc Image Planar Mult (78454) | $2,421.92 | $4,036.53 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $4,497.03 | $7,495.05 | 2.7× |
| Hysterosalpingogram (74740) | $748.80 | $1,248 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,101.48 | $1,835.80 | 9.8× |
| Infant hip ultrasound, limited static exam (76886) | $426.88 | $711.47 | 3.8× |
| Infusion Ivp (74410) | $660.19 | $1,100.32 | 2.9× |
| Joint Survey Single View (77077) | $137.90 | $229.84 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $864.41 | $1,440.69 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $1,870.57 | $3,117.61 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,919.28 | $4,865.47 | 4.2× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $554.99 | $924.99 | 1.1× |
| Kidney Imaging Morphol (78700) | $1,998.80 | $3,331.33 | 3.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $858.19 | $1,430.31 | 1.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$397.49–$499.20 | $662.48–$832 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,142.69 | $1,904.48 | 2.2× |
| Leveen/Shunt Patency Exam (78291) | $656.23 | $1,093.72 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $2,446.84 | $4,078.07 | 4.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $756.95 | $1,261.58 | 1.5× |
| Liver imaging static only (78201) | $2,197.64 | $3,662.73 | 3.1× |
| Liver imaging w/vascular flow (78202) | $756.95 | $1,261.58 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,665.49 | $2,775.82 | 2.4× |
| Lung perfusion differential (78597) | $1,431.87 | $2,386.45 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $3,006.50 | $5,010.83 | 4.3× |
| Lung Ventilation Imaging (78579) | $1,431.87 | $2,386.45 | 2.8× |
| Lymph System Imaging (78195) | $700.36 | $1,167.26 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,827.07 | $3,045.12 | 0.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,357.20 | $2,262 | 1.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,525.06 | $2,541.76 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $13,107.49 | $21,845.82 | 42.7× |
| Mammary ductogram or galactogram multiple (77054) | $896.06 | $1,493.44 | 2.9× |
| Mammary ductogram or galactogram single (77053) | $856.75 | $1,427.92 | 2.8× |
| Meckels Divert Exam (78290) | $2,137.94 | $3,563.23 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) | $7,240.15 | $12,066.91 | 16.1× |
| MRA head w/o contrast (70544) | $6,423.33 | $10,705.55 | 20.9× |
| MRA head with contrast (70545) | $6,621.01 | $11,035.02 | 14.8× |
| MRA neck w contrast (70548) | $3,455.34 | $5,758.90 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,507.33 | $2,512.22 | 3.4× |
| MRA neck w/o contrast (70547) | $7,240.15 | $12,066.91 | 23.6× |
| MRI abdomen w contrast (74182) | $6,838.60 | $11,397.67 | 15.2× |
| MRI abdomen w/o contrast (74181) | $6,381.46 | $10,635.77 | 20.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,495.06–$2,495.75 | $4,158.44–$4,159.58 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$6,017.67–$7,827.02 | $10,029.45–$13,045.03 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,188.33 | $5,313.88 | 3.2× |
| MRI cardiac w/o cont stress (75559) | $1,084.51 | $1,807.52 | 1.5× |
| MRI cervical spine w contrast (72142) | $8,445.47 | $14,075.78 | 18.8× |
| MRI cervical spine w/o cont (72141) | $7,240.15 | $12,066.91 | 23.6× |
| MRI chest w/o contrast (71550) | $6,838.60 | $11,397.67 | 22.3× |
| MRI chest with contrast (71551) | $7,296.43 | $12,160.72 | 7.2× |
| MRI chest wo w contrast (71552) | $3,397.68 | $5,662.80 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$6,253.79–$11,094.28 | $10,422.98–$18,490.47 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,196.65 | $6,994.42 | 13.7× |
| MRI lumbar spine w contrast (72149) | $8,050.10 | $13,416.83 | 17.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,445.47 | $14,075.78 | 18.8× |
| MRI orbit face &/neck w/o contrast (70540) | $6,838.60 | $11,397.67 | 22.3× |
| MRI orbit face neck w contrast (70542) | $3,393.56 | $5,655.94 | 7.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,393.56 | $5,655.94 | 7.6× |
| MRI pelvis w contrast (72196) | $6,838.60 | $11,397.67 | 15.2× |
| MRI pelvis w/o & w contrast (72197) | $5,518.66 | $9,197.76 | 12.3× |
| MRI pelvis w/o contrast (72195) | $3,364.73 | $5,607.89 | 11.0× |
| MRI thoracic spine w/o contrast (72146) | $6,838.60 | $11,397.67 | 22.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,285.11–$7,608.74 | $5,475.18–$12,681.24 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,641.35 | $6,068.92 | 11.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$6,037.57–$11,563.09 | $10,062.62–$19,271.82 | varies |
| MRI, abdomen, combo (74183) | $7,257.31 | $12,095.51 | 16.2× |
| MRI, dorsal spine combo (72157) | $8,050.10 | $13,416.83 | 17.9× |
| MRI, dorsal spine contrast (72147) | $8,050.10 | $13,416.83 | 17.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$6,838.60–$12,136.93 | $11,397.67–$20,228.21 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$6,017.67–$12,136.93 | $10,029.45–$20,228.21 | varies |
| MRI, lumbar spine combo (72158) | $8,050.10 | $13,416.83 | 17.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $972.92 | $1,621.54 | 1.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,316.97 | $5,528.28 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $8,984.72 | $14,974.53 | 5.4× |
| Neck soft tissue (70360) | $429.94 | $716.56 | 3.8× |
| Nm csf leak detection (78650) | $1,109.98 | $1,849.97 | 0.7× |
| Nm whole blood volume (78122) | $1,142.69 | $1,904.48 | 1.6× |
| Nuclear Rx Intra-Arterial (79445) | $554.99 | $924.99 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $554.99 | $924.99 | 1.8× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $341.93 | $569.89 | 2.5× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $244.85 | $408.09 | 1.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $400.47 | $667.45 | 3.6× |
| Ophthalmic us dx quantitative a-scan only (76511) | $369.06 | $615.10 | 2.7× |
| Optic foramina (70190) | $630.86 | $1,051.44 | 5.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,090.52 | $6,817.54 | 5.9× |
| Parathyroid Planar Imaging (78070) | $2,963.93 | $4,939.89 | 5.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,090.52 | $6,817.54 | 8.0× |
| Pelvis 1 or 2 views (72170) | $532.90 | $888.16 | 4.0× |
| Peritoneogram Rs&I (74190) | $1,788.38 | $2,980.64 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,543.92 | $4,239.87 | 4.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $212.16 | $353.60 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$944.74–$982.52 | $1,574.56–$1,637.54 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$627.74–$1,203.07 | $1,046.24–$2,005.12 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$373.15–$723.22 | $621.92–$1,205.36 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$630.86–$1,214.30 | $1,051.44–$2,023.84 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,030.85 | $1,718.08 | 7.7× |
| Radex fingr minimum 2 views (73140) | $396.86 | $661.44 | 3.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$597.79–$1,155.65 | $996.32–$1,926.08 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$590.93–$1,133.81 | $984.88–$1,889.68 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$861.74–$1,646.74 | $1,436.24–$2,744.56 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,086.38 | $1,810.64 | 8.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,291.68 | $2,152.80 | 11.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $373.15 | $621.92 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $362.54 | $604.24 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$659.57–$1,261.10 | $1,099.28–$2,101.84 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $539.14 | $898.56 | 4.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $434.93 | $724.88 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $410.79 | $684.65 | 3.7× |
| Radex Sternum Minimum 2 Views (71120) | $630.86 | $1,051.44 | 5.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $926.02 | $1,543.36 | 8.3× |
| Radex Toe Minimum 2 Views (73660) | $396.86 | $661.44 | 3.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$794.98–$1,526.93 | $1,324.96–$2,544.88 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$630.86–$1,214.30 | $1,051.44–$2,023.84 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,030.85 | $1,718.08 | 7.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $903.55 | $1,505.92 | 6.7× |
| Radiologic exam colon double contrast study (74280) | $1,901.33 | $3,168.88 | 8.4× |
| Radiologic exam colon single contrast study (74270) | $1,294.18 | $2,156.96 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$748.18–$1,435.20 | $1,246.96–$2,392 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $738.82 | $1,231.36 | 5.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,346.59 | $2,244.32 | 6.0× |
| Radiologic exam teeth complete full mouth (70320) | $282.05 | $470.08 | 0.9× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $282.05 | $470.08 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,780.90 | $2,968.16 | 7.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$630.86–$1,214.30 | $1,051.44–$2,023.84 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$486.10–$666.43 | $810.16–$1,110.72 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $294.53 | $490.88 | 2.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $590.93 | $984.88 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$539.14–$1,042.08 | $898.56–$1,736.80 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,081.39 | $1,802.32 | 1.5× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $282.05 | $470.08 | 2.5× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $790.70 | $1,317.83 | 2.6× |
| Ribs bilateral 3 views (71110) | $338.83 | $564.72 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,358.66 | $2,264.43 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,095.96 | $1,826.60 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,561.57 | $4,269.29 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,195.05 | $3,658.41 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,345.68 | $2,242.80 | 1.9× |
| Rp Therapy Intravenous Administration (79101) | $828.07 | $1,380.12 | 2.8× |
| Rp Therapy Unlisted Procedure (79999) | $554.99 | $924.99 | 1.8× |
| Salivary Gland Function Study (78232) | $662.46 | $1,104.10 | 1.3× |
| Scapula (73010) range across 2 matching MRF lines |
$590.93–$1,133.81 | $984.88–$1,889.68 | varies |
| Sella turcica (70240) | $590.93 | $984.88 | 5.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$429.94–$695.76 | $716.56–$1,159.60 | varies |
| Shoulder Arthrography (73040) | $1,121.33 | $1,868.88 | 2.5× |
| Sialogram (70390) | $990.96 | $1,651.60 | 3.2× |
| Skull less than 4 views (70250) | $659.57 | $1,099.28 | 4.9× |
| Spleen Imaging (78185) | $1,749.08 | $2,915.13 | 3.4× |
| Sternoclavicular joints (71130) | $630.86 | $1,051.44 | 5.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $815.57 | $1,359.28 | 2.7× |
| Testicular Imaging W/Flow (78761) | $2,400.11 | $4,000.19 | 4.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $369.41 | $615.68 | 1.6× |
| Thoracic spine 2 views (72070) | $718.40 | $1,197.33 | 5.3× |
| Thoracic spine 3 views (72072) | $443.04 | $738.40 | 3.3× |
| Thoracolumbar 2 views (72080) | $768.37 | $1,280.61 | 6.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,150.99 | $1,918.32 | 2.2× |
| Thyroid Met Imaging Body (78018) | $3,003.91 | $5,006.51 | 4.3× |
| Thyroid Uptake Measurement (78012) | $761.62 | $1,269.36 | 1.5× |
| Ultrasound Breast Limited (76642) | $1,554.01 | $2,590.02 | 13.9× |
| Ultrasound Exam Aaa Screen (76706) | $895.89 | $1,493.15 | 6.7× |
| Ultrasound, abdomen limited (76705) | $989.10 | $1,648.50 | 7.4× |
| Unlisted Dx Radiographic Procedure (76499) | $170.98 | $284.96 | 1.5× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $858.19 | $1,430.31 | 1.7× |
| Unlisted us procedure (76999) | $1,988.50 | $3,314.17 | 17.8× |
| Upper gi w/o kub (74240) | $1,061.42 | $1,769.04 | 4.7× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $633.59 | $1,055.98 | 57.3× |
| Urea breath test c-14 isotopic analysis (78268) | $3,723.06 | $6,205.10 | 39.4× |
| Ureteral Reflux Study (78740) | $2,400.11 | $4,000.19 | 4.7× |
| Us breast unilateral complete (76641) | $1,554.01 | $2,590.02 | 11.6× |
| Us chest (76604) | $242.71 | $404.52 | 1.8× |
| Us complete joint (76881) | $1,519.09 | $2,531.81 | 11.3× |
| Us head (76506) | $1,772.97 | $2,954.95 | 13.2× |
| Us kidney transplant (76776) | $685.30 | $1,142.17 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $909.45 | $1,515.75 | 6.8× |
| Us ob limited 1 or more fetuses (76815) | $746.12 | $1,243.53 | 5.5× |
| Us ob transvaginal (76817) | $527.54 | $879.23 | 3.9× |
| Us pelvic non ob complete (76856) | $2,013.21 | $3,355.35 | 15.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $776.32 | $1,293.86 | 5.8× |
| Us retroperitoneal complete (76770) | $1,106.48 | $1,844.13 | 8.2× |
| Us retroperitoneal limited (76775) | $861.43 | $1,435.72 | 6.4× |
| Us scrotum and contents (76870) | $2,013.21 | $3,355.35 | 15.0× |
| Us thyroid (76536) | $2,013.21 | $3,355.35 | 15.0× |
| Us transrectal (76872) | $1,772.97 | $2,954.95 | 13.2× |
| Vascular Flow Imaging (78445) | $1,132.30 | $1,887.17 | 2.2× |
| Vein X-Ray Chest (75827) | $2,036.20 | $3,393.66 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $3,599.23 | $5,998.72 | 4.5× |
| Vein X-Ray Spleen/Liver (75810) | $6,032.21 | $10,053.68 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $2,111.72 | $3,519.53 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $2,102.63 | $3,504.38 | 1.0× |
| Venography Orbital Rs&I (75880) | $2,134.70 | $3,557.84 | 2.6× |
| Venous thrombosis imaging (78457) | $2,400.11 | $4,000.19 | 3.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $721.13 | $1,201.88 | 1.4× |
| Vertebral fracture assessment via dxa (77086) | $137.90 | $229.84 | 1.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$367.54–$396.86 | $612.56–$661.44 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,030.85 | $1,718.08 | 9.2× |
| X-ray antegrade pyelogram tube (74425) | $729.46 | $1,215.76 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $768.37 | $1,280.61 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$302.64–$482.98 | $504.40–$804.96 | varies |
| X-Ray Exam Breast Specimen (76098) | $811.20 | $1,352 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $517.92 | $863.20 | 4.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,466.40 | $2,444 | 10.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $532.90 | $888.16 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $710.11 | $1,183.52 | 6.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,065.17 | $1,775.28 | 7.9× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$823.07–$948.48 | $1,371.78–$1,580.80 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $948.48 | $1,580.80 | 7.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,896.96 | $3,161.60 | 14.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,400.45 | $2,334.09 | 10.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $689.20 | $1,148.66 | 6.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,238.64 | $2,064.40 | 9.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $959.71 | $1,599.52 | 7.1× |
| X-ray eye for foreign body (70030) | $926.02 | $1,543.36 | 8.3× |
| X-ray head for orthodontia (70350) | $137.90 | $229.84 | 1.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$532.90–$1,030.85 | $888.16–$1,718.08 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,604.30 | $2,673.84 | 7.1× |
| X-ray IV pyelogram+tomography (74415) | $660.19 | $1,100.32 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $252.72 | $421.20 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,214.30 | $2,023.84 | 10.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $662.59 | $1,104.31 | 4.9× |
| X-ray nose-rectum child f.b. (76010) | $429.94 | $716.56 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,121.33 | $1,868.88 | 8.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $826.78 | $1,377.96 | 6.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $137.90 | $229.84 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $708.67 | $1,181.11 | 6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,030.85 | $1,718.08 | 9.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,191.84 | $1,986.40 | 8.9× |
| X-Ray Stress View (77071) | $137.90 | $229.84 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $137.90 | $229.84 | 1.0× |
| X-Ray Tmj Unilat (70328) | $155.38 | $258.96 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,173.12 | $1,955.20 | 2.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$1,030.85–$1,123.64 | $1,718.08–$1,872.73 | varies |
| X-Rays Bone Survey Complete (77075) | $468.62 | $781.04 | 3.5× |
| Xr c-spine 4 or 5 views (72050) | $1,156.27 | $1,927.12 | 8.6× |
| Xr facial bones less than 3 views (70140) | $681.41 | $1,135.68 | 6.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $681.41 | $1,135.68 | 5.1× |
| Xr orbits complete 4 views (70200) | $456.14 | $760.24 | 3.4× |
| Xr Tomogram Single Plane (76100) | $1,412.74 | $2,354.56 | 10.5× |
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.