Imaging prices at Bay Area Hospital
Coos Bay, OR · every code in this section with a posted price and a Medicare benchmark.
335 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$660.69–$4,504.50 | $880.92–$6,006 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$26.34–$251.25 | $35.12–$335 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$33.57–$373.50 | $44.76–$498 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$139.59–$1,482.75 | $186.12–$1,977 | varies |
| Adrenal Cortex & Medulla Img (78075) | $4,119.75 | $5,493 | 2.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$228.51–$4,385.25 | $304.68–$5,847 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,084 | $4,112 | 0.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$272.49–$6,309.75 | $363.32–$8,413 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$242.10–$5,928 | $322.80–$7,904 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$179.85–$5,697.75 | $239.80–$7,597 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,084 | $4,112 | 0.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,401.50 | $11,202 | 1.4× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$10,480.50 | $372.48–$13,974 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) | $3,222.75 | $4,297 | 0.9× |
| Artery X-Rays Pelvis (75736) | $8,401.50 | $11,202 | 1.4× |
| Artery X-Rays Spine (75705) | $12,162.75 | $16,217 | 2.0× |
| Arthrogram ankle (73615) | $83.13 | $110.84 | 0.2× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$84.12–$1,243.50 | $112.16–$1,658 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$81.57–$842.25 | $108.76–$1,123 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$95.76–$486.75 | $127.68–$649 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$27.39–$183 | $36.52–$244 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$143.70–$1,650.75 | $191.60–$2,201 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$88.95–$1,043.25 | $118.60–$1,391 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$116.88–$1,119 | $155.84–$1,492 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$121.02–$1,433.25 | $161.36–$1,911 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$75.54–$1,039.50 | $100.72–$1,386 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$100.29–$228.75 | $133.72–$305 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$41.52–$1,200 | $55.36–$1,600 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $91.05 | $121.40 | 0.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$206.40–$4,819.50 | $275.20–$6,426 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$137.10–$1,062 | $182.80–$1,416 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$26.34–$214.50 | $35.12–$286 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$31.53–$276.75 | $42.04–$369 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$39.72–$356.25 | $52.96–$475 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$45.90–$412.50 | $61.20–$550 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$154.53–$1,113 | $206.04–$1,484 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$232.35–$562.50 | $309.80–$750 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$197.07–$6,021.75 | $262.76–$8,029 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$44.97–$762.75 | $59.96–$1,017 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$82.56–$533.25 | $110.08–$711 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$82.14–$940.50 | $109.52–$1,254 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$286.83–$4,462.50 | $382.44–$5,950 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$249.63–$3,129.75 | $332.84–$4,173 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$181.35–$2,142.75 | $241.80–$2,857 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$199.47–$2,515.50 | $265.96–$3,354 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$169.98–$1,581.75 | $226.64–$2,109 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$311.79–$2,604.75 | $415.72–$3,473 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$259.98–$2,715 | $346.64–$3,620 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$249.69–$2,745.75 | $332.92–$3,661 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$268.38–$2,601.75 | $357.84–$3,469 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$249.69–$2,598 | $332.92–$3,464 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$255.96–$2,472.75 | $341.28–$3,297 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$174.12–$2,081.25 | $232.16–$2,775 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$143.16–$1,814.25 | $190.88–$2,419 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$180.36–$2,524.50 | $240.48–$3,366 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$166.86–$2,169 | $222.48–$2,892 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$178.26–$2,439.75 | $237.68–$3,253 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$161.73–$1,779 | $215.64–$2,372 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$181.35–$2,130.75 | $241.80–$2,841 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$161.73–$2,143.50 | $215.64–$2,858 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$180.36–$2,437.50 | $240.48–$3,250 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$143.16–$1,546.50 | $190.88–$2,062 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$165.87–$1,944 | $221.16–$2,592 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$174.12–$2,231.25 | $232.16–$2,975 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$143.16–$1,791 | $190.88–$2,388 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$160.74–$2,022 | $214.32–$2,696 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$121.95–$1,502.25 | $162.60–$2,003 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$232.11–$2,156.25 | $309.48–$2,875 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$180.36–$2,325 | $240.48–$3,100 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$182.40–$1,734.75 | $243.20–$2,313 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$174.12–$2,367.75 | $232.16–$3,157 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$155.55–$1,625.25 | $207.40–$2,167 | varies |
| CT scan of leg combo (73702) | $173.13 | $230.84 | 0.9× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$181.35–$2,250 | $241.80–$3,000 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$196.83–$1,937.25 | $262.44–$2,583 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$182.40–$1,612.50 | $243.20–$2,150 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$174.12–$2,271.75 | $232.16–$3,029 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$143.16–$1,739.25 | $190.88–$2,319 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$180.36–$2,475 | $240.48–$3,300 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$154.53–$1,707.75 | $206.04–$2,277 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$143.16–$1,275 | $190.88–$1,700 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$165.87–$1,473.75 | $221.16–$1,965 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$339.81–$2,942.25 | $453.08–$3,923 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$258.99–$2,505 | $345.32–$3,340 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$256.95–$759 | $342.60–$1,012 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$121.41–$1,656 | $161.88–$2,208 | varies |
| Dxa Bone Density Axial (77080) | $20.30 | $27.06 | 0.2× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$104.37–$381.75 | $139.16–$509 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$276.57–$1,168.50 | $368.76–$1,558 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$86.85–$409.50 | $115.80–$546 | varies |
| Fetal Biophys Profile W/Nst (76818) | $151.80 | $202.40 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$111.60–$429.75 | $148.80–$573 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$44.55–$813.75 | $59.40–$1,085 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$252.84–$5,010.75 | $337.12–$6,681 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$22.26–$267.75 | $29.68–$357 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$23.25–$267.75 | $31–$357 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$111.69–$1,458.75 | $148.92–$1,945 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$137.55–$1,536.75 | $183.40–$2,049 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$24.24–$461.25 | $32.32–$615 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,833.25 | $9,111 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,733.75 | $3,645 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$127.17–$2,482.50 | $169.56–$3,310 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$104.49–$1,788.75 | $139.32–$2,385 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$193.86–$3,532.50 | $258.48–$4,710 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$54.78–$588 | $73.04–$784 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$106.47–$354 | $141.96–$472 | varies |
| Infusion Ivp (74410) | $69.27 | $92.36 | 0.4× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$195.99–$1,520.25 | $261.32–$2,027 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$169.11–$1,467.75 | $225.48–$1,957 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$133.47–$1,563 | $177.96–$2,084 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$27.33–$327 | $36.44–$436 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$69.27–$1,068.75 | $92.36–$1,425 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$72–$903.75 | $96–$1,205 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$149.94–$1,932 | $199.92–$2,576 | varies |
| Lung Ventilation Imaging (78579) | $68.28 | $91.04 | 0.2× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$167.07–$1,713 | $222.76–$2,284 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$210.84–$1,654.50 | $281.12–$2,206 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$51.69–$444.75 | $68.92–$593 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$96.21–$833.25 | $128.28–$1,111 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$660.69–$1,280.25 | $880.92–$1,707 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$150.59–$3,866.25 | $200.79–$5,155 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$171.03–$2,283 | $228.04–$3,044 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$213.90–$2,346.75 | $285.20–$3,129 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$257.91–$3,594 | $343.88–$4,792 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$172.02–$2,021.25 | $229.36–$2,695 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$247.59–$2,625 | $330.12–$3,500 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$207.75–$2,278.50 | $277–$3,038 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$234.09–$4,312.50 | $312.12–$5,750 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$307.98–$3,949.50 | $410.64–$5,266 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$234.09–$2,637.75 | $312.12–$3,517 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$228.33–$1,380.75 | $304.44–$1,841 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$206.70–$705 | $275.60–$940 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$181.50–$2,700 | $242–$3,600 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$211.83–$2,297.25 | $282.44–$3,063 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$208.74–$1,971 | $278.32–$2,628 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$247.59–$2,325 | $330.12–$3,100 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$322.47–$3,452.25 | $429.96–$4,603 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $233.10 | $310.80 | 0.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$307.98–$3,129.75 | $410.64–$4,173 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$192.69–$2,276.25 | $256.92–$3,035 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$255.81–$2,775 | $341.08–$3,700 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$328.14–$3,640.50 | $437.52–$4,854 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$191.70–$2,192.25 | $255.60–$2,923 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$233.10–$2,625 | $310.80–$3,500 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$306.99–$3,557.25 | $409.32–$4,743 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$248.58–$2,265.75 | $331.44–$3,021 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$314.22–$3,594.75 | $418.96–$4,793 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$208.74–$2,172.75 | $278.32–$2,897 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$211.83–$2,382 | $282.44–$3,176 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$193.68–$2,235.75 | $258.24–$2,981 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$307.98–$2,873.25 | $410.64–$3,831 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$314.22–$3,763.50 | $418.96–$5,018 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$328.14–$3,758.25 | $437.52–$5,011 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$180–$2,705.25 | $240–$3,607 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$195.24–$2,330.25 | $260.32–$3,107 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$308.97–$3,631.50 | $411.96–$4,842 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$328.14–$3,705 | $437.52–$4,940 | varies |
| Myelogram cervical (72240) | $131.76 | $175.68 | 0.2× |
| Myelogram Lumbar (72265) | $117.87 | $157.16 | 0.1× |
| Myelography thoracic (72255) | $136.56 | $182.08 | 0.2× |
| Myelograpy 2/more regions rs&i (72270) | $194.13 | $258.84 | 0.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$227.88–$4,281.75 | $303.84–$5,709 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$26.34–$267.75 | $35.12–$357 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$740.25–$769.98 | $987–$1,026.64 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $990.75 | $1,321 | 2.2× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$69.27–$260.25 | $92.36–$347 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,231.74–$5,222.25 | $1,642.32–$6,963 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$326.91–$901.50 | $435.88–$1,202 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$252.24–$972 | $336.32–$1,296 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$170.37–$330 | $227.16–$440 | varies |
| Optic foramina (70190) | $32.46 | $43.28 | 0.3× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$112.74–$1,295.25 | $150.32–$1,727 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$25.29–$326.25 | $33.72–$435 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$344.07–$5,889 | $458.76–$7,852 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$341.31–$5,593.50 | $455.08–$7,458 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$104.49–$1,257 | $139.32–$1,676 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$45.96–$411 | $61.28–$548 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$74.64–$759 | $99.52–$1,012 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$25.29–$306 | $33.72–$408 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$23.25–$267.75 | $31–$357 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$25.29–$299.25 | $33.72–$399 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$37.68–$363.75 | $50.24–$485 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$20.13–$265.50 | $26.84–$354 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$24.30–$303 | $32.40–$404 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$25.29–$336.75 | $33.72–$449 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $23.25 | $31 | 0.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $49.05 | $65.40 | 0.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$25.29–$252 | $33.72–$336 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$32.52–$302.25 | $43.36–$403 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$27.33–$310.50 | $36.44–$414 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$25.29–$262.50 | $33.72–$350 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $166.92 | $222.56 | 0.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$23.25–$267.75 | $31–$357 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$28.44–$290.25 | $37.92–$387 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$34.59–$318.75 | $46.12–$425 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$19.11–$258 | $25.48–$344 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $23.25 | $31 | 0.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$25.29–$304.50 | $33.72–$406 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$59.91–$552.75 | $79.88–$737 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$3,043.80–$13,089.75 | $4,058.40–$17,453 | varies |
| Radiation treatment delivery level 1 (77402) | $366.75 | $489 | 3.2× |
| Radiation treatment delivery level 2 (77407) | $740.25 | $987 | 1.7× |
| Radiation treatment delivery level 3 (77412) | $862.50 | $1,150 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$35.64–$333 | $47.52–$444 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$38.73–$405 | $51.64–$540 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$179.31–$803.25 | $239.08–$1,071 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$148.35–$829.50 | $197.80–$1,106 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$100.29–$516 | $133.72–$688 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$32.52–$371.25 | $43.36–$495 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$36.63–$382.50 | $48.84–$510 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$115.77–$613.50 | $154.36–$818 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$76.56–$639 | $102.08–$852 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$128.16–$764.25 | $170.88–$1,019 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$24.24–$239.25 | $32.32–$319 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$26.34–$314.25 | $35.12–$419 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$63.03–$243.75 | $84.04–$325 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $24.30 | $32.40 | 0.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$23.25–$304.50 | $31–$406 | varies |
| Renal Cyst Study (74470) | $75.63 | $100.84 | 0.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$30–$362.25 | $40–$483 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$91.59–$1,398 | $122.12–$1,864 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $103.02 | $137.36 | 0.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$140.67–$2,276.25 | $187.56–$3,035 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $111.75 | $149 | 0.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$150.06–$2,302.50 | $200.08–$3,070 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$250.38–$2,301.75 | $333.84–$3,069 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,282 | $4,376 | 2.1× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$281.88–$815.25 | $375.84–$1,087 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$26.28–$264 | $35.04–$352 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$86.85–$87 | $115.80–$116 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$22.20–$256.50 | $29.60–$342 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$80.58–$1,095.75 | $107.44–$1,461 | varies |
| Sialogram (70390) | $54.78 | $73.04 | 0.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$26.34–$348 | $35.12–$464 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$134.94–$562.50 | $179.92–$750 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$366.15–$1,011.75 | $488.20–$1,349 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$147.30–$1,179 | $196.40–$1,572 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$314.70–$2,217.75 | $419.60–$2,957 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$3,320.76–$8,786.25 | $4,427.68–$11,715 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$31.53–$228 | $42.04–$304 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$448.50–$1,072.50 | $598–$1,430 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$215.76–$317.25 | $287.68–$423 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$240.45–$1,280.25 | $320.60–$1,707 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$167.67–$1,072.50 | $223.56–$1,430 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$111.21–$791.25 | $148.28–$1,055 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$299.76–$537 | $399.68–$716 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$29.43–$344.25 | $39.24–$459 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$32.58–$387.75 | $43.44–$517 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$30.48–$320.25 | $40.64–$427 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$119.04–$1,786.50 | $158.72–$2,382 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$903.75 | $25–$1,205 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$70.32–$1,528.50 | $93.76–$2,038 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$177.15–$1,212 | $236.20–$1,616 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$116.43–$833.25 | $155.24–$1,111 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$70.02–$627.75 | $93.36–$837 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$69–$381 | $92–$508 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$79.65–$349.50 | $106.20–$466 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$84.81–$612 | $113.08–$816 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$72.30–$303 | $96.40–$404 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$114.72–$681 | $152.96–$908 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$79.62–$591 | $106.16–$788 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$46.02–$739.50 | $61.36–$986 | varies |
| Urethrocystography retrograde (74450) | $47.01 | $62.68 | 0.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$104.43–$549 | $139.24–$732 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$82.83–$458.25 | $110.44–$611 | varies |
| Us complete joint (76881) | $90.87 | $121.16 | 0.8× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$70.32–$395.25 | $93.76–$527 | varies |
| Us head (76506) range across 2 matching MRF lines |
$91.56–$327 | $122.08–$436 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$108.57–$345 | $144.76–$460 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$69.27–$710.25 | $92.36–$947 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$274.05–$869.25 | $365.40–$1,159 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$94.08–$562.50 | $125.44–$750 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$108.51–$432.75 | $144.68–$577 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$99.24–$673.50 | $132.32–$898 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$142.56–$510.75 | $190.08–$681 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$122.94–$374.25 | $163.92–$499 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$105.48–$673.50 | $140.64–$898 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$83.76–$583.50 | $111.68–$778 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$92.04–$615.75 | $122.72–$821 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$166.89–$274.50 | $222.52–$366 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$81.69–$657 | $108.92–$876 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$97.14–$520.50 | $129.52–$694 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$72.36–$381 | $96.48–$508 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$157.92–$2,656.50 | $210.56–$3,542 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $139.50 | $186 | 0.0× |
| Venogram Sinus/Jugular (75860) | $2,733.75 | $3,645 | 0.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,128.75 | $209.20–$5,505 | 1.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$204.84–$2,724.75 | $273.12–$3,633 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$148.65–$2,510.25 | $198.20–$3,347 | varies |
| Venous sampling by catheter (75893) | $11,781 | $15,708 | 1.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$27.33–$287.25 | $36.44–$383 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$72.36–$900 | $96.48–$1,200 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$277.62–$6,294.75 | $370.16–$8,393 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$32.52–$266.25 | $43.36–$355 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$45.48–$1,026 | $60.64–$1,368 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$37.68–$337.50 | $50.24–$450 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$44.91–$380.25 | $59.88–$507 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$52.08–$480.75 | $69.44–$641 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$27.33–$281.25 | $36.44–$375 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$32.52–$384.75 | $43.36–$513 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$39.72–$508.50 | $52.96–$678 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$32.52–$375 | $43.36–$500 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$42.81–$423.75 | $57.08–$565 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $44.91 | $59.88 | 0.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$43.86–$534 | $58.48–$712 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$32.52–$343.50 | $43.36–$458 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$42.87–$512.25 | $57.16–$683 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$38.73–$402 | $51.64–$536 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$26.34–$196.50 | $35.12–$262 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$24.24–$267.75 | $32.32–$357 | varies |
| X-ray IV pyelogram+tomography (74415) | $69.27 | $92.36 | 0.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $26.34 | $35.12 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$25.23–$231.75 | $33.64–$309 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$32.52–$363 | $43.36–$484 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$26.34–$123.75 | $35.12–$165 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$45.96–$491.25 | $61.28–$655 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$32.58–$272.25 | $43.44–$363 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$25.29–$258.75 | $33.72–$345 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$31.53–$375 | $42.04–$500 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$40.77–$475.50 | $54.36–$634 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$35.64–$401.25 | $47.52–$535 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$18.75–$198 | $25–$264 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$73.41–$1,113.75 | $97.88–$1,485 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$39.24–$290.25 | $52.32–$387 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$79.65–$669 | $106.20–$892 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$39.72–$383.25 | $52.96–$511 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$29.37–$279 | $39.16–$372 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $26.34 | $35.12 | 0.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$40.77–$386.25 | $54.36–$515 | varies |
| Xr Tomogram Single Plane (76100) | $85.74 | $114.32 | 0.7× |
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.