Imaging prices at California Hospital Medical Center La
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
281 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) | $292.94 | $604 | 2.6× |
| Abdomen 2 views (74019) | $366.18 | $755 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,489.44 | $3,071 | 2.9× |
| Adrenal Cortex & Medulla Img (78075) | $1,168.85 | $2,410 | 0.7× |
| Angio internal mammary (75756) | $1,895.38 | $3,908 | 0.5× |
| Angio pulmonary bilat (75743) | $5,623.58 | $11,595 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,251.44 | $6,704 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $5,251.58 | $10,828 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,912.36 | $3,943 | 0.5× |
| Aortography thoracic serialography rs&i (75605) | $4,875.22 | $10,052 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,875.22 | $10,052 | 1.2× |
| Artery X-Rays Abdomen (75726) | $4,008.53 | $8,265 | 0.6× |
| Artery X-Rays Pelvis (75736) | $4,134.14 | $8,524 | 0.6× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$3,025.43 | $6,238 | 0.4× |
| Bone age studies (77072) | $272.09 | $561 | 2.0× |
| Bone Imaging 3 Phase (78315) | $3,185.48 | $6,568 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,649.97 | $3,402 | 3.2× |
| Bone Imaging Whole Body (78306) | $2,291.63 | $4,725 | 4.5× |
| Bone marrow imaging limited area (78102) | $246.87 | $509 | 0.5× |
| Bone marrow imaging; whole body (78104) | $507.31 | $1,046 | 1.0× |
| Bone survey infant (77076) | $257.54 | $531 | 1.9× |
| Brain Flow Imaging Only (78610) | $802.68 | $1,655 | 1.1× |
| Brain Image W/Flow < 4 Views (78601) | $790.07 | $1,629 | 1.5× |
| Brain imaging < 4 static views (78600) | $346.29 | $714 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,216.38 | $2,508 | 1.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $411.28 | $848 | 0.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $843.42 | $1,739 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,200.86 | $2,476 | 2.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,200.86 | $2,476 | 1.2× |
| Cardiac Shunt Detection (78428) | $1,930.30 | $3,980 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $133.38 | $275 | 1.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $414.19 | $854 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $1,893.93 | $3,905 | 2.7× |
| Chest 1 view (71045) | $344.84 | $711 | 3.1× |
| Chest 2 views (71046) | $448.14 | $924 | 4.0× |
| Chest 3 views (71047) | $551.45 | $1,137 | 4.9× |
| Chest 4 or more views (71048) | $616.92 | $1,272 | 4.6× |
| Cholecystography Oral Contrast (74290) | $560.66 | $1,156 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $3,401.31 | $7,013 | 0.8× |
| Contrast X-Ray Bladder (74430) | $872.03 | $1,798 | 1.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $431.65 | $890 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,017.60 | $4,160 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $1,155.27 | $2,382 | 3.8× |
| CT abdomen w contrast (74160) | $1,202.32 | $2,479 | 5.3× |
| CT abdomen w wo contrast (74170) | $1,397.77 | $2,882 | 6.2× |
| CT abdomen w/o contrast (74150) | $782.79 | $1,614 | 5.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,577.78 | $5,315 | 5.7× |
| CT Angio Chest (71275) | $2,466.71 | $5,086 | 10.9× |
| CT Angio Head (70496) | $2,826.10 | $5,827 | 12.5× |
| CT angio hrt w/3d image (75574) | $289.06 | $596 | 0.6× |
| CT Angio Neck (70498) | $2,732.98 | $5,635 | 12.1× |
| CT bone density (77078) | $141.62 | $292 | 1.3× |
| CT cervical spine w/ contrast (72126) | $5,091.53 | $10,498 | 11.3× |
| CT cervical spine w/o contrast (72125) | $2,584.57 | $5,329 | 19.2× |
| CT cervical spine w/wo cont (72127) | $5,737.55 | $11,830 | 25.4× |
| CT chest w contrast (71260) | $4,250.06 | $8,763 | 18.8× |
| CT chest w/wo contrast (71270) | $4,802.47 | $9,902 | 21.3× |
| CT head/brain with contrast (70460) | $3,102.06 | $6,396 | 13.8× |
| CT head/brain without and with contrast (70470) | $3,713.65 | $7,657 | 16.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $289.06 | $596 | 0.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $127.07 | $262 | 1.1× |
| CT hrt w/3d image congen (75573) | $289.06 | $596 | 0.6× |
| CT iac w contrast (70481) | $2,680.11 | $5,526 | 11.9× |
| CT l-spine w&w/o contrast (72133) | $5,027.03 | $10,365 | 22.3× |
| CT lumbar spine w contrast (72132) | $4,460.55 | $9,197 | 9.9× |
| CT lumbar spine w/o contrast (72131) | $2,264.47 | $4,669 | 16.8× |
| CT maxillofacial w contrast (70487) | $2,720.37 | $5,609 | 12.1× |
| CT maxillofacial wo contrast (70486) | $2,247.98 | $4,635 | 16.7× |
| CT neck tissue combo (70492) | $2,937.16 | $6,056 | 13.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,955.11 | $6,093 | 13.1× |
| CT orbits w/o contrast (70480) | $2,290.66 | $4,723 | 17.0× |
| CT pelvis w&w/o contrast (72194) | $3,007.97 | $6,202 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,357.52 | $2,799 | 10.1× |
| CT scans face/jaw combo (70488) | $3,259.69 | $6,721 | 14.4× |
| CT soft tissue neck w contrast (70491) | $2,468.17 | $5,089 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $2,048.64 | $4,224 | 15.2× |
| CT thoracic spine w contrast (72129) | $5,108.99 | $10,534 | 22.6× |
| CT thoracic spine w/o contrast (72128) | $2,593.30 | $5,347 | 19.3× |
| CT thoracic spine w/wo cont (72130) | $5,757.44 | $11,871 | 25.5× |
| CT thorax w/o contrast (71250) | $2,167.47 | $4,469 | 16.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,860.95 | $3,837 | 8.2× |
| Cta Abdomen (74175) | $1,830.39 | $3,774 | 8.1× |
| CTA pelvis (72191) | $1,942.43 | $4,005 | 8.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $246.38 | $508 | 0.8× |
| Dilation ureters/urethra rs&i (74485) | $1,504.47 | $3,102 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,895.38 | $3,908 | 0.8× |
| Diskography lumbar (72295) | $1,851.25 | $3,817 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $365.69 | $754 | 2.7× |
| Dxa Bone Density Axial (77080) | $152.78 | $315 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $141.62 | $292 | 1.3× |
| Echo exam uterus (76831) | $771.64 | $1,591 | 2.5× |
| Esophagram (74220) | $383.64 | $791 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $1,166.91 | $2,406 | 8.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $851.66 | $1,756 | 6.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $710.04 | $1,464 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $409.83 | $845 | 1.3× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$581.52–$2,948.80 | $1,199–$6,080 | varies |
| Gastric emptying imaging study (78264) | $1,783.83 | $3,678 | 3.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,621.36 | $3,343 | 3.2× |
| Gated Heart Planar Single (78472) | $665.91 | $1,373 | 1.3× |
| Gated Heart, Multiple (78473) | $1,788.68 | $3,688 | 3.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,621.36 | $3,343 | 2.3× |
| Heart first pass single,planar (78481) | $1,194.07 | $2,462 | 1.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,275.62 | $4,692 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,275.62 | $4,692 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $792.49 | $1,634 | 1.1× |
| Hepatobiliary System Imaging (78226) | $578.12 | $1,192 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $1,814.39 | $3,741 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,505.93 | $3,105 | 0.9× |
| Hysterosalpingogram (74740) | $581.03 | $1,198 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $961.76 | $1,983 | 8.6× |
| Infant hip ultrasound, limited static exam (76886) | $692.58 | $1,428 | 6.2× |
| K Flow/Funct Image Multiple (78709) | $902.59 | $1,861 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $1,219.78 | $2,515 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,646.58 | $3,395 | 2.4× |
| Kidney Imaging Morphol (78700) | $1,231.90 | $2,540 | 2.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,512.72 | $3,119 | 2.9× |
| Leveen/Shunt Patency Exam (78291) | $425.35 | $877 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,157.70 | $2,387 | 2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,283.31 | $2,646 | 2.5× |
| Lung Perf&Ventilat Diferentl (78598) | $627.59 | $1,294 | 0.9× |
| Lung perfusion differential (78597) | $401.10 | $827 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,551.52 | $3,199 | 2.2× |
| Lung Ventilation Imaging (78579) | $853.12 | $1,759 | 1.7× |
| Lymph System Imaging (78195) | $849.72 | $1,752 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $2,105.87 | $4,342 | 6.9× |
| Meckels Divert Exam (78290) | $1,261.97 | $2,602 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $5,159.92 | $10,639 | 11.5× |
| MRA head w/o contrast (70544) | $3,089.94 | $6,371 | 10.1× |
| MRA head with contrast (70545) | $4,480.43 | $9,238 | 10.0× |
| MRA neck w/o contrast (70547) | $3,081.69 | $6,354 | 10.0× |
| MRI abdomen w contrast (74182) | $4,329.60 | $8,927 | 9.6× |
| MRI abdomen w/o contrast (74181) | $2,986.15 | $6,157 | 9.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,503.02 | $3,099 | 4.9× |
| MRI cardiac w/o cont stress (75559) | $761.45 | $1,570 | 1.1× |
| MRI cardiac w/o contrast (75557) | $745.45 | $1,537 | 2.4× |
| MRI cervical spine w contrast (72142) | $3,949.36 | $8,143 | 8.8× |
| MRI cervical spine w/o cont (72141) | $2,723.76 | $5,616 | 8.9× |
| MRI chest w/o contrast (71550) | $2,877.99 | $5,934 | 9.4× |
| MRI chest with contrast (71551) | $2,275.14 | $4,691 | 2.3× |
| MRI chest wo w contrast (71552) | $2,376.99 | $4,901 | 5.3× |
| MRI lumbar spine w contrast (72149) | $4,056.54 | $8,364 | 9.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,548.33 | $9,378 | 10.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,671.87 | $5,509 | 8.7× |
| MRI orbit face neck w contrast (70542) | $3,874.18 | $7,988 | 8.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,453.27 | $9,182 | 9.9× |
| MRI pelvis w contrast (72196) | $2,723.76 | $5,616 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $3,130.68 | $6,455 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,878.41 | $3,873 | 6.1× |
| MRI spectroscopy (76390) | $702.77 | $1,449 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $2,308.12 | $4,759 | 7.5× |
| MRI, abdomen, combo (74183) | $4,986.77 | $10,282 | 11.1× |
| MRI, dorsal spine combo (72157) | $3,854.30 | $7,947 | 8.6× |
| MRI, dorsal spine contrast (72147) | $3,346.50 | $6,900 | 7.5× |
| MRI, lumbar spine combo (72158) | $4,672.01 | $9,633 | 10.4× |
| Myelogram cervical (72240) | $979.22 | $2,019 | 1.0× |
| Myelogram Lumbar (72265) | $979.22 | $2,019 | 1.0× |
| Myelography thoracic (72255) | $979.22 | $2,019 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,776.07 | $3,662 | 1.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,613.60 | $3,327 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,505.93 | $3,105 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $1,814.39 | $3,741 | 1.1× |
| Neck soft tissue (70360) | $278.88 | $575 | 2.5× |
| Nm csf leak detection (78650) | $773.09 | $1,594 | 0.5× |
| Nm myocard infarct spect (78469) | $1,903.63 | $3,925 | 2.7× |
| Nonvascular Shunt X-Ray (75809) | $216.80 | $447 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,298.42 | $4,739 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $952.54 | $1,964 | 3.2× |
| Ob us nuchal meas 1 gest (76813) | $197.88 | $408 | 1.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $794.92 | $1,639 | 5.9× |
| Optic foramina (70190) | $203.22 | $419 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,055.36 | $2,176 | 1.5× |
| Parathyroid Planar Imaging (78070) | $627.11 | $1,293 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $774.06 | $1,596 | 1.5× |
| Pelvis 1 or 2 views (72170) | $178 | $367 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,275.62 | $4,692 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,101.44 | $2,271 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $603.34 | $1,244 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $468.51 | $966 | 0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $634.87 | $1,309 | 4.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $418.56 | $863 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $374.91 | $773 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $338.53 | $698 | 3.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,747.53 | $5,665 | 12.2× |
| Radex Spine 1 View Specify Level (72020) | $255.60 | $527 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $226.98 | $468 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $374.42 | $772 | 3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,376.43 | $2,838 | 10.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $618.38 | $1,275 | 4.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $485.97 | $1,002 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $1,391.47 | $2,869 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $993.77 | $2,049 | 4.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $263.84 | $544 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $717.32 | $1,479 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $355.51 | $733 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $294.88 | $608 | 1.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $323.01 | $666 | 0.5× |
| Renal Cyst Study (74470) | $385.09 | $794 | 0.5× |
| Ribs bilateral 3 views (71110) | $45.11 | $93 | 0.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,480.71 | $3,053 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $841.96 | $1,736 | 1.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $886.58 | $1,828 | 1.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,968.13 | $4,058 | 1.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,234.40 | $4,607 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,968.13 | $4,058 | 1.2× |
| Salivary Gland Function Study (78232) | $425.83 | $878 | 0.8× |
| Salivary Gland Imaging (78230) | $491.79 | $1,014 | 1.0× |
| Salivary Gland Imaging Serial Images (78231) | $382.67 | $789 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.35 | $110 | 2.3× |
| Sella turcica (70240) | $277.91 | $573 | 2.5× |
| Skull less than 4 views (70250) | $357.45 | $737 | 2.7× |
| Sternoclavicular joints (71130) | $193.52 | $399 | 1.7× |
| Testicular Imaging W/Flow (78761) | $1,650.46 | $3,403 | 3.2× |
| Thoracic spine 2 views (72070) | $412.25 | $850 | 3.1× |
| Thoracic spine 3 views (72072) | $463.18 | $955 | 3.4× |
| Thyroid Imaging With Vascular Flow (78013) | $479.18 | $988 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,503.50 | $3,100 | 2.2× |
| Thyroid Uptake Measurement (78012) | $344.35 | $710 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $576.67 | $1,189 | 1.1× |
| Ultrasound, abdomen limited (76705) | $999.10 | $2,060 | 7.4× |
| Umbilical-artery Doppler (OB) (76820) | $365.69 | $754 | 2.7× |
| Unlisted Dx Radiographic Procedure (76499) | $67.90 | $140 | 0.6× |
| Unlisted fluoroscopic procedure (76496) | $165.39 | $341 | 1.5× |
| Upper gi w/o kub (74240) | $339.99 | $701 | 1.5× |
| Ureteral Reflux Study (78740) | $280.33 | $578 | 0.5× |
| Urethrocystogram voiding (74455) | $830.32 | $1,712 | 2.7× |
| Urethrocystography retrograde (74450) | $830.32 | $1,712 | 2.7× |
| Us bone density measurement (76977) | $232.32 | $479 | 1.7× |
| Us chest (76604) | $725.56 | $1,496 | 5.4× |
| Us exam, pelvic, limited (76857) | $772.61 | $1,593 | 5.7× |
| Us head (76506) | $698.40 | $1,440 | 5.2× |
| Us kidney transplant (76776) | $615.47 | $1,269 | 4.6× |
| Us ob detailed single fetus (76811) | $920.05 | $1,897 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $782.79 | $1,614 | 5.8× |
| Us ob transvaginal (76817) | $879.79 | $1,814 | 6.5× |
| Us pelvic non ob complete (76856) | $1,152.85 | $2,377 | 8.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $782.31 | $1,613 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,011.71 | $2,086 | 7.5× |
| Us retroperitoneal complete (76770) | $1,139.27 | $2,349 | 8.5× |
| Us retroperitoneal limited (76775) | $558.24 | $1,151 | 4.2× |
| Us scrotum and contents (76870) | $1,023.84 | $2,111 | 7.6× |
| Us spinal canal and contents (76800) | $278.39 | $574 | 2.1× |
| Us thyroid (76536) | $970.49 | $2,001 | 7.2× |
| Us transrectal (76872) | $561.15 | $1,157 | 4.2× |
| Vascular Flow Imaging (78445) | $1,194.07 | $2,462 | 2.3× |
| Vein X-Ray Chest (75827) | $1,787.71 | $3,686 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,948.80 | $6,080 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,895.38 | $3,908 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,646.72–$3,648.66 | $7,519–$7,523 | varies |
| Venography extremity bilateral rs&i (75822) | $1,694.59 | $3,494 | 0.8× |
| Venography Renal Bilateral (75833) | $3,250.96 | $6,703 | 0.8× |
| Venous sampling by catheter (75893) | $4,875.22 | $10,052 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $485 | $1,000 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $241.53 | $498 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $4,081.28 | $8,415 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $882.22 | $1,819 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $407.40 | $840 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $880.28 | $1,815 | 6.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,100.95 | $2,270 | 8.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $562.60 | $1,160 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $703.74 | $1,451 | 5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $703.74 | $1,451 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $451.54 | $931 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $781.34 | $1,611 | 5.8× |
| X-ray IV pyelogram (ivp) (74400) | $1,413.29 | $2,914 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $537.87 | $1,109 | 4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $499.07 | $1,029 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $59.17 | $122 | 0.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $383.15 | $790 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $325.44 | $671 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $319.13 | $658 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $428.74 | $884 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $453.96 | $936 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $706.16 | $1,456 | 1.6× |
| X-Rays Bone Length Studies (77073) | $336.11 | $693 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $888.52 | $1,832 | 6.6× |
| Xr c-spine 4 or 5 views (72050) | $609.65 | $1,257 | 4.5× |
| Xr facial bones less than 3 views (70140) | $444.26 | $916 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $210.98 | $435 | 1.6× |
| Xr orbits complete 4 views (70200) | $556.78 | $1,148 | 4.1× |
| Xr Tomogram Single Plane (76100) | $642.14 | $1,324 | 4.8× |
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.