Imaging prices at Carondelet St. Mary's Hospital
Tucson, AZ · every code in this section with a posted price and a Medicare benchmark.
284 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) | $1,110 | $1,480 | 12.0× |
| Abdomen 2 views (74019) | $1,413 | $1,884 | 12.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,194.25 | $8,259 | 14.5× |
| Adrenal Cortex & Medulla Img (78075) | $3,229.50 | $4,306 | 2.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$7,723.50–$8,418.75 | $10,298–$11,225 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$5,687.25–$12,813 | $7,583–$17,084 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,199–$12,813 | $6,932–$17,084 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$4,865.25–$7,932.75 | $6,487–$10,577 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,660.25–$4,131 | $3,547–$5,508 | varies |
| Ankle 2 views (73600) | $1,782.75 | $2,377 | 19.2× |
| Aortography thoracic serialography rs&i (75605) | $8,465.25 | $11,287 | 1.4× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$6,960–$10,780.50 | $9,280–$14,374 | varies |
| Artery X-Rays Adrenal Gland (75731) | $16,051.50 | $21,402 | 4.8× |
| Artery X-Rays Pelvis (75736) | $6,960 | $9,280 | 1.2× |
| Artery X-Rays Spine (75705) | $12,813 | $17,084 | 2.2× |
| Bone age studies (77072) | $724.50 | $966 | 6.5× |
| Bone Imaging 3 Phase (78315) | $5,265 | $7,020 | 12.3× |
| Bone Imaging Limited Area (78300) | $4,107.75 | $5,477 | 9.6× |
| Bone Imaging Whole Body (78306) | $6,708.75 | $8,945 | 15.7× |
| Bone survey infant (77076) | $1,678.50 | $2,238 | 15.0× |
| Brain Flow Imaging Only (78610) | $3,445.50 | $4,594 | 5.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,677.75 | $6,237 | 8.1× |
| Cat Scan Follow-Up Study (76380) | $1,453.50 | $1,938 | 15.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,698.75 | $6,265 | 8.1× |
| Cerebrospinal Fluid Scan (78630) | $4,698.75 | $6,265 | 8.1× |
| Chest 1 view (71045) | $951 | $1,268 | 10.2× |
| Chest 2 views (71046) | $1,004.25 | $1,339 | 10.8× |
| Chest 3 views (71047) | $1,025.25 | $1,367 | 11.0× |
| Chest 4 or more views (71048) | $1,388.25 | $1,851 | 12.4× |
| Clavicle complete (73000) | $908.25 | $1,211 | 9.8× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$7,872.75–$12,813 | $10,497–$17,084 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,150.50–$1,669.50 | $1,534–$2,226 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $18,928.50 | $25,238 | 50.8× |
| CT abdomen and pelvis without contrast (74176) | $12,032.25 | $16,043 | 47.3× |
| CT abdomen w contrast (74160) | $6,318 | $8,424 | 33.8× |
| CT abdomen w wo contrast (74170) | $18,638.25 | $24,851 | 99.6× |
| CT abdomen w/o contrast (74150) | $6,015.75 | $8,021 | 53.9× |
| CT Angio Abdomen and Pelvis (74174) | $17,645.25 | $23,527 | 47.4× |
| CT Angio Chest (71275) | $8,912.25 | $11,883 | 47.6× |
| CT Angio Head (70496) | $7,294.50 | $9,726 | 39.0× |
| CT angio hrt w/3d image (75574) | $2,662.50 | $3,550 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $14,211.75 | $18,949 | 75.9× |
| CT Angio Neck (70498) | $7,440.75 | $9,921 | 39.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,667.50 | $8,890 | 35.6× |
| CT cervical spine w/ contrast (72126) | $9,591.75 | $12,789 | 25.8× |
| CT cervical spine w/o contrast (72125) | $9,591.75 | $12,789 | 86.0× |
| CT cervical spine w/wo cont (72127) | $8,718 | $11,624 | 46.6× |
| CT chest w contrast (71260) | $6,910.50 | $9,214 | 36.9× |
| CT chest w/wo contrast (71270) | $7,033.50 | $9,378 | 37.6× |
| CT head/brain with contrast (70460) | $4,296.75 | $5,729 | 23.0× |
| CT head/brain without and with contrast (70470) | $5,050.50 | $6,734 | 27.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,662.50 | $3,550 | 7.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,531.50 | $2,042 | 16.5× |
| CT iac w contrast (70481) | $5,265 | $7,020 | 28.1× |
| CT l-spine w&w/o contrast (72133) | $8,049 | $10,732 | 43.0× |
| CT lower ext w/o (73700) | $6,332.25 | $8,443 | 56.8× |
| CT lower extremity w/contrast material (73701) | $8,080.50 | $10,774 | 43.2× |
| CT lumbar spine w contrast (72132) | $7,720.50 | $10,294 | 20.7× |
| CT lumbar spine w/o contrast (72131) | $7,448.25 | $9,931 | 66.8× |
| CT maxillofacial w contrast (70487) | $5,017.50 | $6,690 | 26.8× |
| CT maxillofacial wo contrast (70486) | $4,814.25 | $6,419 | 43.2× |
| CT neck tissue combo (70492) | $6,741 | $8,988 | 36.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,761.50 | $7,682 | 30.8× |
| CT orbits w/o contrast (70480) | $5,013.75 | $6,685 | 44.9× |
| CT pelvis w&w/o contrast (72194) | $6,747 | $8,996 | 36.0× |
| CT pelvis w/o contrast (72192) | $5,871.75 | $7,829 | 52.6× |
| CT scan of leg combo (73702) | $10,236.75 | $13,649 | 54.7× |
| CT scans face/jaw combo (70488) | $5,684.25 | $7,579 | 30.4× |
| CT soft tissue neck w contrast (70491) | $6,159 | $8,212 | 32.9× |
| CT soft tissue neck w/o contrast (70490) | $5,864.25 | $7,819 | 52.6× |
| CT thoracic spine w contrast (72129) | $8,205.75 | $10,941 | 43.8× |
| CT thoracic spine w/o contrast (72128) | $8,402.25 | $11,203 | 75.3× |
| CT thoracic spine w/wo cont (72130) | $8,935.50 | $11,914 | 47.7× |
| CT thorax w/o contrast (71250) | $5,633.25 | $7,511 | 50.5× |
| CT upper ext wo (73200) | $7,427.25 | $9,903 | 66.6× |
| CT upper extremity w/o & w/contrast material (73202) | $5,094 | $6,792 | 27.2× |
| CT upper extremity with contrast (73201) | $5,749.50 | $7,666 | 15.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,601 | $11,468 | 46.0× |
| Cta Abdomen (74175) | $8,664.75 | $11,553 | 46.3× |
| CTA pelvis (72191) | $8,314.50 | $11,086 | 44.4× |
| Diskography lumbar (72295) | $3,949.50 | $5,266 | 1.9× |
| Dxa Bone Density Axial (77080) | $880.50 | $1,174 | 7.9× |
| Echo exam uterus (76831) | $2,167.50 | $2,890 | 8.5× |
| Echo Guide For Artery Repair (76936) | $2,491.50 | $3,322 | 10.8× |
| Esophagram (74220) | $1,588.50 | $2,118 | 8.5× |
| Fluoroscopy up to 1 hr (76000) | $1,843.50 | $2,458 | 7.2× |
| Follow-Up Angiography (75898) | $6,525.75 | $8,701 | 1.9× |
| Foot 2 views (73620) | $1,782.75 | $2,377 | 19.2× |
| Forearm 2 views (73090) | $1,777.50 | $2,370 | 19.1× |
| Gastric emptying imaging study (78264) | $7,792.50 | $10,390 | 18.3× |
| Gated Heart Planar Single (78472) | $4,224 | $5,632 | 9.9× |
| Hand 2 views (73120) | $1,972.50 | $2,630 | 17.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $11,862.75 | $15,817 | 3.5× |
| Hepatobil Syst Image W/Drug (78227) | $5,825.25 | $7,767 | 10.1× |
| Hepatobiliary System Imaging (78226) | $5,431.50 | $7,242 | 12.7× |
| Ht Musc Image Planar Mult (78454) | $12,887.25 | $17,183 | 9.3× |
| Ht Muscle Image Spect Sing (78451) | $6,529.50 | $8,706 | 4.7× |
| Hysterosalpingogram (74740) | $2,473.50 | $3,298 | 9.7× |
| K Flow/Funct Image Multiple (78709) | $9,311.25 | $12,415 | 16.1× |
| K Flow/Funct Image W/Drug (78708) | $5,484.75 | $7,313 | 9.5× |
| K Flow/Funct Image W/O Drug (78707) | $4,512 | $6,016 | 7.8× |
| Knee 3 Views (73562) | $897.75 | $1,197 | 9.7× |
| Leveen/Shunt Patency Exam (78291) | $3,378.75 | $4,505 | 7.9× |
| Liver & Spleen Imaging Static Only (78215) | $3,545.25 | $4,727 | 8.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,168 | $4,224 | 7.4× |
| Liver imaging static only (78201) | $1,963.50 | $2,618 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) | $5,143.50 | $6,858 | 8.9× |
| Lung perfusion differential (78597) | $3,860.25 | $5,147 | 9.0× |
| Lung Ventilat&Perfus Imaging (78582) | $10,515.75 | $14,021 | 18.1× |
| Lung Ventilation Imaging (78579) | $3,743.25 | $4,991 | 8.8× |
| Lymph System Imaging (78195) | $5,585.25 | $7,447 | 9.6× |
| Meckels Divert Exam (78290) | $4,571.25 | $6,095 | 10.7× |
| Mr safety determination physician/other qhp (76016) | $360 | $480 | 3.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $99.75 | $133 | 3.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $375 | $500 | 3.7× |
| Mr safety implt pos&/immoblj (76019) | $243 | $324 | 3.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $987.75 | $1,317 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,512 | $6,016 | 12.1× |
| MRA head w/o contrast (70544) | $10,371 | $13,828 | 40.7× |
| MRA head with contrast (70545) | $8,112.75 | $10,817 | 21.8× |
| MRA neck w contrast (70548) | $7,955.25 | $10,607 | 21.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,047.25 | $16,063 | 32.4× |
| MRA neck w/o contrast (70547) | $7,872 | $10,496 | 30.9× |
| MRI abdomen w contrast (74182) | $9,438.75 | $12,585 | 25.4× |
| MRI abdomen w/o contrast (74181) | $7,056 | $9,408 | 27.7× |
| MRI any jt lower extrem w/contrast material (73722) | $9,267.75 | $12,357 | 11.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $12,234.75 | $16,313 | 32.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,793.50 | $13,058 | 11.7× |
| MRI cervical spine w contrast (72142) | $7,021.50 | $9,362 | 18.9× |
| MRI cervical spine w/o cont (72141) | $6,375.75 | $8,501 | 25.0× |
| MRI chest w/o contrast (71550) | $6,879 | $9,172 | 27.0× |
| MRI chest wo w contrast (71552) | $13,199.25 | $17,599 | 35.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,267.75 | $12,357 | 24.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $15,454.50 | $20,606 | 41.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,835.25 | $10,447 | 30.8× |
| MRI lumbar spine w contrast (72149) | $7,261.50 | $9,682 | 19.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,279.50 | $13,706 | 27.6× |
| MRI orbit face &/neck w/o contrast (70540) | $6,375.75 | $8,501 | 25.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,700.25 | $14,267 | 28.7× |
| MRI pelvis w contrast (72196) | $8,139.75 | $10,853 | 21.9× |
| MRI pelvis w/o & w contrast (72197) | $10,610.25 | $14,147 | 28.5× |
| MRI pelvis w/o contrast (72195) | $6,567 | $8,756 | 25.8× |
| MRI thoracic spine w/o contrast (72146) | $6,459.75 | $8,613 | 25.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,319.75 | $11,093 | 22.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,455.75 | $13,941 | 41.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,848.75 | $10,465 | 21.1× |
| MRI, abdomen, combo (74183) | $12,234.75 | $16,313 | 32.9× |
| MRI, dorsal spine combo (72157) | $10,418.25 | $13,891 | 28.0× |
| MRI, dorsal spine contrast (72147) | $7,114.50 | $9,486 | 19.1× |
| MRI, joint upper extrem (73221) | $7,456.50 | $9,942 | 29.3× |
| MRI, joint upper extrem combo (73223) | $15,856.50 | $21,142 | 42.6× |
| MRI, lumbar spine combo (72158) | $10,632.75 | $14,177 | 28.6× |
| Myocardial Spect Multiple Studies (78452) | $14,670.75 | $19,561 | 10.6× |
| Neck soft tissue (70360) | $1,029 | $1,372 | 11.1× |
| Nuclear Rx Oral Admin (79005) | $3,675.75 | $4,901 | 14.8× |
| Parathyroid Planar Imaging (78070) | $3,924.75 | $5,233 | 9.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,408.50 | $1,878 | 3.3× |
| Pelvis 1 or 2 views (72170) | $987 | $1,316 | 8.8× |
| Peritoneogram Rs&I (74190) | $3,186.75 | $4,249 | 5.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,544.75 | $7,393 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,156.25 | $6,875 | 12.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,010 | $2,680 | 18.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $13,291.50 | $17,722 | 22.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,929 | $2,572 | 20.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,896 | $2,528 | 20.4× |
| Radex elbow complete minimum 3 views (73080) | $2,105.25 | $2,807 | 22.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,797 | $2,396 | 16.1× |
| Radex fingr minimum 2 views (73140) | $1,275 | $1,700 | 13.7× |
| Radex foot complete minimum 3 views (73630) | $1,932 | $2,576 | 20.8× |
| Radex Hand Minimum 3 Views (73130) | $1,929 | $2,572 | 20.8× |
| Radex lower extremity infant minimum 2 views (73592) | $1,684.50 | $2,246 | 18.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,101.75 | $1,469 | 11.9× |
| Radex Ribs Unilateral 2 Views (71100) | $836.25 | $1,115 | 9.0× |
| Radex shoulder complete minimum 2 views (73030) | $2,283.75 | $3,045 | 24.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,408.50 | $1,878 | 15.2× |
| Radex Spine 1 View Specify Level (72020) | $763.50 | $1,018 | 8.2× |
| Radex Sternum Minimum 2 Views (71120) | $983.25 | $1,311 | 10.6× |
| Radex Toe Minimum 2 Views (73660) | $594 | $792 | 6.4× |
| Radex upper extremity infant minimum 2 views (73092) | $681 | $908 | 6.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,059.50 | $2,746 | 22.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,048.50 | $1,398 | 9.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,835.25 | $2,447 | 16.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,238.25 | $1,651 | 11.1× |
| Radiologic exam colon double contrast study (74280) | $2,790 | $3,720 | 14.9× |
| Radiologic exam colon single contrast study (74270) | $2,163 | $2,884 | 11.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,130.25 | $1,507 | 6.0× |
| Radiologic exam knee complete 4/more views (73564) | $2,364 | $3,152 | 21.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,231.50 | $1,642 | 11.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,971 | $2,628 | 10.5× |
| Radiologic exam swallow function contrast study (74230) | $1,392.75 | $1,857 | 7.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,142.75 | $2,857 | 11.4× |
| Radiologic examination femur 1 view (73551) | $712.50 | $950 | 7.7× |
| Radiologic examination femur minimum 2 views (73552) | $992.25 | $1,323 | 10.7× |
| Radiologic examination knee 1/2 views (73560) | $1,781.25 | $2,375 | 19.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,399.50 | $1,866 | 12.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,824 | $2,432 | 19.6× |
| Ribs bilateral 3 views (71110) | $1,110 | $1,480 | 9.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,633.75 | $4,845 | 8.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,899.50 | $3,866 | 6.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,570.25 | $7,427 | 9.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,625.25 | $6,167 | 8.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,825.75 | $5,101 | 6.6× |
| Scapula (73010) | $1,033.50 | $1,378 | 9.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $312.75 | $417 | 13.4× |
| Shoulder 1 view (73020) | $834 | $1,112 | 9.0× |
| Shoulder Arthrography (73040) | $2,612.25 | $3,483 | 7.0× |
| Skull less than 4 views (70250) | $1,689 | $2,252 | 15.1× |
| Sternoclavicular joints (71130) | $900.75 | $1,201 | 9.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,318.25 | $3,091 | 12.4× |
| Thoracic spine 2 views (72070) | $1,179.75 | $1,573 | 10.6× |
| Thoracic spine 3 views (72072) | $1,452 | $1,936 | 13.0× |
| Thoracolumbar 2 views (72080) | $1,029.75 | $1,373 | 11.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $3,291.75 | $4,389 | 7.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,691.25 | $2,255 | 4.0× |
| Thyroid Met Imaging Body (78018) | $5,130.75 | $6,841 | 8.9× |
| Thyroid Uptake Measurement (78012) | $1,380.75 | $1,841 | 3.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,408.50 | $1,878 | 3.3× |
| Ultrasound Breast Limited (76642) | $1,078.50 | $1,438 | 11.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,209.75–$2,202 | $1,613–$2,936 | varies |
| Upper gi w/o kub (74240) | $2,062.50 | $2,750 | 11.0× |
| Urethrocystogram voiding (74455) | $2,649.75 | $3,533 | 10.4× |
| Urethrocystography retrograde (74450) | $1,800 | $2,400 | 7.1× |
| Us breast unilateral complete (76641) | $1,078.50 | $1,438 | 9.7× |
| Us chest (76604) | $1,645.50 | $2,194 | 14.7× |
| Us complete joint (76881) | $2,496 | $3,328 | 22.4× |
| Us exam, pelvic, limited (76857) | $1,645.50 | $2,194 | 14.7× |
| Us head (76506) | $1,516.50 | $2,022 | 13.6× |
| Us kidney transplant (76776) | $2,913 | $3,884 | 26.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,251 | $1,668 | 11.2× |
| Us ob limited 1 or more fetuses (76815) | $742.50 | $990 | 6.7× |
| Us ob transvaginal (76817) | $2,078.25 | $2,771 | 18.6× |
| Us pelvic non ob complete (76856) | $2,627.25 | $3,503 | 23.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $805.50 | $1,074 | 7.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $884.25 | $1,179 | 7.9× |
| Us retroperitoneal complete (76770) | $2,395.50 | $3,194 | 21.5× |
| Us retroperitoneal limited (76775) | $1,902 | $2,536 | 17.0× |
| Us scrotum and contents (76870) | $1,996.50 | $2,662 | 17.9× |
| Us spinal canal and contents (76800) | $1,941.75 | $2,589 | 17.4× |
| Us thyroid (76536) | $2,018.25 | $2,691 | 18.1× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,396.25–$10,780.50 | $7,195–$14,374 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,769.75 | $3,693 | 0.8× |
| Venogram Sinus/Jugular (75860) | $4,068 | $5,424 | 1.2× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$5,396.25–$9,625.50 | $7,195–$12,834 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,696.25–$5,393.25 | $3,595–$7,191 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,427.75–$4,049.25 | $3,237–$5,399 | varies |
| Venography Renal Bilateral (75833) | $11,892.75 | $15,857 | 3.5× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$3,798.75–$11,892.75 | $5,065–$15,857 | varies |
| Venous sampling by catheter (75893) | $8,535 | $11,380 | 1.4× |
| Wrist 2 views (73100) | $1,971.75 | $2,629 | 21.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,064.25 | $1,419 | 11.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,204.25–$2,595.75 | $2,939–$3,461 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,126–$12,239.25 | $8,168–$16,319 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,579.50 | $2,106 | 14.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,944 | $2,592 | 20.9× |
| X-Ray Exam Breast Specimen (76098) | $2,609.25 | $3,479 | 4.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $671.25 | $895 | 7.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,026 | $1,368 | 9.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,134.75 | $1,513 | 12.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,185.75 | $1,581 | 12.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,701 | $2,268 | 15.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,134.75 | $1,513 | 10.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,873.50 | $2,498 | 16.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,057.50 | $1,410 | 11.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,784.25 | $2,379 | 16.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,302 | $1,736 | 11.7× |
| X-ray eye for foreign body (70030) | $478.50 | $638 | 5.2× |
| X-ray humerus (73060) | $1,101 | $1,468 | 11.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,313.25 | $1,751 | 14.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $851.25 | $1,135 | 9.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,171.50 | $1,562 | 10.5× |
| X-ray nose-rectum child f.b. (76010) | $1,082.25 | $1,443 | 11.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,510.50 | $2,014 | 13.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,039.50 | $1,386 | 9.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,007.25 | $1,343 | 10.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,678.50 | $2,238 | 18.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,535.75 | $3,381 | 22.7× |
| X-ray thoracic spine 4 vw (72074) | $1,564.50 | $2,086 | 14.0× |
| X-Ray Tmj Unilat (70328) | $1,020 | $1,360 | 11.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,514.25–$2,552.25 | $2,019–$3,403 | varies |
| X-Rays Bone Length Studies (77073) | $997.50 | $1,330 | 8.9× |
| X-Rays Bone Survey Complete (77075) | $2,612.25 | $3,483 | 23.4× |
| Xr c-spine 4 or 5 views (72050) | $1,570.50 | $2,094 | 14.1× |
| Xr facial bones less than 3 views (70140) | $1,218.75 | $1,625 | 13.1× |
| Xr orbits complete 4 views (70200) | $1,335 | $1,780 | 12.0× |
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.