Imaging prices at Cedars-sinai Medical Center
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
416 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) | $11,394.37 | $17,529.80 | 6.4× |
| Abdomen 1 View (74018) | $873.90 | $1,344.46 | 7.8× |
| Abdomen 2 views (74019) | $952.71 | $1,465.71 | 7.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,081.91 | $6,279.86 | 7.9× |
| Angio internal mammary (75756) | $9,691.11 | $14,909.40 | 2.4× |
| Angio pulmonary bilat (75743) | $12,953.98 | $19,929.20 | 3.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,702.99 | $10,312.30 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $12,953.98 | $19,929.20 | 3.2× |
| Angiography extremity unilateral rs&i (75710) | $11,768.97 | $18,106.10 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,231.78 | $15,741.20 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,307.45 | $8,165.30 | 1.3× |
| Ankle 2 views (73600) | $1,144.44 | $1,760.68 | 10.2× |
| Aortography thoracic serialography rs&i (75605) | $16,233.75 | $24,975 | 2.3× |
| Artery X-Rays Abdomen (75726) | $16,233.75 | $24,975 | 2.3× |
| Artery X-Rays Adrenal Gland (75731) | $5,307.45 | $8,165.30 | 1.3× |
| Artery X-Rays Pelvis (75736) | $16,233.75 | $24,975 | 2.3× |
| Artery X-Rays Spine (75705) | $16,233.75 | $24,975 | 2.3× |
| Arthrogram ankle (73615) | $2,492.48 | $3,834.59 | 5.6× |
| Arthrogram hip (73525) | $2,492.48 | $3,834.59 | 5.6× |
| Arthrogram Wrist (73115) | $2,492.48 | $3,834.59 | 5.6× |
| Basic radiation dosimetry calculation (77300) | $1,806.30 | $2,778.93 | 10.4× |
| Bone age studies (77072) | $1,144.44 | $1,760.68 | 8.5× |
| Bone Imaging 3 Phase (78315) | $4,081.91 | $6,279.86 | 7.9× |
| Bone Imaging Limited Area (78300) | $4,081.91 | $6,279.86 | 7.9× |
| Bone Imaging Multiple Areas (78305) | $4,081.91 | $6,279.86 | 7.9× |
| Bone Imaging Whole Body (78306) | $4,081.91 | $6,279.86 | 7.9× |
| Bone marrow imaging; multiple areas (78103) | $4,081.91 | $6,279.86 | 7.9× |
| Bone survey infant (77076) | $1,144.44 | $1,760.68 | 8.5× |
| Brachytx isodose complex (77318) | $11,971.64 | $18,417.90 | 24.9× |
| Brachytx isodose intermed (77317) | $10,734.69 | $16,514.90 | 22.3× |
| Brachytx Isodose Plan Simple (77316) | $9,497.74 | $14,611.90 | 19.7× |
| Brain Image W/Flow < 4 Views (78601) | $4,081.91 | $6,279.86 | 7.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $11,427.33 | $17,580.50 | 6.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $4,081.91 | $6,279.86 | 7.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $8,121.56 | $12,494.70 | 18.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $8,495.24 | $13,069.60 | 8.4× |
| Cardiac Shunt Detection (78428) | $4,081.91 | $6,279.86 | 7.9× |
| Cat Scan Follow-Up Study (76380) | $2,997.83 | $4,612.05 | 26.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,120.27 | $7,877.34 | 7.3× |
| Cerebrospinal Fluid Scan (78630) | $5,120.27 | $7,877.34 | 7.3× |
| Chest 1 view (71045) | $873.90 | $1,344.46 | 7.8× |
| Chest 2 views (71046) | $898.94 | $1,382.99 | 8.0× |
| Chest 3 views (71047) | $952.71 | $1,465.71 | 8.5× |
| Chest 4 or more views (71048) | $1,144.44 | $1,760.68 | 8.5× |
| Clavicle complete (73000) | $873.90 | $1,344.46 | 7.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $4,336.56 | $6,671.63 | 32.3× |
| Continuing medical physics consltj pr wk (77336) | $1,610.75 | $2,478.08 | 9.3× |
| Contrast Exam Abdominl Aorta (75625) | $8,989.31 | $13,829.70 | 2.2× |
| Contrast X-Ray Bladder (74430) | $1,698.59 | $2,613.22 | 3.8× |
| Contrast X-Ray Of Elbow (73085) | $2,492.48 | $3,834.59 | 5.6× |
| Contrast X-Ray Of Knee Joint (73580) | $2,492.48 | $3,834.59 | 5.6× |
| Corpora cavernosography (74445) | $1,327.33 | $2,042.04 | 9.9× |
| CT abdomen and pelvis without and with contrast (74178) | $13,331.63 | $20,510.20 | 29.7× |
| CT abdomen and pelvis without contrast (74176) | $8,557.90 | $13,166 | 27.9× |
| CT abdomen w contrast (74160) | $5,233.33 | $8,051.27 | 23.2× |
| CT abdomen w wo contrast (74170) | $5,480.82 | $8,432.03 | 24.3× |
| CT abdomen w/o contrast (74150) | $4,336.56 | $6,671.63 | 32.3× |
| CT Angio Abdomen and Pelvis (74174) | $11,056.76 | $17,010.40 | 24.6× |
| CT Angio Chest (71275) | $4,844.19 | $7,452.60 | 21.5× |
| CT Angio Head (70496) | $4,844.19 | $7,452.60 | 21.5× |
| CT angio hrt w/3d image (75574) | $3,758.56 | $5,782.40 | 8.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,010.03 | $4,630.82 | 13.3× |
| CT Angio Neck (70498) | $4,844.19 | $7,452.60 | 21.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,833.74 | $4,359.60 | 12.6× |
| CT cervical spine w/ contrast (72126) | $5,233.33 | $8,051.27 | 11.7× |
| CT cervical spine w/o contrast (72125) | $4,336.56 | $6,671.63 | 32.3× |
| CT cervical spine w/wo cont (72127) | $5,480.82 | $8,432.03 | 24.3× |
| CT chest w contrast (71260) | $5,233.33 | $8,051.27 | 23.2× |
| CT chest w/wo contrast (71270) | $5,480.82 | $8,432.03 | 24.3× |
| CT colonography screening (74263) | $6,196.23 | $9,532.66 | 20.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $11,284 | $17,360 | 50.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $10,769.52 | $16,568.50 | 80.1× |
| CT head/brain with contrast (70460) | $5,233.33 | $8,051.27 | 23.2× |
| CT head/brain without and with contrast (70470) | $5,480.82 | $8,432.03 | 24.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,853.98 | $9,006.13 | 13.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $4,878.32 | $7,505.10 | 43.6× |
| CT hrt w/3d image congen (75573) | $5,233.33 | $8,051.27 | 11.7× |
| CT iac w contrast (70481) | $5,480.82 | $8,432.03 | 24.3× |
| CT l-spine w&w/o contrast (72133) | $5,480.82 | $8,432.03 | 24.3× |
| CT lower ext w/o (73700) | $4,336.56 | $6,671.63 | 32.3× |
| CT lower extremity w/contrast material (73701) | $5,233.33 | $8,051.27 | 23.2× |
| CT lumbar spine w contrast (72132) | $5,233.33 | $8,051.27 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $4,336.56 | $6,671.63 | 32.3× |
| CT maxillofacial w contrast (70487) | $5,233.33 | $8,051.27 | 23.2× |
| CT maxillofacial wo contrast (70486) | $4,336.56 | $6,671.63 | 32.3× |
| CT neck tissue combo (70492) | $5,480.82 | $8,432.03 | 24.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,576.96 | $10,118.40 | 29.2× |
| CT orbits w/o contrast (70480) | $4,336.56 | $6,671.63 | 32.3× |
| CT pelvis w&w/o contrast (72194) | $5,480.82 | $8,432.03 | 24.3× |
| CT pelvis w/o contrast (72192) | $4,336.56 | $6,671.63 | 32.3× |
| CT scan of leg combo (73702) | $5,480.82 | $8,432.03 | 24.3× |
| CT scans face/jaw combo (70488) | $5,480.82 | $8,432.03 | 24.3× |
| CT soft tissue neck w contrast (70491) | $5,233.33 | $8,051.27 | 23.2× |
| CT soft tissue neck w/o contrast (70490) | $4,336.56 | $6,671.63 | 32.3× |
| CT thoracic spine w contrast (72129) | $5,233.33 | $8,051.27 | 23.2× |
| CT thoracic spine w/o contrast (72128) | $4,336.56 | $6,671.63 | 32.3× |
| CT thoracic spine w/wo cont (72130) | $5,480.82 | $8,432.03 | 24.3× |
| CT thorax w/o contrast (71250) | $4,336.56 | $6,671.63 | 32.3× |
| CT unlisted procedure (76497) | $891.37 | $1,371.34 | 8.0× |
| CT upper ext wo (73200) | $4,336.56 | $6,671.63 | 32.3× |
| CT upper extremity w/o & w/contrast material (73202) | $5,480.82 | $8,432.03 | 24.3× |
| CT upper extremity with contrast (73201) | $5,233.33 | $8,051.27 | 11.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,933.04 | $4,512.37 | 13.0× |
| Cta Abdomen (74175) | $5,826.67 | $8,964.10 | 25.8× |
| CTA pelvis (72191) | $3,726.65 | $5,733.30 | 16.5× |
| Dilation ureters/urethra rs&i (74485) | $8,355.75 | $12,855 | 3.1× |
| Discography Cerv/Thor Spine (72285) | $8,919.69 | $13,722.60 | 3.6× |
| Diskography lumbar (72295) | $8,919.69 | $13,722.60 | 3.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $920.24 | $1,415.76 | 6.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $920.24 | $1,415.76 | 6.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $920.24 | $1,415.76 | 6.8× |
| Dxa Bone Density Axial (77080) | $1,144.44 | $1,760.68 | 8.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $873.90 | $1,344.46 | 7.8× |
| Echo exam of fetal heart (76825) | $1,861.96 | $2,864.56 | 2.6× |
| Echo exam uterus (76831) | $3,044.99 | $4,684.60 | 9.9× |
| Echo Guide For Artery Repair (76936) | $2,580.01 | $3,969.24 | 9.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,163.82 | $1,790.49 | 3.8× |
| Esophagram (74220) | $1,701.04 | $2,616.99 | 7.5× |
| Fetal Biophys Profile W/Nst (76818) | $2,345.91 | $3,609.09 | 17.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,985 | $3,053.85 | 14.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $7,079.80 | $10,892 | 23.1× |
| Follow-Up Angiography (75898) | $5,307.45 | $8,165.30 | 1.3× |
| Foot 2 views (73620) | $873.90 | $1,344.46 | 7.8× |
| Forearm 2 views (73090) | $873.90 | $1,344.46 | 7.8× |
| Gastric emptying imaging study (78264) | $4,081.91 | $6,279.86 | 7.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $4,081.91 | $6,279.86 | 7.9× |
| Gated Heart Planar Single (78472) | $4,081.91 | $6,279.86 | 7.9× |
| Hand 2 views (73120) | $873.90 | $1,344.46 | 6.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $13,182 | $20,280 | 14.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $13,182 | $20,280 | 14.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $13,182 | $20,280 | 14.7× |
| Heart first pass single,planar (78481) | $5,120.27 | $7,877.34 | 7.3× |
| Heart Image (Pet) Multiple (78492) | $22,638.85 | $34,829 | 12.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $16,840.14 | $25,907.90 | 4.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,527.50 | $22,350 | 3.6× |
| Hepatobil Syst Image W/Drug (78227) | $5,120.27 | $7,877.34 | 7.3× |
| Hepatobiliary System Imaging (78226) | $4,081.91 | $6,279.86 | 7.9× |
| Ht Musc Image Planar Mult (78454) | $6,562.86 | $10,096.70 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $6,562.86 | $10,096.70 | 3.9× |
| Hysterosalpingogram (74740) | $1,804.05 | $2,775.46 | 5.9× |
| Infant hip ultrasound, limited static exam (76886) | $920.24 | $1,415.76 | 8.2× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $66,672.45 | $102,573 | 7.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $66,672.45 | $102,573 | 7.0× |
| K Flow/Funct Image W/Drug (78708) | $5,120.27 | $7,877.34 | 7.3× |
| K Flow/Funct Image W/O Drug (78707) | $5,120.27 | $7,877.34 | 7.3× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $4,081.91 | $6,279.86 | 7.9× |
| Kidney Imaging Morphol (78700) | $4,081.91 | $6,279.86 | 7.9× |
| Knee 3 Views (73562) | $1,144.44 | $1,760.68 | 10.2× |
| Leveen/Shunt Patency Exam (78291) | $4,081.91 | $6,279.86 | 7.9× |
| Liver & Spleen Imaging Static Only (78215) | $4,081.91 | $6,279.86 | 7.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,081.91 | $6,279.86 | 7.9× |
| Liver imaging static only (78201) | $5,120.27 | $7,877.34 | 7.3× |
| Lung perfusion differential (78597) | $4,081.91 | $6,279.86 | 7.9× |
| Lung Ventilat&Perfus Imaging (78582) | $5,120.27 | $7,877.34 | 7.3× |
| Lung Ventilation Imaging (78579) | $4,081.91 | $6,279.86 | 7.9× |
| Lymph System Imaging (78195) | $5,120.27 | $7,877.34 | 7.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $9,691.11 | $14,909.40 | 2.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $5,307.45 | $8,165.30 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $4,281.17 | $6,586.41 | 14.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $3,434.34 | $5,283.60 | 4.9× |
| Magnetic Resonance Elastography (76391) | $8,521.50 | $13,110 | 27.8× |
| Mammary ductogram or galactogram multiple (77054) | $1,804.05 | $2,775.46 | 5.9× |
| Mammary ductogram or galactogram single (77053) | $3,028.14 | $4,658.67 | 9.9× |
| Meckels Divert Exam (78290) | $4,081.91 | $6,279.86 | 7.9× |
| Mlc imrt design & construction per imrt plan (77338) | $3,484.37 | $5,360.57 | 7.2× |
| Mra Head W/O & W/Contrast Material (70546) | $7,648.94 | $11,767.60 | 17.0× |
| MRA head w/o contrast (70544) | $4,973.58 | $7,651.66 | 16.2× |
| MRA neck w contrast (70548) | $5,143.15 | $7,912.54 | 11.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,648.94 | $11,767.60 | 17.0× |
| MRA neck w/o contrast (70547) | $4,619.55 | $7,107 | 15.1× |
| MRI abdomen w/o contrast (74181) | $5,143.15 | $7,912.54 | 16.8× |
| MRI any jt lower extrem w/contrast material (73722) | $8,495.24 | $13,069.60 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,535.34 | $13,131.30 | 19.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,495.24 | $13,069.60 | 8.4× |
| MRI bone marrow blood supply (77084) | $4,875.03 | $7,500.04 | 15.9× |
| MRI brain functional w/physician admnistration (70555) | $6,608.68 | $10,167.20 | 21.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,040.24 | $6,215.76 | 13.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,103.22 | $4,774.18 | 10.1× |
| MRI cardiac w/o contrast (75557) | $7,618.19 | $11,720.30 | 24.8× |
| MRI cervical spine w contrast (72142) | $6,537.64 | $10,057.90 | 14.6× |
| MRI cervical spine w/o cont (72141) | $5,143.15 | $7,912.54 | 16.8× |
| MRI chest w/o contrast (71550) | $3,784.48 | $5,822.28 | 12.3× |
| MRI chest wo w contrast (71552) | $8,498.82 | $13,075.10 | 18.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,692.17 | $11,834.10 | 17.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,283.99 | $6,590.76 | 14.0× |
| MRI lumbar spine w contrast (72149) | $6,967.03 | $10,718.50 | 15.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,657.96 | $14,858.40 | 21.5× |
| MRI orbit face &/neck w/o contrast (70540) | $5,438.54 | $8,366.99 | 17.7× |
| MRI orbit face neck w contrast (70542) | $8,535.34 | $13,131.30 | 19.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,965.19 | $13,792.60 | 20.0× |
| MRI pelvis w contrast (72196) | $4,762.17 | $7,326.41 | 10.6× |
| MRI pelvis w/o & w contrast (72197) | $8,550.88 | $13,155.20 | 19.1× |
| MRI pelvis w/o contrast (72195) | $4,262.67 | $6,557.95 | 13.9× |
| MRI spectroscopy (76390) | $2,033.99 | $3,129.21 | 18.2× |
| MRI thoracic spine w/o contrast (72146) | $4,197.54 | $6,457.75 | 13.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,762.17 | $7,326.41 | 10.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,845.76 | $5,916.55 | 12.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,008.68 | $9,244.13 | 13.4× |
| MRI, abdomen, combo (74183) | $8,738.60 | $13,444 | 19.5× |
| MRI, dorsal spine combo (72157) | $9,657.96 | $14,858.40 | 21.5× |
| MRI, dorsal spine contrast (72147) | $5,143.15 | $7,912.54 | 11.5× |
| MRI, joint upper extrem (73221) | $4,283.99 | $6,590.76 | 14.0× |
| MRI, joint upper extrem combo (73223) | $8,535.34 | $13,131.30 | 19.0× |
| MRI, lumbar spine combo (72158) | $8,223.93 | $12,652.20 | 18.3× |
| Musculoskeletal Nuclear Exam (78399) | $4,081.91 | $6,279.86 | 7.9× |
| Myelogram cervical (72240) | $8,495.24 | $13,069.60 | 8.4× |
| Myelogram Lumbar (72265) | $8,495.24 | $13,069.60 | 8.4× |
| Myelography thoracic (72255) | $8,495.24 | $13,069.60 | 8.4× |
| Myelograpy 2/more regions rs&i (72270) | $8,495.24 | $13,069.60 | 8.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,562.86 | $10,096.70 | 3.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,562.86 | $10,096.70 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $6,562.86 | $10,096.70 | 3.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $12,658.62 | $19,474.80 | 6.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $12,658.62 | $19,474.80 | 6.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,562.86 | $10,096.70 | 2.3× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $6,562.86 | $10,096.70 | 2.3× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $6,562.86 | $10,096.70 | 3.4× |
| Neck soft tissue (70360) | $873.90 | $1,344.46 | 7.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $5,306.47 | $8,163.80 | 10.3× |
| Nm csf leak detection (78650) | $6,562.86 | $10,096.70 | 3.9× |
| Nm myocard infarct spect (78469) | $5,120.27 | $7,877.34 | 7.3× |
| Nonvascular Shunt X-Ray (75809) | $1,144.44 | $1,760.68 | 8.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $11,394.37 | $17,529.80 | 6.4× |
| Nuclear Rx Intra-Arterial (79445) | $2,648.87 | $4,075.18 | 8.8× |
| Nuclear Rx Oral Admin (79005) | $2,648.87 | $4,075.18 | 8.8× |
| Ob us nuchal meas 1 gest (76813) | $1,263.19 | $1,943.37 | 9.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $757.61 | $1,165.55 | 5.6× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $698.29 | $1,074.29 | 4.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $757.61 | $1,165.55 | 5.6× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $316.37 | $486.73 | 8.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $5,120.27 | $7,877.34 | 7.3× |
| Parathyroid Planar Imaging (78070) | $4,081.91 | $6,279.86 | 7.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,081.91 | $6,279.86 | 7.9× |
| Pelvis 1 or 2 views (72170) | $1,144.44 | $1,760.68 | 8.5× |
| Perineogram (74775) | $1,565.87 | $2,409.03 | 5.1× |
| Pet Image Skull-Thigh (78812) | $8,232.44 | $12,665.30 | 4.5× |
| Pet Image W/Ct Lmtd (78814) | $12,591.61 | $19,371.70 | 6.8× |
| PET image w/CT, full body (78816) | $10,599.81 | $16,307.40 | 5.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,658.62 | $19,474.80 | 6.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $6,562.86 | $10,096.70 | 3.9× |
| Pet Myocardial Sngl Study (78491) | $9,248.01 | $14,227.70 | 5.0× |
| PET whole body (78813) | $9,535.63 | $14,670.20 | 5.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,691.11 | $14,909.40 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,081.91 | $6,279.86 | 7.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,144.44 | $1,760.68 | 8.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,804.05 | $2,775.46 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,373.33 | $2,112.81 | 12.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $873.90 | $1,344.46 | 7.8× |
| Radex elbow complete minimum 3 views (73080) | $1,144.44 | $1,760.68 | 10.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,144.44 | $1,760.68 | 8.5× |
| Radex fingr minimum 2 views (73140) | $873.90 | $1,344.46 | 7.8× |
| Radex foot complete minimum 3 views (73630) | $1,144.44 | $1,760.68 | 10.2× |
| Radex Hand Minimum 3 Views (73130) | $952.71 | $1,465.71 | 8.5× |
| Radex lower extremity infant minimum 2 views (73592) | $1,144.44 | $1,760.68 | 10.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $873.90 | $1,344.46 | 7.8× |
| Radex Ribs Unilateral 2 Views (71100) | $873.90 | $1,344.46 | 7.8× |
| Radex shoulder complete minimum 2 views (73030) | $1,144.44 | $1,760.68 | 10.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $873.90 | $1,344.46 | 7.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,965.98 | $3,024.59 | 8.7× |
| Radex Spine 1 View Specify Level (72020) | $873.90 | $1,344.46 | 7.8× |
| Radex Sternum Minimum 2 Views (71120) | $873.90 | $1,344.46 | 7.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $873.90 | $1,344.46 | 7.8× |
| Radex Toe Minimum 2 Views (73660) | $873.90 | $1,344.46 | 7.8× |
| Radex upper extremity infant minimum 2 views (73092) | $1,144.44 | $1,760.68 | 8.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,144.44 | $1,760.68 | 10.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,232.26 | $3,434.25 | 16.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $66,672.45 | $102,573 | 7.0× |
| Radiation treatment delivery level 1 (77402) | $1,071.95 | $1,649.15 | 8.2× |
| Radiation treatment delivery level 2 (77407) | $1,286.34 | $1,978.99 | 2.6× |
| Radiation treatment delivery level 3 (77412) | $2,200.99 | $3,386.14 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,144.44 | $1,760.68 | 8.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,144.44 | $1,760.68 | 8.5× |
| Radiologic exam colon double contrast study (74280) | $2,868.18 | $4,412.59 | 12.7× |
| Radiologic exam colon single contrast study (74270) | $2,400.71 | $3,693.40 | 10.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,019.83 | $3,107.43 | 9.0× |
| Radiologic exam knee complete 4/more views (73564) | $1,373.33 | $2,112.81 | 10.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,373.33 | $2,112.81 | 10.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,701.04 | $2,616.99 | 7.5× |
| Radiologic exam swallow function contrast study (74230) | $1,701.04 | $2,616.99 | 7.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,476.21 | $5,348.01 | 15.4× |
| Radiologic examination femur 1 view (73551) | $786.51 | $1,210.01 | 7.0× |
| Radiologic examination femur minimum 2 views (73552) | $873.90 | $1,344.46 | 7.8× |
| Radiologic examination knee 1/2 views (73560) | $873.90 | $1,344.46 | 7.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,144.44 | $1,760.68 | 8.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $873.90 | $1,344.46 | 7.8× |
| Renal Cyst Study (74470) | $5,213.86 | $8,021.33 | 7.4× |
| Ribs bilateral 3 views (71110) | $1,144.44 | $1,760.68 | 8.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,081.91 | $6,279.86 | 7.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,562.86 | $10,096.70 | 9.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,562.86 | $10,096.70 | 9.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,562.86 | $10,096.70 | 9.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,562.86 | $10,096.70 | 3.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,658.62 | $19,474.80 | 6.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,562.86 | $10,096.70 | 3.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,648.87 | $4,075.18 | 8.8× |
| Rp Therapy Intravenous Administration (79101) | $2,648.87 | $4,075.18 | 8.8× |
| Scapula (73010) | $873.90 | $1,344.46 | 6.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $498.29 | $766.60 | 21.3× |
| Shoulder 1 view (73020) | $873.90 | $1,344.46 | 7.8× |
| Shoulder Arthrography (73040) | $2,492.48 | $3,834.59 | 5.6× |
| Sialogram (70390) | $1,804.05 | $2,775.46 | 5.9× |
| Skull less than 4 views (70250) | $1,144.44 | $1,760.68 | 8.5× |
| Special dosimetry (77331) | $1,800.55 | $2,770.07 | 10.4× |
| Special Physics Consult (77370) | $6,105.92 | $9,393.72 | 35.3× |
| Special treatment procedure (77470) | $6,432.73 | $9,896.50 | 9.1× |
| Srs Multisource (77371) | $6,707.09 | $10,318.60 | 0.7× |
| Stereotactic Body Radiation Delivery (77373) | $17,828.01 | $27,427.70 | 7.8× |
| Sternoclavicular joints (71130) | $873.90 | $1,344.46 | 7.8× |
| Superior sagittal sinus venogram (75870) | $5,307.45 | $8,165.30 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $8,479.58 | $13,045.50 | 17.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,812.53 | $2,788.50 | 3.8× |
| Testicular Imaging W/Flow (78761) | $4,081.91 | $6,279.86 | 7.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $9,514.44 | $14,637.60 | 19.8× |
| Ther rad simulaj-aided field setting simple (77280) | $6,530.88 | $10,047.50 | 37.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,692.83 | $2,604.36 | 7.5× |
| Thoracic spine 2 views (72070) | $1,144.44 | $1,760.68 | 8.5× |
| Thoracic spine 3 views (72072) | $1,373.33 | $2,112.81 | 10.2× |
| Thoracolumbar 2 views (72080) | $873.90 | $1,344.46 | 7.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $4,081.91 | $6,279.86 | 7.9× |
| Thyroid Imaging With Vascular Flow (78013) | $4,081.91 | $6,279.86 | 7.9× |
| Thyroid Met Imaging Body (78018) | $5,120.27 | $7,877.34 | 7.3× |
| Thyroid Uptake Measurement (78012) | $4,081.91 | $6,279.86 | 7.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,081.91 | $6,279.86 | 7.9× |
| Tx Devices Design & Construction Complex (77334) | $3,462.60 | $5,327.07 | 7.2× |
| Tx devices design & construction simple (77332) | $3,462.60 | $5,327.07 | 20.0× |
| Ultrasound Breast Limited (76642) | $920.24 | $1,415.76 | 8.2× |
| Ultrasound elastography first target lesion (76982) | $4,336.56 | $6,671.63 | 32.3× |
| Ultrasound Elastography Parenchyma (76981) | $4,336.56 | $6,671.63 | 32.3× |
| Ultrasound Exam Aaa Screen (76706) | $920.24 | $1,415.76 | 6.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $5,233.33 | $8,051.27 | 11.7× |
| Ultrasound, abdomen limited (76705) | $1,985 | $3,053.85 | 14.8× |
| Umbilical-artery Doppler (OB) (76820) | $920.24 | $1,415.76 | 6.8× |
| Unlisted Dx Radiographic Procedure (76499) | $1,004.98 | $1,546.13 | 9.0× |
| Unlisted fluoroscopic procedure (76496) | $547.26 | $841.94 | 4.9× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $4,081.91 | $6,279.86 | 7.9× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $4,081.91 | $6,279.86 | 7.9× |
| Unlisted magnetic resonance procedure (76498) | $4,367.07 | $6,718.57 | 39.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $4,081.91 | $6,279.86 | 7.9× |
| Unlisted us procedure (76999) | $920.24 | $1,415.76 | 8.2× |
| Upper gi w/o kub (74240) | $3,068.12 | $4,720.18 | 13.6× |
| Urethrocystogram voiding (74455) | $2,947.05 | $4,533.92 | 9.6× |
| Urethrocystography retrograde (74450) | $2,171.82 | $3,341.26 | 7.1× |
| Us breast unilateral complete (76641) | $1,263.19 | $1,943.37 | 9.4× |
| Us chest (76604) | $1,985 | $3,053.85 | 14.8× |
| Us complete joint (76881) | $1,985 | $3,053.85 | 14.8× |
| Us exam, pelvic, limited (76857) | $1,003.70 | $1,544.15 | 7.5× |
| Us head (76506) | $1,263.19 | $1,943.37 | 9.4× |
| Us kidney transplant (76776) | $1,985 | $3,053.85 | 14.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $920.24 | $1,415.76 | 6.8× |
| Us ob detailed single fetus (76811) range across 5 matching MRF lines |
$2,492.21–$3,044.99 | $3,834.17–$4,684.60 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,263.19 | $1,943.37 | 9.4× |
| Us ob transvaginal (76817) | $1,263.19 | $1,943.37 | 9.4× |
| Us pelvic non ob complete (76856) | $1,985 | $3,053.85 | 14.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,263.19 | $1,943.37 | 9.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $920.24 | $1,415.76 | 6.8× |
| Us retroperitoneal complete (76770) | $1,985 | $3,053.85 | 14.8× |
| Us retroperitoneal limited (76775) | $1,263.19 | $1,943.37 | 9.4× |
| Us scrotum and contents (76870) | $1,985 | $3,053.85 | 14.8× |
| Us spinal canal and contents (76800) | $920.24 | $1,415.76 | 6.8× |
| Us thyroid (76536) | $1,985 | $3,053.85 | 14.8× |
| Us transrectal (76872) | $1,985 | $3,053.85 | 14.8× |
| Vasogram (74440) | $1,925.59 | $2,962.45 | 6.3× |
| Vein X-Ray Chest (75827) | $3,756.47 | $5,779.18 | 1.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,307.45 | $8,165.30 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $5,307.45 | $8,165.30 | 1.3× |
| Venogram Sinus/Jugular (75860) | $9,691.11 | $14,909.40 | 2.4× |
| Venography Adrenal Unilateral (75840) | $9,691.11 | $14,909.40 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $9,691.11 | $14,909.40 | 2.4× |
| Venography extremity bilateral rs&i (75822) | $5,307.45 | $8,165.30 | 2.6× |
| Venography extremity unilateral rs&i (75820) | $3,416.36 | $5,255.94 | 1.7× |
| Venography Renal Bilateral (75833) | $10,026.12 | $15,424.80 | 2.5× |
| Venography Renal Unilateral (75831) | $8,621.86 | $13,264.40 | 2.1× |
| Venous sampling by catheter (75893) | $16,233.75 | $24,975 | 2.3× |
| Wrist 2 views (73100) | $873.90 | $1,344.46 | 7.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,144.44 | $1,760.68 | 10.2× |
| X-ray antegrade pyelogram tube (74425) | $2,053.79 | $3,159.68 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) | $10,480.15 | $16,123.30 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $1,144.44 | $1,760.68 | 8.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $873.90 | $1,344.46 | 7.8× |
| X-Ray Exam Breast Specimen (76098) | $1,804.05 | $2,775.46 | 2.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $658.78 | $1,013.51 | 5.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,090.99 | $1,678.44 | 8.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,851.82 | $2,848.96 | 13.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,197.60 | $3,380.93 | 19.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,053.03 | $4,696.97 | 27.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,197.91 | $6,458.33 | 31.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,816.29 | $5,871.21 | 28.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $5,342.80 | $8,219.69 | 39.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $10,069.86 | $15,492.10 | 74.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,648 | $2,535.39 | 12.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,144.44 | $1,760.68 | 10.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,648 | $2,535.39 | 12.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $952.71 | $1,465.71 | 7.1× |
| X-ray humerus (73060) | $873.90 | $1,344.46 | 7.8× |
| X-ray IV pyelogram (ivp) (74400) | $3,306.76 | $5,087.33 | 14.7× |
| X-ray IV pyelogram+tomography (74415) | $2,787.39 | $4,288.29 | 12.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $873.90 | $1,344.46 | 7.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $873.90 | $1,344.46 | 7.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,144.44 | $1,760.68 | 8.5× |
| X-ray nose-rectum child f.b. (76010) | $809.18 | $1,244.89 | 7.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,373.33 | $2,112.81 | 10.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,144.44 | $1,760.68 | 8.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $873.90 | $1,344.46 | 6.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $873.90 | $1,344.46 | 7.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,144.44 | $1,760.68 | 10.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,373.33 | $2,112.81 | 10.2× |
| X-ray thoracic spine 4 vw (72074) | $1,648 | $2,535.39 | 12.3× |
| X-Ray Tmj Unilat (70328) | $817.10 | $1,257.07 | 7.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,019.83 | $3,107.43 | 4.5× |
| X-Rays Bone Length Studies (77073) | $1,144.44 | $1,760.68 | 8.5× |
| X-Rays Bone Survey Complete (77075) | $3,025.92 | $4,655.26 | 22.5× |
| Xr c-spine 4 or 5 views (72050) | $1,373.33 | $2,112.81 | 10.2× |
| Xr facial bones less than 3 views (70140) | $997.52 | $1,534.65 | 8.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $873.90 | $1,344.46 | 6.5× |
| Xr orbits complete 4 views (70200) | $1,144.44 | $1,760.68 | 8.5× |
| Xr Tomogram Single Plane (76100) | $1,144.44 | $1,760.68 | 8.5× |
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.