Imaging prices at Central Peninsula General Hospital
Soldotna, AK · every code in this section with a posted price and a Medicare benchmark.
354 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) | $646 | $646 | 6.7× |
| Abdomen 2 views (74019) | $719 | $719 | 6.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,743 | $2,743 | 6.2× |
| Angio pulmonary bilat (75743) | $9,570 | $9,570 | 2.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$987–$10,254 | $987–$10,254 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,244–$9,172 | $1,244–$9,172 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $12,635 | $12,635 | 3.6× |
| Ankle 2 views (73600) | $496 | $496 | 5.1× |
| Aortography thoracic serialography rs&i (75605) | $9,289 | $9,289 | 1.5× |
| Artery X-Rays Abdomen (75726) | $12,142 | $12,142 | 2.0× |
| Artery X-Rays Pelvis (75736) | $10,950 | $10,950 | 1.8× |
| Artery X-Rays Spine (75705) | $12,009 | $12,009 | 1.9× |
| Arthrogram ankle (73615) | $1,029 | $1,029 | 2.7× |
| Arthrogram hip (73525) | $1,029 | $1,029 | 2.7× |
| Arthrogram Wrist (73115) | $1,029 | $1,029 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $1,039 | $1,039 | 7.0× |
| Bone age studies (77072) | $630 | $630 | 5.4× |
| Bone Imaging 3 Phase (78315) | $3,617 | $3,617 | 8.2× |
| Bone Imaging Limited Area (78300) | $2,551 | $2,551 | 5.7× |
| Bone Imaging Multiple Areas (78305) | $2,678 | $2,678 | 6.0× |
| Bone Imaging Whole Body (78306) | $3,617 | $3,617 | 8.2× |
| Bone survey infant (77076) | $786 | $786 | 6.8× |
| Brain Image W/Flow < 4 Views (78601) | $2,626 | $2,626 | 5.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,626 | $2,626 | 4.4× |
| Cardiac Shunt Detection (78428) | $3,067 | $3,067 | 6.9× |
| Cardiovasc nucl exam unlisted (78499) | $4,539 | $4,539 | 10.2× |
| Cat Scan Follow-Up Study (76380) | $1,939 | $1,939 | 20.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,865 | $2,865 | 4.8× |
| Cerebrospinal Fluid Scan (78630) | $2,597 | $2,597 | 4.3× |
| Chest 1 view (71045) | $646 | $646 | 6.7× |
| Chest 2 views (71046) | $940 | $940 | 9.7× |
| Chest 3 views (71047) | $955 | $955 | 9.9× |
| Chest 4 or more views (71048) | $1,032 | $1,032 | 8.9× |
| Clavicle complete (73000) | $480 | $480 | 5.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,803 | $1,803 | 15.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$719–$9,988 | $719–$9,988 | varies |
| Contrast X-Ray Bladder (74430) | $945 | $945 | 2.4× |
| Contrast X-Ray Of Elbow (73085) | $1,029 | $1,029 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,029 | $1,029 | 2.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,380 | $1,380 | 7.1× |
| CT abdomen and pelvis without and with contrast (74178) | $8,311 | $8,311 | 21.5× |
| CT abdomen and pelvis without contrast (74176) | $5,968 | $5,968 | 22.5× |
| CT abdomen w contrast (74160) | $4,283 | $4,283 | 22.0× |
| CT abdomen w wo contrast (74170) | $4,606 | $4,606 | 23.7× |
| CT abdomen w/o contrast (74150) | $3,581 | $3,581 | 30.9× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,302–$7,418 | $1,302–$7,418 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,076–$6,998 | $1,076–$6,998 | varies |
| CT Angio Head (70496) | $7,320 | $7,320 | 37.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $7,253 | $7,253 | 37.3× |
| CT Angio Neck (70498) | $6,805 | $6,805 | 35.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,988 | $6,988 | 35.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,592 | $3,592 | 18.5× |
| CT cervical spine w/ contrast (72126) | $4,342 | $4,342 | 11.2× |
| CT cervical spine w/o contrast (72125) | $3,656 | $3,656 | 31.5× |
| CT cervical spine w/wo cont (72127) | $4,215 | $4,215 | 21.7× |
| CT chest w contrast (71260) | $4,069 | $4,069 | 20.9× |
| CT chest w/wo contrast (71270) | $4,961 | $4,961 | 25.5× |
| CT head/brain with contrast (70460) | $4,334 | $4,334 | 22.3× |
| CT head/brain without and with contrast (70470) | $5,040 | $5,040 | 25.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $381 | $381 | 3.9× |
| CT iac w contrast (70481) | $3,573 | $3,573 | 18.4× |
| CT l-spine w&w/o contrast (72133) | $4,215 | $4,215 | 21.7× |
| CT lower ext w/o (73700) | $3,131 | $3,131 | 27.0× |
| CT lower extremity w/contrast material (73701) | $3,769 | $3,769 | 19.4× |
| CT lumbar spine w contrast (72132) | $4,122 | $4,122 | 10.6× |
| CT lumbar spine w/o contrast (72131) | $3,497 | $3,497 | 30.1× |
| CT maxillofacial w contrast (70487) | $4,202 | $4,202 | 21.6× |
| CT maxillofacial wo contrast (70486) | $3,760 | $3,760 | 32.4× |
| CT neck tissue combo (70492) | $3,996 | $3,996 | 20.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,543 | $4,543 | 23.3× |
| CT orbits w/o contrast (70480) | $3,132 | $3,132 | 27.0× |
| CT pelvis w&w/o contrast (72194) | $4,883 | $4,883 | 25.1× |
| CT pelvis w/o contrast (72192) | $3,560 | $3,560 | 30.7× |
| CT scan of leg combo (73702) | $3,788 | $3,788 | 19.5× |
| CT scans face/jaw combo (70488) | $4,500 | $4,500 | 23.1× |
| CT soft tissue neck w contrast (70491) | $3,957 | $3,957 | 20.3× |
| CT soft tissue neck w/o contrast (70490) | $3,233 | $3,233 | 27.9× |
| CT thoracic spine w contrast (72129) | $4,636 | $4,636 | 23.8× |
| CT thoracic spine w/o contrast (72128) | $3,730 | $3,730 | 32.1× |
| CT thoracic spine w/wo cont (72130) | $4,215 | $4,215 | 21.7× |
| CT thorax w/o contrast (71250) | $3,600 | $3,600 | 31.0× |
| CT unlisted procedure (76497) | $4,539 | $4,539 | 47.0× |
| CT upper ext wo (73200) | $3,111 | $3,111 | 26.8× |
| CT upper extremity w/o & w/contrast material (73202) | $4,392 | $4,392 | 22.6× |
| CT upper extremity with contrast (73201) | $3,142 | $3,142 | 8.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,315 | $4,315 | 22.2× |
| Cta Abdomen (74175) | $8,961 | $8,961 | 46.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $14,125 | $14,125 | 36.5× |
| CTA pelvis (72191) | $7,724 | $7,724 | 39.7× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$892–$5,191 | $892–$5,191 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,067 | $1,067 | 9.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,265 | $1,265 | 10.9× |
| Dxa Bone Density Axial (77080) | $620 | $620 | 5.3× |
| Dxa bone density study (77085) | $968 | $968 | 8.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $872 | $872 | 9.0× |
| Echo exam of fetal heart (76825) | $1,475 | $1,475 | 2.4× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$992–$1,400 | $992–$1,400 | varies |
| Echo Guide For Artery Repair (76936) | $656 | $656 | 2.7× |
| Esophageal Motility Study (78258) | $2,278 | $2,278 | 5.1× |
| Esophagram (74220) | $1,389 | $1,389 | 7.1× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$742–$1,304 | $742–$1,304 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$681–$1,209 | $681–$1,209 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$259–$1,010 | $259–$1,010 | varies |
| Follow-Up Angiography (75898) | $2,682 | $2,682 | 0.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$525–$565 | $525–$565 | varies |
| Forearm 2 views (73090) | $1,018 | $1,018 | 10.5× |
| Gastric emptying imaging study (78264) | $2,121 | $2,121 | 4.8× |
| Gastroesophageal Reflux Exam (78262) | $2,278 | $2,278 | 5.1× |
| Gated Heart Planar Single (78472) | $2,392 | $2,392 | 5.4× |
| Hand 2 views (73120) | $936 | $936 | 8.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,350 | $9,350 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,602 | $2,602 | 4.3× |
| Hepatobiliary System Imaging (78226) | $2,022 | $2,022 | 4.6× |
| Ht Musc Image Planar Mult (78454) | $5,726 | $5,726 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $3,124 | $3,124 | 2.2× |
| Hysterosalpingogram (74740) | $1,114 | $1,114 | 4.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,316 | $1,316 | 13.6× |
| Infusion Ivp (74410) | $1,711 | $1,711 | 8.8× |
| Joint Survey Single View (77077) | $1,055 | $1,055 | 9.1× |
| K Flow/Funct Image Multiple (78709) | $2,163 | $2,163 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $1,982 | $1,982 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $4,487 | $4,487 | 7.4× |
| Kidney Imaging Morphol (78700) | $4,487 | $4,487 | 10.1× |
| Knee 3 Views (73562) | $977 | $977 | 10.1× |
| Liver & Spleen Imaging Static Only (78215) | $2,741 | $2,741 | 6.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,361 | $2,361 | 5.3× |
| Liver imaging w/vascular flow (78202) | $2,743 | $2,743 | 4.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,529 | $2,529 | 4.2× |
| Lung perfusion differential (78597) | $2,690 | $2,690 | 6.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,690 | $2,690 | 4.5× |
| Lung Ventilation Imaging (78579) | $2,458 | $2,458 | 5.5× |
| Lymph System Imaging (78195) | $2,114 | $2,114 | 3.5× |
| Magnetic Image Jaw Joint (70336) | $5,805 | $5,805 | 21.9× |
| Mammary ductogram or galactogram multiple (77054) | $1,127 | $1,127 | 4.3× |
| Mammary ductogram or galactogram single (77053) | $945 | $945 | 3.6× |
| Meckels Divert Exam (78290) | $2,314 | $2,314 | 5.2× |
| Mlc imrt design & construction per imrt plan (77338) | $4,754 | $4,754 | 11.4× |
| Mr safety determination physician/other qhp (76016) | $222 | $222 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $62 | $62 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $230 | $230 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $149 | $149 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $604 | $604 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $6,899 | $6,899 | 17.8× |
| MRA head w/o contrast (70544) | $3,884 | $3,884 | 14.7× |
| MRA head with contrast (70545) | $5,202 | $5,202 | 13.4× |
| MRA neck w contrast (70548) | $5,454 | $5,454 | 14.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,863 | $5,863 | 15.1× |
| MRA neck w/o contrast (70547) | $6,030 | $6,030 | 22.8× |
| MRI abdomen w contrast (74182) | $5,674 | $5,674 | 14.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,197–$5,392 | $5,197–$5,392 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $5,410 | $5,410 | 6.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,813 | $5,813 | 15.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,252 | $5,252 | 6.0× |
| MRI bone marrow blood supply (77084) | $5,145 | $5,145 | 19.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $7,640 | $7,640 | 28.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,176 | $5,176 | 19.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$5,820–$5,822 | $5,820–$5,822 | varies |
| MRI cervical spine w/o cont (72141) | $5,470 | $5,470 | 20.7× |
| MRI chest w/o contrast (71550) | $5,176 | $5,176 | 19.5× |
| MRI chest with contrast (71551) | $5,401 | $5,401 | 6.2× |
| MRI chest wo w contrast (71552) | $5,798 | $5,798 | 15.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,727 | $5,727 | 14.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,727 | $5,727 | 14.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,100 | $5,100 | 19.3× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$6,281–$6,282 | $6,281–$6,282 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $6,300 | $6,300 | 16.3× |
| MRI orbit face &/neck w/o contrast (70540) | $5,176 | $5,176 | 19.5× |
| MRI orbit face neck w contrast (70542) | $5,335 | $5,335 | 13.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,629 | $5,629 | 14.5× |
| MRI pelvis w contrast (72196) | $5,578 | $5,578 | 14.4× |
| MRI pelvis w/o & w contrast (72197) | $5,792 | $5,792 | 15.0× |
| MRI pelvis w/o contrast (72195) | $5,176 | $5,176 | 19.5× |
| MRI thoracic spine w/o contrast (72146) | $5,176 | $5,176 | 19.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$4,855–$4,856 | $4,855–$4,856 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,624 | $4,624 | 17.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,894 | $5,894 | 15.2× |
| MRI, abdomen, combo (74183) | $7,548 | $7,548 | 19.5× |
| MRI, dorsal spine combo (72157) | $6,105 | $6,105 | 15.8× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$5,595–$5,596 | $5,595–$5,596 | varies |
| MRI, joint upper extrem (73221) | $5,176 | $5,176 | 19.5× |
| MRI, joint upper extrem combo (73223) | $5,813 | $5,813 | 15.0× |
| MRI, lumbar spine combo (72158) | $6,491 | $6,491 | 16.8× |
| Musculoskeletal Nuclear Exam (78399) | $4,539 | $4,539 | 10.2× |
| Myelogram cervical (72240) | $2,667 | $2,667 | 3.1× |
| Myelogram Lumbar (72265) | $2,667 | $2,667 | 3.1× |
| Myelography thoracic (72255) | $2,487 | $2,487 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $2,626 | $2,626 | 3.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,866 | $2,866 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $6,242 | $6,242 | 4.3× |
| Neck soft tissue (70360) | $684 | $684 | 7.1× |
| Nervous system nuclear exam (78699) | $4,539 | $4,539 | 10.2× |
| Nm csf leak detection (78650) | $1,786 | $1,786 | 1.2× |
| Nm unlisted gi procedure (78299) | $4,539 | $4,539 | 10.2× |
| Nonvascular Shunt X-Ray (75809) | $792 | $792 | 6.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,793 | $12,793 | 8.3× |
| Nuclear medicine study of endocrine organs (78099) | $4,539 | $4,539 | 10.2× |
| Nuclear Rx Oral Admin (79005) | $2,401 | $2,401 | 9.3× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$946–$1,111 | $946–$1,111 | varies |
| Optic foramina (70190) | $566 | $566 | 5.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,558 | $4,558 | 7.6× |
| Parathyroid Planar Imaging (78070) | $4,189 | $4,189 | 9.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,189 | $4,189 | 9.4× |
| Pelvis 1 or 2 views (72170) | $538 | $538 | 4.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$760–$8,710 | $760–$8,710 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,420 | $2,420 | 5.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,599 | $1,599 | 13.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$235–$1,320 | $235–$1,320 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $834 | $834 | 8.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $674 | $674 | 7.0× |
| Radex elbow complete minimum 3 views (73080) | $974 | $974 | 10.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,221 | $1,221 | 10.5× |
| Radex fingr minimum 2 views (73140) | $658 | $658 | 6.8× |
| Radex foot complete minimum 3 views (73630) | $881 | $881 | 9.1× |
| Radex Hand Minimum 3 Views (73130) | $1,022 | $1,022 | 10.6× |
| Radex lower extremity infant minimum 2 views (73592) | $377 | $377 | 3.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,106 | $1,106 | 9.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,156 | $1,156 | 12.0× |
| Radex Ribs Unilateral 2 Views (71100) | $996 | $996 | 10.3× |
| Radex shoulder complete minimum 2 views (73030) | $977 | $977 | 10.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $634 | $634 | 6.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,556 | $1,556 | 8.0× |
| Radex Spine 1 View Specify Level (72020) | $471 | $471 | 4.9× |
| Radex Sternum Minimum 2 Views (71120) | $1,066 | $1,066 | 11.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $857 | $857 | 8.9× |
| Radex Toe Minimum 2 Views (73660) | $665 | $665 | 6.9× |
| Radex upper extremity infant minimum 2 views (73092) | $377 | $377 | 3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $803 | $803 | 8.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $857 | $857 | 7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $836 | $836 | 7.2× |
| Radiologic exam colon double contrast study (74280) | $1,517 | $1,517 | 7.8× |
| Radiologic exam colon single contrast study (74270) | $1,262 | $1,262 | 6.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,102 | $1,102 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) | $977 | $977 | 8.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,310 | $1,310 | 11.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,272 | $1,272 | 6.5× |
| Radiologic exam swallow function contrast study (74230) | $887 | $887 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,032 | $2,032 | 10.4× |
| Radiologic examination femur 1 view (73551) | $926 | $926 | 9.6× |
| Radiologic examination femur minimum 2 views (73552) | $926 | $926 | 9.6× |
| Radiologic examination knee 1/2 views (73560) | $496 | $496 | 5.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,348 | $1,348 | 11.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $830 | $830 | 8.6× |
| Ribs bilateral 3 views (71110) | $1,734 | $1,734 | 14.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$2,468–$3,390 | $2,468–$3,390 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,660 | $3,660 | 8.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,495 | $4,495 | 7.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,817 | $3,817 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,334 | $3,334 | 5.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,896 | $1,896 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,360 | $4,360 | 2.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,716 | $3,716 | 2.6× |
| Scapula (73010) | $958 | $958 | 8.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $274 | $274 | 11.7× |
| Sella turcica (70240) | $451 | $451 | 4.7× |
| Shoulder 1 view (73020) | $522 | $522 | 5.4× |
| Shoulder Arthrography (73040) | $1,029 | $1,029 | 2.7× |
| Skull less than 4 views (70250) | $912 | $912 | 7.9× |
| Spleen Imaging (78185) | $2,428 | $2,428 | 5.5× |
| Sternoclavicular joints (71130) | $561 | $561 | 5.8× |
| Superior sagittal sinus venogram (75870) | $3,749 | $3,749 | 1.1× |
| Testicular Imaging W/Flow (78761) | $1,927 | $1,927 | 4.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,200 | $1,200 | 6.2× |
| Thoracic spine 2 views (72070) | $693 | $693 | 6.0× |
| Thoracic spine 3 views (72072) | $977 | $977 | 8.4× |
| Thoracolumbar 2 views (72080) | $977 | $977 | 10.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,739 | $1,739 | 3.9× |
| Thyroid Met Imaging Body (78018) | $3,405 | $3,405 | 5.7× |
| Thyroid Uptake Measurement (78012) | $3,423 | $3,423 | 7.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,768 | $2,768 | 6.2× |
| Tx Devices Design & Construction Complex (77334) | $2,392 | $2,392 | 5.8× |
| Ultrasound Breast Limited (76642) | $709 | $709 | 7.3× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$384–$675 | $384–$675 | varies |
| Ultrasound Exam Aaa Screen (76706) | $812 | $812 | 7.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$242–$734 | $242–$734 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$637–$1,458 | $637–$1,458 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $144 | $144 | 1.5× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $4,539 | $4,539 | 10.2× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $4,539 | $4,539 | 10.2× |
| Unlisted magnetic resonance procedure (76498) | $4,539 | $4,539 | 47.0× |
| Unlisted respiratory px dx nuclear medicine (78599) | $4,539 | $4,539 | 10.2× |
| Unlisted us procedure (76999) | $933 | $933 | 9.7× |
| Upper gi w/o kub (74240) | $1,466 | $1,466 | 7.5× |
| Ureteral Reflux Study (78740) | $4,417 | $4,417 | 10.0× |
| Urethrocystogram voiding (74455) | $1,499 | $1,499 | 5.7× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,499–$1,836 | $1,499–$1,836 | varies |
| Us breast unilateral complete (76641) | $906 | $906 | 7.8× |
| Us chest (76604) | $798 | $798 | 6.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$891–$962 | $891–$962 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$738–$1,000 | $738–$1,000 | varies |
| Us head (76506) | $1,843 | $1,843 | 15.9× |
| Us kidney transplant (76776) | $1,777 | $1,777 | 15.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $834 | $834 | 7.2× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,153–$1,909 | $1,153–$1,909 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$549–$826 | $549–$826 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$496–$593 | $496–$593 | varies |
| Us pelvic non ob complete (76856) | $1,236 | $1,236 | 10.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$687–$1,001 | $687–$1,001 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$659–$826 | $659–$826 | varies |
| Us retroperitoneal complete (76770) | $1,010 | $1,010 | 8.7× |
| Us retroperitoneal limited (76775) | $812 | $812 | 7.0× |
| Us scrotum and contents (76870) | $1,373 | $1,373 | 11.8× |
| Us spinal canal and contents (76800) | $1,308 | $1,308 | 11.3× |
| Us thyroid (76536) | $1,044 | $1,044 | 9.0× |
| Us transrectal (76872) | $1,453 | $1,453 | 12.5× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$764–$6,000 | $764–$6,000 | varies |
| Venogram Sinus/Jugular (75860) | $7,025 | $7,025 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $8,758 | $8,758 | 2.5× |
| Venography extremity bilateral rs&i (75822) | $4,411 | $4,411 | 2.5× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$267–$3,392 | $267–$3,392 | varies |
| Venography Renal Unilateral (75831) | $8,317 | $8,317 | 2.4× |
| Venous sampling by catheter (75893) | $9,892 | $9,892 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $364 | $364 | 3.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$322–$640 | $322–$640 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $745 | $745 | 7.7× |
| X-ray antegrade pyelogram tube (74425) | $2,078 | $2,078 | 5.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,191–$11,094 | $1,191–$11,094 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,001 | $1,001 | 8.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $836 | $836 | 8.7× |
| X-Ray Exam Breast Specimen (76098) | $270 | $270 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $647 | $647 | 6.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $714 | $714 | 6.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $779 | $779 | 8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $816 | $816 | 8.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $960 | $960 | 8.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,420 | $1,420 | 12.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,420 | $1,420 | 12.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,048 | $1,048 | 9.0× |
| X-Ray Exam L-S Spine Bending (72114) | $1,200 | $1,200 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,039 | $1,039 | 10.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,367 | $1,367 | 11.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $912 | $912 | 7.9× |
| X-ray eye for foreign body (70030) | $544 | $544 | 5.6× |
| X-ray humerus (73060) | $809 | $809 | 8.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,793 | $1,793 | 9.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $634 | $634 | 6.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $471 | $471 | 4.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $830 | $830 | 7.2× |
| X-ray nose-rectum child f.b. (76010) | $445 | $445 | 4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,593 | $1,593 | 13.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $709 | $709 | 6.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $561 | $561 | 4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $784 | $784 | 8.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $882 | $882 | 9.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,221 | $1,221 | 10.5× |
| X-Ray Stress View (77071) | $312 | $312 | 3.2× |
| X-ray thoracic spine 4 vw (72074) | $1,432 | $1,432 | 12.3× |
| X-Ray Tmj Unilat (70328) | $555 | $555 | 5.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$239–$1,176 | $239–$1,176 | varies |
| X-Rays Bone Length Studies (77073) | $903 | $903 | 7.8× |
| X-Rays Bone Survey Complete (77075) | $1,036 | $1,036 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $1,291 | $1,291 | 11.1× |
| Xr facial bones less than 3 views (70140) | $926 | $926 | 9.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $926 | $926 | 8.0× |
| Xr orbits complete 4 views (70200) | $1,280 | $1,280 | 11.0× |
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.