Imaging prices at Children's Hospital Colorado - Colorado Springs
Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.
359 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) | $369.20 | $568 | 4.0× |
| Abdomen 2 views (74019) | $395.20 | $608 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $585.65 | $901 | 1.4× |
| Angio internal mammary (75756) | $3,581.50 | $5,510 | 1.1× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,578.55–$2,726.75 | $3,967–$4,195 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,494.70 | $3,838 | 0.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,502.85–$3,649.75 | $5,389–$5,615 | varies |
| Angiography extremity unilateral rs&i (75710) | $1,912.95 | $2,943 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,742.65–$2,028 | $2,681–$3,120 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,183–$1,251.25 | $1,820–$1,925 | varies |
| Ankle 2 views (73600) | $178.10 | $274 | 1.9× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,935.75–$4,312.75 | $6,055–$6,635 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$6,087.25–$6,438.90 | $9,365–$9,906 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,032.20 | $1,588 | 0.3× |
| Artery X-Rays Pelvis (75736) | $4,344.60 | $6,684 | 0.7× |
| Artery X-Rays Spine (75705) | $4,118.40 | $6,336 | 0.7× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$779.35–$906.10 | $1,199–$1,394 | varies |
| Arthrogram Wrist (73115) | $362.05 | $557 | 1.0× |
| Bone age studies (77072) range across 2 matching MRF lines |
$167.05–$215.80 | $257–$332 | varies |
| Bone Imaging 3 Phase (78315) | $2,476.50 | $3,810 | 5.9× |
| Bone Imaging Limited Area (78300) | $480.35 | $739 | 1.1× |
| Bone Imaging Whole Body (78306) | $2,975.70 | $4,578 | 7.1× |
| Bone marrow imaging; multiple areas (78103) | $522.60 | $804 | 1.2× |
| Bone marrow imaging; whole body (78104) | $612.95 | $943 | 1.5× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$282.75–$570.05 | $435–$877 | varies |
| Brain Flow Imaging Only (78610) | $1,708.20 | $2,628 | 3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,553.35 | $13,159 | 5.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,601.65 | $5,541 | 9.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,555.50 | $5,470 | 4.3× |
| Cardiac Shunt Detection (78428) | $522.60 | $804 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $312 | $480 | 3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,107.65 | $4,781 | 5.4× |
| Cerebrospinal Fluid Scan (78630) | $612.95 | $943 | 1.1× |
| Chest 1 view (71045) | $458.25 | $705 | 5.0× |
| Chest 2 views (71046) | $503.10 | $774 | 5.5× |
| Chest 3 views (71047) | $553.15 | $851 | 6.0× |
| Chest 4 or more views (71048) | $571.35 | $879 | 5.2× |
| Cholecystography Oral Contrast (74290) | $205.40 | $316 | 1.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$161.20–$169 | $248–$260 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,965.65–$4,194.45 | $6,101–$6,453 | varies |
| Contrast X-Ray Bladder (74430) | $927.55 | $1,427 | 2.5× |
| Contrast X-Ray Of Elbow (73085) | $906.10 | $1,394 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $638.30 | $982 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,795 | $4,300 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $1,946.10 | $2,994 | 7.7× |
| CT abdomen w contrast (74160) | $2,050.10 | $3,154 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,322.45 | $3,573 | 12.6× |
| CT abdomen w/o contrast (74150) | $1,742.65 | $2,681 | 15.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,470 | $3,800 | 6.7× |
| CT Angio Chest (71275) | $1,811.55 | $2,787 | 9.8× |
| CT Angio Head (70496) | $1,811.55 | $2,787 | 9.8× |
| CT angio hrt w/3d image (75574) | $2,050.10 | $3,154 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,226.90 | $3,426 | 12.0× |
| CT Angio Neck (70498) | $1,811.55 | $2,787 | 9.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,050.10 | $3,154 | 11.1× |
| CT cervical spine w/ contrast (72126) | $2,050.10 | $3,154 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,539.85 | $2,369 | 14.0× |
| CT cervical spine w/wo cont (72127) | $2,322.45 | $3,573 | 12.6× |
| CT chest w contrast (71260) | $1,831.05 | $2,817 | 9.9× |
| CT chest w/wo contrast (71270) | $2,496.65 | $3,841 | 13.5× |
| CT head/brain with contrast (70460) | $1,811.55 | $2,787 | 9.8× |
| CT head/brain without and with contrast (70470) | $2,299.05 | $3,537 | 12.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,066.35 | $3,179 | 5.6× |
| CT hrt w/3d image congen (75573) | $2,014.35 | $3,099 | 5.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,811.55–$2,050.10 | $2,787–$3,154 | varies |
| CT l-spine w&w/o contrast (72133) | $2,322.45 | $3,573 | 12.6× |
| CT lower ext w/o (73700) | $1,742.65 | $2,681 | 15.8× |
| CT lower extremity w/contrast material (73701) | $2,050.10 | $3,154 | 11.1× |
| CT lumbar spine w contrast (72132) | $2,050.10 | $3,154 | 5.6× |
| CT lumbar spine w/o contrast (72131) | $1,742.65 | $2,681 | 15.8× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,848.60–$1,946.10 | $2,844–$2,994 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,621.10–$1,742.65 | $2,494–$2,681 | varies |
| CT neck tissue combo (70492) | $2,182.05 | $3,357 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,322.45 | $3,573 | 12.6× |
| CT orbits w/o contrast (70480) | $1,742.65 | $2,681 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $2,322.45 | $3,573 | 12.6× |
| CT pelvis w/o contrast (72192) | $1,742.65 | $2,681 | 15.8× |
| CT scan of leg combo (73702) | $2,138.50 | $3,290 | 11.6× |
| CT scans face/jaw combo (70488) | $2,182.05 | $3,357 | 11.8× |
| CT soft tissue neck w contrast (70491) | $1,811.55 | $2,787 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,742.65 | $2,681 | 15.8× |
| CT thoracic spine w contrast (72129) | $2,050.10 | $3,154 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $1,742.65 | $2,681 | 15.8× |
| CT thoracic spine w/wo cont (72130) | $2,322.45 | $3,573 | 12.6× |
| CT thorax w/o contrast (71250) | $1,539.85 | $2,369 | 14.0× |
| CT upper ext wo (73200) | $1,742.65 | $2,681 | 15.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,322.45 | $3,573 | 12.6× |
| CT upper extremity with contrast (73201) | $2,050.10 | $3,154 | 5.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,340 | $3,600 | 12.6× |
| Cta Abdomen (74175) | $2,050.10 | $3,154 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,050.10 | $3,154 | 5.6× |
| CTA pelvis (72191) | $1,907.10 | $2,934 | 10.3× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$351.65–$408.85 | $541–$629 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,774.50 | $2,730 | 0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $624 | $960 | 5.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $624 | $960 | 5.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $624 | $960 | 5.7× |
| Dxa Bone Density Axial (77080) | $414.05 | $637 | 3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $422.50 | $650 | 4.6× |
| Echo exam of fetal heart (76825) | $1,688.05 | $2,597 | 2.9× |
| Echo Guide For Artery Repair (76936) | $947.70 | $1,458 | 4.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $912.60 | $1,404 | 3.6× |
| Esophagram (74220) | $265.85 | $409 | 1.4× |
| Fetal Biophys Profile W/Nst (76818) | $923 | $1,420 | 8.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $624 | $960 | 5.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,451.15 | $3,771 | 9.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$969.80–$1,003.60 | $1,492–$1,544 | varies |
| Follow-Up Angiography (75898) | $935.35 | $1,439 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$155.35–$182.65 | $239–$281 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$171.60–$180.05 | $264–$277 | varies |
| Gastric emptying imaging study (78264) | $3,723.85 | $5,729 | 8.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $574.60 | $884 | 1.4× |
| Gastroesophageal Reflux Exam (78262) | $541.45 | $833 | 1.3× |
| Gated Heart Planar Single (78472) | $1,392.95 | $2,143 | 3.3× |
| Gated Heart, Multiple (78473) | $1,794 | $2,760 | 4.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $574.60 | $884 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$150.80–$158.60 | $232–$244 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$2,619.50–$3,323.45 | $4,030–$5,113 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$3,134.30–$3,181.75 | $4,822–$4,895 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,345.20 | $3,608 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,135.90 | $3,286 | 5.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $624 | $960 | 6.8× |
| Infant hip ultrasound, limited static exam (76886) | $624 | $960 | 6.8× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$223.60–$239.20 | $344–$368 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,118.65 | $1,721 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $653.25 | $1,005 | 1.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $3,494.40 | $5,376 | 8.3× |
| Kidney Imaging Morphol (78700) | $522.60 | $804 | 1.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$224.25–$297.70 | $345–$458 | varies |
| Liver & Spleen Imaging Static Only (78215) | $522.60 | $804 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $522.60 | $804 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $3,310.45 | $5,093 | 5.8× |
| Lung perfusion differential (78597) | $1,567.15 | $2,411 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) | $674.70 | $1,038 | 1.2× |
| Lung Ventilation Imaging (78579) | $575.90 | $886 | 1.4× |
| Lymph System Imaging (78195) | $2,767.05 | $4,257 | 4.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,158.30 | $1,782 | 0.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $859.95 | $1,323 | 1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,817.10 | $4,334 | 0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,682.20 | $2,588 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $2,773.55 | $4,267 | 11.0× |
| Magnetic Resonance Elastography (76391) | $2,773.55 | $4,267 | 11.0× |
| Meckels Divert Exam (78290) | $2,750.80 | $4,232 | 6.5× |
| Medical physics dose eval radiation expos w/rprt (76145) | $715.65 | $1,101 | 1.8× |
| Mr safety determination physician/other qhp (76016) | $223.60 | $344 | 2.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $76.70 | $118 | 2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $150.15 | $231 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $150.15 | $231 | 2.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $223.60 | $344 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,182.40 | $4,896 | 8.6× |
| MRA head w/o contrast (70544) | $2,451.15 | $3,771 | 9.7× |
| MRA head with contrast (70545) | $2,838.55 | $4,367 | 7.7× |
| MRA neck w contrast (70548) | $3,212.30 | $4,942 | 8.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,601.65 | $5,541 | 9.8× |
| MRA neck w/o contrast (70547) | $2,451.15 | $3,771 | 9.7× |
| MRI abdomen w contrast (74182) | $2,988.05 | $4,597 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,773.55 | $4,267 | 11.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,212.30 | $4,942 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,601.65 | $5,541 | 9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,212.30 | $4,942 | 3.9× |
| MRI bone marrow blood supply (77084) | $3,244.80 | $4,992 | 12.9× |
| MRI brain functional w/o physician admnistration (70554) | $3,911.70 | $6,018 | 15.5× |
| MRI brain functional w/physician admnistration (70555) | $3,601.65 | $5,541 | 14.3× |
| MRI cardiac w/o contrast (75557) | $2,773.55 | $4,267 | 11.0× |
| MRI cervical spine w contrast (72142) | $2,838.55 | $4,367 | 7.7× |
| MRI cervical spine w/o cont (72141) | $2,773.55 | $4,267 | 11.0× |
| MRI chest w/o contrast (71550) | $2,773.55 | $4,267 | 11.0× |
| MRI chest with contrast (71551) | $3,487.90 | $5,366 | 4.2× |
| MRI chest wo w contrast (71552) | $3,601.65 | $5,541 | 9.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,244.80 | $4,992 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,601.65 | $5,541 | 9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,773.55 | $4,267 | 11.0× |
| MRI lumbar spine w contrast (72149) | $2,838.55 | $4,367 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,182.40 | $4,896 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,212.30 | $4,942 | 12.8× |
| MRI orbit face neck w contrast (70542) | $3,048.50 | $4,690 | 8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,182.40 | $4,896 | 8.6× |
| MRI pelvis w contrast (72196) | $3,048.50 | $4,690 | 8.3× |
| MRI pelvis w/o & w contrast (72197) | $3,601.65 | $5,541 | 9.8× |
| MRI pelvis w/o contrast (72195) | $2,773.55 | $4,267 | 11.0× |
| MRI spectroscopy (76390) | $2,476.50 | $3,810 | 27.0× |
| MRI thoracic spine w/o contrast (72146) | $3,601.65 | $5,541 | 14.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,773.55 | $4,267 | 11.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,601.65 | $5,541 | 9.8× |
| MRI, abdomen, combo (74183) | $3,182.40 | $4,896 | 8.6× |
| MRI, dorsal spine combo (72157) | $3,182.40 | $4,896 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,888.60 | $4,444 | 7.8× |
| MRI, joint upper extrem (73221) | $2,773.55 | $4,267 | 11.0× |
| MRI, joint upper extrem combo (73223) | $3,601.65 | $5,541 | 9.8× |
| MRI, lumbar spine combo (72158) | $3,182.40 | $4,896 | 8.6× |
| Myelogram cervical (72240) | $705.90 | $1,086 | 0.9× |
| Myelogram Lumbar (72265) | $705.90 | $1,086 | 0.9× |
| Myelography thoracic (72255) | $705.90 | $1,086 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,045.20 | $1,608 | 1.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$172.90–$315.25 | $266–$485 | varies |
| Nm csf leak detection (78650) | $1,253.85 | $1,929 | 0.9× |
| Nm myocard infarct spect (78469) | $1,253.85 | $1,929 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $406.90 | $626 | 3.7× |
| Nuclear Rx Oral Admin (79005) | $1,400.75 | $2,155 | 5.7× |
| Ob us nuchal meas 1 gest (76813) | $787.80 | $1,212 | 7.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $85.15 | $131 | 0.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $1,264.25 | $1,945 | 11.5× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $831.35 | $1,279 | 5.9× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $209.95 | $323 | 2.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$624–$1,099.15 | $960–$1,691 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $126.75 | $195 | 4.2× |
| Ophthalmic us dx quantitative a-scan only (76511) | $855.40 | $1,316 | 7.8× |
| Optic foramina (70190) range across 2 matching MRF lines |
$167.05–$193.70 | $257–$298 | varies |
| Panoramic X-ray of jaws (70355) | $334.10 | $514 | 3.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,482.40 | $6,896 | 7.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$167.05–$175.50 | $257–$270 | varies |
| Perineogram (74775) | $685.75 | $1,055 | 2.7× |
| Peritoneogram Rs&I (74190) | $498.55 | $767 | 0.9× |
| Pet Image W/Ct Lmtd (78814) | $8,596.90 | $13,226 | 5.7× |
| PET image w/CT, full body (78816) | $9,428.25 | $14,505 | 6.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,251.10 | $12,694 | 5.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,558.75 | $5,475 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $612.95 | $943 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$347.75–$404.30 | $535–$622 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $490.10 | $754 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$209.95–$221 | $323–$340 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$148.20–$174.85 | $228–$269 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$201.50–$312 | $310–$480 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$366.60–$377.65 | $564–$581 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$185.25–$194.35 | $285–$299 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$221.65–$233.35 | $341–$359 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$198.90–$208.65 | $306–$321 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$283.40–$306.15 | $436–$471 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$167.05–$193.70 | $257–$298 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$263.25–$290.55 | $405–$447 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$177.45–$187.20 | $273–$288 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$198.25–$208 | $305–$320 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $156.65 | $241 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $509.60 | $784 | 2.8× |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$189.80–$200.20 | $292–$308 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$206.05–$216.45 | $317–$333 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$200.20–$229.45 | $308–$353 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$175.50–$183.95 | $270–$283 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$196.95–$206.70 | $303–$318 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$185.90–$195 | $286–$300 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $395.20 | $608 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$187.85–$229.45 | $289–$353 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $463.45 | $713 | 4.2× |
| Radiologic exam colon double contrast study (74280) | $837.20 | $1,288 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $722.80 | $1,112 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$330.85–$416.65 | $509–$641 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$267.15–$281.45 | $411–$433 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $442.65 | $681 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $414.05 | $637 | 2.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$202.80–$207.35 | $312–$319 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$238.55–$251.55 | $367–$387 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$208.65–$222.30 | $321–$342 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$228.15–$271.70 | $351–$418 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$185.25–$194.35 | $285–$299 | varies |
| Renal Cyst Study (74470) | $1,571.70 | $2,418 | 2.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$337.35–$354.90 | $519–$546 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $565.50 | $870 | 1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $612.95 | $943 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,392.70 | $6,758 | 7.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,568.50 | $5,490 | 6.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,228.55 | $4,967 | 5.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,323.10 | $3,574 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,832.75 | $7,435 | 3.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,276.95 | $3,503 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $1,400.75 | $2,155 | 5.7× |
| Salivary Gland Imaging (78230) | $522.60 | $804 | 1.2× |
| Scapula (73010) range across 2 matching MRF lines |
$167.05–$174.85 | $257–$269 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$165.10–$167.05 | $254–$257 | varies |
| Shoulder Arthrography (73040) | $1,006.85 | $1,549 | 2.7× |
| Sialogram (70390) | $797.55 | $1,227 | 3.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$198.25–$208 | $305–$320 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$323.05–$375.70 | $497–$578 | varies |
| Sternoclavicular joints (71130) | $424.45 | $653 | 4.6× |
| Superior sagittal sinus venogram (75870) | $1,757.60 | $2,704 | 0.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,048.45 | $1,613 | 5.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$227.50–$239.85 | $350–$369 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$273–$287.30 | $420–$442 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$249.60–$293.80 | $384–$452 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $612.95 | $943 | 1.5× |
| Thyroid Met Imaging Body (78018) | $4,069.65 | $6,261 | 7.1× |
| Thyroid Uptake Measurement (78012) | $612.95 | $943 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,730.35 | $5,739 | 8.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$391.95–$624 | $603–$960 | varies |
| Ultrasound Elastography Parenchyma (76981) | $624 | $960 | 5.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $624 | $960 | 1.7× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$624–$637 | $960–$980 | varies |
| Umbilical-artery Doppler (OB) (76820) | $624 | $960 | 5.7× |
| Unlisted Dx Radiographic Procedure (76499) | $2,284.75 | $3,515 | 24.9× |
| Unlisted fluoroscopic procedure (76496) | $679.25 | $1,045 | 7.4× |
| Unlisted magnetic resonance procedure (76498) | $3,459.95 | $5,323 | 37.7× |
| Unlisted us procedure (76999) | $624 | $960 | 6.8× |
| Upper gi w/o kub (74240) | $404.30 | $622 | 2.2× |
| Ureteral Reflux Study (78740) | $522.60 | $804 | 1.2× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$832.65–$911.95 | $1,281–$1,403 | varies |
| Urethrocystography retrograde (74450) | $780 | $1,200 | 3.1× |
| Us chest (76604) | $624 | $960 | 5.7× |
| Us complete joint (76881) range across 2 matching MRF lines |
$624–$881.40 | $960–$1,356 | varies |
| Us exam, pelvic, limited (76857) | $624 | $960 | 5.7× |
| Us head (76506) | $748.15 | $1,151 | 6.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$624–$793 | $960–$1,220 | varies |
| Us ob detailed single fetus (76811) | $1,218.75 | $1,875 | 4.8× |
| Us ob limited 1 or more fetuses (76815) | $624 | $960 | 5.7× |
| Us ob transvaginal (76817) | $624 | $960 | 5.7× |
| Us pelvic non ob complete (76856) | $773.50 | $1,190 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $624 | $960 | 5.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $624 | $960 | 5.7× |
| Us retroperitoneal complete (76770) | $733.20 | $1,128 | 6.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$624–$638.30 | $960–$982 | varies |
| Us scrotum and contents (76870) | $624 | $960 | 5.7× |
| Us spinal canal and contents (76800) | $624 | $960 | 5.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$624–$628.55 | $960–$967 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,422.85–$1,474.20 | $2,189–$2,268 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,068.60 | $1,644 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $1,293.50 | $1,990 | 0.4× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,977.95–$2,013.70 | $3,043–$3,098 | varies |
| Venography Adrenal Unilateral (75840) | $2,494.70 | $3,838 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $1,912.95 | $2,943 | 0.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,344.85–$1,552.85 | $2,069–$2,389 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,060.15–$1,121.25 | $1,631–$1,725 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$2,376.40–$2,513.55 | $3,656–$3,867 | varies |
| Venography Renal Unilateral (75831) | $1,960.40 | $3,016 | 0.6× |
| Venous sampling by catheter (75893) | $4,312.75 | $6,635 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $126.10 | $194 | 1.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$124.80–$150.80 | $192–$232 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$300.95–$392.60 | $463–$604 | varies |
| X-ray antegrade pyelogram tube (74425) | $439.40 | $676 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,494.70 | $3,838 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$167.05–$178.75 | $257–$275 | varies |
| X-Ray Exam Breast Specimen (76098) | $449.15 | $691 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$167.70–$200.20 | $258–$308 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$222.95–$293.15 | $343–$451 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $351.65 | $541 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$149.50–$178.75 | $230–$275 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$217.10–$228.80 | $334–$352 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$256.10–$283.40 | $394–$436 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$185.90–$195 | $286–$300 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$269.75–$284.05 | $415–$437 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$323.70–$358.15 | $498–$551 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$235.95–$247.65 | $363–$381 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $349.70 | $538 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$221.82–$244.40 | $341.25–$376 | varies |
| X-ray eye for foreign body (70030) | $159.90 | $246 | 1.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$175.50–$183.95 | $270–$283 | varies |
| X-ray IV pyelogram (ivp) (74400) | $409.50 | $630 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$214.50–$220.35 | $330–$339 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $294.45 | $453 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$239.20–$252.20 | $368–$388 | varies |
| X-ray nose-rectum child f.b. (76010) | $189.15 | $291 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $465.40 | $716 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$213.85–$224.90 | $329–$346 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$254.15–$267.80 | $391–$412 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$171.60–$189.80 | $264–$292 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$318.50–$335.40 | $490–$516 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$341.25–$376.35 | $525–$579 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $409.50 | $630 | 1.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$217.10–$328.25 | $334–$505 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$450.45–$570.05 | $693–$877 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$317.85–$326.95 | $489–$503 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$220.35–$243.10 | $339–$374 | varies |
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.