Imaging prices at Children's National Hospital
Washington, DC · every code in this section with a posted price and a Medicare benchmark.
389 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) | $1,927 | $3,854 | 1.2× |
| Abdomen 1 View (74018) | $278.50 | $557 | 2.7× |
| Abdomen 2 views (74019) | $548 | $1,096 | 4.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $949 | $1,898 | 2.0× |
| Angio internal mammary (75756) | $3,934.50 | $7,869 | 1.1× |
| Angio pulmonary bilat (75743) | $3,934.50 | $7,869 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,934.50 | $7,869 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $3,934.50 | $7,869 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,934.50 | $7,869 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,934.50 | $7,869 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,934.50 | $7,869 | 1.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$311–$622 | $622–$1,244 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,757.50 | $13,515 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,934.50 | $7,869 | 1.1× |
| Artery X-Rays Abdomen (75726) | $6,757.50 | $13,515 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $3,934.50 | $7,869 | 1.1× |
| Artery X-Rays Pelvis (75736) | $6,757.50 | $13,515 | 1.0× |
| Artery X-Rays Spine (75705) | $6,757.50 | $13,515 | 1.0× |
| Arthrogram ankle (73615) | $595 | $1,190 | 1.4× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$543–$1,086 | $1,086–$2,172 | varies |
| Arthrogram Wrist (73115) | $595 | $1,190 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $478.50 | $957 | 3.0× |
| Bone age studies (77072) | $266 | $532 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $502.50 | $1,005 | 1.1× |
| Bone Imaging Whole Body (78306) | $1,749.50 | $3,499 | 3.7× |
| Bone marrow imaging limited area (78102) | $820.50 | $1,641 | 1.7× |
| Bone survey infant (77076) | $556.50 | $1,113 | 4.5× |
| Brachytx Isodose Plan Simple (77316) | $916.50 | $1,833 | 2.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,301 | $2,602 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,178.50 | $4,357 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,468.50 | $4,937 | 6.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,289 | $4,578 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $1,221 | $2,442 | 11.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $673 | $1,346 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $1,691.50 | $3,383 | 2.6× |
| Chest 1 view (71045) | $243.50 | $487 | 2.4× |
| Chest 2 views (71046) | $283.50 | $567 | 2.8× |
| Chest 3 views (71047) | $358.50 | $717 | 3.5× |
| Chest 4 or more views (71048) | $432.50 | $865 | 3.5× |
| Cholecystography Oral Contrast (74290) | $264.50 | $529 | 1.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $161.50 | $323 | 1.3× |
| Cisternography Positive Contrast Rs&I (70015) | $988 | $1,976 | 1.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$313.50–$627 | $627–$1,254 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,092 | $2,184 | 6.9× |
| Contrast Exam Abdominl Aorta (75625) | $3,934.50 | $7,869 | 1.1× |
| Contrast X-Ray Bladder (74430) | $543 | $1,086 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $595 | $1,190 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $595 | $1,190 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $264.50 | $529 | 1.3× |
| Corpora cavernosography (74445) | $277.50 | $555 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,816.50 | $5,633 | 6.8× |
| CT abdomen and pelvis without contrast (74176) | $1,677 | $3,354 | 5.9× |
| CT abdomen w contrast (74160) | $2,356.50 | $4,713 | 11.4× |
| CT abdomen w wo contrast (74170) | $2,281 | $4,562 | 11.0× |
| CT abdomen w/o contrast (74150) | $1,937.50 | $3,875 | 15.7× |
| CT Angio Chest (71275) | $1,926 | $3,852 | 9.3× |
| CT Angio Head (70496) | $1,699 | $3,398 | 8.2× |
| CT angio hrt w/3d image (75574) | $2,515 | $5,030 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $327 | $654 | 1.6× |
| CT Angio Neck (70498) | $3,085.50 | $6,171 | 14.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $287.50 | $575 | 1.4× |
| CT cervical spine w/ contrast (72126) | $1,414 | $2,828 | 3.4× |
| CT cervical spine w/o contrast (72125) | $1,517.50 | $3,035 | 12.3× |
| CT cervical spine w/wo cont (72127) | $1,937.50 | $3,875 | 9.4× |
| CT chest w contrast (71260) | $1,751.50 | $3,503 | 8.5× |
| CT chest w/wo contrast (71270) | $2,527.50 | $5,055 | 12.2× |
| CT head/brain with contrast (70460) | $1,543.50 | $3,087 | 7.4× |
| CT head/brain without and with contrast (70470) | $2,461.50 | $4,923 | 11.9× |
| CT iac w contrast (70481) | $1,711.50 | $3,423 | 8.3× |
| CT l-spine w&w/o contrast (72133) | $2,082.50 | $4,165 | 10.1× |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$1,431.50–$2,863 | $2,863–$5,726 | varies |
| CT lower extremity w/contrast material (73701) range across 18 matching MRF lines |
$1,726.50–$3,453 | $3,453–$6,906 | varies |
| CT lumbar spine w contrast (72132) | $2,222 | $4,444 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,225.50 | $2,451 | 9.9× |
| CT maxillofacial w contrast (70487) | $1,510.50 | $3,021 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,431.50 | $2,863 | 11.6× |
| CT neck tissue combo (70492) | $2,507 | $5,014 | 12.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,442.50 | $4,885 | 11.8× |
| CT orbits w/o contrast (70480) | $1,431.50 | $2,863 | 11.6× |
| CT pelvis w&w/o contrast (72194) | $2,111.50 | $4,223 | 10.2× |
| CT pelvis w/o contrast (72192) | $1,507.50 | $3,015 | 12.2× |
| CT scan of leg combo (73702) range across 18 matching MRF lines |
$2,067.50–$4,135 | $4,135–$8,270 | varies |
| CT scans face/jaw combo (70488) | $2,857.50 | $5,715 | 13.8× |
| CT soft tissue neck w contrast (70491) | $1,639 | $3,278 | 7.9× |
| CT soft tissue neck w/o contrast (70490) | $1,369 | $2,738 | 11.1× |
| CT thoracic spine w contrast (72129) | $1,696.50 | $3,393 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,499 | $2,998 | 12.1× |
| CT thoracic spine w/wo cont (72130) | $1,776.50 | $3,553 | 8.6× |
| CT thorax w/o contrast (71250) | $1,431.50 | $2,863 | 11.6× |
| CT upper ext wo (73200) range across 18 matching MRF lines |
$1,139.50–$2,279 | $2,279–$4,558 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 18 matching MRF lines |
$1,736–$3,472 | $3,472–$6,944 | varies |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$1,213–$2,426 | $2,426–$4,852 | varies |
| Cta Abdomen (74175) | $2,358 | $4,716 | 11.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $339.50 | $679 | 1.2× |
| Dilation ureters/urethra rs&i (74485) | $2,561 | $5,122 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $2,441 | $4,882 | 1.1× |
| Diskography lumbar (72295) | $2,441 | $4,882 | 1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $287 | $574 | 2.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $868.50 | $1,737 | 7.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $346 | $692 | 2.8× |
| Dxa Bone Density Axial (77080) | $802.50 | $1,605 | 6.5× |
| Echo exam of fetal heart (76825) | $1,160.50 | $2,321 | 1.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $390.50 | $781 | 1.4× |
| Esophageal Motility Study (78258) | $502.50 | $1,005 | 1.1× |
| Esophagram (74220) | $424 | $848 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $177.50 | $355 | 1.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,992 | $5,984 | 10.6× |
| Fluoroscopy up to 1 hr (76000) | $710.50 | $1,421 | 2.5× |
| Follow-Up Angiography (75898) | $3,934.50 | $7,869 | 1.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$424–$848 | $848–$1,696 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$291.50–$583 | $583–$1,166 | varies |
| Gastric emptying imaging study (78264) | $1,358 | $2,716 | 2.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,351.50 | $2,703 | 2.9× |
| Gastroesophageal Reflux Exam (78262) | $710 | $1,420 | 1.5× |
| Gated Heart Planar Single (78472) | $987 | $1,974 | 2.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$326.50–$653 | $653–$1,306 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,690 | $3,380 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,934.50 | $7,869 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,934.50 | $7,869 | 1.1× |
| Hepatobiliary System Imaging (78226) | $1,679.50 | $3,359 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $1,924 | $3,848 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $911.50 | $1,823 | 8.9× |
| Infusion Ivp (74410) | $289.50 | $579 | 1.4× |
| Joint Survey Single View (77077) | $161.50 | $323 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $978 | $1,956 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $707 | $1,414 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,848 | $3,696 | 3.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$405.50–$811 | $811–$1,622 | varies |
| Leveen/Shunt Patency Exam (78291) | $927.50 | $1,855 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,046.50 | $2,093 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,109 | $2,218 | 2.3× |
| Lymph System Imaging (78195) | $673 | $1,346 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,536 | $5,072 | 1.4× |
| Lymphangiography extremity only unilateral rs&i (75801) | $981 | $1,962 | 1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,934.50 | $7,869 | 1.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,934.50 | $7,869 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $2,040 | $4,080 | 7.2× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $3,122.50 | $6,245 | 15.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $2,461 | $4,922 | 3.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $4,993 | $9,986 | 24.1× |
| Magnetic Resonance Elastography (76391) | $363 | $726 | 1.3× |
| Meckels Divert Exam (78290) | $1,837.50 | $3,675 | 3.9× |
| Mlc imrt design & construction per imrt plan (77338) | $1,752.50 | $3,505 | 4.0× |
| Mr safety determination physician/other qhp (76016) | $116.50 | $233 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $33 | $66 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $173.50 | $347 | 1.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $370.50 | $741 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,903.50 | $3,807 | 4.6× |
| MRA head w/o contrast (70544) | $1,417 | $2,834 | 5.0× |
| MRA head with contrast (70545) | $1,193 | $2,386 | 2.9× |
| MRA neck w contrast (70548) | $1,131 | $2,262 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,483.50 | $2,967 | 3.6× |
| MRA neck w/o contrast (70547) | $1,181 | $2,362 | 4.2× |
| MRI abdomen w contrast (74182) | $2,246.50 | $4,493 | 5.5× |
| MRI abdomen w/o contrast (74181) | $2,032.50 | $4,065 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 16 matching MRF lines |
$2,682–$5,364 | $5,364–$10,728 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$3,320–$6,640 | $6,640–$13,280 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 15 matching MRF lines |
$2,125–$4,250 | $4,250–$8,500 | varies |
| MRI bone marrow blood supply (77084) | $2,154 | $4,308 | 7.6× |
| MRI brain functional w/o physician admnistration (70554) | $3,174 | $6,348 | 11.3× |
| MRI brain functional w/physician admnistration (70555) | $2,565 | $5,130 | 9.1× |
| MRI cardiac w/o cont stress (75559) | $1,987 | $3,974 | 3.1× |
| MRI cardiac w/o contrast (75557) | $2,381.50 | $4,763 | 8.4× |
| MRI cervical spine w contrast (72142) | $2,029 | $4,058 | 4.9× |
| MRI cervical spine w/o cont (72141) | $2,030 | $4,060 | 7.2× |
| MRI chest w/o contrast (71550) | $2,183.50 | $4,367 | 7.7× |
| MRI chest with contrast (71551) | $988 | $1,976 | 1.1× |
| MRI chest wo w contrast (71552) | $2,448 | $4,896 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$3,722.50–$7,445 | $7,445–$14,890 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$2,151–$4,302 | $4,302–$8,604 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$2,156.50–$4,313 | $4,313–$8,626 | varies |
| MRI lumbar spine w contrast (72149) | $2,029 | $4,058 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,936 | $7,872 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,003.50 | $4,007 | 7.1× |
| MRI orbit face neck w contrast (70542) | $2,668 | $5,336 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,635 | $7,270 | 8.8× |
| MRI pelvis w contrast (72196) | $2,027.50 | $4,055 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $2,828 | $5,656 | 6.9× |
| MRI pelvis w/o contrast (72195) | $2,166.50 | $4,333 | 7.7× |
| MRI spectroscopy (76390) | $2,117 | $4,234 | 20.6× |
| MRI thoracic spine w/o contrast (72146) | $1,953 | $3,906 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$2,058–$4,116 | $4,116–$8,232 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$2,173.50–$4,347 | $4,347–$8,694 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$2,448–$4,896 | $4,896–$9,792 | varies |
| MRI, abdomen, combo (74183) | $2,828 | $5,656 | 6.9× |
| MRI, dorsal spine combo (72157) | $3,549 | $7,098 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,029 | $4,058 | 4.9× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,183.50–$4,367 | $4,367–$8,734 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$2,300.50–$4,601 | $4,601–$9,202 | varies |
| MRI, lumbar spine combo (72158) | $3,211 | $6,422 | 7.8× |
| Myelogram cervical (72240) | $988 | $1,976 | 1.1× |
| Myelogram Lumbar (72265) | $988 | $1,976 | 1.1× |
| Myelography thoracic (72255) | $988 | $1,976 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $988 | $1,976 | 1.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,369 | $2,738 | 1.3× |
| Neck soft tissue (70360) | $285.50 | $571 | 2.8× |
| Nm csf leak detection (78650) | $1,924 | $3,848 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,211 | $10,422 | 3.2× |
| Nuclear Rx Intra-Arterial (79445) | $373.50 | $747 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $1,507.50 | $3,015 | 5.5× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $329.50 | $659 | 2.7× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $161.50 | $323 | 1.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $262.50 | $525 | 1.7× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $110.50 | $221 | 1.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $396 | $792 | 3.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $42 | $84 | 1.2× |
| Ophthalmic us dx quantitative a-scan only (76511) | $161.50 | $323 | 1.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $924 | $1,848 | 1.4× |
| Parathyroid Planar Imaging (78070) | $713 | $1,426 | 1.5× |
| Pelvis 1 or 2 views (72170) | $289 | $578 | 2.3× |
| Perineogram (74775) | $363 | $726 | 1.3× |
| Peritoneogram Rs&I (74190) | $685.50 | $1,371 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $3,678.50 | $7,357 | 2.2× |
| PET image w/CT, full body (78816) | $6,181 | $12,362 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,007.50 | $10,015 | 3.0× |
| Proton trmt simple w/comp (77522) | $5,510.50 | $11,021 | 3.7× |
| Proton tx delivery complex (77525) | $7,613.50 | $15,227 | 5.2× |
| Proton tx delivery intermediate (77523) | $5,510.50 | $11,021 | 3.7× |
| Proton tx delivery simple w/o compensation (77520) | $2,308 | $4,616 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,934.50 | $7,869 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,156 | $2,312 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $314 | $628 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $749.50 | $1,499 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$353–$706 | $706–$1,412 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$316–$632 | $632–$1,264 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$329.50–$659 | $659–$1,318 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $530 | $1,060 | 4.3× |
| Radex fingr minimum 2 views (73140) | $254 | $508 | 2.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$330.50–$661 | $661–$1,322 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$320–$640 | $640–$1,280 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$326.50–$653 | $653–$1,306 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $249.50 | $499 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $335 | $670 | 3.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $295.50 | $591 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $290.50 | $581 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$347.50–$695 | $695–$1,390 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $399 | $798 | 3.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $553 | $1,106 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $285 | $570 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $257.50 | $515 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $255 | $510 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $282.50 | $565 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$324.50–$649 | $649–$1,298 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$335.50–$671 | $671–$1,342 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $797.50 | $1,595 | 6.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,051.50 | $22,103 | 1.3× |
| Radiation treatment delivery level 1 (77402) | $298 | $596 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $389.50 | $779 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $460 | $920 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $797.50 | $1,595 | 6.5× |
| Radiologic exam colon double contrast study (74280) | $1,252.50 | $2,505 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $719 | $1,438 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $295 | $590 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$424.50–$849 | $849–$1,698 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $315 | $630 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $364 | $728 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $745 | $1,490 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $481.50 | $963 | 2.3× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$349.50–$699 | $699–$1,398 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$393.50–$787 | $787–$1,574 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$292.50–$585 | $585–$1,170 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $251 | $502 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$382–$764 | $764–$1,528 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $685.50 | $1,371 | 1.1× |
| Renal Cyst Study (74470) | $685.50 | $1,371 | 1.1× |
| Ribs bilateral 3 views (71110) | $369 | $738 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $590.50 | $1,181 | 1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $676.50 | $1,353 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,165.50 | $6,331 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,564.50 | $7,129 | 5.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,038 | $4,076 | 3.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,823.50 | $3,647 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,858 | $3,716 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $1,497 | $2,994 | 5.4× |
| Salivary Gland Imaging (78230) | $502.50 | $1,005 | 1.1× |
| Scapula (73010) range across 3 matching MRF lines |
$314.50–$629 | $629–$1,258 | varies |
| Sella turcica (70240) | $136.50 | $273 | 1.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$261.50–$523 | $523–$1,046 | varies |
| Shoulder Arthrography (73040) | $595 | $1,190 | 1.4× |
| Sialogram (70390) | $363 | $726 | 1.3× |
| Skull less than 4 views (70250) | $336 | $672 | 2.7× |
| Special dosimetry (77331) | $1,032.50 | $2,065 | 6.5× |
| Special Physics Consult (77370) | $1,246 | $2,492 | 7.8× |
| Special teletherapy port plan (77321) | $920 | $1,840 | 2.1× |
| Special treatment procedure (77470) | $1,445.50 | $2,891 | 2.2× |
| Speech evaluation, complex (70371) | $624.50 | $1,249 | 2.2× |
| Spleen Imaging (78185) | $859 | $1,718 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,843 | $9,686 | 2.3× |
| Sternoclavicular joints (71130) | $134 | $268 | 1.3× |
| Superior sagittal sinus venogram (75870) | $3,934.50 | $7,869 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,397 | $2,794 | 3.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,014 | $2,028 | 2.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $766.50 | $1,533 | 2.7× |
| Testicular Imaging W/Flow (78761) | $1,246.50 | $2,493 | 2.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,659.50 | $7,319 | 8.3× |
| Ther rad simulaj-aided field setting simple (77280) | $2,218.50 | $4,437 | 14.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $432.50 | $865 | 2.1× |
| Thoracic spine 2 views (72070) | $401 | $802 | 3.2× |
| Thoracic spine 3 views (72072) | $443 | $886 | 3.6× |
| Thyroid Met Imaging Body (78018) | $761.50 | $1,523 | 1.2× |
| Thyroid Uptake Measurement (78012) | $735 | $1,470 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $502.50 | $1,005 | 1.1× |
| Tx Devices Design & Construction Complex (77334) | $984.50 | $1,969 | 2.2× |
| Tx devices design & construction intermediate (77333) | $847 | $1,694 | 5.3× |
| Tx devices design & construction simple (77332) | $427.50 | $855 | 2.7× |
| Ultrasound Breast Limited (76642) | $596 | $1,192 | 5.8× |
| Ultrasound elastography first target lesion (76982) | $202.50 | $405 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $203.50 | $407 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $606.50 | $1,213 | 4.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $285 | $570 | 0.7× |
| Ultrasound, abdomen limited (76705) | $627 | $1,254 | 5.1× |
| Umbilical-artery Doppler (OB) (76820) | $324 | $648 | 2.6× |
| Unlisted magnetic resonance procedure (76498) | $1,470.50 | $2,941 | 14.3× |
| Upper gi w/o kub (74240) | $763 | $1,526 | 3.7× |
| Ureteral Reflux Study (78740) | $1,057 | $2,114 | 2.2× |
| Urethrocystogram voiding (74455) | $757.50 | $1,515 | 2.7× |
| Urethrocystography retrograde (74450) | $339.50 | $679 | 1.2× |
| Us breast unilateral complete (76641) | $640 | $1,280 | 5.2× |
| Us chest (76604) | $640 | $1,280 | 5.2× |
| Us complete joint (76881) | $616 | $1,232 | 5.0× |
| Us exam, pelvic, limited (76857) | $564.50 | $1,129 | 4.6× |
| Us head (76506) | $682 | $1,364 | 5.5× |
| Us kidney transplant (76776) | $403.50 | $807 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $631.50 | $1,263 | 5.1× |
| Us ob detailed single fetus (76811) | $694.50 | $1,389 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $622 | $1,244 | 5.0× |
| Us ob transvaginal (76817) | $557.50 | $1,115 | 4.5× |
| Us pelvic non ob complete (76856) | $658 | $1,316 | 5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $669.50 | $1,339 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $258 | $516 | 2.1× |
| Us retroperitoneal complete (76770) | $740.50 | $1,481 | 6.0× |
| Us retroperitoneal limited (76775) | $649.50 | $1,299 | 5.3× |
| Us scrotum and contents (76870) | $540.50 | $1,081 | 4.4× |
| Us spinal canal and contents (76800) | $666.50 | $1,333 | 5.4× |
| Us thyroid (76536) | $706 | $1,412 | 5.7× |
| Vein X-Ray Chest (75827) | $1,942 | $3,884 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,934.50 | $7,869 | 1.1× |
| Vein X-Ray Skull Epidural (75872) | $981 | $1,962 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $3,934.50 | $7,869 | 1.1× |
| Venogram Sinus/Jugular (75860) | $3,934.50 | $7,869 | 1.1× |
| Venography Adrenal Unilateral (75840) | $3,934.50 | $7,869 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,934.50 | $7,869 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,536 | $5,072 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,942 | $3,884 | 1.0× |
| Venography Orbital Rs&I (75880) | $981 | $1,962 | 1.3× |
| Venography Renal Bilateral (75833) | $3,934.50 | $7,869 | 1.1× |
| Venography Renal Unilateral (75831) | $3,934.50 | $7,869 | 1.1× |
| Venous sampling by catheter (75893) | $6,757.50 | $13,515 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $154.50 | $309 | 1.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$308–$616 | $616–$1,232 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$267–$534 | $534–$1,068 | varies |
| X-ray antegrade pyelogram tube (74425) | $856 | $1,712 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,934.50 | $7,869 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $407 | $814 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$295–$590 | $590–$1,180 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $547 | $1,094 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $609 | $1,218 | 4.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $833.50 | $1,667 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $291 | $582 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $348.50 | $697 | 3.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $723 | $1,446 | 5.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $437.50 | $875 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $576 | $1,152 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $724.50 | $1,449 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $358.50 | $717 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $161.50 | $323 | 1.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $402.50 | $805 | 3.3× |
| X-ray eye for foreign body (70030) | $397 | $794 | 3.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$303.50–$607 | $607–$1,214 | varies |
| X-ray IV pyelogram (ivp) (74400) | $392.50 | $785 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $276 | $552 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $364 | $728 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $256 | $512 | 2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $633.50 | $1,267 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $201 | $402 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $198.50 | $397 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $324 | $648 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $445 | $890 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $435 | $870 | 3.5× |
| X-ray thoracic spine 4 vw (72074) | $457 | $914 | 3.7× |
| X-Ray Tmj Unilat (70328) | $206.50 | $413 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $543 | $1,086 | 1.3× |
| X-Rays Bone Length Studies (77073) | $466 | $932 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $1,267 | $2,534 | 10.3× |
| Xr c-spine 4 or 5 views (72050) | $457 | $914 | 3.7× |
| Xr facial bones less than 3 views (70140) | $521 | $1,042 | 5.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $161.50 | $323 | 1.3× |
| Xr myelogram posterior fossa (70010) | $652 | $1,304 | 1.6× |
| Xr orbits complete 4 views (70200) | $452.50 | $905 | 3.7× |
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.