Imaging prices at Chinese Hospital
San Francisco, CA · every code in this section with a posted price and a Medicare benchmark.
265 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) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Abdomen 2 views (74019) | $674 | $674 | 4.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,212 | $3,212 | 5.6× |
| Adrenal Cortex & Medulla Img (78075) | $7,363 | $7,363 | 3.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Bone age studies (77072) | $674 | $674 | 4.5× |
| Bone Imaging 3 Phase (78315) | $3,382 | $3,382 | 5.9× |
| Bone Imaging Limited Area (78300) | $3,382 | $3,382 | 5.9× |
| Bone Imaging Multiple Areas (78305) | $3,382 | $3,382 | 5.9× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,474–$3,382 | $1,474–$3,382 | varies |
| Brain Flow Imaging Only (78610) | $4,347 | $4,347 | 5.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,347 | $4,347 | 5.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $4,347 | $4,347 | 5.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$2,687–$3,538 | $2,687–$3,538 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,946 | $6,946 | 13.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $6,078 | $6,078 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $1,381 | $1,381 | 11.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$4,862–$5,026 | $4,862–$5,026 | varies |
| Chest 1 view (71045) | $624 | $624 | 5.0× |
| Chest 2 views (71046) | $624 | $624 | 5.0× |
| Chest 3 views (71047) | $624 | $624 | 5.0× |
| Chest 4 or more views (71048) | $674 | $674 | 4.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,008 | $3,008 | 19.9× |
| Contrast X-Ray Bladder (74430) | $2,312 | $2,312 | 4.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,276 | $1,276 | 5.0× |
| CT abdomen and pelvis without and with contrast (74178) | $8,063 | $8,063 | 16.0× |
| CT abdomen and pelvis without contrast (74176) | $5,465 | $5,465 | 15.8× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,611–$7,221 | $3,611–$7,221 | varies |
| CT abdomen w wo contrast (74170) | $4,450 | $4,450 | 17.5× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,734–$5,466 | $2,734–$5,466 | varies |
| CT Angio Abdomen and Pelvis (74174) | $8,697 | $8,697 | 17.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,348–$13,044 | $4,348–$13,044 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,478–$4,348 | $3,478–$4,348 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,348 | $4,348 | 17.1× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,478–$4,348 | $3,478–$4,348 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,348 | $4,348 | 17.1× |
| CT cervical spine w/ contrast (72126) | $3,611 | $3,611 | 7.2× |
| CT cervical spine w/o contrast (72125) | $2,734 | $2,734 | 18.1× |
| CT cervical spine w/wo cont (72127) | $4,300 | $4,300 | 17.0× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,208–$3,611 | $1,208–$3,611 | varies |
| CT chest w/wo contrast (71270) | $4,300 | $4,300 | 17.0× |
| CT head/brain with contrast (70460) | $3,611 | $3,611 | 14.2× |
| CT head/brain without and with contrast (70470) | $4,300 | $4,300 | 17.0× |
| CT iac w contrast (70481) | $3,611 | $3,611 | 14.2× |
| CT l-spine w&w/o contrast (72133) | $4,300 | $4,300 | 17.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,734–$4,374 | $2,734–$4,374 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,734–$5,075 | $2,734–$5,075 | varies |
| CT lumbar spine w contrast (72132) | $3,611 | $3,611 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,734 | $2,734 | 18.1× |
| CT maxillofacial w contrast (70487) | $3,611 | $3,611 | 14.2× |
| CT maxillofacial wo contrast (70486) | $2,734 | $2,734 | 18.1× |
| CT neck tissue combo (70492) | $4,300 | $4,300 | 17.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,300 | $4,300 | 17.0× |
| CT orbits w/o contrast (70480) | $2,734 | $2,734 | 18.1× |
| CT pelvis w&w/o contrast (72194) | $4,300 | $4,300 | 17.0× |
| CT pelvis w/o contrast (72192) | $2,734 | $2,734 | 18.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,734–$4,300 | $2,734–$4,300 | varies |
| CT scans face/jaw combo (70488) | $4,300 | $4,300 | 17.0× |
| CT soft tissue neck w contrast (70491) | $3,611 | $3,611 | 14.2× |
| CT soft tissue neck w/o contrast (70490) | $2,734 | $2,734 | 18.1× |
| CT thoracic spine w contrast (72129) | $3,611 | $3,611 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $2,734 | $2,734 | 18.1× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,555–$4,300 | $1,555–$4,300 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$674–$2,734 | $674–$2,734 | varies |
| CT upper ext wo (73200) | $2,734 | $2,734 | 18.1× |
| CT upper extremity w/o & w/contrast material (73202) | $4,300 | $4,300 | 17.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,734–$3,611 | $2,734–$3,611 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,348 | $4,348 | 17.1× |
| Cta Abdomen (74175) | $4,348 | $4,348 | 17.1× |
| CTA pelvis (72191) | $4,348 | $4,348 | 17.1× |
| Dxa Bone Density Axial (77080) | $1,031 | $1,031 | 6.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $540 | $540 | 4.3× |
| Echo exam uterus (76831) | $2,926 | $2,926 | 8.5× |
| Esophagram (74220) | $1,276 | $1,276 | 5.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,313 | $1,313 | 8.7× |
| Fluoroscopy up to 1 hr (76000) | $1,381 | $1,381 | 4.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Gastric emptying imaging study (78264) | $3,212 | $3,212 | 5.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$674–$1,248 | $674–$1,248 | varies |
| Heart first pass single,planar (78481) | $3,538 | $3,538 | 4.5× |
| Hepatobiliary System Imaging (78226) | $3,696 | $3,696 | 6.4× |
| Ht Musc Image Planar Mult (78454) | $7,363 | $7,363 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $7,363 | $7,363 | 3.9× |
| Hysterosalpingogram (74740) | $2,901 | $2,901 | 8.4× |
| Infusion Ivp (74410) | $2,152 | $2,152 | 8.5× |
| K Flow/Funct Image Multiple (78709) | $3,486 | $3,486 | 4.4× |
| K Flow/Funct Image W/Drug (78708) | $3,486 | $3,486 | 4.4× |
| K Flow/Funct Image W/O Drug (78707) | $3,179 | $3,179 | 4.0× |
| Kidney Imaging Morphol (78700) | $3,179 | $3,179 | 5.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,179 | $3,179 | 5.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,696 | $3,696 | 6.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,696 | $3,696 | 6.4× |
| Liver imaging static only (78201) | $7,363 | $7,363 | 9.4× |
| Liver imaging w/vascular flow (78202) | $7,363 | $7,363 | 9.4× |
| Lung Perf&Ventilat Diferentl (78598) | $2,785 | $2,785 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $4,557 | $4,557 | 5.8× |
| Lung Ventilation Imaging (78579) | $2,785 | $2,785 | 4.8× |
| Lymph System Imaging (78195) | $3,239 | $3,239 | 4.1× |
| Magnetic Image Jaw Joint (70336) | $6,946 | $6,946 | 20.1× |
| Mammary ductogram or galactogram multiple (77054) | $1,492 | $1,492 | 4.3× |
| Mammary ductogram or galactogram single (77053) | $1,492 | $1,492 | 4.3× |
| Meckels Divert Exam (78290) | $3,212 | $3,212 | 5.6× |
| Mra Head W/O & W/Contrast Material (70546) | $6,946 | $6,946 | 13.8× |
| MRA head w/o contrast (70544) | $5,209 | $5,209 | 15.1× |
| MRA head with contrast (70545) | $6,078 | $6,078 | 12.1× |
| MRA neck w contrast (70548) | $6,078 | $6,078 | 12.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,946 | $6,946 | 13.8× |
| MRA neck w/o contrast (70547) | $5,209 | $5,209 | 15.1× |
| MRI abdomen w contrast (74182) | $6,078 | $6,078 | 12.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,167–$5,209 | $4,167–$5,209 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$5,209–$10,419 | $5,209–$10,419 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$6,078–$12,155 | $6,078–$12,155 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$6,078–$12,155 | $6,078–$12,155 | varies |
| MRI bone marrow blood supply (77084) | $6,078 | $6,078 | 17.6× |
| MRI cardiac w/o cont stress (75559) | $7,815 | $7,815 | 9.9× |
| MRI cardiac w/o contrast (75557) | $5,209 | $5,209 | 15.1× |
| MRI cervical spine w contrast (72142) | $6,078 | $6,078 | 12.1× |
| MRI cervical spine w/o cont (72141) | $5,209 | $5,209 | 15.1× |
| MRI chest w/o contrast (71550) | $5,209 | $5,209 | 15.1× |
| MRI chest with contrast (71551) | $6,078 | $6,078 | 5.4× |
| MRI chest wo w contrast (71552) | $11,287 | $11,287 | 22.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$5,209–$10,419 | $5,209–$10,419 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$5,209–$13,892 | $5,209–$13,892 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$5,209–$10,419 | $5,209–$10,419 | varies |
| MRI lumbar spine w contrast (72149) | $6,078 | $6,078 | 12.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,946 | $6,946 | 13.8× |
| MRI orbit face &/neck w/o contrast (70540) | $6,946 | $6,946 | 20.1× |
| MRI orbit face neck w contrast (70542) | $6,078 | $6,078 | 12.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,946 | $6,946 | 13.8× |
| MRI pelvis w contrast (72196) | $6,078 | $6,078 | 12.1× |
| MRI pelvis w/o & w contrast (72197) | $6,946 | $6,946 | 13.8× |
| MRI pelvis w/o contrast (72195) | $5,209 | $5,209 | 15.1× |
| MRI thoracic spine w/o contrast (72146) | $5,209 | $5,209 | 15.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,312–$12,155 | $2,312–$12,155 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,381–$10,419 | $1,381–$10,419 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,312–$13,892 | $2,312–$13,892 | varies |
| MRI, abdomen, combo (74183) | $6,946 | $6,946 | 13.8× |
| MRI, dorsal spine combo (72157) | $6,946 | $6,946 | 13.8× |
| MRI, dorsal spine contrast (72147) | $6,078 | $6,078 | 12.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$5,209–$10,419 | $5,209–$10,419 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$6,946–$13,892 | $6,946–$13,892 | varies |
| MRI, lumbar spine combo (72158) | $6,946 | $6,946 | 13.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,538 | $3,538 | 6.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $7,363 | $7,363 | 3.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$5,123–$7,363 | $5,123–$7,363 | varies |
| Neck soft tissue (70360) | $624 | $624 | 5.0× |
| Nuclear Rx Oral Admin (79005) | $3,290 | $3,290 | 9.8× |
| Parathyroid Planar Imaging (78070) | $2,333 | $2,333 | 4.0× |
| Pelvis 1 or 2 views (72170) | $674 | $674 | 4.5× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $7,363 | $7,363 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,785 | $2,785 | 4.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,074 | $1,074 | 7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,980 | $2,980 | 3.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $624 | $624 | 5.0× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $674 | $674 | 4.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $624 | $624 | 5.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $674 | $674 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $624 | $624 | 5.0× |
| Radex Ribs Unilateral 2 Views (71100) | $624 | $624 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $624 | $624 | 5.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,961 | $1,961 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $624 | $624 | 5.0× |
| Radex Sternum Minimum 2 Views (71120) | $624 | $624 | 5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $624 | $624 | 5.0× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $674 | $674 | 4.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $674 | $674 | 4.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $674 | $674 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $674 | $674 | 4.5× |
| Radiologic exam colon double contrast study (74280) | $1,961 | $1,961 | 7.7× |
| Radiologic exam colon single contrast study (74270) | $1,276 | $1,276 | 5.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$674–$1,248 | $674–$1,248 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $674 | $674 | 4.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,276 | $1,276 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $1,276 | $1,276 | 5.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,276 | $1,276 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $624 | $624 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| Ribs bilateral 3 views (71110) | $674 | $674 | 4.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,486 | $3,486 | 6.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,486 | $3,486 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,363 | $7,363 | 9.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,486 | $3,486 | 4.4× |
| Scapula (73010) range across 2 matching MRF lines |
$674–$1,248 | $674–$1,248 | varies |
| Sella turcica (70240) | $624 | $624 | 5.0× |
| Shoulder 1 view (73020) | $624 | $624 | 5.0× |
| Shoulder Arthrography (73040) | $2,938 | $2,938 | 5.8× |
| Testicular Imaging W/Flow (78761) | $3,086 | $3,086 | 5.3× |
| Thoracic spine 2 views (72070) | $674 | $674 | 4.5× |
| Thoracic spine 3 views (72072) | $674 | $674 | 4.5× |
| Thoracolumbar 2 views (72080) | $624 | $624 | 5.0× |
| Thyroid Met Imaging Body (78018) | $7,684 | $7,684 | 9.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,117–$2,336 | $2,117–$2,336 | varies |
| Ultrasound Exam Aaa Screen (76706) | $674 | $674 | 4.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,313–$1,659 | $1,313–$1,659 | varies |
| Unlisted magnetic resonance procedure (76498) | $6,946 | $6,946 | 55.2× |
| Unlisted us procedure (76999) | $1,313 | $1,313 | 10.4× |
| Upper gi w/o kub (74240) | $1,276 | $1,276 | 5.0× |
| Urethrocystogram voiding (74455) | $2,152 | $2,152 | 6.2× |
| Urethrocystography retrograde (74450) | $2,152 | $2,152 | 6.2× |
| Us breast unilateral complete (76641) | $847 | $847 | 5.6× |
| Us chest (76604) range across 2 matching MRF lines |
$1,243–$1,313 | $1,243–$1,313 | varies |
| Us complete joint (76881) | $1,313 | $1,313 | 8.7× |
| Us exam, pelvic, limited (76857) | $847 | $847 | 5.6× |
| Us head (76506) | $674 | $674 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$674–$847 | $674–$847 | varies |
| Us ob detailed single fetus (76811) | $2,152 | $2,152 | 6.2× |
| Us ob limited 1 or more fetuses (76815) | $847 | $847 | 5.6× |
| Us ob transvaginal (76817) | $1,345 | $1,345 | 8.9× |
| Us pelvic non ob complete (76856) | $1,313 | $1,313 | 8.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,281 | $1,281 | 8.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $847 | $847 | 5.6× |
| Us retroperitoneal complete (76770) | $1,313 | $1,313 | 8.7× |
| Us retroperitoneal limited (76775) | $1,313 | $1,313 | 8.7× |
| Us scrotum and contents (76870) | $1,313 | $1,313 | 8.7× |
| Us thyroid (76536) | $1,313 | $1,313 | 8.7× |
| Venography extremity unilateral rs&i (75820) | $5,306 | $5,306 | 2.3× |
| Venous thrombosis imaging (78457) | $7,363 | $7,363 | 9.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$260–$1,248 | $260–$1,248 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $624 | $624 | 5.0× |
| X-ray antegrade pyelogram tube (74425) | $2,312 | $2,312 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| X-Ray Exam Breast Specimen (76098) | $2,980 | $2,980 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $674 | $674 | 4.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $624 | $624 | 5.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $624 | $624 | 5.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,074 | $1,074 | 7.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,248 | $1,248 | 8.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $674 | $674 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,074 | $1,074 | 7.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $624 | $624 | 5.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,074 | $1,074 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $674 | $674 | 4.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$624–$1,248 | $624–$1,248 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,152 | $2,152 | 8.5× |
| X-ray IV pyelogram+tomography (74415) | $2,152 | $2,152 | 8.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $624 | $624 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $624 | $624 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $674 | $674 | 4.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,074 | $1,074 | 7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $674 | $674 | 4.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $674 | $674 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$499–$624 | $499–$624 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $624 | $624 | 5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,074 | $1,074 | 7.1× |
| X-ray thoracic spine 4 vw (72074) | $674 | $674 | 4.5× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$374–$624 | $374–$624 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,312 | $2,312 | 4.6× |
| X-Rays Bone Length Studies (77073) | $1,074 | $1,074 | 7.1× |
| X-Rays Bone Survey Complete (77075) | $1,074 | $1,074 | 7.1× |
| Xr c-spine 4 or 5 views (72050) | $1,074 | $1,074 | 7.1× |
| Xr facial bones less than 3 views (70140) | $624 | $624 | 5.0× |
| Xr orbits complete 4 views (70200) | $674 | $674 | 4.5× |
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.