Imaging prices at City of Hope Cancer Center Phoenix
Goodyear, AZ · every code in this section with a posted price and a Medicare benchmark.
323 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) | $6,030.90 | $13,402 | 4.1× |
| Abdomen 1 View (74018) | $217.35 | $483 | 2.3× |
| Abdomen 2 views (74019) | $324.45 | $721 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,675.80 | $3,724 | 3.9× |
| Angio internal mammary (75756) | $1,505.25 | $3,345 | 0.4× |
| Angio pulmonary bilat (75743) | $4,343.40 | $9,652 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $2,893.95 | $6,431 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $1,668.60 | $3,708 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,685.60 | $5,968 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,365.30 | $3,034 | 0.4× |
| Ankle 2 views (73600) | $106.65 | $237 | 1.1× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,877.30 | $6,394 | 0.5× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,687.05 | $3,749 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,102.85 | $4,673 | 0.4× |
| Artery X-Rays Spine (75705) | $3,028.95 | $6,731 | 0.5× |
| Arthrogram hip (73525) | $703.35 | $1,563 | 1.9× |
| Arthrogram Wrist (73115) | $551.70 | $1,226 | 1.5× |
| Basic radiation dosimetry calculation (77300) | $550.35 | $1,223 | 3.8× |
| Bone Imaging 3 Phase (78315) | $1,394.55 | $3,099 | 3.3× |
| Bone Imaging Limited Area (78300) | $739.35 | $1,643 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,688.40 | $3,752 | 4.0× |
| Brachytx isodose complex (77318) | $2,510.55 | $5,579 | 6.3× |
| Brachytx isodose intermed (77317) | $1,598.40 | $3,552 | 4.0× |
| Brachytx Isodose Plan Simple (77316) | $1,100.70 | $2,446 | 2.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $966.15 | $2,147 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $823.50 | $1,830 | 8.9× |
| Chest 1 view (71045) | $258.30 | $574 | 2.8× |
| Chest 2 views (71046) | $282.60 | $628 | 3.0× |
| Chest 3 views (71047) | $300.60 | $668 | 3.2× |
| Chest 4 or more views (71048) | $368.55 | $819 | 3.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$315.45–$473.40 | $701–$1,052 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $774.90 | $1,722 | 6.9× |
| Continuing medical physics consltj pr wk (77336) | $757.35 | $1,683 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,490.75 | $5,535 | 0.7× |
| Contrast X-Ray Bladder (74430) | $291.15 | $647 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,857.65 | $13,017 | 15.7× |
| CT abdomen and pelvis without contrast (74176) | $3,484.35 | $7,743 | 13.7× |
| CT abdomen w contrast (74160) | $1,837.35 | $4,083 | 9.8× |
| CT abdomen w wo contrast (74170) | $2,009.25 | $4,465 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,782.90 | $3,962 | 16.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,398.30 | $9,774 | 11.8× |
| CT Angio Chest (71275) | $1,109.70 | $2,466 | 5.9× |
| CT Angio Head (70496) | $1,000.35 | $2,223 | 5.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,214.45 | $4,921 | 11.8× |
| CT Angio Neck (70498) | $1,032.30 | $2,294 | 5.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $588.60 | $1,308 | 3.1× |
| CT bone density (77078) | $679.05 | $1,509 | 7.3× |
| CT cervical spine w/ contrast (72126) | $2,070 | $4,600 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,748.70 | $3,886 | 15.7× |
| CT cervical spine w/wo cont (72127) | $2,277.90 | $5,062 | 12.2× |
| CT chest w contrast (71260) | $2,034.45 | $4,521 | 10.9× |
| CT chest w/wo contrast (71270) | $2,169.90 | $4,822 | 11.6× |
| CT head/brain with contrast (70460) | $1,928.25 | $4,285 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,096.10 | $4,658 | 11.2× |
| CT iac w contrast (70481) | $1,431.90 | $3,182 | 7.7× |
| CT l-spine w&w/o contrast (72133) | $1,939.95 | $4,311 | 10.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,242.45–$1,863.90 | $2,761–$4,142 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,246.95–$1,870.20 | $2,771–$4,156 | varies |
| CT lumbar spine w contrast (72132) | $1,154.70 | $2,566 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $1,050.30 | $2,334 | 9.4× |
| CT maxillofacial w contrast (70487) | $864 | $1,920 | 4.6× |
| CT maxillofacial wo contrast (70486) | $746.55 | $1,659 | 6.7× |
| CT neck tissue combo (70492) | $2,169.45 | $4,821 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,791 | $3,980 | 9.6× |
| CT orbits w/o contrast (70480) | $1,252.80 | $2,784 | 11.2× |
| CT pelvis w&w/o contrast (72194) | $2,192.85 | $4,873 | 11.7× |
| CT pelvis w/o contrast (72192) | $1,543.50 | $3,430 | 13.8× |
| CT scan of leg combo (73702) | $1,406.25 | $3,125 | 7.5× |
| CT scans face/jaw combo (70488) | $1,659.60 | $3,688 | 8.9× |
| CT soft tissue neck w contrast (70491) | $1,916.10 | $4,258 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,185.30 | $2,634 | 10.6× |
| CT thoracic spine w contrast (72129) | $1,507.05 | $3,349 | 8.1× |
| CT thoracic spine w/o contrast (72128) | $1,675.80 | $3,724 | 15.0× |
| CT thoracic spine w/wo cont (72130) | $1,612.35 | $3,583 | 8.6× |
| CT thorax w/o contrast (71250) | $822.60 | $1,828 | 7.4× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,089–$2,434.05 | $2,420–$5,409 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,575.90 | $3,502 | 8.4× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,778.85–$2,667.60 | $3,953–$5,928 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,552.95 | $3,451 | 8.3× |
| Cta Abdomen (74175) | $1,076.85 | $2,393 | 5.8× |
| CTA pelvis (72191) | $1,602 | $3,560 | 8.6× |
| Dilation ureters/urethra rs&i (74485) | $2,857.95 | $6,351 | 1.3× |
| Dxa Bone Density Axial (77080) | $445.05 | $989 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $92.70 | $206 | 1.0× |
| Echo exam uterus (76831) | $418.50 | $930 | 1.6× |
| Echograp Trans R Pros Study (76873) | $389.70 | $866 | 3.5× |
| Esophagram (74220) | $458.55 | $1,019 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $452.25 | $1,005 | 1.8× |
| Follow-Up Angiography (75898) | $1,395 | $3,100 | 0.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$104.40–$156.60 | $232–$348 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$327.60–$491.40 | $728–$1,092 | varies |
| Gastric emptying imaging study (78264) | $760.50 | $1,690 | 1.8× |
| Gated Heart Planar Single (78472) | $864.90 | $1,922 | 2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,200.75 | $9,335 | 5.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,185.10 | $7,078 | 4.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,488.05 | $5,529 | 3.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,398.30 | $9,774 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,313.25 | $9,585 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,266.75 | $2,815 | 2.2× |
| Hepatobiliary System Imaging (78226) | $901.35 | $2,003 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $1,830.15 | $4,067 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $3,109.50 | $6,910 | 2.3× |
| Hyperthermia external generated superficial (77600) | $2,325.60 | $5,168 | 5.7× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $3,042.45 | $6,761 | 5.2× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $2,944.80 | $6,544 | 5.0× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $2,789.10 | $6,198 | 3.8× |
| Interstitial radiation source applic complex (77778) | $7,707.15 | $17,127 | 10.4× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $14,179.95 | $31,511 | 1.8× |
| Intraop radiaj tx deliver xray single tx session (77424) likely a partial charge, not the full procedure |
$568.35 | $1,263 | 0.1× |
| K Flow/Funct Image W/Drug (78708) | $1,709.55 | $3,799 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,239.30 | $2,754 | 2.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$265.95–$399.15 | $591–$887 | varies |
| Leveen/Shunt Patency Exam (78291) | $675 | $1,500 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,333.35 | $2,963 | 3.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $670.50 | $1,490 | 1.6× |
| Liver imaging static only (78201) | $2,954.25 | $6,565 | 5.1× |
| Liver imaging w/vascular flow (78202) | $709.65 | $1,577 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $1,777.50 | $3,950 | 3.1× |
| Lung perfusion differential (78597) | $1,503.90 | $3,342 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $748.80 | $1,664 | 1.3× |
| Lung Ventilation Imaging (78579) | $792.90 | $1,762 | 1.9× |
| Lymph System Imaging (78195) | $861.75 | $1,915 | 1.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,598.10 | $10,218 | 1.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,089.80 | $4,644 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $2,024.55 | $4,499 | 8.0× |
| Meckels Divert Exam (78290) | $971.55 | $2,159 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,917.90 | $4,262 | 4.8× |
| Mr safety determination physician/other qhp (76016) | $122.85 | $273 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34.20 | $76 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $128.25 | $285 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $82.80 | $184 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $337.50 | $750 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,847.15 | $6,327 | 7.6× |
| MRA head w/o contrast (70544) | $1,037.70 | $2,306 | 4.1× |
| MRA head with contrast (70545) | $1,208.25 | $2,685 | 3.2× |
| MRA neck w contrast (70548) | $1,885.95 | $4,191 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,664.10 | $3,698 | 4.5× |
| MRA neck w/o contrast (70547) | $1,611.90 | $3,582 | 6.3× |
| MRI abdomen w contrast (74182) | $2,518.65 | $5,597 | 6.8× |
| MRI abdomen w/o contrast (74181) | $2,122.20 | $4,716 | 8.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,905.30 | $4,234 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,421.90–$3,632.85 | $5,382–$8,073 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,971–$2,956.95 | $4,380–$6,571 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $366.30 | $814 | 1.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $368.55 | $819 | 1.4× |
| MRI cervical spine w contrast (72142) | $2,172.15 | $4,827 | 5.8× |
| MRI cervical spine w/o cont (72141) | $1,399.50 | $3,110 | 5.5× |
| MRI chest w/o contrast (71550) | $1,638.45 | $3,641 | 6.4× |
| MRI chest with contrast (71551) | $2,677.95 | $5,951 | 3.2× |
| MRI chest wo w contrast (71552) | $2,814.75 | $6,255 | 7.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,162.70–$3,242.25 | $4,806–$7,205 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,554.65–$3,831.75 | $5,677–$8,515 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,667.15–$4,000.95 | $5,927–$8,891 | varies |
| MRI lumbar spine w contrast (72149) | $2,433.60 | $5,408 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,244.85 | $9,433 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,402.65 | $3,117 | 5.5× |
| MRI orbit face neck w contrast (70542) | $2,274.30 | $5,054 | 6.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,631.50 | $8,070 | 9.8× |
| MRI pelvis w contrast (72196) | $2,895.30 | $6,434 | 7.8× |
| MRI pelvis w/o & w contrast (72197) | $3,204.90 | $7,122 | 8.6× |
| MRI pelvis w/o contrast (72195) | $2,233.35 | $4,963 | 8.8× |
| MRI spectroscopy (76390) | $1,712.70 | $3,806 | 18.4× |
| MRI thoracic spine w/o contrast (72146) | $1,630.35 | $3,623 | 6.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,012.40 | $4,472 | 5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,622.25–$2,433.60 | $3,605–$5,408 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,600.65–$2,401.20 | $3,557–$5,336 | varies |
| MRI, abdomen, combo (74183) | $1,779.75 | $3,955 | 4.8× |
| MRI, dorsal spine combo (72157) | $3,113.10 | $6,918 | 8.4× |
| MRI, dorsal spine contrast (72147) | $1,863 | $4,140 | 5.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,124–$3,606.75 | $4,720–$8,015 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,124–$3,775.50 | $4,720–$8,390 | varies |
| MRI, lumbar spine combo (72158) | $4,241.70 | $9,426 | 11.4× |
| Myelogram cervical (72240) | $998.10 | $2,218 | 1.2× |
| Myelogram Lumbar (72265) | $1,012.05 | $2,249 | 1.2× |
| Myelography thoracic (72255) | $1,053.45 | $2,341 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,401.30 | $3,114 | 1.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,109.50 | $6,910 | 2.3× |
| Myocardial Spect Multiple Studies (78452) | $1,830.15 | $4,067 | 1.3× |
| Neck soft tissue (70360) | $151.65 | $337 | 1.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $338.40 | $752 | 0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,754.15 | $12,787 | 3.9× |
| Nuclear Rx Intra-Arterial (79445) | $453.15 | $1,007 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $1,012.50 | $2,250 | 4.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,089 | $2,420 | 1.9× |
| Parathyroid Planar Imaging (78070) | $1,505.25 | $3,345 | 3.5× |
| Pelvis 1 or 2 views (72170) | $140.40 | $312 | 1.3× |
| Perineogram (74775) | $338.85 | $753 | 1.3× |
| Pet Image Skull-Thigh (78812) | $3,304.80 | $7,344 | 2.2× |
| Pet Image W/Ct Lmtd (78814) | $3,632.85 | $8,073 | 2.4× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,149.90–$4,626.45 | $9,222–$10,281 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,117.05 | $9,149 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $987.30 | $2,194 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $625.95 | $1,391 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $543.15 | $1,207 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$225–$337.05 | $500–$749 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $174.60 | $388 | 1.9× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$353.25–$530.10 | $785–$1,178 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $140.40 | $312 | 1.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$129.15–$193.50 | $287–$430 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$214.65–$322.20 | $477–$716 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$215.55–$323.55 | $479–$719 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $114.30 | $254 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $260.10 | $578 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $290.25 | $645 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$240.75–$361.35 | $535–$803 | varies |
| Radex Spine 1 View Specify Level (72020) | $216.90 | $482 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $265.05 | $589 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $363.15 | $807 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$165.60–$249.30 | $368–$554 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$362.25–$543.60 | $805–$1,208 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,442.60 | $45,428 | 2.6× |
| Radiation treatment delivery level 1 (77402) | $483.75 | $1,075 | 4.4× |
| Radiation treatment delivery level 2 (77407) | $841.95 | $1,871 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $799.20 | $1,776 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $291.60 | $648 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $250.65 | $557 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $795.15 | $1,767 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $754.20 | $1,676 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $265.05 | $589 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$351.45–$527.40 | $781–$1,172 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $305.55 | $679 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $681.30 | $1,514 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $454.50 | $1,010 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $334.35 | $743 | 1.8× |
| Radiologic examination femur 1 view (73551) | $222.30 | $494 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$333.90–$501.30 | $742–$1,114 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$199.35–$299.70 | $443–$666 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$196.65–$295.20 | $437–$656 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,610 | $5,800 | 6.3× |
| Ribs bilateral 3 views (71110) | $517.95 | $1,151 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $872.10 | $1,938 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $960.30 | $2,134 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,011.05 | $4,469 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,431.45 | $3,181 | 2.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,279.70 | $5,066 | 3.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,939.50 | $4,310 | 1.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,898.10 | $4,218 | 1.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,095.30 | $2,434 | 4.4× |
| Rp Therapy Intravenous Administration (79101) | $432 | $960 | 1.7× |
| Scapula (73010) range across 3 matching MRF lines |
$338.40–$508.05 | $752–$1,129 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $38.70 | $86 | 1.7× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$529.20–$793.80 | $1,176–$1,764 | varies |
| Skull less than 4 views (70250) | $150.75 | $335 | 1.4× |
| Special dosimetry (77331) | $387.45 | $861 | 2.7× |
| Special Physics Consult (77370) | $667.80 | $1,484 | 4.7× |
| Special teletherapy port plan (77321) | $1,364.85 | $3,033 | 3.4× |
| Special treatment procedure (77470) | $3,361.05 | $7,469 | 5.7× |
| Spleen Imaging (78185) | $616.95 | $1,371 | 1.4× |
| Stereotactic Body Radiation Delivery (77373) | $16,412.40 | $36,472 | 8.6× |
| Sternoclavicular joints (71130) | $190.80 | $424 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,147.40 | $4,772 | 5.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,360.35 | $3,023 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,336.05 | $2,969 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,220.40 | $2,712 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,051.65 | $2,337 | 7.3× |
| Thoracic spine 2 views (72070) | $154.80 | $344 | 1.4× |
| Thoracic spine 3 views (72072) | $201.60 | $448 | 1.8× |
| Thoracolumbar 2 views (72080) | $223.20 | $496 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $370.35 | $823 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,671.75 | $3,715 | 2.9× |
| Thyroid Uptake Measurement (78012) | $218.25 | $485 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $763.20 | $1,696 | 1.8× |
| Tx Devices Design & Construction Complex (77334) | $1,210.95 | $2,691 | 3.0× |
| Tx devices design & construction intermediate (77333) | $642.60 | $1,428 | 4.5× |
| Tx devices design & construction simple (77332) | $371.25 | $825 | 2.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$210.60–$316.35 | $468–$703 | varies |
| Ultrasound elastography first target lesion (76982) | $143.55 | $319 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $517.50 | $1,150 | 4.6× |
| Ultrasound, abdomen limited (76705) | $517.50 | $1,150 | 4.6× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,645.55–$3,029.85 | $5,879–$6,733 | varies |
| Upper gi w/o kub (74240) | $634.95 | $1,411 | 3.4× |
| Urethrocystogram voiding (74455) | $480.15 | $1,067 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$331.65–$628.65 | $737–$1,397 | varies |
| Us chest (76604) | $401.85 | $893 | 3.6× |
| Us complete joint (76881) | $484.20 | $1,076 | 4.3× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$328.50–$443.25 | $730–$985 | varies |
| Us kidney transplant (76776) | $455.40 | $1,012 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $399.60 | $888 | 3.6× |
| Us ob transvaginal (76817) | $358.20 | $796 | 3.2× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$302.85–$441.45 | $673–$981 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $541.80 | $1,204 | 4.9× |
| Us retroperitoneal complete (76770) | $555.30 | $1,234 | 5.0× |
| Us retroperitoneal limited (76775) | $374.85 | $833 | 3.4× |
| Us scrotum and contents (76870) | $534.60 | $1,188 | 4.8× |
| Us thyroid (76536) | $247.05 | $549 | 2.2× |
| Us transrectal (76872) | $434.25 | $965 | 3.9× |
| Vein X-Ray Chest (75827) | $2,041.20 | $4,536 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $710.10 | $1,578 | 0.2× |
| Venogram Sinus/Jugular (75860) | $3,639.15 | $8,087 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $2,906.55 | $6,459 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,159.65 | $2,577 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $849.15 | $1,887 | 0.5× |
| Venography Renal Bilateral (75833) | $4,405.50 | $9,790 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $125.55 | $279 | 1.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$142.65–$285.30 | $317–$634 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $174.60 | $388 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $650.25 | $1,445 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) | $2,578.95 | $5,731 | 0.8× |
| X-Ray Exam Breast Specimen (76098) | $98.55 | $219 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $334.80 | $744 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$268.20–$294.75 | $596–$655 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $294.75 | $655 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $158.85 | $353 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $158.40 | $352 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $158.40 | $352 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $275.85 | $613 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $304.20 | $676 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $377.10 | $838 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $407.70 | $906 | 3.7× |
| X-ray eye for foreign body (70030) | $192.15 | $427 | 2.1× |
| X-ray humerus (73060) | $221.85 | $493 | 2.4× |
| X-ray IV pyelogram (ivp) (74400) | $716.85 | $1,593 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $139.95 | $311 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $400.05 | $889 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $344.25 | $765 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $207 | $460 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $301.05 | $669 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $423.45 | $941 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $173.70 | $386 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $511.65 | $1,137 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $781.65 | $1,737 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $365.40 | $812 | 3.3× |
| Xr orbits complete 4 views (70200) | $169.65 | $377 | 1.5× |
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.