Imaging prices at City of Hope Helford Clinical Research Hospital
Duarte, CA · every code in this section with a posted price and a Medicare benchmark.
342 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) range across 9 matching MRF lines |
$7,814–$12,875 | $15,628–$25,750 | varies |
| Abdomen 1 View (74018) | $280.50 | $561 | 2.5× |
| Abdomen 2 views (74019) | $411 | $822 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,207 | $4,414 | 4.3× |
| Angio internal mammary (75756) | $4,150 | $8,300 | 1.0× |
| Angio pulmonary bilat (75743) | $3,201 | $6,402 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $5,710 | $11,420 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $4,057.50 | $8,115 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,929.50 | $5,859 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,000 | $6,000 | 0.7× |
| Ankle 2 views (73600) | $324.50 | $649 | 2.9× |
| Aortography thoracic serialography rs&i (75605) | $5,874 | $11,748 | 0.8× |
| Artery X-Rays Abdomen (75726) | $7,553 | $15,106 | 1.1× |
| Artery X-Rays Adrenal Gland (75731) | $3,679.50 | $7,359 | 0.9× |
| Artery X-Rays Pelvis (75736) | $4,286 | $8,572 | 0.6× |
| Artery X-Rays Spine (75705) | $7,599 | $15,198 | 1.1× |
| Arthrogram hip (73525) | $1,023.50 | $2,047 | 2.3× |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$1,352.50–$1,394 | $2,705–$2,788 | varies |
| Bone age studies (77072) | $331.50 | $663 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,474.50 | $4,949 | 4.8× |
| Bone Imaging Limited Area (78300) | $1,562 | $3,124 | 3.0× |
| Bone Imaging Whole Body (78306) | $2,044 | $4,088 | 4.0× |
| Bone marrow imaging; whole body (78104) | $953 | $1,906 | 1.9× |
| Brachytx isodose complex (77318) | $3,222 | $6,444 | 6.7× |
| Brachytx isodose intermed (77317) | $2,933.50 | $5,867 | 6.1× |
| Brachytx Isodose Plan Simple (77316) | $2,916.50 | $5,833 | 6.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,241.50 | $2,483 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,693 | $5,386 | 6.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $6,051.50 | $12,103 | 6.0× |
| Cat Scan Follow-Up Study (76380) | $1,390.50 | $2,781 | 12.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $782.50 | $1,565 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $2,367.50 | $4,735 | 3.4× |
| Chest 1 view (71045) | $393.50 | $787 | 3.5× |
| Chest 2 views (71046) | $448.50 | $897 | 4.0× |
| Chest 3 views (71047) | $542.50 | $1,085 | 4.8× |
| Chest 4 or more views (71048) | $643 | $1,286 | 4.8× |
| Cisternography Positive Contrast Rs&I (70015) | $928.50 | $1,857 | 0.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$406.50–$610 | $813–$1,220 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $357 | $714 | 2.7× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$783.50–$871 | $1,567–$1,742 | varies |
| Contrast Exam Abdominl Aorta (75625) | $3,641.50 | $7,283 | 0.9× |
| Contrast X-Ray Bladder (74430) | $897.50 | $1,795 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $4,465 | $8,930 | 10.0× |
| CT abdomen and pelvis without contrast (74176) | $3,366 | $6,732 | 11.0× |
| CT abdomen w contrast (74160) | $2,428.50 | $4,857 | 10.8× |
| CT abdomen w wo contrast (74170) | $2,626.50 | $5,253 | 11.6× |
| CT abdomen w/o contrast (74150) | $1,912.50 | $3,825 | 14.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,936 | $7,872 | 8.8× |
| CT Angio Chest (71275) | $2,790 | $5,580 | 12.4× |
| CT Angio Head (70496) | $2,800.50 | $5,601 | 12.4× |
| CT angio hrt w/3d image (75574) | $3,015 | $6,030 | 6.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,895 | $3,790 | 8.4× |
| CT Angio Neck (70498) | $2,830.50 | $5,661 | 12.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,899 | $3,798 | 8.4× |
| CT cervical spine w/ contrast (72126) | $3,213.50 | $6,427 | 7.2× |
| CT cervical spine w/o contrast (72125) | $2,408 | $4,816 | 17.9× |
| CT cervical spine w/wo cont (72127) | $3,446 | $6,892 | 15.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,178–$2,537 | $4,356–$5,074 | varies |
| CT chest w/wo contrast (71270) | $3,122 | $6,244 | 13.8× |
| CT colonography screening (74263) | $2,368 | $4,736 | 7.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,613.50 | $5,227 | 11.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,010.28 | $6,020.55 | 22.4× |
| CT head/brain with contrast (70460) | $1,963 | $3,926 | 8.7× |
| CT head/brain without and with contrast (70470) | $2,500 | $5,000 | 11.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $688 | $1,376 | 6.1× |
| CT iac w contrast (70481) | $2,524.50 | $5,049 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $3,016.50 | $6,033 | 13.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,839–$2,757.50 | $3,678–$5,515 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,064–$3,096 | $4,128–$6,192 | varies |
| CT lumbar spine w contrast (72132) | $2,437 | $4,874 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $2,148 | $4,296 | 16.0× |
| CT maxillofacial w contrast (70487) | $2,005 | $4,010 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,747.50 | $3,495 | 13.0× |
| CT neck tissue combo (70492) | $1,965.50 | $3,931 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,889.50 | $5,779 | 12.8× |
| CT orbits w/o contrast (70480) | $1,839 | $3,678 | 13.7× |
| CT pelvis w&w/o contrast (72194) | $2,180.50 | $4,361 | 9.7× |
| CT pelvis w/o contrast (72192) | $2,182 | $4,364 | 16.2× |
| CT scan of leg combo (73702) | $3,531 | $7,062 | 15.7× |
| CT scans face/jaw combo (70488) | $1,859.50 | $3,719 | 8.2× |
| CT soft tissue neck w contrast (70491) | $2,041 | $4,082 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $2,122.50 | $4,245 | 15.8× |
| CT thoracic spine w contrast (72129) | $2,486.50 | $4,973 | 11.0× |
| CT thoracic spine w/o contrast (72128) | $2,377 | $4,754 | 17.7× |
| CT thoracic spine w/wo cont (72130) | $3,171 | $6,342 | 14.1× |
| CT thorax w/o contrast (71250) | $1,964 | $3,928 | 14.6× |
| CT unlisted procedure (76497) | $1,891.50 | $3,783 | 16.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,842.50–$2,764 | $3,685–$5,528 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,486.50 | $4,973 | 11.0× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,408–$3,612 | $4,816–$7,224 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,454 | $4,908 | 10.9× |
| Cta Abdomen (74175) | $2,937.50 | $5,875 | 13.0× |
| CTA pelvis (72191) | $1,775.50 | $3,551 | 7.9× |
| Dxa Bone Density Axial (77080) | $432.50 | $865 | 3.2× |
| Dxa bone density study (77085) | $472.50 | $945 | 3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $388 | $776 | 3.5× |
| Echo Guide For Artery Repair (76936) | $853 | $1,706 | 3.1× |
| Echograp Trans R Pros Study (76873) | $833 | $1,666 | 6.2× |
| Esophagram (74220) | $588 | $1,176 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $705 | $1,410 | 2.3× |
| Follow-Up Angiography (75898) | $1,937.50 | $3,875 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$362–$543 | $724–$1,086 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$329–$493.50 | $658–$987 | varies |
| Gastric emptying imaging study (78264) | $2,307 | $4,614 | 4.5× |
| Gated Heart Planar Single (78472) | $1,792.50 | $3,585 | 3.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $6,331 | $12,662 | 7.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$6,461–$6,655 | $12,922–$13,310 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$4,424.50–$5,517.50 | $8,849–$11,035 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,059 | $12,118 | 1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $397 | $794 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,350 | $4,700 | 3.4× |
| Hepatobiliary System Imaging (78226) | $2,302.50 | $4,605 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $3,734 | $7,468 | 2.2× |
| Image fusion (77399) | $3,090 | $6,180 | 17.9× |
| Interstitial radiation source applic complex (77778) | $3,133.50 | $6,267 | 3.5× |
| Intracavitary radiation source applic simple (77761) | $1,386 | $2,772 | 2.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $15,240.50 | $30,481 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $3,500 | $7,000 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $3,295 | $6,590 | 4.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$379–$585.50 | $758–$1,171 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,553.50 | $5,107 | 5.0× |
| Leveen/Shunt Patency Exam (78291) | $1,835 | $3,670 | 3.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,343.50 | $2,687 | 2.6× |
| Liver imaging static only (78201) | $2,706.50 | $5,413 | 3.9× |
| Liver imaging w/vascular flow (78202) | $1,250 | $2,500 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $3,492 | $6,984 | 5.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,762.50 | $5,525 | 4.0× |
| Lymph System Imaging (78195) | $2,683.50 | $5,367 | 3.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,175 | $4,350 | 1.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $932.50 | $1,865 | 1.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,546 | $7,092 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,551 | $3,102 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $2,564 | $5,128 | 8.4× |
| Magnetic Resonance Elastography (76391) | $5,504.50 | $11,009 | 17.9× |
| Mammary ductogram or galactogram single (77053) | $384 | $768 | 1.3× |
| Meckels Divert Exam (78290) | $1,763 | $3,526 | 3.4× |
| Mlc imrt design & construction per imrt plan (77338) range across 7 matching MRF lines |
$1,783.50–$4,059.50 | $3,567–$8,119 | varies |
| Mr safety determination physician/other qhp (76016) | $110 | $220 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $31.25 | $62.50 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $115 | $230 | 0.9× |
| Mr safety implt pos&/immoblj (76019) | $75 | $150 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $302.50 | $605 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,867 | $5,734 | 6.4× |
| MRA head w/o contrast (70544) | $2,620 | $5,240 | 8.5× |
| MRA neck w contrast (70548) | $2,142 | $4,284 | 4.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,366 | $6,732 | 7.5× |
| MRA neck w/o contrast (70547) | $1,912.50 | $3,825 | 6.2× |
| MRI abdomen w contrast (74182) | $3,315 | $6,630 | 7.4× |
| MRI abdomen w/o contrast (74181) | $2,645.50 | $5,291 | 8.6× |
| MRI any jt lower extrem w/contrast material (73722) | $3,663 | $7,326 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,107.50–$6,162.50 | $8,215–$12,325 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,193 | $4,386 | 2.2× |
| MRI brain functional w/o physician admnistration (70554) | $1,528 | $3,056 | 5.0× |
| MRI brain functional w/physician admnistration (70555) | $2,035 | $4,070 | 6.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,621 | $7,242 | 11.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,414 | $4,828 | 7.9× |
| MRI cardiac w/o contrast (75557) | $2,626.50 | $5,253 | 8.6× |
| MRI cervical spine w contrast (72142) | $5,125 | $10,250 | 11.4× |
| MRI cervical spine w/o cont (72141) | $3,059 | $6,118 | 10.0× |
| MRI chest w/o contrast (71550) | $2,324.50 | $4,649 | 7.6× |
| MRI chest wo w contrast (71552) | $3,754 | $7,508 | 8.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,565–$6,847.50 | $9,130–$13,695 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,596–$3,894 | $5,192–$7,788 | varies |
| MRI lumbar spine w contrast (72149) | $2,309 | $4,618 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,011 | $8,022 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,520.50 | $5,041 | 8.2× |
| MRI orbit face neck w contrast (70542) | $2,834 | $5,668 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,992.50 | $7,985 | 8.9× |
| MRI pelvis w contrast (72196) | $2,977.50 | $5,955 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $4,382 | $8,764 | 9.8× |
| MRI pelvis w/o contrast (72195) | $3,047 | $6,094 | 9.9× |
| MRI spectroscopy (76390) | $3,066.50 | $6,133 | 27.4× |
| MRI thoracic spine w/o contrast (72146) | $2,390.50 | $4,781 | 7.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$4,475–$6,712.50 | $8,950–$13,425 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,242.50–$3,363.50 | $4,485–$6,727 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,150–$6,225 | $8,300–$12,450 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,825–$4,100.50 | $7,650–$8,201 | varies |
| MRI, dorsal spine combo (72157) | $4,013 | $8,026 | 8.9× |
| MRI, dorsal spine contrast (72147) | $3,160 | $6,320 | 7.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,244–$3,366 | $4,488–$6,732 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,502.50–$5,252.50 | $7,005–$10,505 | varies |
| MRI, lumbar spine combo (72158) | $3,838 | $7,676 | 8.6× |
| Myelogram cervical (72240) | $1,514.50 | $3,029 | 1.5× |
| Myelogram Lumbar (72265) | $1,279.50 | $2,559 | 1.3× |
| Myelography thoracic (72255) | $928.50 | $1,857 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,235 | $2,470 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $4,281.50 | $8,563 | 2.6× |
| Neck soft tissue (70360) | $378.50 | $757 | 3.4× |
| Nm myocard infarct spect (78469) | $1,744.50 | $3,489 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 11 matching MRF lines |
$6,544–$11,613.50 | $13,088–$23,227 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,774.50 | $3,549 | 5.9× |
| Nuclear Rx Oral Admin (79005) | $1,830 | $3,660 | 6.1× |
| Panoramic X-ray of jaws (70355) | $337 | $674 | 3.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,647.50 | $5,295 | 3.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,146 | $2,292 | 2.2× |
| Pelvis 1 or 2 views (72170) | $342.50 | $685 | 2.5× |
| Peritoneogram Rs&I (74190) | $924 | $1,848 | 1.3× |
| Pet Image Skull-Thigh (78812) | $5,194 | $10,388 | 2.8× |
| Pet Image W/Ct Lmtd (78814) | $4,442 | $8,884 | 2.4× |
| PET image w/CT, full body (78816) | $6,495 | $12,990 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,275.50 | $12,551 | 3.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,906 | $7,812 | 2.3× |
| PET whole body (78813) | $5,726.50 | $11,453 | 3.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,546 | $7,092 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,477.50 | $2,955 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $541.50 | $1,083 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $618.50 | $1,237 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$353–$529.50 | $706–$1,059 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$512–$651.50 | $1,024–$1,303 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$375–$562.50 | $750–$1,125 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $528 | $1,056 | 3.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$262.50–$394 | $525–$788 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$377.50–$566.50 | $755–$1,133 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$422.50–$634 | $845–$1,268 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $239 | $478 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $413 | $826 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $425 | $850 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$402.50–$603.50 | $805–$1,207 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $728 | $1,456 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) | $459 | $918 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $232.50 | $465 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$261–$391.50 | $522–$783 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$400–$600 | $800–$1,200 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $19,444 | $38,888 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $431 | $862 | 3.3× |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$435–$448.50 | $870–$897 | varies |
| Radiation treatment delivery level 3 (77412) range across 7 matching MRF lines |
$948–$1,032.50 | $1,896–$2,065 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $397 | $794 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $486.50 | $973 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $1,594.50 | $3,189 | 7.1× |
| Radiologic exam colon single contrast study (74270) | $1,082 | $2,164 | 4.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$453.50–$680 | $907–$1,360 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $412 | $824 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $829.50 | $1,659 | 3.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$617–$617.50 | $1,234–$1,235 | varies |
| Radiologic exam teeth complete full mouth (70320) | $334.50 | $669 | 1.1× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $328.50 | $657 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $709 | $1,418 | 3.1× |
| Radiologic examination femur 1 view (73551) | $351 | $702 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$412.50–$619 | $825–$1,238 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$345–$517.50 | $690–$1,035 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $702.50 | $1,405 | 5.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$395–$592.50 | $790–$1,185 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $4,598 | $9,196 | 9.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $3,973 | $7,946 | 8.0× |
| Ribs bilateral 3 views (71110) | $661.50 | $1,323 | 4.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $898 | $1,796 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,022 | $2,044 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,650 | $5,300 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,879.50 | $9,759 | 7.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,640 | $5,280 | 3.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,758 | $9,516 | 2.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,639 | $5,278 | 1.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$1,196.50–$1,335.60 | $2,393–$2,671.20 | varies |
| Rp Therapy Intravenous Administration (79101) | $1,071 | $2,142 | 3.6× |
| Rp Therapy Unlisted Procedure (79999) range across 3 matching MRF lines |
$3,090–$7,725 | $6,180–$15,450 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$447.50–$672.50 | $895–$1,345 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $114.50 | $229 | 4.9× |
| Sella turcica (70240) | $80 | $160 | 0.7× |
| Shoulder 1 view (73020) | $374 | $748 | 3.3× |
| Skull less than 4 views (70250) | $591.50 | $1,183 | 4.4× |
| Special dosimetry (77331) | $661 | $1,322 | 3.8× |
| Special Physics Consult (77370) | $1,789 | $3,578 | 10.3× |
| Special teletherapy port plan (77321) | $1,552.50 | $3,105 | 3.2× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,535–$2,886.50 | $5,070–$5,773 | varies |
| Speech evaluation, complex (70371) | $328.50 | $657 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) | $10,300 | $20,600 | 4.5× |
| Sternoclavicular joints (71130) | $490 | $980 | 4.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 4 matching MRF lines |
$2,608–$4,182 | $5,216–$8,364 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 3 matching MRF lines |
$1,073–$1,934.50 | $2,146–$3,869 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,871 | $5,742 | 6.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,326 | $2,652 | 2.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,444 | $2,888 | 8.4× |
| Thoracic spine 2 views (72070) | $420 | $840 | 3.1× |
| Thoracic spine 3 views (72072) | $647.50 | $1,295 | 4.8× |
| Thyroid Met Imaging Body (78018) | $2,831.50 | $5,663 | 4.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,008.50 | $4,017 | 3.9× |
| Tx Devices Design & Construction Complex (77334) | $2,212.50 | $4,425 | 4.6× |
| Tx devices design & construction intermediate (77333) | $941 | $1,882 | 5.4× |
| Tx devices design & construction simple (77332) | $819 | $1,638 | 4.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$430–$638 | $860–$1,276 | varies |
| Ultrasound Elastography Parenchyma (76981) | $458.50 | $917 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $462.50 | $925 | 3.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $513.50 | $1,027 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$887.50–$1,084 | $1,775–$2,168 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$557.50–$2,032.50 | $1,115–$4,065 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$469–$2,485 | $938–$4,970 | varies |
| Unlisted us procedure (76999) | $246 | $492 | 2.2× |
| Upper gi w/o kub (74240) | $749.50 | $1,499 | 3.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $238 | $476 | 21.5× |
| Urea breath test c-14 isotopic analysis (78268) | $299 | $598 | 3.2× |
| Urethrocystogram voiding (74455) | $744.50 | $1,489 | 2.4× |
| Urethrocystography retrograde (74450) | $431 | $862 | 1.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$791.50–$1,425 | $1,583–$2,850 | varies |
| Us chest (76604) | $834 | $1,668 | 6.2× |
| Us exam, pelvic, limited (76857) | $561.50 | $1,123 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $740.50 | $1,481 | 5.5× |
| Us ob limited 1 or more fetuses (76815) | $583.50 | $1,167 | 4.3× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,064.50–$1,214.50 | $2,129–$2,429 | varies |
| Us retroperitoneal complete (76770) | $984 | $1,968 | 7.3× |
| Us retroperitoneal limited (76775) | $371 | $742 | 2.8× |
| Us scrotum and contents (76870) | $1,108 | $2,216 | 8.2× |
| Us thyroid (76536) | $879.50 | $1,759 | 6.5× |
| Us transrectal (76872) | $922.50 | $1,845 | 6.9× |
| Vein X-Ray Chest (75827) | $3,365 | $6,730 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,732.50 | $5,465 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $1,631 | $3,262 | 0.4× |
| Venogram Sinus/Jugular (75860) | $4,818 | $9,636 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $4,762.50 | $9,525 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $2,857.50 | $5,715 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,905 | $3,810 | 0.9× |
| Venography Renal Bilateral (75833) | $4,805 | $9,610 | 1.2× |
| Venography Renal Unilateral (75831) | $3,201 | $6,402 | 0.8× |
| Venous sampling by catheter (75893) | $5,279 | $10,558 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $391.50 | $783 | 3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $250 | $500 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $469.50 | $939 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $465.50 | $931 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$332.50–$499 | $665–$998 | varies |
| X-Ray Exam Breast Specimen (76098) | $993.50 | $1,987 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $193 | $386 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $297 | $594 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $497 | $994 | 4.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $481 | $962 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $889.50 | $1,779 | 6.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $449 | $898 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $680.50 | $1,361 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $498.50 | $997 | 3.7× |
| X-ray eye for foreign body (70030) | $175 | $350 | 1.6× |
| X-ray humerus (73060) | $367 | $734 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $223.50 | $447 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $489 | $978 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $820 | $1,640 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $388 | $776 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $419.50 | $839 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $504 | $1,008 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $654.50 | $1,309 | 4.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $933.50 | $1,867 | 2.1× |
| X-Rays Bone Length Studies (77073) | $540.50 | $1,081 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $838.50 | $1,677 | 6.2× |
| Xr c-spine 4 or 5 views (72050) | $624.50 | $1,249 | 4.6× |
| Xr orbits complete 4 views (70200) | $316.50 | $633 | 2.4× |
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.