Imaging prices at Columbia Memorial Hospital
Astoria, OR · every code in this section with a posted price and a Medicare benchmark.
316 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) | $6,468 | $8,085 | 4.2× |
| Abdomen 1 View (74018) | $234.40 | $293 | 2.4× |
| Abdomen 2 views (74019) | $367.20 | $459 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,219.20 | $4,024 | 7.2× |
| Adrenal Cortex & Medulla Img (78075) | $4,446.40 | $5,558 | 3.1× |
| Ankle 2 views (73600) | $289.60 | $362 | 3.0× |
| Arthrogram ankle (73615) | $1,078.40 | $1,348 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $462.40 | $578 | 3.1× |
| Bone age studies (77072) | $211.20 | $264 | 1.8× |
| Bone Imaging 3 Phase (78315) | $3,186.40 | $3,983 | 7.2× |
| Bone Imaging Limited Area (78300) | $1,597.60 | $1,997 | 3.6× |
| Bone Imaging Multiple Areas (78305) | $2,036 | $2,545 | 4.6× |
| Bone Imaging Whole Body (78306) | $1,799.20 | $2,249 | 4.0× |
| Bone survey infant (77076) | $929.60 | $1,162 | 8.0× |
| Brachytx isodose complex (77318) | $1,136.80 | $1,421 | 2.7× |
| Brachytx isodose intermed (77317) | $828.80 | $1,036 | 2.0× |
| Brachytx Isodose Plan Simple (77316) | $643.20 | $804 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,021.60 | $3,777 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,078.40 | $3,848 | 7.9× |
| Cat Scan Follow-Up Study (76380) | $1,370.40 | $1,713 | 14.2× |
| Cerebrospinal Fluid Scan (78630) | $3,277.60 | $4,097 | 5.4× |
| Chest 1 view (71045) | $370.40 | $463 | 3.8× |
| Chest 2 views (71046) | $274.40 | $343 | 2.8× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$400–$946.40 | $500–$1,183 | varies |
| Cholecystography Oral Contrast (74290) | $507.20 | $634 | 2.6× |
| Clavicle complete (73000) | $295.20 | $369 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,386.40 | $1,733 | 11.9× |
| Continuing medical physics consltj pr wk (77336) | $425.60 | $532 | 2.8× |
| Contrast X-Ray Bladder (74430) | $328.80 | $411 | 0.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $924 | $1,155 | 4.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,873.60 | $4,842 | 10.0× |
| CT abdomen and pelvis without contrast (74176) | $1,630.40 | $2,038 | 6.1× |
| CT abdomen w contrast (74160) | $2,715.20 | $3,394 | 13.9× |
| CT abdomen w wo contrast (74170) | $3,079.20 | $3,849 | 15.8× |
| CT abdomen w/o contrast (74150) | $1,288 | $1,610 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,397.60 | $5,497 | 11.3× |
| CT Angio Chest (71275) | $3,125.60 | $3,907 | 16.0× |
| CT Angio Head (70496) | $3,094.40 | $3,868 | 15.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,722.40 | $4,653 | 19.1× |
| CT Angio Neck (70498) | $3,089.60 | $3,862 | 15.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,384.80 | $4,231 | 17.4× |
| CT cervical spine w/ contrast (72126) | $1,776 | $2,220 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,328.80 | $1,661 | 11.4× |
| CT cervical spine w/wo cont (72127) | $2,180.80 | $2,726 | 11.2× |
| CT chest w contrast (71260) | $1,786.40 | $2,233 | 9.2× |
| CT chest w/wo contrast (71270) | $2,185.60 | $2,732 | 11.2× |
| CT head/brain with contrast (70460) | $1,521.60 | $1,902 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,812 | $2,265 | 9.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $164 | $205 | 1.7× |
| CT iac w contrast (70481) | $2,024.80 | $2,531 | 10.4× |
| CT l-spine w&w/o contrast (72133) | $2,185.60 | $2,732 | 11.2× |
| CT lower ext w/o (73700) | $1,324 | $1,655 | 11.4× |
| CT lower extremity w/contrast material (73701) | $1,786.40 | $2,233 | 9.2× |
| CT lumbar spine w contrast (72132) | $1,786.40 | $2,233 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,318.40 | $1,648 | 11.3× |
| CT maxillofacial w contrast (70487) | $1,578.40 | $1,973 | 8.1× |
| CT maxillofacial wo contrast (70486) | $1,396.80 | $1,746 | 12.0× |
| CT neck tissue combo (70492) | $2,310.40 | $2,888 | 11.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,393.60 | $2,992 | 12.3× |
| CT orbits w/o contrast (70480) | $1,572.80 | $1,966 | 13.5× |
| CT pelvis w&w/o contrast (72194) | $3,068.80 | $3,836 | 15.7× |
| CT pelvis w/o contrast (72192) | $1,308 | $1,635 | 11.3× |
| CT scan of leg combo (73702) | $2,201.60 | $2,752 | 11.3× |
| CT scans face/jaw combo (70488) | $1,983.20 | $2,479 | 10.2× |
| CT soft tissue neck w contrast (70491) | $1,900 | $2,375 | 9.7× |
| CT soft tissue neck w/o contrast (70490) | $1,432.80 | $1,791 | 12.3× |
| CT thoracic spine w contrast (72129) | $1,796.80 | $2,246 | 9.2× |
| CT thoracic spine w/o contrast (72128) | $1,324 | $1,655 | 11.4× |
| CT thoracic spine w/wo cont (72130) | $2,212 | $2,765 | 11.3× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$1,288.80–$1,313.60 | $1,611–$1,642 | varies |
| CT upper ext wo (73200) | $1,812 | $2,265 | 15.6× |
| CT upper extremity w/o & w/contrast material (73202) | $3,006.40 | $3,758 | 15.4× |
| CT upper extremity with contrast (73201) | $2,310.40 | $2,888 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,760.80 | $5,951 | 24.4× |
| Cta Abdomen (74175) | $3,504.80 | $4,381 | 18.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,861.60 | $7,327 | 15.1× |
| CTA pelvis (72191) | $3,499.20 | $4,374 | 17.9× |
| Dilation ureters/urethra rs&i (74485) | $970.40 | $1,213 | 0.4× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$336.80–$387.20 | $421–$484 | varies |
| Dxa Bone Density Axial (77080) | $392 | $490 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $296 | $370 | 3.1× |
| Echo exam uterus (76831) range across 5 matching MRF lines |
$77.60–$616 | $97–$770 | varies |
| Echo Guide For Artery Repair (76936) | $1,308.80 | $1,636 | 5.5× |
| Echograp Trans R Pros Study (76873) | $671.20 | $839 | 5.8× |
| Esophagram (74220) | $708 | $885 | 3.6× |
| Fetal Biophys Profile W/Nst (76818) | $507.20 | $634 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $364 | $455 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $622.40 | $778 | 2.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$277.60–$554.40 | $347–$693 | varies |
| Forearm 2 views (73090) | $267.20 | $334 | 2.8× |
| Gastric emptying imaging study (78264) | $2,680.80 | $3,351 | 6.0× |
| Gated Heart Planar Single (78472) | $1,954.40 | $2,443 | 4.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$272–$407.20 | $340–$509 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,620 | $5,775 | 6.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $884 | $1,105 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $4,337.60 | $5,422 | 7.2× |
| Hepatobiliary System Imaging (78226) | $3,159.20 | $3,949 | 7.1× |
| Ht Muscle Image Spect Sing (78451) | $2,944.80 | $3,681 | 2.0× |
| Hysterosalpingogram (74740) | $868.80 | $1,086 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $819.20 | $1,024 | 8.5× |
| Infant hip ultrasound, limited static exam (76886) | $568.80 | $711 | 5.9× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $8,316 | $10,395 | 1.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $8,316 | $10,395 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $1,229.60 | $1,537 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,992.80 | $2,491 | 3.3× |
| Knee 3 Views (73562) | $390.40 | $488 | 4.0× |
| Liver & Spleen Imaging Static Only (78215) | $877.60 | $1,097 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,027.20 | $3,784 | 5.0× |
| Lung Ventilation Imaging (78579) | $1,727.20 | $2,159 | 3.9× |
| Lymph System Imaging (78195) | $3,190.40 | $3,988 | 5.3× |
| Magnetic Image Jaw Joint (70336) | $2,982.40 | $3,728 | 11.2× |
| Mammary ductogram or galactogram multiple (77054) | $172 | $215 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $129.60 | $162 | 0.5× |
| Meckels Divert Exam (78290) | $3,203.20 | $4,004 | 7.2× |
| Mlc imrt design & construction per imrt plan (77338) | $2,179.20 | $2,724 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $5,325.60 | $6,657 | 13.7× |
| MRA head w/o contrast (70544) | $3,471.20 | $4,339 | 13.1× |
| MRA head with contrast (70545) | $3,408 | $4,260 | 8.8× |
| MRA neck w contrast (70548) | $3,692.80 | $4,616 | 9.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,352 | $6,690 | 13.8× |
| MRA neck w/o contrast (70547) | $3,490.40 | $4,363 | 13.2× |
| MRI abdomen w contrast (74182) | $3,840.80 | $4,801 | 9.9× |
| MRI abdomen w/o contrast (74181) | $3,143.20 | $3,929 | 11.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,128 | $3,910 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,789.60 | $4,737 | 9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 11 matching MRF lines |
$3,097.60–$6,196 | $3,872–$7,745 | varies |
| MRI bone marrow blood supply (77084) | $3,236.80 | $4,046 | 12.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,741.60 | $5,927 | 17.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,802.40 | $6,003 | 18.1× |
| MRI cardiac w/o contrast (75557) | $2,431.20 | $3,039 | 9.2× |
| MRI cervical spine w contrast (72142) | $2,826.40 | $3,533 | 7.3× |
| MRI cervical spine w/o cont (72141) | $2,075.20 | $2,594 | 7.8× |
| MRI chest w/o contrast (71550) | $3,565.60 | $4,457 | 13.4× |
| MRI chest with contrast (71551) | $3,870.40 | $4,838 | 4.4× |
| MRI chest wo w contrast (71552) | $4,866.40 | $6,083 | 12.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,374.40 | $4,218 | 8.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,294.40 | $4,118 | 8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,483.20 | $3,104 | 9.4× |
| MRI lumbar spine w contrast (72149) | $2,895.20 | $3,619 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,112.80 | $3,891 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,038.40 | $3,798 | 11.5× |
| MRI orbit face neck w contrast (70542) | $3,356.80 | $4,196 | 8.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,013.60 | $5,017 | 10.4× |
| MRI pelvis w contrast (72196) | $3,380.80 | $4,226 | 8.7× |
| MRI pelvis w/o & w contrast (72197) | $4,092.80 | $5,116 | 10.6× |
| MRI pelvis w/o contrast (72195) | $3,159.20 | $3,949 | 11.9× |
| MRI thoracic spine w/o contrast (72146) | $1,798.40 | $2,248 | 6.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,359.20 | $4,199 | 8.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,097.60 | $3,872 | 11.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,084 | $5,105 | 10.5× |
| MRI, abdomen, combo (74183) | $3,402.40 | $4,253 | 8.8× |
| MRI, dorsal spine combo (72157) | $3,204 | $4,005 | 8.3× |
| MRI, dorsal spine contrast (72147) | $2,800 | $3,500 | 7.2× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$2,211.20–$4,421.60 | $2,764–$5,527 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$3,766.40–$7,532.80 | $4,708–$9,416 | varies |
| MRI, lumbar spine combo (72158) | $3,861.60 | $4,827 | 10.0× |
| Myelogram cervical (72240) | $807.20 | $1,009 | 0.9× |
| Myelography thoracic (72255) | $796 | $995 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $929.60 | $1,162 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $4,224 | $5,280 | 2.9× |
| Neck soft tissue (70360) | $300 | $375 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $1,174.40 | $1,468 | 10.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,392 | $9,240 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $507.20 | $634 | 2.0× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$157.60–$460.80 | $197–$576 | varies |
| Optic foramina (70190) | $367.20 | $459 | 3.8× |
| Parathyroid Planar Imaging (78070) | $2,799.20 | $3,499 | 6.3× |
| Pelvis 1 or 2 views (72170) | $283.20 | $354 | 2.4× |
| Pet Image Skull-Thigh (78812) | $3,956 | $4,945 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $4,576.80 | $5,721 | 2.9× |
| PET image w/CT, full body (78816) | $4,933.60 | $6,167 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,876.80 | $6,096 | 3.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,140.80 | $3,926 | 2.2× |
| PET whole body (78813) | $4,120 | $5,150 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,168.80 | $2,711 | 4.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $433.60 | $542 | 3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $444 | $555 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $370.40 | $463 | 3.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $245.60 | $307 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $344.80 | $431 | 3.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $433.60 | $542 | 3.7× |
| Radex fingr minimum 2 views (73140) | $334.40 | $418 | 3.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$328.80–$656.80 | $411–$821 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$350.40–$700.80 | $438–$876 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $295.20 | $369 | 3.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $868.80 | $1,086 | 7.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $367.20 | $459 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $295.20 | $369 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $324 | $405 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $321.60 | $402 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $216.80 | $271 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $295.20 | $369 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $792.80 | $991 | 8.2× |
| Radex Toe Minimum 2 Views (73660) | $279.20 | $349 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $295.20 | $369 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $346.40 | $433 | 3.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $5,161.60 | $6,452 | 0.6× |
| Radiation treatment delivery level 1 (77402) | $2,637.60 | $3,297 | 23.3× |
| Radiation treatment delivery level 2 (77407) | $3,103.20 | $3,879 | 7.2× |
| Radiation treatment delivery level 3 (77412) | $3,568.80 | $4,461 | 5.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $389.60 | $487 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $2,522.40 | $3,153 | 12.9× |
| Radiologic exam colon single contrast study (74270) | $1,787.20 | $2,234 | 9.2× |
| Radiologic exam knee complete 4/more views (73564) | $454.40 | $568 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $417.60 | $522 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,245.60 | $1,557 | 6.4× |
| Radiologic exam swallow function contrast study (74230) | $1,581.60 | $1,977 | 8.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,436.80 | $1,796 | 7.4× |
| Radiologic examination femur 1 view (73551) | $286.40 | $358 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $277.60 | $347 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $289.60 | $362 | 3.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $640 | $800 | 5.5× |
| Radiologic Examination Salivary Gland Calculus (70380) | $616 | $770 | 6.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $272 | $340 | 2.8× |
| Renal Cyst Study (74470) | $623.20 | $779 | 1.0× |
| Ribs bilateral 3 views (71110) | $542.40 | $678 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,908.80 | $2,386 | 3.2× |
| Scapula (73010) | $316.80 | $396 | 2.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $83.20 | $104 | 3.6× |
| Sella turcica (70240) | $305.60 | $382 | 3.2× |
| Shoulder 1 view (73020) | $234.40 | $293 | 2.4× |
| Sialogram (70390) | $1,164 | $1,455 | 4.4× |
| Skull less than 4 views (70250) | $356 | $445 | 3.1× |
| Special dosimetry (77331) | $81.60 | $102 | 0.5× |
| Special Physics Consult (77370) | $533.60 | $667 | 3.6× |
| Special teletherapy port plan (77321) | $807.20 | $1,009 | 1.9× |
| Special treatment procedure (77470) | $926.40 | $1,158 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $7,392 | $9,240 | 3.7× |
| Sternoclavicular joints (71130) | $380.80 | $476 | 3.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $59.20 | $74 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,109.60 | $1,387 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $627.20 | $784 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,977.60 | $2,472 | 4.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,706.40 | $2,133 | 4.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,028 | $1,285 | 6.9× |
| Thoracic spine 2 views (72070) | $305.60 | $382 | 2.6× |
| Thoracic spine 3 views (72072) | $363.20 | $454 | 3.1× |
| Thoracolumbar 2 views (72080) | $334.40 | $418 | 3.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,841.60 | $2,302 | 4.1× |
| Thyroid Uptake Measurement (78012) | $751.20 | $939 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $453.60 | $567 | 1.1× |
| Tx devices design & construction intermediate (77333) | $462.40 | $578 | 3.1× |
| Tx devices design & construction simple (77332) | $218.40 | $273 | 1.5× |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$412.80–$621.60 | $516–$777 | varies |
| Ultrasound Exam Aaa Screen (76706) | $516.80 | $646 | 4.4× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$101.60–$588 | $127–$735 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$151.20–$168.80 | $189–$211 | varies |
| Unlisted us procedure (76999) | $485.60 | $607 | 5.0× |
| Upper gi w/o kub (74240) | $1,136 | $1,420 | 5.8× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $314.40 | $393 | 28.4× |
| Urea breath test c-14 isotopic analysis (78268) | $194.40 | $243 | 2.1× |
| Urethrocystogram voiding (74455) | $1,012.80 | $1,266 | 3.8× |
| Urethrocystography retrograde (74450) | $780 | $975 | 2.9× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$431.20–$484 | $539–$605 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$101.60–$466.40 | $127–$583 | varies |
| Us complete joint (76881) | $640.80 | $801 | 5.5× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$86.40–$172 | $108–$215 | varies |
| Us head (76506) | $655.20 | $819 | 5.6× |
| Us kidney transplant (76776) | $897.60 | $1,122 | 7.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$86.40–$236.80 | $108–$296 | varies |
| Us ob detailed single fetus (76811) | $632 | $790 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$112–$396 | $140–$495 | varies |
| Us ob transvaginal (76817) | $444 | $555 | 3.8× |
| Us pelvic non ob complete (76856) | $644 | $805 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $552 | $690 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$540–$876.80 | $675–$1,096 | varies |
| Us retroperitoneal complete (76770) | $606.40 | $758 | 5.2× |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$100–$228.80 | $125–$286 | varies |
| Us scrotum and contents (76870) | $280 | $350 | 2.4× |
| Us spinal canal and contents (76800) | $612 | $765 | 5.3× |
| Us thyroid (76536) range across 3 matching MRF lines |
$109.60–$636 | $137–$795 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$46.40–$454.40 | $58–$568 | varies |
| Vein X-Ray Chest (75827) | $1,052 | $1,315 | 0.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,116 | $1,395 | 0.3× |
| Venogram Sinus/Jugular (75860) | $884 | $1,105 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,052 | $1,315 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $1,988.80 | $2,486 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,252.80 | $1,566 | 0.7× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$271.20 | $339 | 0.0× |
| Wrist 2 views (73100) | $316.80 | $396 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $576 | $720 | 6.0× |
| X-ray antegrade pyelogram tube (74425) | $695.20 | $869 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $438.40 | $548 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $295.20 | $369 | 3.1× |
| X-Ray Exam Breast Specimen (76098) | $91.20 | $114 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $375.20 | $469 | 3.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $724 | $905 | 6.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$267.20–$296.80 | $334–$371 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $281.60 | $352 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $593.60 | $742 | 5.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $728.80 | $911 | 6.3× |
| X-Ray Exam L-S Spine Bending (72114) | $706.40 | $883 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $334.40 | $418 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $519.20 | $649 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $351.20 | $439 | 3.0× |
| X-ray eye for foreign body (70030) | $308.80 | $386 | 3.2× |
| X-ray humerus (73060) | $272 | $340 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $1,317.60 | $1,647 | 6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $367.20 | $459 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $352.80 | $441 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $362.40 | $453 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $261.60 | $327 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $719.20 | $899 | 6.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $363.20 | $454 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $300 | $375 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $295.20 | $369 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $380.80 | $476 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $428.80 | $536 | 3.7× |
| X-Ray Tmj Unilat (70328) | $334.40 | $418 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,262.40 | $1,578 | 3.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$334.40–$504 | $418–$630 | varies |
| X-Rays Bone Survey Complete (77075) | $929.60 | $1,162 | 8.0× |
| Xr c-spine 4 or 5 views (72050) | $444 | $555 | 3.8× |
| Xr facial bones less than 3 views (70140) | $295.20 | $369 | 3.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $385.60 | $482 | 3.3× |
| Xr orbits complete 4 views (70200) | $650.40 | $813 | 5.6× |
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.