Imaging prices at Community Hospital of San Bernardino
San Bernardino, CA · every code in this section with a posted price and a Medicare benchmark.
274 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) | $218.57 | $559 | 2.0× |
| Abdomen 2 views (74019) | $349.56 | $894 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,653.93 | $4,230 | 3.2× |
| Angio internal mammary (75756) | $4,010.88 | $10,258 | 1.0× |
| Angio pulmonary bilat (75743) | $3,238.27 | $8,282 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,238.27 | $8,282 | 0.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,018.13–$3,143.64 | $7,719–$8,040 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,227.14–$3,149.90 | $5,696–$8,056 | varies |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,149.90 | $8,056 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,158.72 | $5,521 | 0.3× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$3,238.27 | $8,282 | 0.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$143.11–$148.58 | $366–$380 | varies |
| Bone Imaging 3 Phase (78315) | $1,362.25 | $3,484 | 2.6× |
| Bone Imaging Limited Area (78300) | $709.67 | $1,815 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $943.49 | $2,413 | 1.8× |
| Bone Imaging Whole Body (78306) | $981.41 | $2,510 | 1.9× |
| Bone marrow imaging limited area (78102) | $470.77 | $1,204 | 0.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$443.79–$461.78 | $1,135–$1,181 | varies |
| Brain Flow Imaging Only (78610) | $1,051.40 | $2,689 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $1,035.37 | $2,648 | 2.0× |
| Brain imaging < 4 static views (78600) | $225.61 | $577 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,076.82 | $2,754 | 1.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $710.06 | $1,816 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $614.66 | $1,572 | 1.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,767.32 | $4,520 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $499.31 | $1,277 | 4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,238.69 | $3,168 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $2,097.33 | $5,364 | 3.0× |
| Chest 1 view (71045) | $247.51 | $633 | 2.2× |
| Chest 2 views (71046) | $321.41 | $822 | 2.9× |
| Chest 3 views (71047) | $400.78 | $1,025 | 3.6× |
| Chest 4 or more views (71048) | $499.70 | $1,278 | 3.7× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$328.05–$341.35 | $839–$873 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $214.27 | $548 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,779.23–$3,391.15 | $7,108–$8,673 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$405.47–$421.50 | $1,037–$1,078 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $917.29 | $2,346 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $525.51 | $1,344 | 1.7× |
| CT abdomen w contrast (74160) | $478.98 | $1,225 | 2.1× |
| CT abdomen w wo contrast (74170) | $558.74 | $1,429 | 2.5× |
| CT abdomen w/o contrast (74150) | $306.94 | $785 | 2.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,412.30 | $3,612 | 3.1× |
| CT Angio Chest (71275) | $952.87 | $2,437 | 4.2× |
| CT Angio Head (70496) | $804.68 | $2,058 | 3.6× |
| CT angio hrt w/3d image (75574) | $299.51 | $766 | 0.7× |
| CT Angio Neck (70498) | $804.68 | $2,058 | 3.6× |
| CT cervical spine w/ contrast (72126) | $5,201.48 | $13,303 | 11.6× |
| CT cervical spine w/o contrast (72125) | $2,640.43 | $6,753 | 19.6× |
| CT cervical spine w/wo cont (72127) | $5,491.99 | $14,046 | 24.3× |
| CT chest w contrast (71260) | $2,676.01 | $6,844 | 11.9× |
| CT chest w/wo contrast (71270) | $3,024 | $7,734 | 13.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $274.88 | $703 | 1.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $167.35 | $428 | 1.2× |
| CT head/brain with contrast (70460) | $2,674.05 | $6,839 | 11.9× |
| CT head/brain without and with contrast (70470) | $3,201.12 | $8,187 | 14.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $299.51 | $766 | 0.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $40.28 | $103 | 0.4× |
| CT hrt w/3d image congen (75573) | $299.51 | $766 | 0.7× |
| CT iac w contrast (70481) | $633.03 | $1,619 | 2.8× |
| CT l-spine w&w/o contrast (72133) | $4,609.11 | $11,788 | 20.4× |
| CT lumbar spine w contrast (72132) | $4,089.86 | $10,460 | 9.1× |
| CT lumbar spine w/o contrast (72131) | $2,076.21 | $5,310 | 15.4× |
| CT maxillofacial w contrast (70487) | $1,634.78 | $4,181 | 7.2× |
| CT maxillofacial wo contrast (70486) | $1,350.91 | $3,455 | 10.0× |
| CT neck tissue combo (70492) | $2,653.72 | $6,787 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $697.94 | $1,785 | 3.1× |
| CT orbits w/o contrast (70480) | $541.15 | $1,384 | 4.0× |
| CT pelvis w&w/o contrast (72194) | $4,741.27 | $12,126 | 21.0× |
| CT pelvis w/o contrast (72192) | $2,139.95 | $5,473 | 15.9× |
| CT scans face/jaw combo (70488) | $1,958.91 | $5,010 | 8.7× |
| CT soft tissue neck w contrast (70491) | $2,230.27 | $5,704 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $1,851 | $4,734 | 13.8× |
| CT thoracic spine w contrast (72129) | $4,089.86 | $10,460 | 18.1× |
| CT thoracic spine w/o contrast (72128) | $2,076.21 | $5,310 | 15.4× |
| CT thoracic spine w/wo cont (72130) | $4,609.11 | $11,788 | 20.4× |
| CT thorax w/o contrast (71250) | $1,364.99 | $3,491 | 10.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $445.74 | $1,140 | 2.0× |
| Cta Abdomen (74175) | $1,002.92 | $2,565 | 4.4× |
| CTA pelvis (72191) | $721.79 | $1,846 | 3.2× |
| Dilation ureters/urethra rs&i (74485) | $1,600.37 | $4,093 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $239.69 | $613 | 1.8× |
| Echo exam uterus (76831) | $943.49 | $2,413 | 3.1× |
| Echo Guide For Artery Repair (76936) | $419.94 | $1,074 | 1.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$411.73–$428.93 | $1,053–$1,097 | varies |
| Fetal Biophys Profile W/Nst (76818) | $388.66 | $994 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $388.66 | $994 | 2.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$278.79–$290.52 | $713–$743 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,141.72–$3,566.32 | $2,920–$9,121 | varies |
| Gastric emptying imaging study (78264) | $1,211.32 | $3,098 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $480.93 | $1,230 | 0.9× |
| Gastric Mucosa Imaging (78261) | $663.14 | $1,696 | 1.3× |
| Gated Heart Planar Single (78472) | $1,474.47 | $3,771 | 2.9× |
| Gated Heart, Multiple (78473) | $851.99 | $2,179 | 1.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $638.51 | $1,633 | 0.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,249.21 | $8,310 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,282.45 | $8,395 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,434.19 | $3,668 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,086.59 | $2,779 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $3,459.96 | $8,849 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,991.55 | $7,651 | 1.8× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$474.68–$493.84 | $1,214–$1,263 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $709.67 | $1,815 | 6.3× |
| Infant hip ultrasound, limited static exam (76886) | $78.20 | $200 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $3,011.88 | $7,703 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $1,503.40 | $3,845 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,503.40 | $3,845 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,503.40 | $3,845 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $851.60 | $2,178 | 1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $536.85 | $1,373 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $488.36 | $1,249 | 0.7× |
| Lung perfusion differential (78597) | $402.34 | $1,029 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,106.93 | $2,831 | 1.6× |
| Lung Ventilation Imaging (78579) | $431.67 | $1,104 | 0.8× |
| Lymph System Imaging (78195) | $1,456.09 | $3,724 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $297.95 | $762 | 1.0× |
| Meckels Divert Exam (78290) | $829.71 | $2,122 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $36.37 | $93 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,773.55 | $9,651 | 8.4× |
| MRA head w/o contrast (70544) | $2,259.59 | $5,779 | 7.4× |
| MRA head with contrast (70545) | $3,276.58 | $8,380 | 7.3× |
| MRA neck w contrast (70548) | $781.22 | $1,998 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,034.59 | $2,646 | 2.3× |
| MRA neck w/o contrast (70547) | $703.80 | $1,800 | 2.3× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,537.77–$3,674.62 | $9,048–$9,398 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,371.24–$2,536.81 | $3,507–$6,488 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $569.30 | $1,456 | 1.9× |
| MRI cardiac w/o cont stress (75559) | $569.30 | $1,456 | 0.8× |
| MRI cardiac w/o contrast (75557) | $365.20 | $934 | 1.2× |
| MRI cervical spine w contrast (72142) | $1,405.26 | $3,594 | 3.1× |
| MRI cervical spine w/o cont (72141) | $968.90 | $2,478 | 3.2× |
| MRI chest w/o contrast (71550) | $682.30 | $1,745 | 2.2× |
| MRI chest with contrast (71551) | $788.26 | $2,016 | 0.8× |
| MRI chest wo w contrast (71552) | $1,002.92 | $2,565 | 2.2× |
| MRI lumbar spine w contrast (72149) | $1,545.24 | $3,952 | 3.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,618.35 | $4,139 | 3.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,510.83 | $3,864 | 4.9× |
| MRI orbit face neck w contrast (70542) | $1,649.63 | $4,219 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,132.52 | $5,454 | 4.8× |
| MRI pelvis w contrast (72196) | $3,686.35 | $9,428 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $4,237.27 | $10,837 | 9.4× |
| MRI pelvis w/o contrast (72195) | $2,542.29 | $6,502 | 8.3× |
| MRI thoracic spine w/o contrast (72146) | $1,940.54 | $4,963 | 6.3× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,072.27–$4,236.88 | $10,415–$10,836 | varies |
| MRI, dorsal spine combo (72157) | $3,241 | $8,289 | 7.2× |
| MRI, dorsal spine contrast (72147) | $2,814.03 | $7,197 | 6.3× |
| MRI, lumbar spine combo (72158) | $1,779.84 | $4,552 | 4.0× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$508.30–$528.25 | $1,300–$1,351 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$384.36–$399.61 | $983–$1,022 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$751.90–$782 | $1,923–$2,000 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,194.51–$1,242.60 | $3,055–$3,178 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,612.49 | $4,124 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,883.24 | $7,374 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $3,604.24 | $9,218 | 2.2× |
| N-invas est c ffr sw aly CTA (75580) | $855.90 | $2,189 | 0.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$82.90–$85.63 | $212–$219 | varies |
| Nm csf leak detection (78650) | $1,093.24 | $2,796 | 0.7× |
| Nm myocard infarct spect (78469) | $1,839.27 | $4,704 | 2.6× |
| Nuclear Rx Intra-Arterial (79445) | $734.30 | $1,878 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $505.96 | $1,294 | 1.7× |
| Ob us nuchal meas 1 gest (76813) | $1,099.89 | $2,813 | 8.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $130.21 | $333 | 1.0× |
| Parathyroid Planar Imaging (78070) | $925.89 | $2,368 | 1.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$84.07–$86.81 | $215–$222 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,573.78 | $4,025 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $785.91 | $2,010 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$139.98–$144.28 | $358–$369 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$351.90–$365.98 | $900–$936 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$61–$64.13 | $156–$164 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$76.25–$78.60 | $195–$201 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$257.67–$268.23 | $659–$686 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$607.62–$633.03 | $1,554–$1,619 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$64.13–$66.08 | $164–$169 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$811.72–$844.56 | $2,076–$2,160 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$68.43–$71.17 | $175–$182 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $360.51 | $922 | 2.7× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$523.16–$544.28 | $1,338–$1,392 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$523.16–$544.28 | $1,338–$1,392 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $190.42 | $487 | 0.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$84.07–$86.81 | $215–$222 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$607.62–$633.03 | $1,554–$1,619 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$581.03–$605.27 | $1,486–$1,548 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$698.72–$726.48 | $1,787–$1,858 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$315.54–$329.23 | $807–$842 | varies |
| Renal Cyst Study (74470) | $2,293.22 | $5,865 | 3.3× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$486.41–$506.74 | $1,244–$1,296 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $480.54 | $1,229 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,514.74 | $3,874 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,717.67 | $4,393 | 2.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $899.70 | $2,301 | 1.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,331.75 | $3,406 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,510.83 | $3,864 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,331.75 | $3,406 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $763.63 | $1,953 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87.98 | $225 | 3.8× |
| Sella turcica (70240) range across 2 matching MRF lines |
$97.75–$102.06 | $250–$261 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$67.65–$71.17 | $173–$182 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$342.91–$356.60 | $877–$912 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$64.13–$66.08 | $164–$169 | varies |
| Superior sagittal sinus venogram (75870) | $4,360.44 | $11,152 | 1.1× |
| Testicular Imaging W/Flow (78761) | $1,569.87 | $4,015 | 3.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$259.63–$267.45 | $664–$684 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$366.76–$382.01 | $938–$977 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $538.02 | $1,376 | 1.0× |
| Thyroid Met Imaging Body (78018) | $480.54 | $1,229 | 0.7× |
| Thyroid Uptake Measurement (78012) | $398.04 | $1,018 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,004.09 | $2,568 | 2.0× |
| Ultrasound elastography first target lesion (76982) | $172.44 | $441 | 1.3× |
| Ultrasound Elastography Parenchyma (76981) | $163.44 | $418 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $117.30 | $300 | 0.9× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$59.44–$1,185.91 | $152–$3,033 | varies |
| Umbilical-artery Doppler (OB) (76820) | $239.69 | $613 | 1.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$609.57–$634.60 | $1,559–$1,623 | varies |
| Ureteral Reflux Study (78740) | $535.28 | $1,369 | 1.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$400–$416.03 | $1,023–$1,064 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$384.75–$400 | $984–$1,023 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$61–$507.13 | $156–$1,297 | varies |
| Us exam, pelvic, limited (76857) | $785.13 | $2,008 | 5.8× |
| Us head (76506) | $664.31 | $1,699 | 4.9× |
| Us kidney transplant (76776) | $981.41 | $2,510 | 7.3× |
| Us ob detailed single fetus (76811) | $965.77 | $2,470 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $825.01 | $2,110 | 6.1× |
| Us ob transvaginal (76817) | $927.07 | $2,371 | 6.9× |
| Us pelvic non ob complete (76856) | $1,171.83 | $2,997 | 8.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,099.11 | $2,811 | 8.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,066.26 | $2,727 | 7.9× |
| Us retroperitoneal complete (76770) | $244.38 | $625 | 1.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$68.43–$1,343.48 | $175–$3,436 | varies |
| Us scrotum and contents (76870) | $1,043.19 | $2,668 | 7.8× |
| Us spinal canal and contents (76800) | $709.67 | $1,815 | 5.3× |
| Us thyroid (76536) | $1,116.70 | $2,856 | 8.3× |
| Us transrectal (76872) range across 2 matching MRF lines |
$166.18–$943.49 | $425–$2,413 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,422.46–$1,711.80 | $3,638–$4,378 | varies |
| Venogram Sinus/Jugular (75860) | $3,595.64 | $9,196 | 0.9× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,167.32–$3,149.90 | $5,543–$8,056 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$976.33–$1,648.07 | $2,497–$4,215 | varies |
| Venography Renal Bilateral (75833) | $6,879.26 | $17,594 | 1.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $428.93 | $1,097 | 0.8× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$85.24–$88.76 | $218–$227 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,335.23 | $8,530 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$425.41–$441.44 | $1,088–$1,129 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$484.06–$504 | $1,238–$1,289 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$415.64–$432.06 | $1,063–$1,105 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$519.64–$540.37 | $1,329–$1,382 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$649.06–$674.87 | $1,660–$1,726 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$338.61–$348.78 | $866–$892 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$419.55–$436.75 | $1,073–$1,117 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$524.73–$545.06 | $1,342–$1,394 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$133.73–$137.64 | $342–$352 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$81.33–$84.85 | $208–$217 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$612.70–$638.51 | $1,567–$1,633 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$719.84–$748.38 | $1,841–$1,914 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $284.65 | $728 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$236.17–$248.29 | $604–$635 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$133.73–$137.64 | $342–$352 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$68.04–$71.17 | $174–$182 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $141.94 | $363 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $80.94 | $207 | 0.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$427.76–$446.92 | $1,094–$1,143 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $80.94 | $207 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$67.65–$71.17 | $173–$182 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$389.44–$404.69 | $996–$1,035 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$359.72–$374.19 | $920–$957 | varies |
| X-Rays Bone Length Studies (77073) | $357.77 | $915 | 2.7× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$439.10–$457.47 | $1,123–$1,170 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$479.76–$498.14 | $1,227–$1,274 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$61–$64.13 | $156–$164 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$313.20–$325.71 | $801–$833 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$62.96–$65.30 | $161–$167 | varies |
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.