Imaging prices at Confluence Health Hospital | Central Campus
Wenatchee, WA · every code in this section with a posted price and a Medicare benchmark.
369 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) | $4,587.30 | $5,097 | 2.9× |
| Abdomen 1 View (74018) | $383.40 | $426 | 3.8× |
| Abdomen 2 views (74019) | $464.40 | $516 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,953.90 | $2,171 | 4.2× |
| Angio internal mammary (75756) | $9,191.70 | $10,213 | 2.5× |
| Angio pulmonary bilat (75743) | $7,020 | $7,800 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $11,114.10 | $12,349 | 3.1× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$7,020–$11,114.10 | $7,800–$12,349 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $11,114.10 | $12,349 | 3.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,409.90 | $6,011 | 1.5× |
| Ankle 2 views (73600) | $383.40 | $426 | 3.8× |
| Aortography thoracic serialography rs&i (75605) | $19,180.80 | $21,312 | 3.0× |
| Artery X-Rays Abdomen (75726) | $19,180.80 | $21,312 | 3.0× |
| Artery X-Rays Adrenal Gland (75731) | $5,409.90 | $6,011 | 1.5× |
| Artery X-Rays Pelvis (75736) | $19,180.80 | $21,312 | 3.0× |
| Artery X-Rays Spine (75705) | $15,245.10 | $16,939 | 2.4× |
| Arthrogram ankle (73615) | $1,161 | $1,290 | 2.9× |
| Arthrogram hip (73525) | $1,476 | $1,640 | 3.7× |
| Arthrogram Wrist (73115) | $641.70 | $713 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $453.60 | $504 | 2.9× |
| Bone age studies (77072) | $464.40 | $516 | 3.9× |
| Bone Imaging 3 Phase (78315) | $1,854.90 | $2,061 | 4.0× |
| Bone Imaging Limited Area (78300) | $1,525.50 | $1,695 | 3.3× |
| Bone Imaging Multiple Areas (78305) | $1,854.90 | $2,061 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,854.90 | $2,061 | 4.0× |
| Bone marrow imaging; whole body (78104) | $864.90 | $961 | 1.9× |
| Bone survey infant (77076) | $472.50 | $525 | 3.9× |
| Brain Flow Imaging Only (78610) | $1,123.20 | $1,248 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,041.20 | $2,268 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,180.30 | $6,867 | 3.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,646 | $2,940 | 6.6× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$264.60–$585 | $294–$650 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,099.80 | $1,222 | 1.8× |
| Chest 1 view (71045) | $383.40 | $426 | 3.8× |
| Chest 2 views (71046) | $383.40 | $426 | 3.8× |
| Chest 3 views (71047) | $388.80 | $432 | 3.9× |
| Chest 4 or more views (71048) | $433.80 | $482 | 3.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $470.70 | $523 | 3.9× |
| Clavicle complete (73000) | $383.40 | $426 | 3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,052.10 | $1,169 | 8.8× |
| Continuing medical physics consltj pr wk (77336) | $453.60 | $504 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) | $7,020 | $7,800 | 1.9× |
| Contrast X-Ray Bladder (74430) | $1,283.40 | $1,426 | 3.2× |
| Contrast X-Ray Of Elbow (73085) | $1,161 | $1,290 | 2.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,161 | $1,290 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,910.60 | $3,234 | 7.3× |
| CT abdomen and pelvis without contrast (74176) | $2,387.70 | $2,653 | 8.7× |
| CT abdomen w contrast (74160) | $1,404.90 | $1,561 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,404.90 | $1,561 | 7.0× |
| CT abdomen w/o contrast (74150) | $1,052.10 | $1,169 | 8.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,910.60 | $3,234 | 7.3× |
| CT Angio Chest (71275) | $1,404.90 | $1,561 | 7.0× |
| CT Angio Head (70496) | $1,404.90 | $1,561 | 7.0× |
| CT angio hrt w/3d image (75574) | $1,404.90 | $1,561 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,404.90 | $1,561 | 7.0× |
| CT Angio Neck (70498) | $1,404.90 | $1,561 | 7.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,404.90 | $1,561 | 7.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $4,345.20 | $4,828 | 21.5× |
| CT cervical spine w/ contrast (72126) | $2,910.60 | $3,234 | 7.3× |
| CT cervical spine w/o contrast (72125) | $1,052.10 | $1,169 | 8.8× |
| CT cervical spine w/wo cont (72127) | $1,404.90 | $1,561 | 7.0× |
| CT chest w contrast (71260) | $1,404.90 | $1,561 | 7.0× |
| CT chest w/wo contrast (71270) | $1,404.90 | $1,561 | 7.0× |
| CT colonography screening (74263) | $2,017.80 | $2,242 | 7.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $297.90 | $331 | 1.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $143.10 | $159 | 1.2× |
| CT head/brain with contrast (70460) | $1,404.90 | $1,561 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,404.90 | $1,561 | 7.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,404.90 | $1,561 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $234 | $260 | 2.3× |
| CT hrt w/3d image congen (75573) | $928.80 | $1,032 | 2.3× |
| CT iac w contrast (70481) | $1,404.90 | $1,561 | 7.0× |
| CT l-spine w&w/o contrast (72133) | $928.80 | $1,032 | 4.6× |
| CT lower ext w/o (73700) | $1,052.10 | $1,169 | 8.8× |
| CT lower extremity w/contrast material (73701) | $1,404.90 | $1,561 | 7.0× |
| CT lumbar spine w contrast (72132) | $2,910.60 | $3,234 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $1,052.10 | $1,169 | 8.8× |
| CT maxillofacial w contrast (70487) | $1,404.90 | $1,561 | 7.0× |
| CT maxillofacial wo contrast (70486) | $1,052.10 | $1,169 | 8.8× |
| CT neck tissue combo (70492) | $1,404.90 | $1,561 | 7.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,404.90 | $1,561 | 7.0× |
| CT orbits w/o contrast (70480) | $1,052.10 | $1,169 | 8.8× |
| CT pelvis w&w/o contrast (72194) | $1,404.90 | $1,561 | 7.0× |
| CT pelvis w/o contrast (72192) | $1,052.10 | $1,169 | 8.8× |
| CT scan of leg combo (73702) | $1,233.90 | $1,371 | 6.1× |
| CT scans face/jaw combo (70488) | $1,229.40 | $1,366 | 6.1× |
| CT soft tissue neck w contrast (70491) | $1,404.90 | $1,561 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $1,052.10 | $1,169 | 8.8× |
| CT thoracic spine w contrast (72129) | $1,404.90 | $1,561 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $1,052.10 | $1,169 | 8.8× |
| CT thoracic spine w/wo cont (72130) | $928.80 | $1,032 | 4.6× |
| CT thorax w/o contrast (71250) | $1,052.10 | $1,169 | 8.8× |
| CT unlisted procedure (76497) | $151.20 | $168 | 1.5× |
| CT upper ext wo (73200) | $1,052.10 | $1,169 | 8.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,404.90 | $1,561 | 7.0× |
| CT upper extremity with contrast (73201) | $2,910.60 | $3,234 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,404.90 | $1,561 | 7.0× |
| Cta Abdomen (74175) | $1,404.90 | $1,561 | 7.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,345.20 | $4,828 | 10.8× |
| CTA pelvis (72191) | $1,404.90 | $1,561 | 7.0× |
| Dilation ureters/urethra rs&i (74485) | $5,508 | $6,120 | 2.3× |
| Diskography lumbar (72295) | $4,099.50 | $4,555 | 1.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $526.50 | $585 | 4.4× |
| Dxa Bone Density Axial (77080) | $464.40 | $516 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $156.60 | $174 | 1.6× |
| Echo exam uterus (76831) | $1,212.30 | $1,347 | 4.4× |
| Echo Guide For Artery Repair (76936) | $641.70 | $713 | 2.6× |
| Esophagram (74220) | $619.20 | $688 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$119.70–$526.50 | $133–$585 | varies |
| Fluoroscopy up to 1 hr (76000) | $1,053 | $1,170 | 3.8× |
| Follow-Up Angiography (75898) | $8,395.20 | $9,328 | 2.3× |
| Foot 2 views (73620) | $383.40 | $426 | 3.8× |
| Forearm 2 views (73090) | $383.40 | $426 | 3.8× |
| Gastric emptying imaging study (78264) | $1,854.90 | $2,061 | 4.0× |
| Gated Heart Planar Single (78472) | $501.30 | $557 | 1.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$144.90–$464.40 | $161–$516 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $11,274.30 | $12,527 | 3.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $9,191.70 | $10,213 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,291.40 | $2,546 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,854.90 | $2,061 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $5,668.20 | $6,298 | 3.8× |
| Hysterosalpingogram (74740) | $1,053 | $1,170 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $321.30 | $357 | 3.2× |
| Infant hip ultrasound, limited static exam (76886) | $161.10 | $179 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $2,291.40 | $2,546 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,291.40 | $2,546 | 3.7× |
| Knee 3 Views (73562) | $383.40 | $426 | 3.8× |
| Liver & Spleen Imaging Static Only (78215) | $864.90 | $961 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,291.40 | $2,546 | 3.7× |
| Lung perfusion differential (78597) | $864.90 | $961 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,291.40 | $2,546 | 3.7× |
| Lung Ventilation Imaging (78579) | $864.90 | $961 | 1.9× |
| Lymph System Imaging (78195) | $2,291.40 | $2,546 | 3.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $9,191.70 | $10,213 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $2,170.80 | $2,412 | 7.9× |
| Meckels Divert Exam (78290) | $1,896.30 | $2,107 | 4.1× |
| Mlc imrt design & construction per imrt plan (77338) | $822.60 | $914 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,646 | $2,940 | 6.6× |
| MRA head w/o contrast (70544) | $2,170.80 | $2,412 | 7.9× |
| MRA head with contrast (70545) | $871.20 | $968 | 2.2× |
| MRA neck w contrast (70548) | $871.20 | $968 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,646 | $2,940 | 6.6× |
| MRA neck w/o contrast (70547) | $2,061 | $2,290 | 7.5× |
| MRI abdomen w contrast (74182) | $1,574.10 | $1,749 | 3.9× |
| MRI abdomen w/o contrast (74181) | $2,170.80 | $2,412 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,762 | $4,180 | 4.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,646 | $2,940 | 6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,228.10 | $5,809 | 5.8× |
| MRI bone marrow blood supply (77084) | $2,061 | $2,290 | 7.5× |
| MRI brain functional w/physician admnistration (70555) | $1,272.60 | $1,414 | 4.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $536.40 | $596 | 2.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $721.80 | $802 | 2.6× |
| MRI cardiac w/o contrast (75557) | $2,170.80 | $2,412 | 7.9× |
| MRI cervical spine w contrast (72142) | $2,688.30 | $2,987 | 6.7× |
| MRI cervical spine w/o cont (72141) | $2,170.80 | $2,412 | 7.9× |
| MRI chest w/o contrast (71550) | $2,170.80 | $2,412 | 7.9× |
| MRI chest with contrast (71551) | $1,574.10 | $1,749 | 1.7× |
| MRI chest wo w contrast (71552) | $2,646 | $2,940 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,646 | $2,940 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,646 | $2,940 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,170.80 | $2,412 | 7.9× |
| MRI lumbar spine w contrast (72149) | $2,109.60 | $2,344 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,646 | $2,940 | 6.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,170.80 | $2,412 | 7.9× |
| MRI orbit face neck w contrast (70542) | $1,574.10 | $1,749 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,646 | $2,940 | 6.6× |
| MRI pelvis w contrast (72196) | $1,574.10 | $1,749 | 3.9× |
| MRI pelvis w/o & w contrast (72197) | $2,646 | $2,940 | 6.6× |
| MRI pelvis w/o contrast (72195) | $2,170.80 | $2,412 | 7.9× |
| MRI spectroscopy (76390) | $791.10 | $879 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $2,170.80 | $2,412 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,574.10 | $1,749 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,170.80 | $2,412 | 7.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,646 | $2,940 | 6.6× |
| MRI, abdomen, combo (74183) | $2,646 | $2,940 | 6.6× |
| MRI, dorsal spine combo (72157) | $2,646 | $2,940 | 6.6× |
| MRI, dorsal spine contrast (72147) | $1,574.10 | $1,749 | 3.9× |
| MRI, joint upper extrem (73221) | $2,170.80 | $2,412 | 7.9× |
| MRI, joint upper extrem combo (73223) | $2,646 | $2,940 | 6.6× |
| MRI, lumbar spine combo (72158) | $2,646 | $2,940 | 6.6× |
| Myelogram cervical (72240) | $1,736.10 | $1,929 | 1.9× |
| Myelogram Lumbar (72265) | $1,736.10 | $1,929 | 1.9× |
| Myelography thoracic (72255) | $1,736.10 | $1,929 | 1.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,157.40–$5,740.20 | $1,286–$6,378 | varies |
| Neck soft tissue (70360) | $383.40 | $426 | 3.8× |
| Nonvascular Shunt X-Ray (75809) | $279.90 | $311 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,020.40 | $3,356 | 1.9× |
| Nuclear Rx Intra-Arterial (79445) | $455.40 | $506 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $1,195.20 | $1,328 | 4.5× |
| Ob us nuchal meas 1 gest (76813) | $495 | $550 | 4.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $119.70 | $133 | 1.0× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $144.90 | $161 | 0.9× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $119.70 | $133 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $306 | $340 | 2.5× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $27.90 | $31 | 0.8× |
| Ophthalmic us dx quantitative a-scan only (76511) | $165.60 | $184 | 1.4× |
| Panoramic X-ray of jaws (70355) | $156.60 | $174 | 1.6× |
| Parathyroid Planar Imaging (78070) | $864.90 | $961 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,854.90 | $2,061 | 4.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$144.90–$464.40 | $161–$516 | varies |
| Pet Image W/Ct Lmtd (78814) | $6,180.30 | $6,867 | 3.8× |
| PET image w/CT, full body (78816) | $5,778.90 | $6,421 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,778.90 | $6,421 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,114.10 | $12,349 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,953.90 | $2,171 | 4.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $464.40 | $516 | 3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$982.80–$4,702.50 | $1,092–$5,225 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $383.40 | $426 | 3.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $383.40 | $426 | 3.8× |
| Radex elbow complete minimum 3 views (73080) | $383.40 | $426 | 3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $470.70 | $523 | 3.9× |
| Radex fingr minimum 2 views (73140) | $383.40 | $426 | 3.8× |
| Radex foot complete minimum 3 views (73630) | $383.40 | $426 | 3.8× |
| Radex Hand Minimum 3 Views (73130) | $383.40 | $426 | 3.8× |
| Radex lower extremity infant minimum 2 views (73592) | $383.40 | $426 | 3.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $300.60 | $334 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $383.40 | $426 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $383.40 | $426 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $383.40 | $426 | 3.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $383.40 | $426 | 3.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $300.60 | $334 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $383.40 | $426 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $383.40 | $426 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $383.40 | $426 | 3.8× |
| Radex Toe Minimum 2 Views (73660) | $383.40 | $426 | 3.8× |
| Radex upper extremity infant minimum 2 views (73092) | $455.40 | $506 | 3.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $383.40 | $426 | 3.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $433.80 | $482 | 3.6× |
| Radiation treatment delivery level 1 (77402) | $315.90 | $351 | 2.7× |
| Radiation treatment delivery level 2 (77407) | $558 | $620 | 1.3× |
| Radiation treatment delivery level 3 (77412) | $899.10 | $999 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $472.50 | $525 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $470.70 | $523 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $614.70 | $683 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $619.20 | $688 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $418.50 | $465 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$144.90–$464.40 | $161–$516 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $464.40 | $516 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $619.20 | $688 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $619.20 | $688 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $619.20 | $688 | 3.1× |
| Radiologic examination femur 1 view (73551) | $383.40 | $426 | 3.8× |
| Radiologic examination femur minimum 2 views (73552) | $383.40 | $426 | 3.8× |
| Radiologic examination knee 1/2 views (73560) | $383.40 | $426 | 3.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $300.60 | $334 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $383.40 | $426 | 3.8× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $891.90 | $991 | 3.3× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $589.50 | $655 | 2.2× |
| Ribs bilateral 3 views (71110) | $464.40 | $516 | 3.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $864.90 | $961 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,157.40–$5,557.50 | $1,286–$6,175 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $589.50 | $655 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $249.30 | $277 | 0.9× |
| Scapula (73010) | $464.40 | $516 | 3.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $80.10 | $89 | 3.4× |
| Shoulder 1 view (73020) | $383.40 | $426 | 3.8× |
| Shoulder Arthrography (73040) | $1,161 | $1,290 | 2.9× |
| Sialogram (70390) | $622.80 | $692 | 2.3× |
| Skull less than 4 views (70250) | $464.40 | $516 | 3.9× |
| Special Physics Consult (77370) | $414 | $460 | 2.7× |
| Special treatment procedure (77470) | $1,329.30 | $1,477 | 2.1× |
| Stereotactic Body Radiation Delivery (77373) | $5,649.30 | $6,277 | 2.7× |
| Sternoclavicular joints (71130) | $156.60 | $174 | 1.6× |
| Superior sagittal sinus venogram (75870) | $5,409.90 | $6,011 | 1.5× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $356.40 | $396 | 3.0× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $356.40 | $396 | 3.0× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $130.50 | $145 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,248.30 | $1,387 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $822.60 | $914 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,248.30 | $1,387 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) | $453.60 | $504 | 2.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $641.70 | $713 | 3.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$144.90–$464.40 | $161–$516 | varies |
| Thoracic spine 3 views (72072) | $464.40 | $516 | 3.9× |
| Thoracolumbar 2 views (72080) | $383.40 | $426 | 3.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $864.90 | $961 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,854.90 | $2,061 | 4.0× |
| Thyroid Met Imaging Body (78018) | $1,958.40 | $2,176 | 3.1× |
| Thyroid Uptake Measurement (78012) | $1,525.50 | $1,695 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,503.90 | $1,671 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $1,248.30 | $1,387 | 2.9× |
| Tx devices design & construction intermediate (77333) | $320.40 | $356 | 2.1× |
| Tx devices design & construction simple (77332) | $453.60 | $504 | 2.9× |
| Ultrasound Breast Limited (76642) | $435.60 | $484 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) | $526.50 | $585 | 4.4× |
| Ultrasound, abdomen limited (76705) | $526.50 | $585 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$119.70–$526.50 | $133–$585 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $337.50 | $375 | 3.4× |
| Unlisted fluoroscopic procedure (76496) | $255.60 | $284 | 2.6× |
| Unlisted magnetic resonance procedure (76498) | $143.10 | $159 | 1.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $864.90 | $961 | 1.9× |
| Unlisted us procedure (76999) | $429.30 | $477 | 4.3× |
| Upper gi w/o kub (74240) | $619.20 | $688 | 3.1× |
| Urethrocystogram voiding (74455) | $1,053 | $1,170 | 3.8× |
| Urethrocystography retrograde (74450) | $1,053 | $1,170 | 3.8× |
| Us bone density measurement (76977) | $279.90 | $311 | 2.3× |
| Us breast unilateral complete (76641) | $306 | $340 | 2.5× |
| Us chest (76604) | $526.50 | $585 | 4.4× |
| Us complete joint (76881) | $567.90 | $631 | 4.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$143.10–$526.50 | $159–$585 | varies |
| Us head (76506) | $526.50 | $585 | 4.4× |
| Us kidney transplant (76776) | $545.40 | $606 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $526.50 | $585 | 4.4× |
| Us ob detailed single fetus (76811) | $306 | $340 | 1.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$119.70–$526.50 | $133–$585 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$119.70–$526.50 | $133–$585 | varies |
| Us pelvic non ob complete (76856) | $526.50 | $585 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$119.70–$526.50 | $133–$585 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$124.20–$526.50 | $138–$585 | varies |
| Us retroperitoneal complete (76770) | $526.50 | $585 | 4.4× |
| Us retroperitoneal limited (76775) | $526.50 | $585 | 4.4× |
| Us scrotum and contents (76870) | $526.50 | $585 | 4.4× |
| Us spinal canal and contents (76800) | $306 | $340 | 2.5× |
| Us thyroid (76536) | $526.50 | $585 | 4.4× |
| Us transrectal (76872) | $526.50 | $585 | 4.4× |
| Vein X-Ray Chest (75827) | $5,620.50 | $6,245 | 3.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,560.30 | $5,067 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $5,409.90 | $6,011 | 1.5× |
| Venogram Sinus/Jugular (75860) | $5,238.90 | $5,821 | 1.4× |
| Venography Adrenal Unilateral (75840) | $6,345.90 | $7,051 | 1.7× |
| Venography caval inferior serialography rs&i (75825) | $7,020 | $7,800 | 1.9× |
| Venography extremity bilateral rs&i (75822) | $3,415.50 | $3,795 | 1.9× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$3,415.50–$5,408.10 | $3,795–$6,009 | varies |
| Venography Renal Bilateral (75833) | $6,345.90 | $7,051 | 1.7× |
| Venography Renal Unilateral (75831) | $11,114.10 | $12,349 | 3.1× |
| Venous sampling by catheter (75893) | $12,114 | $13,460 | 1.9× |
| Wrist 2 views (73100) | $383.40 | $426 | 3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $315 | $350 | 3.1× |
| X-ray antegrade pyelogram tube (74425) | $1,256.40 | $1,396 | 3.1× |
| X-Ray Aorta Leg Arteries (75630) | $11,114.10 | $12,349 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $464.40 | $516 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $383.40 | $426 | 3.8× |
| X-Ray Exam Breast Specimen (76098) | $2,382.30 | $2,647 | 3.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $156.60 | $174 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $464.40 | $516 | 3.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $470.70 | $523 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $383.40 | $426 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $383.40 | $426 | 3.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $464.40 | $516 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $464.40 | $516 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $464.40 | $516 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $300.60 | $334 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $464.40 | $516 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $383.40 | $426 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $464.40 | $516 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $464.40 | $516 | 3.9× |
| X-ray eye for foreign body (70030) | $383.40 | $426 | 3.8× |
| X-ray humerus (73060) | $383.40 | $426 | 3.8× |
| X-ray IV pyelogram (ivp) (74400) | $641.70 | $713 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $156.60 | $174 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$91.80–$315 | $102–$350 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$144.90–$464.40 | $161–$516 | varies |
| X-ray nose-rectum child f.b. (76010) | $337.50 | $375 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $464.40 | $516 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $464.40 | $516 | 3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $455.40 | $506 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $383.40 | $426 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $383.40 | $426 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $464.40 | $516 | 3.9× |
| X-Ray Stress View (77071) | $388.80 | $432 | 3.9× |
| X-Ray Tmj Unilat (70328) | $156.60 | $174 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,283.40 | $1,426 | 3.2× |
| X-Rays Bone Length Studies (77073) | $464.40 | $516 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $433.80 | $482 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $464.40 | $516 | 3.9× |
| Xr facial bones less than 3 views (70140) | $156.60 | $174 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $300.60 | $334 | 2.5× |
| Xr orbits complete 4 views (70200) | $464.40 | $516 | 3.9× |
| Xr Tomogram Single Plane (76100) | $300.60 | $334 | 2.5× |
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.