Imaging prices at Dameron Hospital
Stockton, CA · every code in this section with a posted price and a Medicare benchmark.
264 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) | $592.51 | $1,316.68 | 5.2× |
| Abdomen 2 views (74019) | $757.29 | $1,682.86 | 5.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,191.08 | $9,313.52 | 7.9× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,203.47 | $2,674.38 | 0.7× |
| Angio pulmonary bilat (75743) | $10,306.05 | $22,902.34 | 2.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,520.38–$9,316.31 | $16,711.96–$20,702.91 | varies |
| Angiography extremity unilateral rs&i (75710) | $4,860.75 | $10,801.67 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$7,263.28–$9,083.46 | $16,140.62–$20,185.47 | varies |
| Ankle 2 views (73600) | $660.62 | $1,468.05 | 5.8× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,798.27–$10,899.50 | $19,551.70–$24,221.11 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $5,030.92 | $11,179.82 | 1.2× |
| Artery X-Rays Abdomen (75726) | $10,208.83 | $22,686.28 | 1.4× |
| Arthrogram hip (73525) | $1,319.84 | $2,932.98 | 2.9× |
| Basic radiation dosimetry calculation (77300) | $429.30 | $954 | 2.4× |
| Bone age studies (77072) | $671.14 | $1,491.42 | 4.9× |
| Bone Imaging 3 Phase (78315) | $4,482.83 | $9,961.84 | 8.5× |
| Bone Imaging Multiple Areas (78305) | $2,342.54 | $5,205.64 | 4.4× |
| Bone Imaging Whole Body (78306) | $3,685.46 | $8,189.92 | 7.0× |
| Bone marrow imaging; multiple areas (78103) | $3,432.15 | $7,627 | 6.5× |
| Bone survey infant (77076) | $1,806.07 | $4,013.48 | 13.1× |
| Brachytx isodose complex (77318) | $1,860.30 | $4,134 | 3.8× |
| Brain Image W/Flow < 4 Views (78601) | $675 | $1,500.01 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,328.15 | $7,395.89 | 7.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,132.01 | $9,182.25 | 4.0× |
| Cat Scan Follow-Up Study (76380) | $2,792.24 | $6,204.98 | 24.3× |
| Cerebrospinal Fluid Scan (78630) | $4,305.86 | $9,568.58 | 6.0× |
| Chest 1 view (71045) | $680.66 | $1,512.57 | 5.9× |
| Chest 2 views (71046) | $773.82 | $1,719.59 | 6.7× |
| Chest 3 views (71047) | $533.41 | $1,185.35 | 4.6× |
| Clavicle complete (73000) | $785.33 | $1,745.18 | 6.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,853.81–$9,729.51 | $17,452.90–$21,621.14 | varies |
| Contrast X-Ray Bladder (74430) | $1,450.96 | $3,224.36 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,598.03 | $3,551.17 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $10,936.06 | $24,302.36 | 23.8× |
| CT abdomen and pelvis without contrast (74176) | $5,613.53 | $12,474.50 | 17.8× |
| CT abdomen w contrast (74160) | $5,385.14 | $11,966.98 | 23.3× |
| CT abdomen w wo contrast (74170) | $6,865.65 | $15,257 | 29.7× |
| CT abdomen w/o contrast (74150) | $5,114.68 | $11,365.96 | 37.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,954.52 | $6,565.59 | 6.4× |
| CT Angio Chest (71275) | $8,198.91 | $18,219.81 | 35.4× |
| CT Angio Head (70496) | $8,198.91 | $18,219.81 | 35.4× |
| CT angio hrt w/3d image (75574) | $8,198.91 | $18,219.81 | 17.8× |
| CT Angio Neck (70498) | $8,198.91 | $18,219.81 | 35.4× |
| CT cervical spine w/ contrast (72126) | $5,730.22 | $12,733.83 | 12.5× |
| CT cervical spine w/o contrast (72125) | $5,565.45 | $12,367.66 | 40.4× |
| CT chest w contrast (71260) | $5,385.14 | $11,966.98 | 23.3× |
| CT chest w/wo contrast (71270) | $5,809.36 | $12,909.69 | 25.1× |
| CT head/brain with contrast (70460) | $5,239.39 | $11,643.09 | 22.6× |
| CT head/brain without and with contrast (70470) | $6,020.72 | $13,379.37 | 26.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,274.36 | $5,054.13 | 19.8× |
| CT lower ext w/o (73700) | $3,814.97 | $8,477.72 | 27.7× |
| CT lower extremity w/contrast material (73701) | $4,970.94 | $11,046.53 | 21.5× |
| CT lumbar spine w contrast (72132) | $5,816.87 | $12,926.38 | 12.6× |
| CT lumbar spine w/o contrast (72131) | $5,642.58 | $12,539.06 | 40.9× |
| CT maxillofacial w contrast (70487) | $5,385.14 | $11,966.98 | 23.3× |
| CT maxillofacial wo contrast (70486) | $3,965.23 | $8,811.62 | 28.8× |
| CT neck tissue combo (70492) | $6,231.58 | $13,847.95 | 26.9× |
| CT orbits w/o contrast (70480) | $4,534.20 | $10,075.99 | 32.9× |
| CT pelvis w/o contrast (72192) | $5,114.68 | $11,365.96 | 37.1× |
| CT scans face/jaw combo (70488) | $6,020.72 | $13,379.37 | 26.0× |
| CT soft tissue neck w contrast (70491) | $5,385.14 | $11,966.98 | 23.3× |
| CT soft tissue neck w/o contrast (70490) | $5,114.68 | $11,365.96 | 37.1× |
| CT thoracic spine w contrast (72129) | $5,816.87 | $12,926.38 | 25.1× |
| CT thoracic spine w/o contrast (72128) | $5,712.20 | $12,693.77 | 41.4× |
| CT thorax w/o contrast (71250) | $5,064.60 | $11,254.66 | 36.7× |
| CT upper ext wo (73200) | $3,644.19 | $8,098.19 | 26.4× |
| CT upper extremity with contrast (73201) | $3,878.58 | $8,619.07 | 8.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,198.91 | $18,219.81 | 35.4× |
| Cta Abdomen (74175) | $7,857.33 | $17,460.74 | 34.0× |
| CTA pelvis (72191) | $2,616.94 | $5,815.43 | 11.3× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$3,069.97–$3,415.30 | $6,822.16–$7,589.55 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,069.97–$3,802.95 | $6,822.16–$8,451.01 | varies |
| Echo Guide For Artery Repair (76936) | $2,971.54 | $6,603.43 | 10.4× |
| Esophagram (74220) | $1,506.56 | $3,347.90 | 6.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,378.34 | $3,062.98 | 10.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,060.69 | $6,801.54 | 9.7× |
| Fluoroscopy up to 1 hr (76000) | $1,693.88 | $3,764.17 | 5.4× |
| Follow-Up Angiography (75898) | $2,808.21 | $6,240.47 | 0.7× |
| Foot 2 views (73620) | $616.05 | $1,368.99 | 5.4× |
| Forearm 2 views (73090) | $632.07 | $1,404.61 | 5.5× |
| Gastric emptying imaging study (78264) | $3,061.02 | $6,802.27 | 5.8× |
| Gated Heart Planar Single (78472) | $2,908.33 | $6,462.95 | 5.5× |
| Hand 2 views (73120) | $632.07 | $1,404.61 | 4.6× |
| Hepatobil Syst Image W/Drug (78227) | $3,608.10 | $8,018.01 | 5.0× |
| Hepatobiliary System Imaging (78226) | $3,608.10 | $8,018.01 | 6.8× |
| Ht Muscle Image Spect Sing (78451) | $3,628.33 | $8,062.95 | 2.1× |
| Hysterosalpingogram (74740) | $1,099.87 | $2,444.15 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,076.11 | $2,391.36 | 9.4× |
| Infusion Ivp (74410) | $1,714.41 | $3,809.80 | 7.4× |
| Interstitial radiation source applic complex (77778) | $2,862 | $6,360 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $4,887.32 | $10,860.72 | 6.8× |
| K Flow/Funct Image W/O Drug (78707) | $3,906.93 | $8,682.06 | 5.5× |
| Knee 3 Views (73562) | $643.09 | $1,429.09 | 5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,345.07 | $5,211.26 | 4.4× |
| Lung perfusion differential (78597) | $2,488.16 | $5,529.24 | 4.7× |
| Lung Ventilat&Perfus Imaging (78582) | $3,890.75 | $8,646.10 | 5.4× |
| Lung Ventilation Imaging (78579) | $2,488.16 | $5,529.24 | 4.7× |
| Lymph System Imaging (78195) | $3,439.23 | $7,642.73 | 4.8× |
| Magnetic Image Jaw Joint (70336) | $3,060.69 | $6,801.54 | 9.7× |
| Meckels Divert Exam (78290) | $2,018.43 | $4,485.41 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,328.15 | $7,395.89 | 7.2× |
| MRA head w/o contrast (70544) | $3,060.69 | $6,801.54 | 9.7× |
| MRA head with contrast (70545) | $3,212.96 | $7,139.90 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,328.15 | $7,395.89 | 7.2× |
| MRA neck w/o contrast (70547) | $3,060.69 | $6,801.54 | 9.7× |
| MRI abdomen w contrast (74182) | $3,212.96 | $7,139.90 | 7.0× |
| MRI abdomen w/o contrast (74181) | $3,060.69 | $6,801.54 | 9.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,212.96–$4,819.68 | $7,139.90–$10,710.40 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,328.15–$4,991.97 | $7,395.89–$11,093.27 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,212.96–$4,819.68 | $7,139.90–$10,710.40 | varies |
| MRI bone marrow blood supply (77084) | $3,060.69 | $6,801.54 | 9.7× |
| MRI brain functional w/o physician admnistration (70554) | $3,060.69 | $6,801.54 | 9.7× |
| MRI brain functional w/physician admnistration (70555) | $3,060.69 | $6,801.54 | 9.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,060.69 | $6,801.54 | 9.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,060.69 | $6,801.54 | 9.7× |
| MRI cardiac w/o cont stress (75559) | $3,060.69 | $6,801.54 | 4.2× |
| MRI cardiac w/o contrast (75557) | $3,060.69 | $6,801.54 | 9.7× |
| MRI cervical spine w contrast (72142) | $3,212.96 | $7,139.90 | 7.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,020.23–$3,060.69 | $2,267.18–$6,801.54 | varies |
| MRI chest w/o contrast (71550) | $3,060.69 | $6,801.54 | 9.7× |
| MRI chest with contrast (71551) | $3,212.96 | $7,139.90 | 3.1× |
| MRI chest wo w contrast (71552) | $3,328.15 | $7,395.89 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,212.96–$4,819.68 | $7,139.90–$10,710.40 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,328.15–$4,991.97 | $7,395.89–$11,093.27 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,060.69–$4,590.79 | $6,801.54–$10,201.76 | varies |
| MRI lumbar spine w contrast (72149) | $3,212.96 | $7,139.90 | 7.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,328.15 | $7,395.89 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,060.69 | $6,801.54 | 9.7× |
| MRI orbit face neck w contrast (70542) | $3,212.96 | $7,139.90 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,328.15 | $7,395.89 | 7.2× |
| MRI pelvis w contrast (72196) | $3,212.96 | $7,139.90 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,328.15 | $7,395.89 | 7.2× |
| MRI pelvis w/o contrast (72195) | $3,060.69 | $6,801.54 | 9.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,020.23–$3,060.69 | $2,267.18–$6,801.54 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,212.96–$4,819.68 | $7,139.90–$10,710.40 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,060.69–$4,590.79 | $6,801.54–$10,201.76 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,328.15–$4,991.97 | $7,395.89–$11,093.27 | varies |
| MRI, abdomen, combo (74183) | $3,328.15 | $7,395.89 | 7.2× |
| MRI, dorsal spine combo (72157) | $3,328.15 | $7,395.89 | 7.2× |
| MRI, dorsal spine contrast (72147) | $3,212.96 | $7,139.90 | 7.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,060.69–$4,590.79 | $6,801.54–$10,201.76 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,328.15–$4,991.97 | $7,395.89–$11,093.27 | varies |
| MRI, lumbar spine combo (72158) | $3,328.15 | $7,395.89 | 7.2× |
| Myelogram cervical (72240) | $2,976.55 | $6,614.56 | 2.9× |
| Myelogram Lumbar (72265) | $2,361.51 | $5,247.80 | 2.3× |
| Myelography thoracic (72255) | $4,047.37 | $8,994.15 | 3.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,843.02 | $8,540.05 | 3.7× |
| Myocardial Spect Multiple Studies (78452) | $7,986.78 | $17,748.39 | 4.7× |
| Neck soft tissue (70360) | $716.72 | $1,592.70 | 6.2× |
| Nuclear Rx Oral Admin (79005) | $604.22 | $1,342.70 | 2.0× |
| Parathyroid Planar Imaging (78070) | $2,455.29 | $5,456.20 | 4.7× |
| Pelvis 1 or 2 views (72170) | $613.54 | $1,363.43 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,633.27 | $5,851.71 | 5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,085.84 | $2,412.98 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $724.23 | $1,609.40 | 6.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $519.38 | $1,154.18 | 4.5× |
| Radex elbow complete minimum 3 views (73080) | $736.75 | $1,637.22 | 6.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,307.22 | $2,904.93 | 9.5× |
| Radex fingr minimum 2 views (73140) | $458.28 | $1,018.40 | 4.0× |
| Radex foot complete minimum 3 views (73630) | $730.74 | $1,623.87 | 6.4× |
| Radex Hand Minimum 3 Views (73130) | $733.24 | $1,629.43 | 6.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $837.42 | $1,860.94 | 7.3× |
| Radex Ribs Unilateral 2 Views (71100) | $780.83 | $1,735.17 | 6.8× |
| Radex shoulder complete minimum 2 views (73030) | $812.88 | $1,806.40 | 7.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $651.11 | $1,446.90 | 5.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,189.22 | $7,087.16 | 13.8× |
| Radex Spine 1 View Specify Level (72020) | $541.92 | $1,204.27 | 4.7× |
| Radex Sternum Minimum 2 Views (71120) | $582.99 | $1,295.53 | 5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,410.39 | $3,134.21 | 12.3× |
| Radex Toe Minimum 2 Views (73660) | $430.73 | $957.18 | 3.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $736.75 | $1,637.22 | 6.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,418.41 | $3,152.02 | 10.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $800.36 | $1,778.57 | 5.8× |
| Radiologic exam colon double contrast study (74280) | $2,271.36 | $5,047.46 | 9.8× |
| Radiologic exam colon single contrast study (74270) | $1,756.98 | $3,904.40 | 7.6× |
| Radiologic exam knee complete 4/more views (73564) | $1,041.77 | $2,315.04 | 7.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $728.74 | $1,619.42 | 5.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,518.58 | $3,374.62 | 6.6× |
| Radiologic exam swallow function contrast study (74230) | $1,586.69 | $3,525.98 | 6.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,818.59 | $4,041.30 | 7.9× |
| Radiologic examination femur 1 view (73551) | $585.76 | $1,301.68 | 5.1× |
| Radiologic examination femur minimum 2 views (73552) | $740.76 | $1,646.13 | 6.5× |
| Radiologic examination knee 1/2 views (73560) | $576.48 | $1,281.06 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $653.11 | $1,451.35 | 5.7× |
| Ribs bilateral 3 views (71110) | $973.15 | $2,162.56 | 7.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,283.27 | $2,851.70 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,579.28 | $7,953.96 | 5.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,044.84 | $6,766.32 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,176.81 | $7,059.58 | 4.4× |
| Rp Therapy Intravenous Administration (79101) | $1,226.63 | $2,725.85 | 4.0× |
| Scapula (73010) | $875.48 | $1,945.52 | 6.3× |
| Shoulder 1 view (73020) | $576.48 | $1,281.06 | 5.0× |
| Shoulder Arthrography (73040) | $1,113.78 | $2,475.06 | 2.4× |
| Skull less than 4 views (70250) | $679.65 | $1,510.34 | 4.9× |
| Special Physics Consult (77370) | $855.26 | $1,900.58 | 4.8× |
| Special treatment procedure (77470) | $1,574.10 | $3,498 | 2.2× |
| Sternoclavicular joints (71130) | $596.51 | $1,325.58 | 5.2× |
| Testicular Imaging W/Flow (78761) | $1,614.17 | $3,587.04 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,053.01 | $4,562.24 | 4.2× |
| Thoracic spine 2 views (72070) | $892.52 | $1,983.37 | 6.5× |
| Thyroid Imaging With Vascular Flow (78013) | $976.35 | $2,169.67 | 1.9× |
| Thyroid Met Imaging Body (78018) | $3,942.32 | $8,760.71 | 5.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$991.68–$1,240.29 | $2,203.74–$2,756.19 | varies |
| Tx devices design & construction simple (77332) | $620.10 | $1,378 | 3.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$687.67–$1,374.33 | $1,528.15–$3,054.07 | varies |
| Ultrasound elastography first target lesion (76982) | $965.64 | $2,145.86 | 7.0× |
| Ultrasound Elastography Parenchyma (76981) | $965.64 | $2,145.86 | 7.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$447.48–$1,382.85 | $994.39–$3,072.99 | varies |
| Ureteral Reflux Study (78740) | $2,365.29 | $5,256.20 | 4.5× |
| Urethrocystogram voiding (74455) | $1,749.47 | $3,887.71 | 5.6× |
| Urethrocystography retrograde (74450) | $1,205.05 | $2,677.88 | 3.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$738.25–$1,477.51 | $1,640.56–$3,283.35 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$447.48–$1,436.94 | $994.39–$3,193.20 | varies |
| Us complete joint (76881) | $912.05 | $2,026.77 | 6.6× |
| Us head (76506) | $1,364.31 | $3,031.81 | 9.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $589 | $1,308.89 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $1,292.19 | $2,871.54 | 9.4× |
| Us ob transvaginal (76817) | $1,142.94 | $2,539.87 | 8.3× |
| Us pelvic non ob complete (76856) | $1,600.22 | $3,556.04 | 11.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,817.08 | $4,037.96 | 13.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $649.10 | $1,442.45 | 4.7× |
| Us retroperitoneal complete (76770) | $1,592.20 | $3,538.23 | 11.5× |
| Us retroperitoneal limited (76775) | $447.48 | $994.39 | 3.2× |
| Us scrotum and contents (76870) | $1,515.07 | $3,366.83 | 11.0× |
| Us spinal canal and contents (76800) | $1,333.26 | $2,962.81 | 9.7× |
| Us thyroid (76536) | $1,458.48 | $3,241.06 | 10.6× |
| Us transrectal (76872) | $1,539.11 | $3,420.25 | 11.2× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$6,361.75–$7,880.88 | $14,137.22–$17,513.06 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$6,815.38–$8,442.33 | $15,145.28–$18,760.73 | varies |
| Venography extremity bilateral rs&i (75822) | $5,618.03 | $12,484.52 | 2.7× |
| Venography extremity unilateral rs&i (75820) | $4,683.95 | $10,408.78 | 2.3× |
| Venography Renal Unilateral (75831) | $6,389.84 | $14,199.65 | 1.5× |
| Wrist 2 views (73100) | $711.21 | $1,580.46 | 6.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $561.45 | $1,247.67 | 4.9× |
| X-ray antegrade pyelogram tube (74425) | $2,443.65 | $5,430.33 | 5.3× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$11,226.67–$13,907.10 | $24,948.16–$30,904.67 | varies |
| X-Ray Bend Only L-S Spine (72120) | $911.55 | $2,025.66 | 6.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $595.01 | $1,322.24 | 5.2× |
| X-Ray Exam Breast Specimen (76098) | $993.19 | $2,207.08 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $694.18 | $1,542.62 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$472.80–$2,710.60 | $1,050.67–$6,023.56 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$502.35–$2,754.18 | $1,116.34–$6,120.39 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,202.54 | $2,672.31 | 8.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,247.12 | $2,771.37 | 9.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $872.98 | $1,939.96 | 7.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,885.20 | $4,189.33 | 13.7× |
| X-ray eye for foreign body (70030) | $1,052.28 | $2,338.41 | 9.2× |
| X-ray humerus (73060) | $542.42 | $1,205.38 | 4.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,296.01 | $2,880.02 | 5.6× |
| X-ray IV pyelogram+tomography (74415) | $1,585.07 | $3,522.38 | 6.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $595.01 | $1,322.24 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $947.11 | $2,104.68 | 6.9× |
| X-ray nose-rectum child f.b. (76010) | $333.07 | $740.15 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $854.95 | $1,899.89 | 6.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $922.57 | $2,050.15 | 8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,172.99 | $2,606.65 | 10.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,273.16 | $2,829.25 | 9.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,443.65 | $5,430.33 | 5.3× |
| X-Rays Bone Length Studies (77073) | $1,387.35 | $3,083.01 | 10.1× |
| X-Rays Bone Survey Complete (77075) | $1,549.63 | $3,443.62 | 11.2× |
| Xr c-spine 4 or 5 views (72050) | $1,102.37 | $2,449.71 | 8.0× |
| Xr facial bones less than 3 views (70140) | $712.71 | $1,583.80 | 6.2× |
| Xr orbits complete 4 views (70200) | $1,041.77 | $2,315.04 | 7.6× |
| Xr Tomogram Single Plane (76100) | $925.38 | $2,056.40 | 6.7× |
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.