Imaging prices at Denver Health Medical Center
Denver, CO · every code in this section with a posted price and a Medicare benchmark.
404 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) | $2,715.71 | $7,759.15 | 1.9× |
| Abdomen 1 View (74018) | $56.57 | $161.62 | 0.6× |
| Abdomen 2 views (74019) | $108.13 | $308.94 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $412.84 | $1,179.54 | 1.0× |
| Adrenal Cortex & Medulla Img (78075) | $810.11 | $2,314.59 | 0.6× |
| Angio internal mammary (75756) | $2,269.89 | $6,485.38 | 0.7× |
| Angio pulmonary bilat (75743) | $2,094.49 | $5,984.25 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $1,881.85 | $5,376.69 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,881.85 | $5,376.69 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,094.49 | $5,984.25 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,924.72 | $5,499.19 | 0.6× |
| Ankle 2 views (73600) | $124.16 | $354.73 | 1.4× |
| Aortography thoracic serialography rs&i (75605) | $4,247.37 | $12,135.33 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,094.49 | $5,984.25 | 0.6× |
| Artery X-Rays Abdomen (75726) | $4,236.94 | $12,105.54 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $3,640.28 | $10,400.79 | 1.1× |
| Artery X-Rays Pelvis (75736) | $3,208.49 | $9,167.10 | 0.5× |
| Artery X-Rays Spine (75705) | $4,093.59 | $11,695.96 | 0.7× |
| Arthrogram hip (73525) | $281.81 | $805.17 | 0.8× |
| Arthrogram Wrist (73115) | $281.81 | $805.17 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $275.75 | $787.84 | 1.9× |
| Bone age studies (77072) | $120.58 | $344.49 | 1.1× |
| Bone Imaging 3 Phase (78315) | $471.87 | $1,348.18 | 1.1× |
| Bone Imaging Limited Area (78300) | $321.87 | $919.62 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $340.47 | $972.75 | 0.8× |
| Bone Imaging Whole Body (78306) | $479.24 | $1,369.23 | 1.1× |
| Bone marrow imaging limited area (78102) | $292.11 | $834.58 | 0.7× |
| Bone marrow imaging; multiple areas (78103) | $292.11 | $834.58 | 0.7× |
| Bone marrow imaging; whole body (78104) | $300.21 | $857.74 | 0.7× |
| Bone survey infant (77076) | $305.48 | $872.80 | 2.8× |
| Brachytx isodose intermed (77317) | $691.15 | $1,974.71 | 1.7× |
| Brachytx Isodose Plan Simple (77316) | $499.66 | $1,427.58 | 1.3× |
| Brain Flow Imaging Only (78610) | $402.64 | $1,150.39 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $470.60 | $1,344.57 | 1.1× |
| Brain imaging < 4 static views (78600) | $301.68 | $861.94 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $457.89 | $1,308.25 | 0.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $402.64 | $1,150.39 | 0.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,705.79 | $4,873.68 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $827.47 | $2,364.20 | 2.2× |
| Cardiac Shunt Detection (78428) | $323.11 | $923.15 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $271.07 | $774.47 | 3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $402.64 | $1,150.39 | 0.7× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $367.68 | $1,050.51 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $449.69 | $1,284.81 | 0.8× |
| Chest 1 view (71045) | $56.57 | $161.62 | 0.6× |
| Chest 2 views (71046) | $56.57 | $161.62 | 0.6× |
| Chest 3 views (71047) | $56.57 | $161.62 | 0.6× |
| Chest 4 or more views (71048) | $108.13 | $308.94 | 1.0× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $129.62 | $370.34 | 1.2× |
| Clavicle complete (73000) | $130.17 | $371.90 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $65.19 | $186.23 | 0.6× |
| Contrast Exam Abdominl Aorta (75625) | $1,881.85 | $5,376.69 | 0.6× |
| Contrast X-Ray Bladder (74430) | $241.81 | $690.88 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $281.81 | $805.17 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $281.81 | $805.17 | 0.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $230.15 | $657.56 | 1.2× |
| Corpora cavernosography (74445) | $249.32 | $712.34 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,579.89 | $7,371.10 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $2,052.71 | $5,864.86 | 8.2× |
| CT abdomen w contrast (74160) | $1,474.31 | $4,212.29 | 8.0× |
| CT abdomen w wo contrast (74170) | $921.05 | $2,631.55 | 5.0× |
| CT abdomen w/o contrast (74150) | $691.70 | $1,976.28 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,851.50 | $5,289.98 | 5.0× |
| CT Angio Chest (71275) | $458.02 | $1,308.62 | 2.5× |
| CT Angio Head (70496) | $1,543.92 | $4,411.18 | 8.3× |
| CT angio hrt w/3d image (75574) | $944.70 | $2,699.13 | 2.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $714.80 | $2,042.27 | 3.9× |
| CT Angio Neck (70498) | $1,567.12 | $4,477.47 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $790.21 | $2,257.72 | 4.3× |
| CT cervical spine w/ contrast (72126) | $869.13 | $2,483.21 | 2.4× |
| CT cervical spine w/o contrast (72125) | $1,158.22 | $3,309.20 | 10.5× |
| CT chest w contrast (71260) | $1,211.70 | $3,462 | 6.5× |
| CT chest w/wo contrast (71270) | $965.26 | $2,757.88 | 5.2× |
| CT head/brain with contrast (70460) | $698.88 | $1,996.80 | 3.8× |
| CT head/brain without and with contrast (70470) | $800.26 | $2,286.44 | 4.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $756.94 | $2,162.66 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $103.64 | $296.10 | 1.1× |
| CT hrt w/3d image congen (75573) | $881.59 | $2,518.82 | 2.4× |
| CT iac w contrast (70481) | $806.50 | $2,304.27 | 4.4× |
| CT lower ext w/o (73700) | $1,044.32 | $2,983.77 | 9.5× |
| CT lower extremity w/contrast material (73701) | $675.68 | $1,930.51 | 3.7× |
| CT lumbar spine w contrast (72132) | $935.78 | $2,673.64 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $754.01 | $2,154.30 | 6.8× |
| CT maxillofacial w contrast (70487) | $638.15 | $1,823.28 | 3.4× |
| CT maxillofacial wo contrast (70486) | $566 | $1,617.14 | 5.1× |
| CT neck tissue combo (70492) | $1,030.03 | $2,942.94 | 5.6× |
| CT orbits w/o contrast (70480) | $634.24 | $1,812.11 | 5.8× |
| CT pelvis w&w/o contrast (72194) | $919.59 | $2,627.39 | 5.0× |
| CT pelvis w/o contrast (72192) | $717.61 | $2,050.30 | 6.5× |
| CT scan of leg combo (73702) | $676.92 | $1,934.05 | 3.7× |
| CT scans face/jaw combo (70488) | $727.08 | $2,077.37 | 3.9× |
| CT soft tissue neck w contrast (70491) | $1,112.95 | $3,179.84 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $642.01 | $1,834.29 | 5.8× |
| CT thoracic spine w contrast (72129) | $815.87 | $2,331.03 | 4.4× |
| CT thoracic spine w/o contrast (72128) | $669.29 | $1,912.23 | 6.1× |
| CT thorax w/o contrast (71250) | $1,054.09 | $3,011.67 | 9.6× |
| CT unlisted procedure (76497) | $93.29 | $266.54 | 1.0× |
| CT upper ext wo (73200) | $592.52 | $1,692.91 | 5.4× |
| CT upper extremity with contrast (73201) | $727.62 | $2,078.90 | 2.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,119.42 | $3,198.34 | 6.0× |
| Cta Abdomen (74175) | $1,061.48 | $3,032.79 | 5.7× |
| CTA pelvis (72191) | $848.46 | $2,424.17 | 4.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $81.90 | $234 | 0.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $124.23 | $354.94 | 1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $212.06 | $605.87 | 1.9× |
| Dxa Bone Density Axial (77080) | $178.82 | $510.90 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $89.20 | $254.84 | 1.0× |
| Echo exam of fetal heart (76825) | $403.43 | $1,152.65 | 0.7× |
| Echo exam uterus (76831) | $213.63 | $610.37 | 0.8× |
| Echo Guide For Artery Repair (76936) | $215.41 | $615.45 | 0.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $180.29 | $515.10 | 0.7× |
| Echograp Trans R Pros Study (76873) | $277.63 | $793.22 | 2.5× |
| Esophageal Motility Study (78258) | $273.09 | $780.23 | 0.6× |
| Esophagram (74220) | $134.04 | $382.97 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $180.42 | $515.48 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $226.56 | $647.31 | 2.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $227.88 | $651.08 | 0.9× |
| Follow-Up Angiography (75898) | $7,586.23 | $21,674.94 | 2.3× |
| Foot 2 views (73620) | $109.02 | $311.47 | 1.2× |
| Forearm 2 views (73090) | $111.32 | $318.05 | 1.2× |
| Gastric emptying imaging study (78264) | $379.49 | $1,084.24 | 0.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $277.12 | $791.77 | 0.7× |
| Gastroesophageal Reflux Exam (78262) | $334.61 | $956.01 | 0.8× |
| Gated Heart Planar Single (78472) | $659.67 | $1,884.75 | 1.6× |
| Hand 2 views (73120) | $101.70 | $290.57 | 0.9× |
| Heart first pass single,planar (78481) | $390.91 | $1,116.87 | 0.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,384.09 | $6,811.68 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,540.53 | $7,258.65 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $402.64 | $1,150.39 | 0.7× |
| Hepatobiliary System Imaging (78226) | $266.53 | $761.50 | 0.6× |
| Ht Musc Image Planar Mult (78454) | $1,057.76 | $3,022.16 | 0.8× |
| Ht Muscle Image Spect Sing (78451) | $1,057.76 | $3,022.16 | 0.8× |
| Hysterosalpingogram (74740) | $299.46 | $855.60 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $139.82 | $399.47 | 1.5× |
| Infant hip ultrasound, limited static exam (76886) | $109.17 | $311.91 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $553.85 | $1,582.41 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $427.67 | $1,221.89 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $470.89 | $1,345.39 | 0.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $295.54 | $844.40 | 0.7× |
| Kidney Imaging Morphol (78700) | $351.72 | $1,004.89 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $377.76 | $1,079.29 | 0.9× |
| Knee 3 Views (73562) | $160 | $457.13 | 1.7× |
| Leveen/Shunt Patency Exam (78291) | $290.94 | $831.24 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $346.27 | $989.32 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $483.29 | $1,380.82 | 1.1× |
| Liver imaging static only (78201) | $996.95 | $2,848.41 | 1.7× |
| Liver imaging w/vascular flow (78202) | $996.95 | $2,848.41 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $415.05 | $1,185.84 | 0.7× |
| Lung perfusion differential (78597) | $307.24 | $877.82 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $433.32 | $1,238.03 | 0.8× |
| Lung Ventilation Imaging (78579) | $307.24 | $877.82 | 0.7× |
| Lymph System Imaging (78195) | $566.84 | $1,619.53 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,451.68 | $4,147.63 | 0.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,496.91 | $7,134.02 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,603.08 | $7,437.36 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $712.08 | $2,034.51 | 2.8× |
| Magnetic Resonance Elastography (76391) | $441.33 | $1,260.92 | 1.8× |
| Mammary ductogram or galactogram multiple (77054) | $216.57 | $618.76 | 0.9× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$234.02–$241.04 | $668.61–$688.68 | varies |
| Meckels Divert Exam (78290) | $358.16 | $1,023.29 | 0.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $590.75 | $1,687.85 | 1.5× |
| Mr safety determination physician/other qhp (76016) | $184.91 | $528.30 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $51.43 | $146.94 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $192.76 | $550.74 | 1.9× |
| Mr safety implt pos&/immoblj (76019) | $124.74 | $356.40 | 2.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $507.62 | $1,450.32 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,370.67 | $3,916.20 | 3.7× |
| MRA head w/o contrast (70544) | $685.66 | $1,959.02 | 2.7× |
| MRA head with contrast (70545) | $965.41 | $2,758.31 | 2.6× |
| MRA neck w contrast (70548) | $761.89 | $2,176.81 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,073.32 | $3,066.62 | 2.9× |
| MRA neck w/o contrast (70547) | $679.50 | $1,941.42 | 2.7× |
| MRI abdomen w contrast (74182) | $923.65 | $2,639 | 2.5× |
| MRI abdomen w/o contrast (74181) | $774.52 | $2,212.89 | 3.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,011.83 | $2,890.94 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,044.08 | $2,983.06 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $935.69 | $2,673.39 | 1.1× |
| MRI bone marrow blood supply (77084) | $729.55 | $2,084.41 | 2.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $441.33 | $1,260.92 | 1.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $441.33 | $1,260.92 | 1.8× |
| MRI cardiac w/o contrast (75557) | $687.30 | $1,963.71 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,041.94 | $2,976.97 | 2.8× |
| MRI cervical spine w/o cont (72141) | $1,459.59 | $4,170.24 | 5.8× |
| MRI chest w/o contrast (71550) | $776.60 | $2,218.83 | 3.1× |
| MRI chest with contrast (71551) | $831.96 | $2,377.01 | 1.0× |
| MRI chest wo w contrast (71552) | $1,059.57 | $3,027.33 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $987.77 | $2,822.20 | 2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $723.37 | $2,066.77 | 2.9× |
| MRI lumbar spine w contrast (72149) | $1,072.43 | $3,064.06 | 2.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,282.18 | $3,663.37 | 3.5× |
| MRI orbit face &/neck w/o contrast (70540) | $939.47 | $2,684.19 | 3.7× |
| MRI orbit face neck w contrast (70542) | $1,073.32 | $3,066.62 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,223.53 | $3,495.80 | 3.3× |
| MRI pelvis w contrast (72196) | $914.91 | $2,614.02 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,092.27 | $3,120.76 | 3.0× |
| MRI pelvis w/o contrast (72195) | $747.03 | $2,134.35 | 3.0× |
| MRI spectroscopy (76390) | $928.97 | $2,654.19 | 10.1× |
| MRI thoracic spine w/o contrast (72146) | $990.10 | $2,828.85 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $596.69 | $1,704.81 | 2.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,004.57 | $2,870.19 | 2.7× |
| MRI, abdomen, combo (74183) | $1,069.97 | $3,057.04 | 2.9× |
| MRI, dorsal spine combo (72157) | $1,282.79 | $3,665.09 | 3.5× |
| MRI, dorsal spine contrast (72147) | $1,079.44 | $3,084.11 | 2.9× |
| MRI, joint upper extrem (73221) | $909.57 | $2,598.77 | 3.6× |
| MRI, joint upper extrem combo (73223) | $1,042.28 | $2,977.94 | 2.8× |
| MRI, lumbar spine combo (72158) | $1,278.35 | $3,652.41 | 3.5× |
| Myelogram cervical (72240) | $611.64 | $1,747.53 | 0.7× |
| Myelogram Lumbar (72265) | $561.52 | $1,604.34 | 0.7× |
| Myelography thoracic (72255) | $563.06 | $1,608.73 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $503.22 | $1,437.77 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $323.11 | $923.15 | 0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,597.40 | $4,563.99 | 1.2× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $315.48 | $901.35 | 0.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $996.94 | $2,848.40 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,918.01 | $5,480.01 | 1.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,168.14 | $3,337.53 | 0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,168.14 | $3,337.53 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,072.98 | $8,779.94 | 1.3× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,226.59 | $6,361.67 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,226.59 | $6,361.67 | 1.4× |
| Neck soft tissue (70360) | $124.82 | $356.61 | 1.4× |
| Nm csf leak detection (78650) | $1,044.72 | $2,984.89 | 0.8× |
| Nm myocard infarct spect (78469) | $983.97 | $2,811.33 | 1.7× |
| Nuclear medicine study of endocrine organs (78099) | $307.24 | $877.82 | 0.7× |
| Nuclear Rx Intra-Arterial (79445) | $456.40 | $1,304 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $315.05 | $900.14 | 1.3× |
| Ob us nuchal meas 1 gest (76813) | $81.90 | $234 | 0.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $84.20 | $240.57 | 0.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $119.51 | $341.43 | 1.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $122.75 | $350.70 | 0.9× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $86.93 | $248.37 | 0.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $54.74 | $156.39 | 0.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $84.20 | $240.57 | 0.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $27.82 | $79.48 | 0.9× |
| Ophthalmic us dx quantitative a-scan only (76511) | $118.16 | $337.58 | 1.1× |
| Panoramic X-ray of jaws (70355) | $72.03 | $205.80 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $452.65 | $1,293.27 | 0.8× |
| Parathyroid Planar Imaging (78070) | $376.24 | $1,074.96 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $404.85 | $1,156.69 | 1.0× |
| Pelvis 1 or 2 views (72170) | $119.42 | $341.19 | 1.1× |
| Peritoneogram Rs&I (74190) | $433.91 | $1,239.72 | 0.8× |
| PET image w/CT, full body (78816) | $1,914.05 | $5,468.69 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,882.41 | $5,378.31 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,384.13 | $6,811.78 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $432.56 | $1,235.86 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $229.15 | $654.70 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $410.96 | $1,174.15 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $125.74 | $359.23 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $94.54 | $270.11 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $137.40 | $392.55 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $170.42 | $486.89 | 1.5× |
| Radex fingr minimum 2 views (73140) | $89.28 | $255.06 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $118.69 | $339.10 | 1.3× |
| Radex Hand Minimum 3 Views (73130) | $122.41 | $349.72 | 1.3× |
| Radex lower extremity infant minimum 2 views (73592) | $60.27 | $172.19 | 0.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $89.57 | $255.89 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $138.52 | $395.75 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $55.81 | $159.45 | 0.6× |
| Radex shoulder complete minimum 2 views (73030) | $135.83 | $388.06 | 1.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $74.76 | $213.58 | 0.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $214.57 | $613.03 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $119.45 | $341.26 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $117.93 | $336.92 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $155.98 | $445.64 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $87.36 | $249.60 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $81.90 | $234 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $121.22 | $346.32 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $178 | $508.55 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $210.72 | $602.04 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $108.13 | $308.94 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $379.53 | $1,084.36 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $318.93 | $911.21 | 1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $164.17 | $469.03 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) | $149.16 | $426.15 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $119.42 | $341.19 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $194.31 | $555.16 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $125.48 | $358.51 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $211.43 | $604.08 | 1.1× |
| Radiologic examination femur 1 view (73551) | $56.38 | $161.06 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $56.38 | $161.06 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $140.78 | $402.22 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$112.52–$115.89 | $321.46–$331.09 | varies |
| Radiopharm Dacryocystography (78660) | $307.24 | $877.82 | 0.7× |
| Renal Cyst Study (74470) | $592.16 | $1,691.86 | 1.0× |
| Ribs bilateral 3 views (71110) | $133.17 | $380.46 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $454.99 | $1,299.97 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $501.90 | $1,433.99 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,003.89 | $2,868.25 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $980.72 | $2,802.05 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,057.76 | $3,022.16 | 1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,029.75 | $2,942.14 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,168.14 | $3,337.53 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,029.75 | $2,942.14 | 0.8× |
| Salivary Gland Imaging Serial Images (78231) | $273.09 | $780.23 | 0.6× |
| Scapula (73010) | $141.99 | $405.67 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.21 | $66.31 | 1.0× |
| Shoulder 1 view (73020) | $100.71 | $287.73 | 1.1× |
| Shoulder Arthrography (73040) | $281.81 | $805.17 | 0.8× |
| Sialogram (70390) | $241.04 | $688.68 | 1.0× |
| Skull less than 4 views (70250) | $146.16 | $417.59 | 1.3× |
| Special Physics Consult (77370) | $415.70 | $1,187.71 | 2.9× |
| Special treatment procedure (77470) | $1,124.42 | $3,212.62 | 1.9× |
| Spleen Imaging (78185) | $237.33 | $678.07 | 0.6× |
| Sternoclavicular joints (71130) | $117.55 | $335.85 | 1.3× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $73.56 | $210.16 | 0.8× |
| Tbs technical calculation only (77091) | $73.56 | $210.16 | 0.8× |
| Testicular Imaging W/Flow (78761) | $351.72 | $1,004.89 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $934.08 | $2,668.80 | 2.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $429.28 | $1,226.50 | 2.3× |
| Thoracic spine 2 views (72070) | $111.89 | $319.68 | 1.0× |
| Thoracic spine 3 views (72072) | $165.88 | $473.92 | 1.5× |
| Thoracolumbar 2 views (72080) | $179.33 | $512.35 | 2.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $318.66 | $910.44 | 0.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $322.83 | $922.36 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $474.97 | $1,357.05 | 1.1× |
| Thyroid Met Imaging Body (78018) | $599.52 | $1,712.89 | 1.0× |
| Thyroid Uptake Measurement (78012) | $285.90 | $816.84 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $242.01 | $691.44 | 0.6× |
| Ultrasound Breast Limited (76642) | $77.41 | $221.16 | 0.8× |
| Ultrasound elastography first target lesion (76982) | $242.97 | $694.20 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $242.97 | $694.20 | 2.2× |
| Ultrasound Exam Aaa Screen (76706) | $92.05 | $263 | 0.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $163.61 | $467.43 | 0.4× |
| Ultrasound, abdomen limited (76705) | $177.77 | $507.90 | 1.6× |
| Umbilical-artery Doppler (OB) (76820) | $212.06 | $605.87 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) | $176.77 | $505.03 | 1.9× |
| Unlisted fluoroscopic procedure (76496) | $107.81 | $308.02 | 1.2× |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$896.70–$4,739.09 | $2,561.98–$13,540.24 | varies |
| Unlisted respiratory px dx nuclear medicine (78599) | $307.24 | $877.82 | 0.7× |
| Unlisted us procedure (76999) | $54.74 | $156.39 | 0.6× |
| Upper gi w/o kub (74240) | $222.48 | $635.64 | 1.2× |
| Ureteral Reflux Study (78740) | $351.72 | $1,004.89 | 0.8× |
| Urethrocystogram voiding (74455) | $241.81 | $690.88 | 1.0× |
| Urethrocystography retrograde (74450) | $241.81 | $690.88 | 1.0× |
| Us bone density measurement (76977) | $81.90 | $234 | 0.7× |
| Us breast unilateral complete (76641) | $77.41 | $221.16 | 0.7× |
| Us chest (76604) | $145.73 | $416.36 | 1.3× |
| Us complete joint (76881) | $156.14 | $446.11 | 1.4× |
| Us exam, pelvic, limited (76857) | $245.97 | $702.75 | 2.2× |
| Us head (76506) | $134.94 | $385.54 | 1.2× |
| Us kidney transplant (76776) | $166.68 | $476.22 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $111.34 | $318.11 | 1.0× |
| Us ob detailed single fetus (76811) | $231.80 | $662.26 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $149.11 | $426.01 | 1.4× |
| Us ob transvaginal (76817) | $150.59 | $430.25 | 1.4× |
| Us pelvic non ob complete (76856) | $253.31 | $723.72 | 2.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $155.57 | $444.48 | 1.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $134.92 | $385.46 | 1.2× |
| Us retroperitoneal complete (76770) | $166.68 | $476.22 | 1.5× |
| Us retroperitoneal limited (76775) | $225.08 | $643.08 | 2.0× |
| Us scrotum and contents (76870) | $208.65 | $596.12 | 1.9× |
| Us spinal canal and contents (76800) | $121.42 | $346.89 | 1.1× |
| Us thyroid (76536) | $124.77 | $356.47 | 1.1× |
| Us transrectal (76872) | $277.63 | $793.22 | 2.5× |
| Vein X-Ray Chest (75827) | $1,193.03 | $3,408.63 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,374.42 | $6,784.05 | 0.7× |
| Venogram Sinus/Jugular (75860) | $2,269.89 | $6,485.38 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,094.49 | $5,984.25 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,193.03 | $3,408.63 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,193.03 | $3,408.63 | 0.7× |
| Venography Renal Bilateral (75833) | $5,936.05 | $16,960.13 | 1.8× |
| Venography Renal Unilateral (75831) | $2,496.91 | $7,134.02 | 0.7× |
| Venous sampling by catheter (75893) | $4,247.37 | $12,135.33 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $55.78 | $159.37 | 0.6× |
| Wrist 2 views (73100) | $113.85 | $325.26 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $126.21 | $360.59 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $241.81 | $690.88 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $2,094.49 | $5,984.25 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $125.55 | $358.70 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $95.94 | $274.10 | 1.0× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$338.92–$349.09 | $968.33–$997.38 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $56.38 | $161.06 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $93.37 | $266.75 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $178 | $508.55 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $56.38 | $161.06 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $56.38 | $161.06 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $93.37 | $266.75 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $93.37 | $266.75 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $93.37 | $266.75 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $178 | $508.55 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $172.15 | $491.84 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $139.93 | $399.80 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $217.35 | $620.99 | 2.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $173.75 | $496.42 | 1.6× |
| X-ray eye for foreign body (70030) | $139.32 | $398.05 | 1.5× |
| X-ray humerus (73060) | $97.40 | $278.26 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $145.94 | $416.96 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $143.83 | $410.93 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $161.32 | $460.91 | 1.5× |
| X-ray nose-rectum child f.b. (76010) | $92.79 | $265.09 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $229 | $654.26 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $144.51 | $412.86 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $77.39 | $221.11 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $130.59 | $373.10 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $160.51 | $458.59 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $220.69 | $630.54 | 2.0× |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$68.84–$70.91 | $196.68–$202.59 | varies |
| X-Ray Tmj Unilat (70328) | $80.13 | $228.93 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $249.32 | $712.34 | 0.7× |
| X-Rays Bone Length Studies (77073) | $157.48 | $449.93 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $284.03 | $811.50 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $181.67 | $519.04 | 1.6× |
| Xr facial bones less than 3 views (70140) | $149.96 | $428.45 | 1.6× |
| Xr orbits complete 4 views (70200) | $178.72 | $510.61 | 1.6× |
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.