Imaging prices at Desert Valley Hospital
Victorville, 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) | $111 | $504.70 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $511 | $2,538 | 1.0× |
| Angio internal mammary (75756) | $4,041 | $7,478.22 | 1.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,041 | $7,478.22–$14,308.30 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,041 | $15,735.20 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,041 | $15,185–$18,041.40 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$4,041 | $7,478.22–$18,041.40 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$4,041 | $7,478.22–$15,735.20 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,041 | $5,580.26 | 1.0× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$111 | $334.67–$639.67 | 1.0× |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$7,121 | $12,794.90–$26,179.60 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,041 | $7,478.22 | 1.0× |
| Artery X-Rays Abdomen (75726) | $7,121 | $12,794.90 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $4,041 | $15,735.20 | 1.0× |
| Artery X-Rays Pelvis (75736) | $7,121 | $12,794.90 | 1.0× |
| Artery X-Rays Spine (75705) | $7,121 | $15,735.20 | 1.0× |
| Bone Imaging 3 Phase (78315) | $511 | $2,708.50 | 1.0× |
| Bone Imaging Limited Area (78300) | $511 | $1,831.34 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $511 | $1,341.65 | 1.0× |
| Bone Imaging Whole Body (78306) | $511 | $2,427 | 1.0× |
| Bone survey infant (77076) | $133 | $563.65 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $694 | $2,522.50 | 1.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $694 | $2,522.50 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $694 | $2,995.40 | 1.0× |
| Chest 1 view (71045) | $111 | $542 | 1.0× |
| Chest 2 views (71046) | $111 | $754 | 1.0× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$111 | $334.67–$459 | 1.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$133 | $343.38–$671.87 | 1.0× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$111 | $334.67–$447.03 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,041 | $15,185–$18,041.40 | 1.0× |
| Contrast X-Ray Bladder (74430) | $446 | $1,172.50 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $446 | $2,622.41 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $305 | $1,520.89 | 1.0× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$224 | $1,968.96–$3,741 | 1.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$224 | $2,341.99–$3,840.62 | 1.0× |
| CT abdomen w/o contrast (74150) | $133 | $3,216 | 1.0× |
| CT Angio Chest (71275) | $224 | $4,529 | 1.0× |
| CT Angio Head (70496) | $224 | $5,155 | 1.0× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$446 | $2,916.15–$2,924 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 7 matching MRF lines |
$224 | $2,291.10–$4,470 | 1.0× |
| CT Angio Neck (70498) | $224 | $5,081 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$224 | $1,968.96–$2,291.10 | 1.0× |
| CT bone density (77078) | $111 | $541 | 1.0× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$446 | $1,968.96–$3,259 | 1.0× |
| CT cervical spine w/o contrast (72125) | $133 | $3,753 | 1.0× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$224 | $2,341.99–$3,274 | 1.0× |
| CT chest w contrast (71260) | $224 | $3,671 | 1.0× |
| CT chest w/wo contrast (71270) | $224 | $2,341.99 | 1.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $224 | $2,205.54 | 1.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$133 | $1,972–$2,341.99 | 1.0× |
| CT head/brain with contrast (70460) | $224 | $3,051 | 1.0× |
| CT head/brain without and with contrast (70470) | $224 | $3,560 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $446 | $2,490.95 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $111 | $573.06 | 1.0× |
| CT hrt w/3d image congen (75573) | $446 | $2,670.25 | 1.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$224 | $1,968.96–$3,114.50 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $224 | $2,341.99 | 1.0× |
| CT lower ext w/o (73700) | $133 | $2,819.80 | 1.0× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$224 | $1,968.96–$3,617 | 1.0× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$446 | $1,968.96–$3,469.45 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $133 | $3,608 | 1.0× |
| CT maxillofacial w contrast (70487) | $224 | $2,920.61 | 1.0× |
| CT maxillofacial wo contrast (70486) | $133 | $2,643 | 1.0× |
| CT neck tissue combo (70492) | $224 | $3,363.60 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $224 | $2,341.99 | 1.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$133 | $1,449.98–$2,811 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $224 | $3,760.10 | 1.0× |
| CT pelvis w/o contrast (72192) | $133 | $3,192 | 1.0× |
| CT scan of leg combo (73702) | $224 | $4,400.27 | 1.0× |
| CT scans face/jaw combo (70488) | $224 | $2,341.99 | 1.0× |
| CT soft tissue neck w contrast (70491) | $224 | $3,265.56 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $133 | $2,733 | 1.0× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$224 | $1,968.96–$3,144.71 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $133 | $1,449.98 | 1.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$224 | $2,341.99–$3,631.25 | 1.0× |
| CT thorax w/o contrast (71250) | $133 | $3,363 | 1.0× |
| CT upper ext wo (73200) | $133 | $2,851.05 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) | $224 | $3,212.08 | 1.0× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$446 | $1,756.58–$1,968.96 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $224 | $5,061 | 1.0× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$224 | $2,291.10–$3,783.30 | 1.0× |
| CTA pelvis (72191) | $224 | $3,783.30 | 1.0× |
| Dilation ureters/urethra rs&i (74485) | $2,675 | $7,195.55 | 1.0× |
| Dxa Bone Density Axial (77080) | $133 | $395.80 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111 | $186.36 | 1.0× |
| Esophagram (74220) | $224 | $956.24 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $133 | $919 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $133 | $544.85 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$305 | $696.93–$1,385.54 | 1.0× |
| Follow-Up Angiography (75898) | $4,041 | $10,824.90 | 1.0× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$111 | $334.67–$666 | 1.0× |
| Forearm 2 views (73090) | $111 | $548 | 1.0× |
| Gastric emptying imaging study (78264) | $511 | $2,447.58 | 1.0× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$511 | $1,928.43–$2,688 | 1.0× |
| Gated Heart, Multiple (78473) | $511 | $2,494.92 | 1.0× |
| Hand 2 views (73120) | $133 | $669 | 1.0× |
| Heart Image (Pet) Multiple (78492) | $1,830 | $6,425.39 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,041 | $15,737.50 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $694 | $1,638.80 | 1.0× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$511 | $1,638.80–$2,293.76 | 1.0× |
| Ht Musc Image Planar Mult (78454) | $1,656 | $5,694.70 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,656 | $6,021.68 | 1.0× |
| Hysterosalpingogram (74740) | $305 | $1,584.59 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $694 | $3,085.36 | 1.0× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$111 | $334.67–$564 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $511 | $1,977.50 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $511 | $1,977.50 | 1.0× |
| Liver imaging static only (78201) | $694 | $3,608.04 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $694 | $3,085.36 | 1.0× |
| Lung Ventilation Imaging (78579) | $511 | $1,521.45 | 1.0× |
| Lymph System Imaging (78195) | $694 | $2,371 | 1.0× |
| Meckels Divert Exam (78290) | $511 | $1,327.20 | 1.0× |
| MRA head w/o contrast (70544) | $305 | $2,691.85 | 1.0× |
| MRA head with contrast (70545) | $446 | $2,691.85 | 1.0× |
| MRA neck w/o contrast (70547) | $305 | $2,940 | 1.0× |
| MRI abdomen w contrast (74182) | $446 | $2,859.85 | 1.0× |
| MRI abdomen w/o contrast (74181) | $305 | $2,691.85 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,003 | $2,859.85–$4,200.12 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$446 | $2,694–$3,902.50 | 1.0× |
| MRI cervical spine w contrast (72142) | $446 | $2,333.25 | 1.0× |
| MRI cervical spine w/o cont (72141) | $305 | $4,069.05 | 1.0× |
| MRI chest w/o contrast (71550) | $305 | $1,887.40 | 1.0× |
| MRI chest with contrast (71551) | $1,003 | $2,045.64 | 1.0× |
| MRI chest wo w contrast (71552) | $446 | $3,902.50 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$446 | $1,132.19–$2,264.28 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$446 | $3,491.88–$4,820.80 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$305 | $2,691.85–$3,348 | 1.0× |
| MRI lumbar spine w contrast (72149) | $446 | $2,859.85 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $305 | $2,691.85 | 1.0× |
| MRI orbit face neck w contrast (70542) | $446 | $3,514.04 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $446 | $5,812.75 | 1.0× |
| MRI pelvis w/o contrast (72195) | $305 | $4,201 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $305 | $3,889 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $446 | $1,369.11 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$305 | $1,740–$2,691.85 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$446 | $2,410.40–$4,380 | 1.0× |
| MRI, abdomen, combo (74183) | $446 | $4,992 | 1.0× |
| MRI, dorsal spine combo (72157) | $446 | $6,270 | 1.0× |
| MRI, dorsal spine contrast (72147) | $446 | $1,887.40 | 1.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$305 | $1,740–$2,691.85 | 1.0× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$446 | $2,694–$3,902.50 | 1.0× |
| MRI, lumbar spine combo (72158) | $446 | $6,006.45 | 1.0× |
| Myelogram Lumbar (72265) | $1,003 | $2,045.64 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $511 | $1,928.43 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,656 | $6,021.68 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,656 | $7,483 | 1.0× |
| N-invas est c ffr sw aly CTA (75580) | $1,099 | $5,831.67 | 1.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$111 | $334.67–$465 | 1.0× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $133 | $544.85 | 1.0× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$170 | $532.40–$559.75 | 1.0× |
| Optic foramina (70190) | $111 | $347.91 | 1.0× |
| Parathyroid Planar Imaging (78070) | $511 | $2,303.29 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$133 | $343.38–$656 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $511 | $1,521.45 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$133 | $569.59–$966.03 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $699 | $1,885.71 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $111 | $758.75 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$111 | $334.67–$580.50 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $111 | $548 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $133 | $645 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$111 | $334.67–$626.29 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $111 | $756.50 | 1.0× |
| Radex Hand Minimum 3 Views (73130) | $111 | $794.29 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $133 | $475.32 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$111 | $334.67–$599.28 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $111 | $596 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $111 | $548 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$111 | $334.67–$663.85 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $111 | $692 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $111 | $536 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$111 | $334.67–$757 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$111 | $334.67–$581.73 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $111 | $817.11 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $133 | $1,199.81 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$133 | $343.38–$793.69 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $133 | $757 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $224 | $1,052.80 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $224 | $1,234.35 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$133 | $343.38–$1,000.33 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $133 | $576 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $224 | $1,130 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $224 | $1,443 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$224 | $758.22–$1,282 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$111 | $334.67–$548 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$111 | $334.67–$670.59 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $133 | $569.59 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $111 | $1,144.45 | 1.0× |
| Ribs bilateral 3 views (71110) | $133 | $650 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $511 | $1,899.10 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $694 | $5,694.70 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$694 | $1,831.34–$6,636.35 | 1.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,656 | $6,529.70 | 1.0× |
| Scapula (73010) range across 4 matching MRF lines |
$133 | $343.38–$544 | 1.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$111 | $334.67–$731.66 | 1.0× |
| Shoulder Arthrography (73040) | $446 | $1,454.95 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$133 | $343.38–$656 | 1.0× |
| Sternoclavicular joints (71130) | $111 | $334.67 | 1.0× |
| Thoracic spine 2 views (72070) | $133 | $563.65 | 1.0× |
| Thoracolumbar 2 views (72080) | $111 | $553.69 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$511 | $1,131.41–$1,665.40 | 1.0× |
| Ultrasound Breast Limited (76642) | $111 | $849 | 1.0× |
| Ultrasound, abdomen limited (76705) | $133 | $1,040 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $111 | $3,077 | 1.0× |
| Upper gi w/o kub (74240) | $224 | $758.22 | 1.0× |
| Urethrocystogram voiding (74455) | $305 | $1,172.50 | 1.0× |
| Us breast unilateral complete (76641) | $133 | $806.33 | 1.0× |
| Us chest (76604) | $133 | $1,333.08 | 1.0× |
| Us complete joint (76881) range across 3 matching MRF lines |
$133 | $755.37–$847.05 | 1.0× |
| Us exam, pelvic, limited (76857) | $133 | $1,528.75 | 1.0× |
| Us kidney transplant (76776) | $133 | $1,382.05 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $133 | $488.39 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $133 | $840 | 1.0× |
| Us ob transvaginal (76817) | $133 | $896 | 1.0× |
| Us pelvic non ob complete (76856) | $133 | $2,185.89 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $133 | $851 | 1.0× |
| Us retroperitoneal complete (76770) | $133 | $1,436.30 | 1.0× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$133 | $735–$903.50 | 1.0× |
| Us scrotum and contents (76870) | $133 | $1,165 | 1.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$133 | $728.63–$1,026.83 | 1.0× |
| Us transrectal (76872) | $133 | $886.14 | 1.0× |
| Vascular Flow Imaging (78445) | $511 | $2,784 | 1.0× |
| Vein X-Ray Chest (75827) | $2,014 | $1,837.71 | 1.0× |
| Vein X-Ray Spleen/Liver (75810) | $4,041 | $3,440 | 1.0× |
| Venogram Sinus/Jugular (75860) | $4,041 | $7,478.22 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $4,041 | $7,478.22 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,014 | $2,948.91–$7,629.65 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $2,014 | $2,067.75 | 1.0× |
| Venous thrombosis imaging (78457) | $694 | $3,608.04 | 1.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$111 | $572–$643.16 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $111 | $334.67 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $446 | $2,248.40 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,041 | $7,478.22–$10,824.90 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $133 | $619 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$111 | $334.67–$661.31 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $699 | $1,460.07 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $111 | $304 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$133 | $503.45–$569.59 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $133 | $959.85 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $111 | $785.06 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $111 | $608 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133 | $608 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $133 | $701 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $133 | $755.18 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $133 | $959.85 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $133 | $918.84 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $111 | $528.53 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$133 | $569.59–$933 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $133 | $742 | 1.0× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$111 | $334.67–$481 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $224 | $1,497 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111 | $334.67 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $133 | $603 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $111 | $434.40 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$133 | $569.59–$829.75 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $133 | $474 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$111 | $334.67–$583.48 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $111 | $670 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$133 | $569.59–$858 | 1.0× |
| X-Ray Tmj Unilat (70328) | $111 | $374.24 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $446 | $1,369.11 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $133 | $964 | 1.0× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$111 | $334.67–$545 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $133 | $343.38 | 1.0× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$133 | $343.38–$609.54 | 1.0× |
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.