Imaging prices at Dignity Health, Yavapai Regional Medical Center West
Prescott, AZ · every code in this section with a posted price and a Medicare benchmark.
314 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) range across 4 matching MRF lines |
$14.10–$357.65 | $19–$482 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$17.81–$418.49 | $24–$564 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,701.41 | $2,293 | 4.0× |
| Adrenal Cortex & Medulla Img (78075) | $2,499.80 | $3,369 | 1.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$5,967.91 | $191–$8,043 | 1.8× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$4,066.91–$4,420.84 | $171–$5,958 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,565 | $7,500 | 1.7× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$13.36–$843.66 | $18–$1,137 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,286.75 | $7,125 | 0.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$8,218.40 | $359–$11,076 | 1.4× |
| Artery X-Rays Adrenal Gland (75731) | $5,018.89 | $6,764 | 1.5× |
| Artery X-Rays Pelvis (75736) | $7,696.77 | $10,373 | 1.3× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$201.09–$1,529.27 | $271–$2,061 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$45.27–$1,643.53 | $61–$2,215 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$198.12–$813.98 | $267–$1,097 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$14.84–$411.07 | $20–$554 | varies |
| Bone Imaging 3 Phase (78315) | $4,165.59 | $5,614 | 9.8× |
| Bone Imaging Limited Area (78300) | $914.89 | $1,233 | 2.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,619.26–$3,155.73 | $3,530–$4,253 | varies |
| Bone marrow imaging; multiple areas (78103) | $730.87 | $985 | 1.7× |
| Bone survey infant (77076) range across 6 matching MRF lines |
$54.17–$290.13 | $73–$391 | varies |
| Brain Flow Imaging Only (78610) | $1,311.12 | $1,767 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,687.22 | $6,317 | 3.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 3 matching MRF lines |
$86.82–$1,682.86 | $117–$2,268 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$176.60–$2,921.26 | $238–$3,937 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$283.45–$1,703.64 | $382–$2,296 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,150.85 | $1,551 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,911.40 | $2,576 | 3.3× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$14.10–$351.71 | $19–$474 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$17.07–$464.50 | $23–$626 | varies |
| Chest 3 views (71047) range across 5 matching MRF lines |
$21.52–$608.44 | $29–$820 | varies |
| Chest 4 or more views (71048) range across 5 matching MRF lines |
$25.23–$640.35 | $34–$863 | varies |
| Clavicle complete (73000) range across 8 matching MRF lines |
$13.36–$855.53 | $18–$1,153 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 5 matching MRF lines |
$79.40–$161.02 | $107–$217 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,527.69 | $6,102 | 1.3× |
| Contrast X-Ray Bladder (74430) | $756.84 | $1,020 | 2.0× |
| Contrast X-Ray Of Elbow (73085) range across 5 matching MRF lines |
$163.24–$890.40 | $220–$1,200 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$44.52–$1,334.86 | $60–$1,799 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 5 matching MRF lines |
$155.82–$5,250.40 | $210–$7,076 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$135.05–$5,459.64 | $182–$7,358 | varies |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$99.43–$3,071.88 | $134–$4,140 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$109.08–$3,531.18 | $147–$4,759 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$92.75–$2,718.69 | $125–$3,664 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 7 matching MRF lines |
$148.40–$2,461.22 | $200–$3,317 | varies |
| CT Angio Chest (71275) range across 7 matching MRF lines |
$135.05–$3,493.34 | $182–$4,708 | varies |
| CT Angio Head (70496) range across 5 matching MRF lines |
$135.79–$3,295.97 | $183–$4,442 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$177.34–$2,153.29 | $239–$2,902 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$152.11–$2,858.19 | $205–$3,852 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$135.79–$3,402.07 | $183–$4,585 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 7 matching MRF lines |
$139.50–$6,137.83 | $188–$8,272 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$255.25–$3,137.92 | $344–$4,229 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$77.91–$2,936.10 | $105–$3,957 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$98.69–$3,856.18 | $133–$5,197 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$97.21–$2,772.12 | $131–$3,736 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$107.59–$3,045.91 | $145–$4,105 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$224.09–$2,873.03 | $302–$3,872 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$98.69–$3,163.89 | $133–$4,264 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,356.38 | $1,828 | 3.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$44.52–$215.18 | $60–$290 | varies |
| CT hrt w/3d image congen (75573) | $1,442.45 | $1,944 | 3.9× |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$88.30–$3,133.47 | $119–$4,223 | varies |
| CT l-spine w&w/o contrast (72133) range across 5 matching MRF lines |
$97.95–$4,196.01 | $132–$5,655 | varies |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$77.91–$4,663.47 | $105–$6,285 | varies |
| CT lower extremity w/contrast material (73701) range across 7 matching MRF lines |
$90.53–$5,504.90 | $122–$7,419 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$94.98–$3,140.89 | $128–$4,233 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$77.91–$2,935.36 | $105–$3,956 | varies |
| CT maxillofacial w contrast (70487) range across 6 matching MRF lines |
$88.30–$2,644.49 | $119–$3,564 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$66.78–$2,018.24 | $90–$2,720 | varies |
| CT neck tissue combo (70492) range across 5 matching MRF lines |
$126.89–$3,791.62 | $171–$5,110 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$97.95–$3,225.48 | $132–$4,347 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$99.43–$2,320.24 | $134–$3,127 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$385.84–$2,749.11 | $520–$3,705 | varies |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$83.85–$2,291.30 | $113–$3,088 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$296.06–$6,154.89 | $399–$8,295 | varies |
| CT scans face/jaw combo (70488) range across 5 matching MRF lines |
$98.69–$3,290.03 | $133–$4,434 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$107.59–$3,107.50 | $145–$4,188 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$99.43–$2,952.42 | $134–$3,979 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$98.69–$3,139.41 | $133–$4,231 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$77.91–$2,936.10 | $105–$3,957 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$98.69–$2,510.93 | $133–$3,384 | varies |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$90.53–$2,666.01 | $122–$3,593 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$77.91–$4,236.82 | $105–$5,710 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$379.17–$4,280.60 | $511–$5,769 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$90.53–$5,293.43 | $122–$7,134 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$174.37–$2,904.93 | $235–$3,915 | varies |
| Cta Abdomen (74175) range across 5 matching MRF lines |
$140.98–$2,763.21 | $190–$3,724 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$490.47–$2,635.59 | $661–$3,552 | varies |
| Diskography lumbar (72295) | $6,467.28 | $8,716 | 3.1× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$15.59–$562.44 | $21–$758 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$16.33–$192.92 | $22–$260 | varies |
| Echograp Trans R Pros Study (76873) | $118.72 | $160 | 1.1× |
| Esophagram (74220) range across 5 matching MRF lines |
$46.01–$1,026.93 | $62–$1,384 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$123.18–$604.73 | $166–$815 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$23.75–$643.32 | $32–$867 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$1,338.57–$4,704.28 | $187–$6,340 | varies |
| Foot 2 views (73620) range across 9 matching MRF lines |
$12.62–$743.49 | $17–$1,002 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$13.36–$1,075.16 | $18–$1,449 | varies |
| Gastric emptying imaging study (78264) | $2,617.04 | $3,527 | 6.1× |
| Gastroesophageal Reflux Exam (78262) | $1,938.11 | $2,612 | 4.5× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$70.49–$2,430.05 | $95–$3,275 | varies |
| Gated Heart, Multiple (78473) | $108.34 | $146 | 0.3× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$13.36–$728.65 | $18–$982 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,768.41 | $3,731 | 4.8× |
| Hepatobiliary System Imaging (78226) | $3,377.59 | $4,552 | 7.9× |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$100.17–$2,768.41 | $135–$3,731 | varies |
| Hysterosalpingogram (74740) | $1,026.19 | $1,383 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$57.88–$569.86 | $78–$768 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$48.98–$426.65 | $66–$575 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,196.32–$2,262.36 | $2,960–$3,049 | varies |
| K Flow/Funct Image W/O Drug (78707) | $2,415.96 | $3,256 | 4.2× |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$14.84–$1,226.53 | $20–$1,653 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,489.94 | $2,008 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,201.30 | $1,619 | 2.1× |
| Lung perfusion differential (78597) | $932.70 | $1,257 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,297.98 | $3,097 | 4.0× |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$86.82–$2,592.55 | $117–$3,494 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$100.92–$4,392.64 | $136–$5,920 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,028.42 | $1,386 | 4.0× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$650–$689.32 | $876–$929 | varies |
| Meckels Divert Exam (78290) | $1,861.68 | $2,509 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$145.44–$218.89 | $196–$295 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 3 matching MRF lines |
$49.72–$290.87 | $67–$392 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$500.11–$3,455.50 | $674–$4,657 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$93.50–$2,657.11 | $126–$3,581 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$345.78–$2,919.03 | $466–$3,934 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$373.97–$2,901.22 | $504–$3,910 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$140.24–$3,626.90 | $189–$4,888 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$94.24–$1,852.04 | $127–$2,496 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$117.98–$3,711.49 | $159–$5,002 | varies |
| MRI abdomen w/o contrast (74181) range across 8 matching MRF lines |
$100.17–$2,549.52 | $135–$3,436 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$111.30–$9,082.83 | $150–$12,241 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$147.66–$12,385.47 | $199–$16,692 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$112.05–$8,812 | $151–$11,876 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$109.08–$2,484.96 | $147–$3,349 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,421.15 | $3,263 | 9.5× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$159.53–$8,267.37 | $215–$11,142 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$143.95–$4,032.03 | $194–$5,434 | varies |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$115.76–$3,600.19 | $156–$4,852 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$114.27–$4,811.87 | $154–$6,485 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$118.72–$5,487.84 | $160–$7,396 | varies |
| MRI chest wo w contrast (71552) range across 6 matching MRF lines |
$155.08–$5,368.37 | $209–$7,235 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 11 matching MRF lines |
$110.56–$8,421.70 | $149–$11,350 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 11 matching MRF lines |
$146.92–$7,189.24 | $198–$9,689 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 11 matching MRF lines |
$92.01–$5,820.25 | $124–$7,844 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$143.95–$3,878.44 | $194–$5,227 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$190.70–$3,908.12 | $257–$5,267 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 5 matching MRF lines |
$103.88–$3,376.10 | $140–$4,550 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$110.56–$3,626.16 | $149–$4,887 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 6 matching MRF lines |
$166.21–$4,168.56 | $224–$5,618 | varies |
| MRI pelvis w contrast (72196) range across 6 matching MRF lines |
$117.98–$3,836.89 | $159–$5,171 | varies |
| MRI pelvis w/o & w contrast (72197) range across 7 matching MRF lines |
$150.63–$4,669.41 | $203–$6,293 | varies |
| MRI pelvis w/o contrast (72195) range across 9 matching MRF lines |
$100.92–$3,177.99 | $136–$4,283 | varies |
| MRI thoracic spine w/o contrast (72146) range across 6 matching MRF lines |
$115.76–$3,443.63 | $156–$4,641 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$111.30–$3,609.83 | $150–$4,865 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$104.63–$2,890.84 | $141–$3,896 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$147.66–$4,306.57 | $199–$5,804 | varies |
| MRI, abdomen, combo (74183) range across 8 matching MRF lines |
$150.63–$3,749.33 | $203–$5,053 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$190.70–$3,943.73 | $257–$5,315 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$143.95–$3,856.92 | $194–$5,198 | varies |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$93.50–$6,035.43 | $126–$8,134 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$147.66–$8,389.06 | $199–$11,306 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$190.70–$3,943.73 | $257–$5,315 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$178.83–$1,248.05 | $241–$1,682 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$169.92–$2,343.98 | $229–$3,159 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$186.25–$2,305.40 | $251–$3,107 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$255.99–$3,146.83 | $345–$4,241 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $689.32 | $929 | 1.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,931.12 | $5,298 | 2.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $74.20 | $100 | 0.1× |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$117.98–$4,009.77 | $159–$5,404 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$14.10–$527.57 | $19–$711 | varies |
| Nm csf leak detection (78650) | $1,794.16 | $2,418 | 1.3× |
| Nm red cell survival study (78130) | $907.47 | $1,223 | 2.1× |
| Nm unlisted gi procedure (78299) | $1,826.81 | $2,462 | 4.3× |
| Nm whole blood volume (78122) | $1,221.34 | $1,646 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $1,935.14 | $2,608 | 7.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $199.60 | $269 | 1.8× |
| Optic foramina (70190) range across 3 matching MRF lines |
$57.88–$327.97 | $78–$442 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,836.45 | $2,475 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,836.45 | $2,475 | 4.3× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$14.10–$467.46 | $19–$630 | varies |
| Peritoneogram Rs&I (74190) | $1,595.30 | $2,150 | 2.7× |
| PET image w/CT, full body (78816) | $5,521.97 | $7,442 | 3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,932.08–$5,360.95 | $6,647–$7,225 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,279.55 | $8,463 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,360.09 | $1,833 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$24.49–$718.26 | $33–$968 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $876.31 | $1,181 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 10 matching MRF lines |
$14.10–$1,005.41 | $19–$1,355 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 14 matching MRF lines |
$12.62–$801.36 | $17–$1,080 | varies |
| Radex elbow complete minimum 3 views (73080) range across 10 matching MRF lines |
$14.10–$1,108.55 | $19–$1,494 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$20.78–$797.65 | $28–$1,075 | varies |
| Radex fingr minimum 2 views (73140) range across 10 matching MRF lines |
$11.13–$655.93 | $15–$884 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$13.36–$1,031.38 | $18–$1,390 | varies |
| Radex Hand Minimum 3 Views (73130) range across 10 matching MRF lines |
$14.10–$958.67 | $19–$1,292 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$48.98–$421.46 | $66–$568 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$96.46–$890.40 | $130–$1,200 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$14.10–$584.70 | $19–$788 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$17.81–$291.61 | $24–$393 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$14.84–$1,194.62 | $20–$1,610 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$14.10–$409.59 | $19–$552 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,235.43 | $1,665 | 6.6× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$36.36–$175.86 | $49–$237 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$16.33–$563.18 | $22–$759 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$19.30–$630.70 | $26–$850 | varies |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$10.39–$795.43 | $14–$1,072 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 7 matching MRF lines |
$48.98–$519.40 | $66–$700 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$14.10–$1,092.97 | $19–$1,473 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$20.04–$756.84 | $27–$1,020 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$97.95–$1,203.53 | $132–$1,622 | varies |
| Radiologic exam colon single contrast study (74270) range across 5 matching MRF lines |
$80.14–$954.96 | $108–$1,287 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$17.81–$1,594.56 | $24–$2,149 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$20.04–$584.70 | $27–$788 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$63.07–$859.98 | $85–$1,159 | varies |
| Radiologic exam swallow function contrast study (74230) | $834.01 | $1,124 | 4.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$70.49–$839.95 | $95–$1,132 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 11 matching MRF lines |
$14.10–$788.75 | $19–$1,063 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$13.36–$808.78 | $18–$1,090 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$12.62–$1,065.52 | $17–$1,436 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 6 matching MRF lines |
$94.98–$899.31 | $37–$1,212 | varies |
| Radiopharm Dacryocystography (78660) | $703.42 | $948 | 1.6× |
| Renal Cyst Study (74470) | $1,599.01 | $2,155 | 2.7× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$23.01–$535.73 | $31–$722 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,458.03 | $1,965 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,847.27 | $5,185 | 6.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,358.08 | $3,178 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,102.31 | $4,181 | 5.4× |
| Scapula (73010) range across 6 matching MRF lines |
$14.10–$954.96 | $19–$1,287 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$46.01–$70.49 | $62–$95 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$51.20–$250.06 | $69–$337 | varies |
| Shoulder 1 view (73020) range across 8 matching MRF lines |
$12.62–$968.31 | $17–$1,305 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$42.30–$1,466.20 | $57–$1,976 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$16.33–$410.33 | $22–$553 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$17.81–$490.47 | $24–$661 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines |
$398.46–$1,046.97 | $537–$1,411 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$16.33–$370.26 | $22–$499 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$17.81–$655.19 | $24–$883 | varies |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$17.07–$315.35 | $23–$425 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $697.48 | $940 | 1.6× |
| Thyroid Met Imaging Body (78018) | $2,018.24 | $2,720 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,483.26 | $1,999 | 3.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$132.08–$511.24 | $178–$689 | varies |
| Ultrasound elastography first target lesion (76982) range across 6 matching MRF lines |
$40.81–$556.50 | $55–$750 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$46.01–$556.50 | $62–$750 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 5 matching MRF lines |
$40.81–$463.01 | $55–$624 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$40.07–$1,264.37 | $54–$1,704 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$140.24–$172.89 | $189–$233 | varies |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$53.43–$882.98 | $72–$1,190 | varies |
| Ureteral Reflux Study (78740) | $2,079.83 | $2,803 | 4.9× |
| Urethrocystogram voiding (74455) | $661.87 | $892 | 2.6× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$655.19–$661.87 | $883–$892 | varies |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$56.40–$585.44 | $76–$789 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$44.52–$620.32 | $60–$836 | varies |
| Us complete joint (76881) range across 7 matching MRF lines |
$48.98–$557.99 | $66–$752 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$37.10–$480.08 | $50–$647 | varies |
| Us head (76506) range across 3 matching MRF lines |
$175.86–$985.38 | $237–$1,328 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$230.77–$490.47 | $311–$661 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$37.85–$547.60 | $51–$738 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$119.47–$597.31 | $161–$805 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$60.11–$905.99 | $81–$1,221 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$53.43–$1,312.60 | $72–$1,769 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$77.17–$1,417.97 | $104–$1,911 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$57.14–$908.95 | $77–$1,225 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$44.52–$599.54 | $60–$808 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$49.72–$1,039.55 | $67–$1,401 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$90.53–$405.88 | $122–$547 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$42.30–$923.79 | $57–$1,245 | varies |
| Us transrectal (76872) | $50.46 | $68 | 0.5× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$83.11–$2,495.35 | $112–$3,363 | varies |
| Vein X-Ray Spleen/Liver (75810) | $2,553.97 | $3,442 | 0.8× |
| Venogram Sinus/Jugular (75860) | $4,019.42 | $5,417 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $5,425.51 | $7,312 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$106.11–$1,899.52 | $143–$2,560 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$2,024.92–$2,499.80 | $103–$3,369 | varies |
| Venography Renal Bilateral (75833) | $5,565 | $7,500 | 1.7× |
| Venography Renal Unilateral (75831) | $5,286.75 | $7,125 | 1.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$13.36–$863.69 | $18–$1,164 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$41.56–$418.49 | $56–$564 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$200.34–$865.92 | $270–$1,167 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,667.71 | $195–$4,943 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$17.81–$589.89 | $24–$795 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$13.36–$586.93 | $18–$791 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$760.55–$920.08 | $32–$1,240 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 7 matching MRF lines |
$25.23–$1,290.34 | $34–$1,739 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$48.23–$323.52 | $65–$436 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$17.81–$604.73 | $24–$815 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$17.81–$623.28 | $24–$840 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $83.11 | $112 | 0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$24.49–$648.51 | $33–$874 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$23.75–$822.88 | $32–$1,109 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$17.81–$629.22 | $24–$848 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$23.75–$911.18 | $32–$1,228 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$20.78–$695.26 | $28–$937 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$50.46–$205.54 | $68–$277 | varies |
| X-ray humerus (73060) range across 10 matching MRF lines |
$13.36–$938.63 | $18–$1,265 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$37.85–$1,049.19 | $51–$1,414 | varies |
| X-ray IV pyelogram+tomography (74415) | $1,548.56 | $2,087 | 8.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$56.40–$189.96 | $76–$256 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$14.10–$434.82 | $19–$586 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$17.81–$658.16 | $24–$887 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$43.78–$448.91 | $59–$605 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$25.23–$822.88 | $34–$1,109 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$17.81–$618.09 | $24–$833 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$14.10–$464.50 | $19–$626 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$17.81–$966.09 | $24–$1,302 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$22.26–$1,147.14 | $30–$1,546 | varies |
| X-Ray Stress View (77071) range across 4 matching MRF lines |
$87.56–$129.11 | $118–$174 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$19.30–$641.83 | $26–$865 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$37.85–$832.53 | $51–$1,122 | varies |
| X-Rays Bone Length Studies (77073) range across 6 matching MRF lines |
$21.52–$638.87 | $29–$861 | varies |
| X-Rays Bone Survey Complete (77075) range across 5 matching MRF lines |
$43.04–$739.78 | $58–$997 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$21.52–$835.50 | $29–$1,126 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$70.49–$647.03 | $95–$872 | varies |
| Xr Tomogram Single Plane (76100) | $1,197.59 | $1,614 | 10.7× |
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.