Imaging prices at Doctors Medical Center
Modesto, CA · every code in this section with a posted price and a Medicare benchmark.
283 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) | $2,037.75 | $2,717 | 18.2× |
| Abdomen 2 views (74019) | $2,643.75 | $3,525 | 19.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,204 | $8,272 | 12.1× |
| Angio internal mammary (75756) | $5,928 | $7,904 | 1.5× |
| Angio pulmonary bilat (75743) | $9,266.25 | $12,355 | 2.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$25,788–$25,963.50 | $34,384–$34,618 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$21,624–$21,655.50 | $28,832–$28,874 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,724.50 | $8,966 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,921 | $5,228 | 1.0× |
| Ankle 2 views (73600) | $1,747.50 | $2,330 | 15.6× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$7,345.50–$8,738.25 | $9,794–$11,651 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,147–$11,305.50 | $12,196–$15,074 | varies |
| Artery X-Rays Pelvis (75736) | $14,257.50 | $19,010 | 2.0× |
| Artery X-Rays Spine (75705) | $12,747 | $16,996 | 1.8× |
| Arthrogram hip (73525) | $1,950 | $2,600 | 4.3× |
| Bone age studies (77072) | $783 | $1,044 | 5.8× |
| Bone Imaging 3 Phase (78315) | $6,153 | $8,204 | 12.0× |
| Bone Imaging Limited Area (78300) | $5,515.50 | $7,354 | 10.7× |
| Bone Imaging Multiple Areas (78305) | $2,003.25 | $2,671 | 3.9× |
| Bone Imaging Whole Body (78306) | $7,830 | $10,440 | 15.2× |
| Bone survey infant (77076) | $2,764.50 | $3,686 | 20.6× |
| Brain Flow Imaging Only (78610) | $1,745.25 | $2,327 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,772 | $3,696 | 4.0× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,610.75 | $3,481 | 5.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,484.50 | $4,646 | 5.0× |
| Chest 1 view (71045) | $2,471.25 | $3,295 | 22.1× |
| Chest 2 views (71046) | $2,915.25 | $3,887 | 26.0× |
| Chest 3 views (71047) | $2,741.25 | $3,655 | 24.5× |
| Chest 4 or more views (71048) | $2,796 | $3,728 | 20.8× |
| Clavicle complete (73000) | $2,295 | $3,060 | 20.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,334.25 | $1,779 | 9.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$23,498.25–$23,514.75 | $31,331–$31,353 | varies |
| Contrast X-Ray Bladder (74430) | $795.75 | $1,061 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,512.75 | $2,017 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $30,764.25 | $41,019 | 68.6× |
| CT abdomen and pelvis without contrast (74176) | $27,726 | $36,968 | 90.3× |
| CT abdomen w contrast (74160) | $14,172 | $18,896 | 62.8× |
| CT abdomen w wo contrast (74170) | $13,892.25 | $18,523 | 61.6× |
| CT abdomen w/o contrast (74150) | $12,156 | $16,208 | 90.4× |
| CT Angio Abdomen and Pelvis (74174) | $30,649.50 | $40,866 | 68.3× |
| CT Angio Chest (71275) | $17,766.75 | $23,689 | 78.8× |
| CT Angio Head (70496) | $13,206 | $17,608 | 58.5× |
| CT angio hrt w/3d image (75574) | $14,284.50 | $19,046 | 31.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $6,706.50 | $8,942 | 29.7× |
| CT Angio Neck (70498) | $17,712 | $23,616 | 78.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,907.50 | $9,210 | 30.6× |
| CT cervical spine w/ contrast (72126) | $15,381.75 | $20,509 | 34.3× |
| CT cervical spine w/o contrast (72125) | $13,773.75 | $18,365 | 102.4× |
| CT cervical spine w/wo cont (72127) | $16,497.75 | $21,997 | 73.1× |
| CT chest w contrast (71260) | $17,076 | $22,768 | 75.7× |
| CT chest w/wo contrast (71270) | $13,892.25 | $18,523 | 61.6× |
| CT head/brain with contrast (70460) | $10,883.25 | $14,511 | 48.2× |
| CT head/brain without and with contrast (70470) | $12,791.25 | $17,055 | 56.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $17,076 | $22,768 | 38.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $860.25 | $1,147 | 7.7× |
| CT hrt w/3d image congen (75573) | $14,116.50 | $18,822 | 31.5× |
| CT iac w contrast (70481) | $8,665.50 | $11,554 | 38.4× |
| CT l-spine w&w/o contrast (72133) | $17,487.75 | $23,317 | 77.5× |
| CT lower ext w/o (73700) | $8,018.25 | $10,691 | 59.6× |
| CT lower extremity w/contrast material (73701) | $7,382.25 | $9,843 | 32.7× |
| CT lumbar spine w contrast (72132) | $14,961.75 | $19,949 | 33.3× |
| CT lumbar spine w/o contrast (72131) | $12,773.25 | $17,031 | 95.0× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$9,442.50–$10,546.50 | $12,590–$14,062 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$8,218.50–$10,313.25 | $10,958–$13,751 | varies |
| CT neck tissue combo (70492) | $18,886.50 | $25,182 | 83.7× |
| CT orbits w/o contrast (70480) | $11,335.50 | $15,114 | 84.3× |
| CT pelvis w&w/o contrast (72194) | $17,487.75 | $23,317 | 77.5× |
| CT pelvis w/o contrast (72192) | $12,506.25 | $16,675 | 93.0× |
| CT scan of leg combo (73702) | $3,475.50 | $4,634 | 15.4× |
| CT scans face/jaw combo (70488) | $12,942 | $17,256 | 57.4× |
| CT soft tissue neck w contrast (70491) | $14,596.50 | $19,462 | 64.7× |
| CT soft tissue neck w/o contrast (70490) | $10,756.50 | $14,342 | 80.0× |
| CT thoracic spine w contrast (72129) | $15,714.75 | $20,953 | 69.7× |
| CT thoracic spine w/o contrast (72128) | $12,773.25 | $17,031 | 95.0× |
| CT thoracic spine w/wo cont (72130) | $15,408.75 | $20,545 | 68.3× |
| CT thorax w/o contrast (71250) | $12,773.25 | $17,031 | 95.0× |
| CT upper ext wo (73200) | $7,476 | $9,968 | 55.6× |
| CT upper extremity with contrast (73201) | $9,154.50 | $12,206 | 20.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $28,377 | $37,836 | 125.8× |
| Cta Abdomen (74175) | $14,172 | $18,896 | 62.8× |
| CTA pelvis (72191) | $13,165.50 | $17,554 | 58.4× |
| Dilation ureters/urethra rs&i (74485) | $5,925 | $7,900 | 2.2× |
| Diskography lumbar (72295) | $3,237 | $4,316 | 1.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $465.75 | $621 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$465.75–$888 | $621–$1,184 | varies |
| Echo Guide For Artery Repair (76936) | $1,887.75 | $2,517 | 6.8× |
| Esophageal Motility Study (78258) | $4,671 | $6,228 | 9.1× |
| Esophagram (74220) | $3,639.75 | $4,853 | 16.1× |
| Fetal Biophys Profile W/Nst (76818) | $465.75 | $621 | 3.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$465.75–$1,135.50 | $621–$1,514 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,248–$1,479.75 | $1,664–$1,973 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,978.75–$4,389 | $5,305–$5,852 | varies |
| Foot 2 views (73620) | $1,587 | $2,116 | 14.2× |
| Forearm 2 views (73090) | $2,185.50 | $2,914 | 19.5× |
| Gastric emptying imaging study (78264) | $4,443.75 | $5,925 | 8.6× |
| Gated Heart Planar Single (78472) | $5,762.25 | $7,683 | 11.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,359.75 | $5,813 | 6.2× |
| Hand 2 views (73120) | $1,647 | $2,196 | 12.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $20,446.50 | $27,262 | 5.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $18,933 | $25,244 | 4.7× |
| Hepatobil Syst Image W/Drug (78227) | $8,057.25 | $10,743 | 11.5× |
| Hepatobiliary System Imaging (78226) | $8,768.25 | $11,691 | 17.1× |
| Ht Muscle Image Spect Sing (78451) | $9,588 | $12,784 | 5.8× |
| K Flow/Funct Image W/Drug (78708) | $7,792.50 | $10,390 | 11.2× |
| K Flow/Funct Image W/O Drug (78707) | $7,792.50 | $10,390 | 11.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $5,170.50 | $6,894 | 10.1× |
| Knee 3 Views (73562) | $2,171.25 | $2,895 | 19.4× |
| Liver & Spleen Imaging Static Only (78215) | $5,697 | $7,596 | 11.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,150.25 | $10,867 | 15.9× |
| Liver imaging static only (78201) | $2,483.25 | $3,311 | 3.6× |
| Lung perfusion differential (78597) | $2,072.25 | $2,763 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $12,256.50 | $16,342 | 17.6× |
| Lung Ventilation Imaging (78579) | $5,997.75 | $7,997 | 11.7× |
| Lymph System Imaging (78195) | $7,119.75 | $9,493 | 10.2× |
| Magnetic Image Jaw Joint (70336) | $12,147 | $16,196 | 39.6× |
| Meckels Divert Exam (78290) | $3,944.25 | $5,259 | 7.7× |
| Mr safety determination physician/other qhp (76016) | $360 | $480 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $99.75 | $133 | 2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $375 | $500 | 3.1× |
| Mr safety implt pos&/immoblj (76019) | $243 | $324 | 3.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $987.75 | $1,317 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $20,043.75 | $26,725 | 44.7× |
| MRA head w/o contrast (70544) | $8,859.75 | $11,813 | 28.9× |
| MRA head with contrast (70545) | $9,924 | $13,232 | 22.1× |
| MRA neck w contrast (70548) | $9,082.50 | $12,110 | 20.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $14,421.75 | $19,229 | 32.1× |
| MRA neck w/o contrast (70547) | $7,439.25 | $9,919 | 24.2× |
| MRI abdomen w contrast (74182) | $6,407.25 | $8,543 | 14.3× |
| MRI abdomen w/o contrast (74181) | $9,326.25 | $12,435 | 30.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $15,006 | $20,008 | 33.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,816 | $13,088 | 9.7× |
| MRI cervical spine w/o cont (72141) | $10,908 | $14,544 | 35.5× |
| MRI chest w/o contrast (71550) | $14,049.75 | $18,733 | 45.8× |
| MRI chest wo w contrast (71552) | $16,320 | $21,760 | 36.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,361.75 | $7,149 | 11.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,681.75 | $4,909 | 12.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,041.25 | $16,055 | 26.8× |
| MRI orbit face &/neck w/o contrast (70540) | $11,001 | $14,668 | 35.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $20,311.50 | $27,082 | 45.3× |
| MRI pelvis w/o & w contrast (72197) | $10,914 | $14,552 | 24.3× |
| MRI pelvis w/o contrast (72195) | $5,733 | $7,644 | 18.7× |
| MRI thoracic spine w/o contrast (72146) | $7,491.75 | $9,989 | 24.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,659.25 | $8,879 | 21.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $9,373.50 | $12,498 | 20.9× |
| MRI, abdomen, combo (74183) | $7,998.75 | $10,665 | 17.8× |
| MRI, dorsal spine combo (72157) | $10,508.25 | $14,011 | 23.4× |
| MRI, joint upper extrem (73221) | $6,659.25 | $8,879 | 21.7× |
| MRI, joint upper extrem combo (73223) | $8,677.50 | $11,570 | 19.3× |
| MRI, lumbar spine combo (72158) | $13,370.25 | $17,827 | 29.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,245.25 | $8,327 | 12.1× |
| Myocardial Spect Multiple Studies (78452) | $19,906.50 | $26,542 | 12.0× |
| Neck soft tissue (70360) | $2,232.75 | $2,977 | 19.9× |
| Nonvascular Shunt X-Ray (75809) | $4,538.25 | $6,051 | 33.8× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$1,641–$2,203.50 | $2,188–$2,938 | varies |
| Nuclear Rx Oral Admin (79005) | $4,311 | $5,748 | 14.4× |
| Ob us nuchal meas 1 gest (76813) | $465.75 | $621 | 3.5× |
| Optic foramina (70190) | $3,291.75 | $4,389 | 29.4× |
| Parathyroid Planar Imaging (78070) | $2,151.75 | $2,869 | 4.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,692.75 | $6,257 | 9.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,969.50–$2,389.50 | $2,626–$3,186 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,128.25 | $8,171 | 11.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,318 | $4,424 | 24.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,200 | $5,600 | 6.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,696.25 | $3,595 | 24.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,383.75 | $1,845 | 12.4× |
| Radex elbow complete minimum 3 views (73080) | $2,378.25 | $3,171 | 21.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,867.25 | $3,823 | 21.3× |
| Radex fingr minimum 2 views (73140) | $2,013 | $2,684 | 18.0× |
| Radex foot complete minimum 3 views (73630) | $2,378.25 | $3,171 | 21.2× |
| Radex Hand Minimum 3 Views (73130) | $2,540.25 | $3,387 | 22.7× |
| Radex lower extremity infant minimum 2 views (73592) | $699.75 | $933 | 6.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,294.25 | $3,059 | 20.5× |
| Radex shoulder complete minimum 2 views (73030) | $2,808.75 | $3,745 | 25.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,040 | $2,720 | 18.2× |
| Radex Spine 1 View Specify Level (72020) | $2,065.50 | $2,754 | 18.5× |
| Radex Sternum Minimum 2 Views (71120) | $1,725 | $2,300 | 15.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,830.50 | $3,774 | 25.3× |
| Radex Toe Minimum 2 Views (73660) | $1,622.25 | $2,163 | 14.5× |
| Radex upper extremity infant minimum 2 views (73092) | $712.50 | $950 | 5.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,540.25 | $3,387 | 22.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,542.25 | $4,723 | 26.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,318 | $4,424 | 24.7× |
| Radiologic exam colon single contrast study (74270) | $2,388 | $3,184 | 10.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,293.75 | $1,725 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) | $2,688 | $3,584 | 20.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,669.75 | $4,893 | 27.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $5,569.50 | $7,426 | 24.7× |
| Radiologic exam swallow function contrast study (74230) | $2,122.50 | $2,830 | 9.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,320 | $1,760 | 5.9× |
| Radiologic examination femur 1 view (73551) | $2,294.25 | $3,059 | 20.5× |
| Radiologic examination femur minimum 2 views (73552) | $2,688 | $3,584 | 24.0× |
| Radiologic examination knee 1/2 views (73560) | $1,747.50 | $2,330 | 15.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,540.25 | $3,387 | 22.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,543 | $4,724 | 6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,026.25 | $4,035 | 5.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,471.25 | $11,295 | 12.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $11,493.75 | $15,325 | 16.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,990.50 | $2,654 | 2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $9,032.25 | $12,043 | 5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $10,247.25 | $13,663 | 5.6× |
| Rp Therapy Intravenous Administration (79101) | $2,969.25 | $3,959 | 9.9× |
| Salivary Gland Imaging Serial Images (78231) | $2,049.75 | $2,733 | 4.0× |
| Scapula (73010) | $1,918.50 | $2,558 | 14.3× |
| Shoulder 1 view (73020) | $2,253 | $3,004 | 20.1× |
| Shoulder Arthrography (73040) | $1,472.25 | $1,963 | 3.3× |
| Skull less than 4 views (70250) | $2,437.50 | $3,250 | 18.1× |
| Sternoclavicular joints (71130) | $2,205 | $2,940 | 19.7× |
| Testicular Imaging W/Flow (78761) | $6,851.25 | $9,135 | 13.3× |
| Thoracic spine 2 views (72070) | $3,472.50 | $4,630 | 25.8× |
| Thoracic spine 3 views (72072) | $3,278.25 | $4,371 | 24.4× |
| Thoracolumbar 2 views (72080) | $3,214.50 | $4,286 | 28.7× |
| Thyroid Imaging With Vascular Flow (78013) | $4,073.25 | $5,431 | 7.9× |
| Thyroid Met Imaging Body (78018) | $8,726.25 | $11,635 | 12.5× |
| Thyroid Uptake Measurement (78012) | $2,161.50 | $2,882 | 4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,033.25 | $2,711 | 4.0× |
| Ultrasound Breast Limited (76642) | $1,380 | $1,840 | 12.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$465.75–$3,157.50 | $621–$4,210 | varies |
| Umbilical-artery Doppler (OB) (76820) | $888 | $1,184 | 6.6× |
| Upper gi w/o kub (74240) | $3,026.25 | $4,035 | 13.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,389.75 | $1,853 | 125.7× |
| Urea breath test c-14 isotopic analysis (78268) | $639.75 | $853 | 6.8× |
| Urethrocystogram voiding (74455) | $4,365 | $5,820 | 14.2× |
| Urethrocystography retrograde (74450) | $2,927.25 | $3,903 | 9.5× |
| Us chest (76604) | $1,489.50 | $1,986 | 11.1× |
| Us complete joint (76881) | $1,955.25 | $2,607 | 14.5× |
| Us exam, pelvic, limited (76857) | $1,955.25 | $2,607 | 14.5× |
| Us head (76506) | $3,018.75 | $4,025 | 22.5× |
| Us kidney transplant (76776) | $1,482.75 | $1,977 | 11.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,381.50 | $1,842 | 10.3× |
| Us ob detailed single fetus (76811) | $1,037.25 | $1,383 | 3.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$925.50–$1,656.75 | $1,234–$2,209 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$465.75–$1,879.50 | $621–$2,506 | varies |
| Us pelvic non ob complete (76856) | $3,190.50 | $4,254 | 23.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$465.75–$1,713 | $621–$2,284 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$465.75–$799.50 | $621–$1,066 | varies |
| Us retroperitoneal complete (76770) | $2,700.75 | $3,601 | 20.1× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$465.75–$1,745.25 | $621–$2,327 | varies |
| Us scrotum and contents (76870) | $3,181.50 | $4,242 | 23.7× |
| Us spinal canal and contents (76800) | $675 | $900 | 5.0× |
| Us thyroid (76536) | $2,652.75 | $3,537 | 19.7× |
| Vein X-Ray Chest (75827) | $14,094 | $18,792 | 7.0× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,843.75–$4,665.75 | $5,125–$6,221 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$13,297.50–$14,094 | $17,730–$18,792 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$3,708.75–$5,052 | $4,945–$6,736 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,591.25–$2,688 | $3,455–$3,584 | varies |
| Venography Renal Bilateral (75833) | $8,804.25 | $11,739 | 2.2× |
| Venography Renal Unilateral (75831) | $4,199.25 | $5,599 | 1.0× |
| Wrist 2 views (73100) | $1,941.75 | $2,589 | 17.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,505.75 | $3,341 | 22.4× |
| X-ray antegrade pyelogram tube (74425) | $3,897 | $5,196 | 8.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$28,087.50–$28,651.50 | $37,450–$38,202 | varies |
| X-Ray Bend Only L-S Spine (72120) | $3,066 | $4,088 | 22.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,771.50 | $2,362 | 15.8× |
| X-Ray Exam Breast Specimen (76098) | $2,005.50 | $2,674 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,063.25 | $2,751 | 18.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $3,360 | $4,480 | 25.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,040 | $2,720 | 18.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$2,655.75–$3,055.50 | $3,541–$4,074 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,513.75 | $4,685 | 26.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,589.50 | $4,786 | 26.7× |
| X-Ray Exam L-S Spine Bending (72114) | $5,613 | $7,484 | 41.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$3,299.25–$3,496.50 | $4,399–$4,662 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,288.50 | $5,718 | 31.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,001 | $2,668 | 14.9× |
| X-ray eye for foreign body (70030) | $789 | $1,052 | 7.0× |
| X-ray humerus (73060) | $2,123.25 | $2,831 | 19.0× |
| X-ray IV pyelogram (ivp) (74400) | $1,209.75 | $1,613 | 5.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,403.75 | $3,205 | 21.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,749.75 | $2,333 | 15.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$3,066–$3,249.75 | $4,088–$4,333 | varies |
| X-ray nose-rectum child f.b. (76010) | $2,068.50 | $2,758 | 18.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,305.50 | $3,074 | 17.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,429.25 | $3,239 | 18.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,673.25 | $2,231 | 12.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,023.50 | $2,698 | 18.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,264 | $4,352 | 29.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,860.25 | $5,147 | 28.7× |
| X-ray thoracic spine 4 vw (72074) | $3,564 | $4,752 | 26.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,196.25 | $5,595 | 9.4× |
| X-Rays Bone Length Studies (77073) | $1,489.50 | $1,986 | 11.1× |
| X-Rays Bone Survey Complete (77075) | $1,272 | $1,696 | 9.5× |
| Xr c-spine 4 or 5 views (72050) | $4,571.25 | $6,095 | 34.0× |
| Xr facial bones less than 3 views (70140) | $2,655.75 | $3,541 | 23.7× |
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.