Imaging prices at East Valley ER & Hospital
Gilbert, AZ · every code in this section with a posted price and a Medicare benchmark.
261 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 2 matching MRF lines |
$60–$482.40 | $340–$1,072 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$188.55–$589.50 | $419–$1,310 | varies |
| Adrenal Cortex & Medulla Img (78075) | $2,466.45 | $5,481 | 1.8× |
| Angio pulmonary bilat (75743) | $832.50 | $1,850 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $903.60 | $2,008 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $847.35 | $1,883 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $746.55 | $1,659 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$166.50–$486 | $370–$1,080 | varies |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$732.15 | $1,627 | 0.1× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$785.25 | $1,745 | 0.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$299.70–$599.40 | $666–$1,332 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$132.75–$159.30 | $295–$354 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,638–$1,965.60 | $3,640–$4,368 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,399.50–$1,678.95 | $3,110–$3,731 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$549–$1,703.70 | $1,220–$3,786 | varies |
| Cat Scan Follow-Up Study (76380) | $736.65 | $1,637 | 7.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$60–$351 | $295–$780 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$171.90–$539.10 | $382–$1,198 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$215.55–$431.10 | $479–$958 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$236.25–$370.35 | $525–$823 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$164.70–$579.15 | $366–$1,287 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$725.85–$870.75 | $1,613–$1,935 | varies |
| Contrast Exam Abdominl Aorta (75625) | $668.25 | $1,485 | 0.2× |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$495.90–$1,709.10 | $1,102–$3,798 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$200–$6,266.25 | $4,021–$13,925 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$200–$3,631.95 | $2,147–$8,071 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$300–$5,310.90 | $2,761–$11,802 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$300–$3,910.95 | $3,096–$8,691 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$200–$4,517.10 | $1,602–$10,038 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$300–$2,306.70 | $4,475–$5,126 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$350–$3,544.65 | $3,303–$7,877 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$350–$2,569.95 | $3,243–$5,711 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$350–$3,601.35 | $3,804–$8,003 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$350–$3,725.10 | $3,239–$8,278 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$350–$1,889.10 | $3,499–$4,198 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$300–$2,465.10 | $1,978–$5,478 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$200–$3,182.40 | $1,517–$7,072 | varies |
| CT cervical spine w/wo cont (72127) | $6,228.45 | $13,841 | 33.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$300–$3,594.60 | $1,956–$7,988 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$400–$3,746.70 | $2,189–$8,326 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$300–$4,181.40 | $7,744–$9,292 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$200–$2,658.60 | $4,923–$5,908 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$300–$4,108.95 | $1,733–$9,131 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$400–$3,522.15 | $2,039–$7,827 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $523.80 | $1,164 | 5.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$300–$4,929.75 | $2,121–$10,955 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$400–$4,471.20 | $3,265–$9,936 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$200–$3,169.35 | $1,514–$7,043 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$300–$5,237.55 | $1,956–$11,639 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$300–$4,719.60 | $1,982–$10,488 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$200–$3,790.35 | $1,510–$8,423 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$300–$3,389.85 | $1,782–$7,533 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$200–$3,984.75 | $1,502–$8,855 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$803.70–$2,445.75 | $1,786–$5,435 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$400–$4,046.40 | $2,475–$8,992 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$200–$2,421.45 | $1,858–$5,381 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$400–$5,237.55 | $2,990–$11,639 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$200–$5,764.95 | $1,560–$12,811 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$400–$3,044.70 | $2,290–$6,766 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$400–$2,013.75 | $2,171–$4,475 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$300–$4,843.80 | $2,167–$10,764 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$200–$2,088.45 | $1,760–$4,641 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$300–$4,929.75 | $1,994–$10,955 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$200–$4,628.70 | $1,517–$10,286 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$400–$1,816.65 | $1,141–$4,037 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$200–$4,388.85 | $1,560–$9,753 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$200–$3,033.90 | $1,897–$6,742 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$400–$1,662.75 | $2,937–$3,695 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$300–$1,824.30 | $2,369–$4,054 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$350–$2,371.05 | $4,803–$5,269 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$350–$3,353.40 | $3,608–$7,452 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$350–$3,132.45 | $3,589–$6,961 | varies |
| Discography Cerv/Thor Spine (72285) | $595.80 | $1,324 | 0.3× |
| Diskography lumbar (72295) | $520.20 | $1,156 | 0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $354.15 | $787 | 3.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$193.50–$232.20 | $430–$516 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$263.25–$315.90 | $585–$702 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$508.05–$907.20 | $1,129–$2,016 | varies |
| Fluoroscopy up to 1 hr (76000) | $238.50 | $530 | 0.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$144.45–$396.45 | $321–$881 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$149.40–$363.15 | $332–$807 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,081.35–$1,297.35 | $2,403–$2,883 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$159.75–$417.15 | $355–$927 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,066.85–$4,960.35 | $4,593–$11,023 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,538.10–$3,690.90 | $3,418–$8,202 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$239.85–$1,687.95 | $533–$3,751 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$883.35–$2,664 | $1,963–$5,920 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,110.15–$1,332 | $2,467–$2,960 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$207–$540 | $460–$1,200 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$936.45–$2,246.85 | $2,081–$4,993 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,410.75–$1,692.90 | $3,135–$3,762 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$1,074.60–$2,578.95 | $2,388–$5,731 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,561.50–$3,747.60 | $3,470–$8,328 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,746.45–$2,095.65 | $3,881–$4,657 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,140.75–$1,368.90 | $2,535–$3,042 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,205.55–$1,446.75 | $2,679–$3,215 | varies |
| MRA neck w contrast (70548) | $1,120.50 | $2,490 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,831.50–$2,197.80 | $4,070–$4,884 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,142.55–$1,370.70 | $2,539–$3,046 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$400–$3,871.80 | $3,585–$8,604 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$300–$2,499.75 | $2,315–$5,555 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$400–$4,007.25 | $3,711–$8,905 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$500–$4,941.90 | $4,576–$10,982 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$400–$4,003.20 | $3,707–$8,896 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$300–$2,800.80 | $2,593–$6,224 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$300–$2,702.25 | $2,502–$6,005 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$400–$3,509.10 | $3,249–$7,798 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$300–$2,422.80 | $2,243–$5,384 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$300–$4,329 | $4,008–$9,620 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$400–$4,785.75 | $4,431–$10,635 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$500–$6,043.50 | $5,596–$13,430 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$400–$3,349.35 | $3,101–$7,443 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$500–$6,001.65 | $3,993–$13,337 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$300–$2,852.55 | $2,641–$6,339 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$400–$3,448.35 | $3,193–$7,663 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$500–$4,081.50 | $3,779–$9,070 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$300–$1,442.25 | $2,671–$3,205 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$500–$2,164.05 | $4,008–$4,809 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$400–$3,431.70 | $3,178–$7,626 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$500–$4,308.30 | $3,989–$9,574 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$300–$2,922.30 | $2,706–$6,494 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$300–$2,422.80 | $2,243–$5,384 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$400–$4,248 | $3,934–$9,440 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$300–$3,889.35 | $3,601–$8,643 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$500–$5,250.60 | $4,862–$11,668 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$500–$4,324.50 | $4,004–$9,610 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$500–$4,089.60 | $3,787–$9,088 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$400–$3,480.75 | $3,223–$7,735 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$300–$2,576.25 | $2,385–$5,725 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$500–$4,958.10 | $4,591–$11,018 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$500–$4,073.40 | $3,772–$9,052 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$994.05–$3,025.80 | $2,209–$6,724 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$894.60–$2,723.40 | $1,988–$6,052 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,223.90–$2,668.95 | $4,942–$5,931 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$161.55–$707.85 | $359–$1,573 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $715.95 | $1,591 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $429.75 | $955 | 3.9× |
| Ob us nuchal meas 1 gest (76813) | $1,122.30 | $2,494 | 10.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $508.95 | $1,131 | 4.6× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $44.10 | $98 | 0.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $835.65 | $1,857 | 7.5× |
| Optic foramina (70190) | $199.35 | $443 | 2.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,389.15–$3,333.60 | $3,087–$7,408 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$1,659.15–$3,982.05 | $3,687–$8,849 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$142.65–$491.85 | $317–$1,093 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$60–$591.30 | $432–$1,314 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$188.55–$502.65 | $419–$1,117 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$146.25–$416.25 | $325–$925 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$114.75–$350.10 | $255–$778 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$239.40–$595.80 | $532–$1,324 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$193.50–$369.45 | $430–$821 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$175.05–$557.10 | $389–$1,238 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$188.55–$431.10 | $419–$958 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$101.70–$309.60 | $226–$688 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$319.50–$383.40 | $710–$852 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$195.30–$486 | $434–$1,080 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$188.55–$546.75 | $419–$1,215 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$176.85–$506.25 | $393–$1,125 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$164.70–$410.85 | $366–$913 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$60–$407.70 | $238–$906 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$171.45–$529.20 | $381–$1,176 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$270–$530.10 | $600–$1,178 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$149.40–$302.85 | $332–$673 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$85.95–$261.45 | $191–$581 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$208.80–$475.65 | $464–$1,057 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$254.25–$774.45 | $565–$1,721 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$220.95–$728.10 | $491–$1,618 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$219.15–$431.10 | $487–$958 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,142.55–$1,371.15 | $2,539–$3,047 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$792.90–$951.30 | $1,762–$2,114 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$237.60–$408.15 | $528–$907 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$148.05–$450.45 | $329–$1,001 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$631.80–$758.25 | $1,404–$1,685 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$720–$864 | $1,600–$1,920 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$83.70–$508.50 | $186–$1,130 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$181.80–$985.05 | $404–$2,189 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$175.05–$405.45 | $389–$901 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $408.15 | $907 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$161.55–$493.20 | $359–$1,096 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$224.10–$529.20 | $498–$1,176 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,196.10–$1,435.05 | $2,658–$3,189 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,055.95–$3,667.05 | $6,791–$8,149 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,802.25–$2,162.70 | $4,005–$4,806 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$121.05–$418.05 | $269–$929 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$269.10–$645.75 | $598–$1,435 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$60–$299.70 | $175–$666 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$129.15–$490.95 | $287–$1,091 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$210.60–$1,662.75 | $468–$3,695 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,267.20 | $2,816 | 6.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$168.30–$562.50 | $374–$1,250 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$189–$575.10 | $420–$1,278 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$75.60–$287.55 | $168–$639 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$410.85–$986.40 | $913–$2,192 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,129.50–$2,710.35 | $2,510–$6,023 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$435.15–$815.40 | $967–$1,812 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$300–$638.10 | $1,181–$1,418 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$544.95–$669.60 | $1,211–$1,488 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$300–$1,332.45 | $1,001–$2,961 | varies |
| Unlisted us procedure (76999) | $866.25 | $1,925 | 9.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$634.95–$762.30 | $1,411–$1,694 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$48.60–$295.20 | $108–$656 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$528.30–$951.75 | $1,174–$2,115 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$257.40–$978.75 | $572–$2,175 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$274.95–$699.30 | $611–$1,554 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$248.40–$908.10 | $552–$2,018 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$757.35–$908.55 | $1,683–$2,019 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$215.10–$282.60 | $478–$628 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$256.05–$974.70 | $569–$2,166 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$474.30–$780.75 | $1,054–$1,735 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$540.45–$1,088.10 | $1,201–$2,418 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$350–$752.85 | $1,337–$1,673 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $615.15 | $1,367 | 5.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$555.75–$1,080.45 | $1,235–$2,401 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$301.50–$972.45 | $670–$2,161 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$516.60–$988.65 | $1,148–$2,197 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$568.80–$1,035 | $1,264–$2,300 | varies |
| Vein X-Ray Chest (75827) | $684.45 | $1,521 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $659.70 | $1,466 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $660.15 | $1,467 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $564.75 | $1,255 | 0.3× |
| Venography Renal Bilateral (75833) | $814.95 | $1,811 | 0.2× |
| Venography Renal Unilateral (75831) | $688.50 | $1,530 | 0.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$173.25–$391.95 | $385–$871 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$146.25–$385.20 | $325–$856 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$189–$575.10 | $420–$1,278 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$149.40–$486 | $332–$1,080 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$112.05–$341.55 | $249–$759 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$358.20–$551.70 | $796–$1,226 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$218.25–$664.65 | $485–$1,477 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$60–$482.40 | $374–$1,072 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$239.40–$472.50 | $532–$1,050 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$301.95–$590.40 | $671–$1,312 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$210.60–$361.80 | $468–$804 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$273.15–$893.25 | $607–$1,985 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$315.90–$382.50 | $702–$850 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$315.90–$605.25 | $702–$1,345 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$202.05–$532.80 | $449–$1,184 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$317.70–$871.65 | $706–$1,937 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$215.55–$668.70 | $479–$1,486 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$166.50–$199.80 | $370–$444 | varies |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$87.30–$532.80 | $194–$1,184 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$164.70–$476.55 | $366–$1,059 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$696.15–$1,257.75 | $1,547–$2,795 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$119.70–$364.05 | $266–$809 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $103.95 | $231 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$203.85–$605.25 | $453–$1,345 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$60–$271.35 | $340–$603 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$208.80–$795.15 | $464–$1,767 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$200.70–$240.75 | $446–$535 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$168.30–$1,300.50 | $374–$2,890 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$166.50–$368.10 | $370–$818 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$192.15–$638.55 | $427–$1,419 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$227.70–$650.25 | $506–$1,445 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$182.25–$554.85 | $405–$1,233 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$119.70–$454.95 | $266–$1,011 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$229.50–$275.40 | $510–$612 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$509.85–$611.55 | $1,133–$1,359 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$271.80–$1,017 | $604–$2,260 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$128.70–$489.60 | $286–$1,088 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $318.60 | $708 | 2.9× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$244.35–$465.75 | $543–$1,035 | varies |
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.