Imaging prices at Eisenhower Medical Center
Rancho Mirage, CA · every code in this section with a posted price and a Medicare benchmark.
369 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$189.09–$881.21 | $573–$17,540 | varies |
| Abdomen 1 View (74018) | $55.40 | $587 | 0.5× |
| Abdomen 2 views (74019) | $66.56 | $837 | 0.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $254.52 | $4,698 | 0.5× |
| Angio pulmonary bilat (75743) | $1,638.45 | $4,965 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,010.22 | $9,168 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,010.22 | $7,902 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $2,010.22 | $6,230 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,319.01 | $3,997 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$27.70–$55.40 | $557 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,404.38 | $7,286 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,379.96 | $7,212 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $2,010.22 | $9,168 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,277.23 | $9,931 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,266.44 | $6,868 | 0.3× |
| Arthrogram ankle (73615) | $222.11 | $1,057 | 0.5× |
| Arthrogram hip (73525) | $222.11 | $1,742 | 0.5× |
| Arthrogram Wrist (73115) | $222.11 | $1,318 | 0.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$27.39–$85.57 | $83–$1,792 | varies |
| Bone age studies (77072) | $66.56 | $599 | 0.5× |
| Bone Imaging 3 Phase (78315) | $254.52 | $3,630 | 0.5× |
| Bone Imaging Limited Area (78300) | $254.52 | $2,790 | 0.5× |
| Bone Imaging Multiple Areas (78305) | $254.52 | $3,070 | 0.5× |
| Bone Imaging Whole Body (78306) | $254.52 | $3,350 | 0.5× |
| Bone marrow imaging limited area (78102) | $254.52 | $1,327 | 0.5× |
| Bone marrow imaging; whole body (78104) | $254.52 | $1,607 | 0.5× |
| Bone survey infant (77076) | $66.56 | $565 | 0.5× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$126.39–$238.38 | $383–$6,041 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$80.19–$238.38 | $243–$4,069 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$61.05–$238.38 | $185–$4,069 | varies |
| Brain Flow Imaging Only (78610) | $345.68 | $2,113 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $910.38 | $3,725 | 0.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $222.11 | $4,938 | 0.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $499.09 | $5,087 | 0.5× |
| Cardiac Shunt Detection (78428) | $254.52 | $2,529 | 0.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $345.68 | $1,596 | 0.5× |
| Cerebrospinal Fluid Scan (78630) | $345.68 | $4,820 | 0.5× |
| Chest 1 view (71045) | $55.40 | $960 | 0.5× |
| Chest 2 views (71046) | $55.40 | $1,007 | 0.5× |
| Chest 3 views (71047) | $55.40 | $1,137 | 0.5× |
| Chest 4 or more views (71048) | $66.56 | $1,256 | 0.5× |
| Clavicle complete (73000) | $55.40 | $670 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $85.57 | $1,745 | 0.5× |
| Contrast Exam Abdominl Aorta (75625) | $2,010.22 | $6,445 | 0.5× |
| Contrast X-Ray Bladder (74430) | $222.11 | $1,064 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $211.20 | $640 | 0.5× |
| Contrast X-Ray Of Knee Joint (73580) | $222.11 | $2,086 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$111.05–$222.11 | $5,169 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$75.95–$151.91 | $4,183 | varies |
| CT abdomen w contrast (74160) | $111.67 | $4,296 | 0.5× |
| CT abdomen w wo contrast (74170) | $111.67 | $5,029 | 0.5× |
| CT abdomen w/o contrast (74150) | $66.56 | $3,913 | 0.5× |
| CT Angio Abdomen and Pelvis (74174) | $222.11 | $6,791 | 0.5× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$55.84–$111.67 | $4,408 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$55.84–$111.67 | $4,313 | varies |
| CT angio hrt w/3d image (75574) | $222.11 | $3,698 | 0.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$111.67–$273.50 | $4,918 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$55.84–$111.67 | $4,199 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $111.67 | $4,163 | 0.5× |
| CT bone density (77078) | $55.40 | $456 | 0.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $111.67 | $1,178 | 0.5× |
| CT cervical spine w/ contrast (72126) | $222.11 | $4,301 | 0.5× |
| CT cervical spine w/o contrast (72125) | $66.56 | $4,051 | 0.5× |
| CT cervical spine w/wo cont (72127) | $111.67 | $4,551 | 0.5× |
| CT chest w contrast (71260) | $111.67 | $4,415 | 0.5× |
| CT chest w/wo contrast (71270) | $111.67 | $4,627 | 0.5× |
| CT head/brain with contrast (70460) | $111.67 | $3,758 | 0.5× |
| CT head/brain without and with contrast (70470) | $111.67 | $4,394 | 0.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $222.11 | $1,097 | 0.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $55.40 | $194 | 0.5× |
| CT hrt w/3d image congen (75573) | $222.11 | $1,045 | 0.5× |
| CT iac w contrast (70481) | $111.67 | $3,633 | 0.5× |
| CT l-spine w&w/o contrast (72133) | $111.67 | $4,569 | 0.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$66.56–$140.88 | $3,394 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$111.67–$273.50 | $3,652 | varies |
| CT lumbar spine w contrast (72132) | $222.11 | $4,319 | 0.5× |
| CT lumbar spine w/o contrast (72131) | $66.56 | $4,069 | 0.5× |
| CT maxillofacial w contrast (70487) | $111.67 | $3,233 | 0.5× |
| CT maxillofacial wo contrast (70486) | $66.56 | $3,123 | 0.5× |
| CT neck tissue combo (70492) | $111.67 | $3,797 | 0.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $111.67 | $3,883 | 0.5× |
| CT orbits w/o contrast (70480) | $66.56 | $3,383 | 0.5× |
| CT pelvis w&w/o contrast (72194) | $111.67 | $4,482 | 0.5× |
| CT pelvis w/o contrast (72192) | $66.56 | $3,640 | 0.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$111.67–$273.50 | $3,778 | varies |
| CT scans face/jaw combo (70488) | $111.67 | $3,559 | 0.5× |
| CT soft tissue neck w contrast (70491) | $111.67 | $3,547 | 0.5× |
| CT soft tissue neck w/o contrast (70490) | $66.56 | $3,297 | 0.5× |
| CT thoracic spine w contrast (72129) | $111.67 | $4,088 | 0.5× |
| CT thoracic spine w/o contrast (72128) | $66.56 | $3,838 | 0.5× |
| CT thoracic spine w/wo cont (72130) | $111.67 | $4,338 | 0.5× |
| CT thorax w/o contrast (71250) | $66.56 | $3,862 | 0.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$33.28–$140.88 | $3,404 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$111.67–$273.50 | $3,512 | varies |
| CT upper extremity with contrast (73201) | $222.11 | $3,424 | 0.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $111.67 | $5,570 | 0.5× |
| Cta Abdomen (74175) | $111.67 | $5,025 | 0.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $222.11 | $1,178 | 0.5× |
| CTA pelvis (72191) | $111.67 | $4,880 | 0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $66.56 | $976 | 0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $66.56 | $1,135 | 0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $66.56 | $773 | 0.5× |
| Dxa Bone Density Axial (77080) | $66.56 | $758 | 0.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $55.40 | $236 | 0.5× |
| Echo exam of fetal heart (76825) | $347.88 | $2,349 | 0.5× |
| Echo exam uterus (76831) | $151.91 | $1,408 | 0.5× |
| Echo Guide For Artery Repair (76936) | $137.47 | $1,571 | 0.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $151.91 | $2,699 | 0.5× |
| Echograp Trans R Pros Study (76873) | $66.56 | $1,885 | 0.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$55.84–$111.67 | $886 | varies |
| Fetal Biophys Profile W/Nst (76818) | $66.56 | $1,167 | 0.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $66.56 | $887 | 0.5× |
| Fluoroscopy up to 1 hr (76000) | $151.91 | $1,288 | 0.5× |
| Follow-Up Angiography (75898) | $2,010.22 | $9,170 | 0.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$27.70–$55.40 | $809 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$27.70–$55.40 | $850 | varies |
| Gastric emptying imaging study (78264) | $254.52 | $3,351 | 0.5× |
| Gated Heart Planar Single (78472) | $254.52 | $3,323 | 0.5× |
| Gated Heart, Multiple (78473) | $254.52 | $3,581 | 0.5× |
| GI Endoscopic US S&I (76975) | $151.91 | $2,052 | 0.5× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$33.28–$66.56 | $732 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$205.92–$443.41 | $624–$7,864 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,010.22 | $8,828 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,470.81 | $4,457 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $345.68 | $3,690 | 0.5× |
| Hepatobiliary System Imaging (78226) | $254.52 | $3,230 | 0.5× |
| Ht Muscle Image Spect Sing (78451) | $824.24 | $4,571 | 0.5× |
| Hysterosalpingogram (74740) | $151.91 | $1,521 | 0.5× |
| Image fusion (77399) | $85.57 | $5,066 | 0.5× |
| Infant hip ultrasound, limited static exam (76886) | $55.40 | $320 | 0.5× |
| Interstitial radiation source applic complex (77778) | $443.41 | $7,643 | 0.5× |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$443.41 | $1,536–$9,036 | 0.5× |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$268.29–$351.78 | $813–$5,850 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$167.97–$351.78 | $509–$2,925 | varies |
| K Flow/Funct Image Multiple (78709) | $345.68 | $3,798 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $345.68 | $3,518 | 0.5× |
| K Flow/Funct Image W/O Drug (78707) | $345.68 | $3,238 | 0.5× |
| Knee 3 Views (73562) | $55.40 | $901 | 0.5× |
| Leveen/Shunt Patency Exam (78291) | $254.52 | $2,014 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $254.52 | $2,582 | 0.5× |
| Liver imaging static only (78201) | $345.68 | $2,010 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $345.68 | $8,556 | 0.5× |
| Lung perfusion differential (78597) | $254.52 | $3,382 | 0.5× |
| Lung Ventilat&Perfus Imaging (78582) | $345.68 | $5,028 | 0.5× |
| Lung Ventilation Imaging (78579) | $254.52 | $2,109 | 0.5× |
| Lymph System Imaging (78195) | $345.68 | $4,661 | 0.5× |
| Mammary ductogram or galactogram multiple (77054) | $151.91 | $1,773 | 0.5× |
| Mammary ductogram or galactogram single (77053) | $151.91 | $1,497 | 0.5× |
| Meckels Divert Exam (78290) | $254.52 | $2,700 | 0.5× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$189.09–$238.38 | $573–$2,953 | varies |
| Mr safety determination physician/other qhp (76016) | $55.40 | $280 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $18.41 | $78 | 0.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $60.53 | $332 | 0.5× |
| Mr safety implt pos&/immoblj (76019) | $37.56 | $189 | 0.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $151.91 | $768 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $222.11 | $5,573 | 0.5× |
| MRA head w/o contrast (70544) | $151.91 | $4,257 | 0.5× |
| MRA head with contrast (70545) | $222.11 | $4,460 | 0.5× |
| MRA neck w contrast (70548) | $222.11 | $4,928 | 0.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $222.11 | $4,678 | 0.5× |
| MRA neck w/o contrast (70547) | $151.91 | $4,678 | 0.5× |
| MRI abdomen w contrast (74182) | $222.11 | $5,188 | 0.5× |
| MRI abdomen w/o contrast (74181) | $151.91 | $4,938 | 0.5× |
| MRI any jt lower extrem w/contrast material (73722) | $499.09 | $4,461 | 0.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $222.11 | $4,711 | 0.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $499.09 | $4,449 | 0.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $151.91 | $3,321 | 0.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $151.91 | $3,321 | 0.5× |
| MRI cardiac w/o cont stress (75559) | $347.88 | $3,312 | 0.5× |
| MRI cardiac w/o contrast (75557) | $151.91 | $3,923 | 0.5× |
| MRI cervical spine w contrast (72142) | $222.11 | $5,681 | 0.5× |
| MRI cervical spine w/o cont (72141) | $151.91 | $5,431 | 0.5× |
| MRI chest w/o contrast (71550) | $151.91 | $4,010 | 0.5× |
| MRI chest with contrast (71551) | $499.09 | $4,260 | 0.5× |
| MRI chest wo w contrast (71552) | $222.11 | $4,510 | 0.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $222.11 | $4,470 | 0.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$222.11–$540.33 | $5,506 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$151.91–$335.16 | $4,334 | varies |
| MRI lumbar spine w contrast (72149) | $222.11 | $5,804 | 0.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $222.11 | $5,931 | 0.5× |
| MRI orbit face &/neck w/o contrast (70540) | $151.91 | $4,935 | 0.5× |
| MRI orbit face neck w contrast (70542) | $222.11 | $5,185 | 0.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $222.11 | $5,435 | 0.5× |
| MRI pelvis w contrast (72196) | $222.11 | $4,309 | 0.5× |
| MRI pelvis w/o & w contrast (72197) | $222.11 | $6,513 | 0.5× |
| MRI pelvis w/o contrast (72195) | $151.91 | $4,250 | 0.5× |
| MRI spectroscopy (76390) | $55.40 | $3,037 | 0.5× |
| MRI thoracic spine w/o contrast (72146) | $151.91 | $5,402 | 0.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $222.11 | $3,249 | 0.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$75.95–$335.16 | $2,999 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $222.11 | $3,499 | 0.5× |
| MRI, abdomen, combo (74183) | $222.11 | $5,438 | 0.5× |
| MRI, dorsal spine combo (72157) | $222.11 | $5,902 | 0.5× |
| MRI, dorsal spine contrast (72147) | $222.11 | $5,652 | 0.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$151.91–$335.16 | $4,199 | varies |
| MRI, joint upper extrem combo (73223) | $222.11 | $4,699 | 0.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$111.05–$222.11 | $6,054 | varies |
| Myocardial Spect Multiple Studies (78452) | $824.24 | $5,220 | 0.5× |
| Neck soft tissue (70360) | $55.40 | $850 | 0.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $254.52 | $1,010 | 0.5× |
| Nm csf leak detection (78650) | $824.24 | $4,537 | 0.5× |
| Nm myocard infarct spect (78469) | $345.68 | $2,265 | 0.5× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$881.21 | $4,152–$19,113 | 0.5× |
| Nuclear Rx Intra-Arterial (79445) | $148.55 | $1,646 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $148.55 | $5,190 | 0.5× |
| Ob us nuchal meas 1 gest (76813) | $66.56 | $1,030 | 0.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $55.40 | $320 | 0.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $66.56 | $818 | 0.5× |
| Parathyroid Planar Imaging (78070) | $254.52 | $3,124 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $254.52 | $3,404 | 0.5× |
| Pelvis 1 or 2 views (72170) | $66.56 | $703 | 0.5× |
| Peritoneogram Rs&I (74190) | $324.39 | $983 | 0.5× |
| PET image w/CT, full body (78816) | $910.38 | $4,430 | 0.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $910.38 | $3,424 | 0.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,010.22 | $8,828 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $254.52 | $2,635 | 0.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $388.74 | $1,178 | 0.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $66.56 | $1,337 | 0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $347.88 | $1,353 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$27.70–$55.40 | $807 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $55.40 | $662 | 0.5× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$27.70–$55.40 | $1,034 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $66.56 | $1,254 | 0.5× |
| Radex fingr minimum 2 views (73140) | $55.40 | $712 | 0.5× |
| Radex foot complete minimum 3 views (73630) | $55.40 | $906 | 0.5× |
| Radex Hand Minimum 3 Views (73130) | $55.40 | $927 | 0.5× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$27.70–$55.40 | $495 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $66.56 | $1,190 | 0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$27.70–$55.40 | $956 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $55.40 | $866 | 0.5× |
| Radex shoulder complete minimum 2 views (73030) | $55.40 | $1,003 | 0.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $55.40 | $755 | 0.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $111.67 | $1,471 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $55.40 | $798 | 0.5× |
| Radex Sternum Minimum 2 Views (71120) | $55.40 | $761 | 0.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $55.40 | $976 | 0.5× |
| Radex Toe Minimum 2 Views (73660) | $55.40 | $708 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$33.28–$66.56 | $520 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $55.40 | $917 | 0.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $66.56 | $1,509 | 0.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$4,689.13 | $18,766 | 0.5× |
| Radiation treatment delivery level 1 (77402) | $64.96 | $1,046 | 0.5× |
| Radiation treatment delivery level 2 (77407) | $245.55 | $1,239 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $351.78 | $1,880 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $66.56 | $1,249 | 0.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $66.56 | $1,087 | 0.5× |
| Radiologic exam colon double contrast study (74280) | $111.67 | $2,201 | 0.5× |
| Radiologic exam colon single contrast study (74270) | $111.67 | $1,689 | 0.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $111.67 | $1,136 | 0.5× |
| Radiologic exam knee complete 4/more views (73564) | $66.56 | $1,029 | 0.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $66.56 | $941 | 0.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $111.67 | $1,221 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $111.67 | $1,331 | 0.5× |
| Radiologic examination femur 1 view (73551) | $55.40 | $958 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) | $55.40 | $958 | 0.5× |
| Radiologic examination knee 1/2 views (73560) | $55.40 | $749 | 0.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $66.56 | $1,665 | 0.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $55.40 | $859 | 0.5× |
| Ribs bilateral 3 views (71110) | $66.56 | $1,126 | 0.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $254.52 | $3,159 | 0.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $254.52 | $3,439 | 0.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $345.68 | $3,999 | 0.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $345.68 | $3,719 | 0.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $345.68 | $4,279 | 0.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $824.24 | $4,559 | 0.5× |
| Rp Therapy Intravenous Administration (79101) | $148.55 | $2,568 | 0.5× |
| Scapula (73010) | $66.56 | $921 | 0.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $12.69 | $207 | 0.5× |
| Shoulder 1 view (73020) | $55.40 | $795 | 0.5× |
| Shoulder Arthrography (73040) | $222.11 | $2,005 | 0.5× |
| Sialogram (70390) | $151.91 | $1,072 | 0.5× |
| Skull less than 4 views (70250) | $66.56 | $876 | 0.5× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$38.28–$85.57 | $116–$2,530 | varies |
| Special Physics Consult (77370) | $85.57 | $4,771 | 0.5× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$41.91–$238.38 | $127–$4,713 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$92.07–$351.78 | $279–$7,488 | varies |
| Stereotactic Body Radiation Delivery (77373) | $1,138.37 | $8,656 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$126.06–$238.38 | $382–$4,191 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$60.72–$238.38 | $184–$2,748 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$68.64–$238.38 | $208–$3,679 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$46.53–$238.38 | $141–$2,457 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$30.69–$85.57 | $93–$2,079 | varies |
| Thoracic spine 2 views (72070) | $66.56 | $829 | 0.5× |
| Thoracic spine 3 views (72072) | $66.56 | $1,023 | 0.5× |
| Thoracolumbar 2 views (72080) | $55.40 | $864 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $254.52 | $1,525 | 0.5× |
| Thyroid Met Imaging Body (78018) | $345.68 | $4,693 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $254.52 | $2,204 | 0.5× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$54.45–$238.38 | $165–$2,953 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$37.29–$85.57 | $113–$1,398 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$24.09–$85.57 | $73–$1,398 | varies |
| Ultrasound Breast Limited (76642) | $55.40 | $1,514 | 0.5× |
| Ultrasound Elastography Parenchyma (76981) | $66.56 | $939 | 0.5× |
| Ultrasound Exam Aaa Screen (76706) | $66.56 | $1,215 | 0.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $222.11 | $2,037 | 0.5× |
| Ultrasound, abdomen limited (76705) | $66.56 | $1,721 | 0.5× |
| Umbilical-artery Doppler (OB) (76820) | $66.56 | $644 | 0.5× |
| Unlisted Dx Radiographic Procedure (76499) | $55.40 | $839 | 0.5× |
| Unlisted us procedure (76999) | $55.40 | $1,193 | 0.5× |
| Upper gi w/o kub (74240) | $111.67 | $1,329 | 0.5× |
| Urethrocystogram voiding (74455) | $151.91 | $1,949 | 0.5× |
| Urethrocystography retrograde (74450) | $151.91 | $1,056 | 0.5× |
| Us breast unilateral complete (76641) | $66.56 | $1,514 | 0.5× |
| Us chest (76604) | $66.56 | $1,561 | 0.5× |
| Us complete joint (76881) range across 2 matching MRF lines |
— | $270.24–$398.31 | — |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$33.28–$66.56 | $1,592 | varies |
| Us head (76506) | $66.56 | $1,315 | 0.5× |
| Us kidney transplant (76776) | $66.56 | $1,542 | 0.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $66.56 | $1,394 | 0.5× |
| Us ob detailed single fetus (76811) | $151.91 | $1,257 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $66.56 | $642 | 0.5× |
| Us ob transvaginal (76817) | $66.56 | $1,056 | 0.5× |
| Us pelvic non ob complete (76856) | $66.56 | $2,000 | 0.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $66.56 | $1,292 | 0.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $66.56 | $399 | 0.5× |
| Us retroperitoneal complete (76770) | $66.56 | $2,260 | 0.5× |
| Us retroperitoneal limited (76775) | $66.56 | $1,488 | 0.5× |
| Us scrotum and contents (76870) | $66.56 | $1,592 | 0.5× |
| Us spinal canal and contents (76800) | $66.56 | $939 | 0.5× |
| Us thyroid (76536) | $66.56 | $1,381 | 0.5× |
| Us transrectal (76872) | $66.56 | $1,549 | 0.5× |
| Vascular Flow Imaging (78445) | $254.52 | $1,260 | 0.5× |
| Vein X-Ray Chest (75827) | $1,002.19 | $4,309 | 0.5× |
| Vein X-Ray Skull Epidural (75872) | $399.37 | $8,828 | 0.5× |
| Venogram Sinus/Jugular (75860) | $1,670.13 | $5,061 | 0.4× |
| Venography Adrenal Unilateral (75840) | $2,010.22 | $8,828 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $1,582.68 | $4,796 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $1,002.19 | $3,364 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$829.95–$985.05 | $2,515–$2,985 | varies |
| Venography Renal Bilateral (75833) | $2,010.22 | $8,828 | 0.5× |
| Venography Renal Unilateral (75831) | $1,451.67 | $4,399 | 0.4× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,913.24 | $8,828 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $55.40 | $406 | 0.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$27.70–$55.40 | $773 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $55.40 | $892 | 0.5× |
| X-ray antegrade pyelogram tube (74425) | $222.11 | $2,042 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $2,010.22 | $9,080 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $66.56 | $779 | 0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$27.70–$55.40 | $743 | varies |
| X-Ray Exam Breast Specimen (76098) | $337.59 | $1,023 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $55.40 | $759 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $66.56 | $1,009 | 0.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $66.56 | $1,259 | 0.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $55.40 | $690 | 0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $55.40 | $1,024 | 0.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $66.56 | $1,024 | 0.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $66.56 | $1,271 | 0.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $66.56 | $1,476 | 0.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $66.56 | $1,476 | 0.5× |
| X-Ray Exam L-S Spine Bending (72114) | $66.56 | $1,517 | 0.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $55.40 | $949 | 0.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $66.56 | $1,298 | 0.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $66.56 | $1,205 | 0.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$27.70–$55.40 | $857 | varies |
| X-ray IV pyelogram (ivp) (74400) | $111.67 | $1,838 | 0.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $55.40 | $380 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $55.40 | $613 | 0.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $66.56 | $948 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $66.56 | $1,386 | 0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $66.56 | $909 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $55.40 | $822 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $55.40 | $1,099 | 0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $66.56 | $1,332 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $222.11 | $1,631 | 0.5× |
| X-Rays Bone Length Studies (77073) | $66.56 | $1,143 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $66.56 | $2,297 | 0.5× |
| Xr c-spine 4 or 5 views (72050) | $66.56 | $1,149 | 0.5× |
| Xr facial bones less than 3 views (70140) | $55.40 | $420 | 0.5× |
| Xr orbits complete 4 views (70200) | $66.56 | $642 | 0.5× |
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.