Imaging prices at El Camino Health
Mountain View, CA · every code in this section with a posted price and a Medicare benchmark.
382 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) | $5,307.75 | $21,231 | 2.6× |
| Abdomen 1 View (74018) | $129 | $516 | 1.0× |
| Abdomen 2 views (74019) | $375 | $1,500 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $528 | $2,112 | 0.9× |
| Adrenal Cortex & Medulla Img (78075) | $1,677.50 | $6,710 | 0.9× |
| Angio internal mammary (75756) | $1,918.75 | $7,675 | 0.4× |
| Angio pulmonary bilat (75743) | $2,905.50 | $11,622 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $2,661.25 | $10,645 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $2,074.25 | $8,297 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,851.25 | $11,405 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,918.75 | $7,675 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$207.75–$363.50 | $831–$1,454 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$3,319.50 | $13,278 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,319.50 | $13,278 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $1,918.75 | $7,675 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,319.50 | $13,278 | 0.4× |
| Artery X-Rays Spine (75705) | $4,448.25 | $17,793 | 0.5× |
| Arthrogram ankle (73615) | $334.25 | $1,337 | 0.7× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$409.25–$716.25 | $1,637–$2,865 | varies |
| Arthrogram Wrist (73115) | $281 | $1,124 | 0.5× |
| Basic radiation dosimetry calculation (77300) | $645.25 | $2,581 | 3.3× |
| Bone age studies (77072) | $173 | $692 | 1.1× |
| Bone Imaging 3 Phase (78315) | $3,003.75 | $12,015 | 5.1× |
| Bone Imaging Limited Area (78300) | $555.75 | $2,223 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $989.50 | $3,958 | 1.7× |
| Bone Imaging Whole Body (78306) | $2,573.50 | $10,294 | 4.4× |
| Bone marrow imaging limited area (78102) | $478.50 | $1,914 | 0.8× |
| Bone marrow imaging; multiple areas (78103) | $517.75 | $2,071 | 0.9× |
| Bone marrow imaging; whole body (78104) | $690.75 | $2,763 | 1.2× |
| Brachytx isodose complex (77318) | $2,788.75 | $11,155 | 5.1× |
| Brachytx isodose intermed (77317) | $2,754.50 | $11,018 | 5.0× |
| Brachytx Isodose Plan Simple (77316) | $2,395.25 | $9,581 | 4.3× |
| Brain Image W/Flow < 4 Views (78601) | $296.50 | $1,186 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $630.50 | $2,522 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,048 | $8,192 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,480.25 | $13,921 | 6.8× |
| Cat Scan Follow-Up Study (76380) | $252.50 | $1,010 | 2.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $563.75 | $2,255 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $857.25 | $3,429 | 1.1× |
| Chest 1 view (71045) | $211.75 | $847 | 1.7× |
| Chest 2 views (71046) | $298.75 | $1,195 | 2.3× |
| Chest 3 views (71047) | $320 | $1,280 | 2.5× |
| Chest 4 or more views (71048) | $525.75 | $2,103 | 3.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$401–$701.75 | $1,604–$2,807 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $116.36 | $465.43 | 0.8× |
| Continuing medical physics consltj pr wk (77336) | $656 | $2,624 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,233 | $8,932 | 0.5× |
| Contrast X-Ray Bladder (74430) | $708.50 | $2,834 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $283.25 | $1,133 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $515.50 | $2,062 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,228.50 | $20,914 | 10.2× |
| CT abdomen and pelvis without contrast (74176) | $4,102.50 | $16,410 | 11.7× |
| CT abdomen w contrast (74160) | $1,961.50 | $7,846 | 7.6× |
| CT abdomen w wo contrast (74170) | $3,549.75 | $14,199 | 13.8× |
| CT abdomen w/o contrast (74150) | $1,493.75 | $5,975 | 9.7× |
| CT Angio Abdomen and Pelvis (74174) | $5,984.25 | $23,937 | 11.7× |
| CT Angio Chest (71275) | $4,437.75 | $17,751 | 17.2× |
| CT Angio Head (70496) | $4,423 | $17,692 | 17.1× |
| CT angio hrt w/3d image (75574) | $1,844.75 | $7,379 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,095–$5,416.25 | $12,380–$21,665 | varies |
| CT Angio Neck (70498) | $4,491.75 | $17,967 | 17.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,605.25–$4,559.25 | $10,421–$18,237 | varies |
| CT cervical spine w/ contrast (72126) | $2,323.25 | $9,293 | 4.5× |
| CT cervical spine w/o contrast (72125) | $2,228.25 | $8,913 | 14.5× |
| CT cervical spine w/wo cont (72127) | $2,380.75 | $9,523 | 9.2× |
| CT chest w contrast (71260) | $2,931.50 | $11,726 | 11.4× |
| CT chest w/wo contrast (71270) | $3,204.50 | $12,818 | 12.4× |
| CT head/brain with contrast (70460) | $1,735 | $6,940 | 6.7× |
| CT head/brain without and with contrast (70470) | $2,073.75 | $8,295 | 8.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,181.50 | $4,726 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $122.74 | $490.98 | 1.0× |
| CT hrt w/3d image congen (75573) | $1,489.25 | $5,957 | 2.9× |
| CT iac w contrast (70481) | $3,647.50 | $14,590 | 14.1× |
| CT l-spine w&w/o contrast (72133) | $1,301 | $5,204 | 5.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$986.25–$1,726 | $3,945–$6,904 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,159.50–$2,029.25 | $4,638–$8,117 | varies |
| CT lumbar spine w contrast (72132) | $1,182.50 | $4,730 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $990 | $3,960 | 6.4× |
| CT maxillofacial w contrast (70487) | $2,558.50 | $10,234 | 9.9× |
| CT maxillofacial wo contrast (70486) | $2,264 | $9,056 | 14.7× |
| CT neck tissue combo (70492) | $3,580 | $14,320 | 13.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,759.25 | $15,037 | 14.6× |
| CT orbits w/o contrast (70480) | $3,511.75 | $14,047 | 22.8× |
| CT pelvis w&w/o contrast (72194) | $2,883 | $11,532 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,229.25 | $4,917 | 8.0× |
| CT scan of leg combo (73702) | $2,302.50 | $9,210 | 8.9× |
| CT scans face/jaw combo (70488) | $2,850.75 | $11,403 | 11.0× |
| CT soft tissue neck w contrast (70491) | $2,944.50 | $11,778 | 11.4× |
| CT soft tissue neck w/o contrast (70490) | $2,220.50 | $8,882 | 14.4× |
| CT thoracic spine w contrast (72129) | $1,440.75 | $5,763 | 5.6× |
| CT thoracic spine w/o contrast (72128) | $1,022.25 | $4,089 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $1,707.75 | $6,831 | 6.6× |
| CT thorax w/o contrast (71250) | $1,110.50 | $4,442 | 7.2× |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$859–$3,061.75 | $3,436–$12,247 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,608.75–$2,815.25 | $6,435–$11,261 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,258.75 | $9,035 | 8.8× |
| CT upper extremity with contrast (73201) | $1,736 | $6,944 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,427.50 | $5,710 | 5.5× |
| Cta Abdomen (74175) | $4,040.50 | $16,162 | 15.7× |
| CTA pelvis (72191) | $3,884.50 | $15,538 | 15.1× |
| Dilation ureters/urethra rs&i (74485) | $1,404 | $5,616 | 0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $260 | $1,040 | 1.7× |
| Dxa Bone Density Axial (77080) | $248.25 | $993 | 1.6× |
| Dxa bone density study (77085) | $279.50 | $1,118 | 1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $100.75 | $403 | 0.8× |
| Echograp Trans R Pros Study (76873) | $260.50 | $1,042 | 1.7× |
| Esophagram (74220) | $595.25 | $2,381 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $460.25 | $1,841 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $252.50 | $1,010 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $736.75 | $2,947 | 2.1× |
| Follow-Up Angiography (75898) | $2,193.75 | $8,775 | 0.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$210.25–$368 | $841–$1,472 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$391–$684.25 | $1,564–$2,737 | varies |
| Gastric emptying imaging study (78264) | $2,187.25 | $8,749 | 3.7× |
| Gated Heart Planar Single (78472) | $544.50 | $2,178 | 0.9× |
| Gated Heart, Multiple (78473) | $851.50 | $3,406 | 1.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$470–$822.50 | $1,880–$3,290 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,903.75 | $23,615 | 5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,903.50 | $23,614 | 5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,018.75 | $8,075 | 2.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,493.50 | $13,974 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,895.25 | $11,581 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,147 | $8,588 | 2.7× |
| Hepatobiliary System Imaging (78226) | $737.75 | $2,951 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,826 | $7,304 | 1.0× |
| Hyperthermia external generated superficial (77600) | $410.50 | $1,642 | 0.7× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $525 | $2,100 | 0.6× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $837 | $3,348 | 1.0× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $475.75 | $1,903 | 0.6× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $730.75 | $2,923 | 0.7× |
| Hysterosalpingogram (74740) | $683.50 | $2,734 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $201.75 | $807 | 1.6× |
| Infant hip ultrasound, limited static exam (76886) | $132.75 | $531 | 1.0× |
| Interstitial radiation source applic complex (77778) | $2,656.75 | $10,627 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $735 | $2,940 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $1,907.50 | $7,630 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,158 | $4,632 | 1.4× |
| Kidney Imaging Morphol (78700) | $1,450 | $5,800 | 2.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$447.50–$783.25 | $1,790–$3,133 | varies |
| Leveen/Shunt Patency Exam (78291) | $551.25 | $2,205 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $475.50 | $1,902 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $860.25 | $3,441 | 1.5× |
| Liver imaging static only (78201) | $469.50 | $1,878 | 0.6× |
| Lung Perf&Ventilat Diferentl (78598) | $681.25 | $2,725 | 0.9× |
| Lung perfusion differential (78597) | $657.25 | $2,629 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $731.75 | $2,927 | 0.9× |
| Lung Ventilation Imaging (78579) | $444 | $1,776 | 0.8× |
| Lymph System Imaging (78195) | $1,929.50 | $7,718 | 2.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,152.25 | $4,609 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $796.25 | $3,185 | 0.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,277 | $9,108 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $796.25 | $3,185 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $1,268.75 | $5,075 | 3.6× |
| Mammary ductogram or galactogram single (77053) | $178.25 | $713 | 0.5× |
| Meckels Divert Exam (78290) | $1,140 | $4,560 | 1.9× |
| Mlc imrt design & construction per imrt plan (77338) | $1,877.25 | $7,509 | 3.4× |
| Mr safety determination physician/other qhp (76016) | $65.25 | $261 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21.50 | $86 | 0.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $69.50 | $278 | 0.5× |
| Mr safety implt pos&/immoblj (76019) | $59.50 | $238 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,540.25 | $18,161 | 8.8× |
| MRA head w/o contrast (70544) | $3,438.50 | $13,754 | 9.8× |
| MRA head with contrast (70545) | $4,087.25 | $16,349 | 8.0× |
| MRA neck w contrast (70548) | $3,025.50 | $12,102 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,485 | $17,940 | 8.7× |
| MRA neck w/o contrast (70547) | $1,283 | $5,132 | 3.7× |
| MRI abdomen w contrast (74182) | $1,630.75 | $6,523 | 3.2× |
| MRI abdomen w/o contrast (74181) | $1,542.50 | $6,170 | 4.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,040.75–$3,571.25 | $8,163–$14,285 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,565.50–$4,489.75 | $10,262–$17,959 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,805.50 | $11,222 | 2.4× |
| MRI brain functional w/o physician admnistration (70554) | $2,945 | $11,780 | 8.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,175.75 | $4,703 | 3.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $586.50 | $2,346 | 1.7× |
| MRI cardiac w/o contrast (75557) | $1,582 | $6,328 | 4.5× |
| MRI cervical spine w contrast (72142) | $3,629.75 | $14,519 | 7.1× |
| MRI cervical spine w/o cont (72141) | $2,977.50 | $11,910 | 8.5× |
| MRI chest w/o contrast (71550) | $1,766.75 | $7,067 | 5.0× |
| MRI chest with contrast (71551) | $2,760.75 | $11,043 | 2.4× |
| MRI chest wo w contrast (71552) | $3,945.75 | $15,783 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,060.50 | $8,242 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,520.75–$6,161.25 | $14,083–$24,645 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,988–$3,479 | $7,952–$13,916 | varies |
| MRI lumbar spine w contrast (72149) | $4,317.50 | $17,270 | 8.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,261.50 | $17,046 | 8.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,547 | $6,188 | 4.4× |
| MRI orbit face neck w contrast (70542) | $1,720 | $6,880 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,692.75 | $18,771 | 9.1× |
| MRI pelvis w contrast (72196) | $1,704.75 | $6,819 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $4,178 | $16,712 | 8.1× |
| MRI pelvis w/o contrast (72195) | $1,412.75 | $5,651 | 4.0× |
| MRI spectroscopy (76390) | $1,150.75 | $4,603 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $1,747.50 | $6,990 | 5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,395.75 | $5,583 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,349.25 | $5,397 | 3.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,153 | $8,612 | 4.2× |
| MRI, abdomen, combo (74183) | $4,399 | $17,596 | 8.6× |
| MRI, dorsal spine combo (72157) | $2,391.75 | $9,567 | 4.7× |
| MRI, dorsal spine contrast (72147) | $2,123.50 | $8,494 | 4.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,856–$3,248 | $7,424–$12,992 | varies |
| MRI, joint upper extrem combo (73223) | $3,715 | $14,860 | 7.2× |
| MRI, lumbar spine combo (72158) | $4,569.50 | $18,278 | 8.9× |
| Myelogram cervical (72240) | $650.50 | $2,602 | 0.6× |
| Myelogram Lumbar (72265) | $644.50 | $2,578 | 0.6× |
| Myelography thoracic (72255) | $678 | $2,712 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $743.25 | $2,973 | 0.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,324.25 | $5,297 | 0.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,352.50 | $5,410 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $3,575.75 | $14,303 | 1.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,205.75 | $4,823 | 1.0× |
| Neck soft tissue (70360) | $386.75 | $1,547 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,770.75 | $31,083 | 3.8× |
| Nuclear Rx Intra-Arterial (79445) | $449.25 | $1,797 | 1.3× |
| Ob us nuchal meas 1 gest (76813) | $309.50 | $1,238 | 2.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $194.75 | $779 | 1.3× |
| Optic foramina (70190) | $132 | $528 | 1.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,030.75 | $4,123 | 1.3× |
| Parathyroid Planar Imaging (78070) | $650.50 | $2,602 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,242.75 | $4,971 | 2.1× |
| Pelvis 1 or 2 views (72170) | $313.50 | $1,254 | 2.0× |
| Perineogram (74775) | $264.50 | $1,058 | 0.8× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$245.75–$402.25 | $983–$1,609 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,188.50 | $8,754 | 1.0× |
| PET image w/CT, full body (78816) | $2,682.50 | $10,730 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,394.25 | $9,577 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,639.50 | $10,558 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $652.75 | $2,611 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $272.75 | $1,091 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $542.50 | $2,170 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$456.50–$799 | $1,826–$3,196 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$349.75–$612 | $1,399–$2,448 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$442–$773.50 | $1,768–$3,094 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $371 | $1,484 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$309.75–$542 | $1,239–$2,168 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$475.75–$832.50 | $1,903–$3,330 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$568.75–$995.25 | $2,275–$3,981 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $139.50 | $558 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $163.25 | $653 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $413 | $1,652 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $435.75 | $1,743 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$481.50–$842.75 | $1,926–$3,371 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $111.75 | $447 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $228.50 | $914 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $443.50 | $1,774 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $151.50 | $606 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$288.25–$504.50 | $1,153–$2,018 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $201.50 | $806 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$432–$756 | $1,728–$3,024 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $540 | $2,160 | 3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,009 | $36,036 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $313.25 | $1,253 | 2.1× |
| Radiation treatment delivery level 2 (77407) | $375.25 | $1,501 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $1,259.25 | $5,037 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $570 | $2,280 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $437.50 | $1,750 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $431.50 | $1,726 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $343.75 | $1,375 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$589.75–$1,032 | $2,359–$4,128 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $315 | $1,260 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $339 | $1,356 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $367 | $1,468 | 1.4× |
| Radiologic examination femur 1 view (73551) | $139.50 | $558 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$173.75–$304.06 | $695–$1,216.25 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$355–$621.25 | $1,420–$2,485 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $282.50 | $1,130 | 1.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $86.25 | $345 | 0.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$441.25–$772.25 | $1,765–$3,089 | varies |
| Renal Cyst Study (74470) | $402.25 | $1,609 | 0.5× |
| Ribs bilateral 3 views (71110) | $501.75 | $2,007 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $633 | $2,532 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $674.75 | $2,699 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,535.25 | $6,141 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,052.75 | $4,211 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,118.50 | $4,474 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,929.50 | $7,718 | 1.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,882 | $7,528 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $299.25 | $1,197 | 0.9× |
| Scapula (73010) | $514.50 | $2,058 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36 | $144 | 1.5× |
| Sella turcica (70240) | $73 | $292 | 0.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$217.50–$380.75 | $870–$1,523 | varies |
| Shoulder Arthrography (73040) | $978.50 | $3,914 | 1.9× |
| Skull less than 4 views (70250) | $253.25 | $1,013 | 1.6× |
| Special Physics Consult (77370) | $668 | $2,672 | 3.4× |
| Special teletherapy port plan (77321) | $1,647.50 | $6,590 | 3.0× |
| Special treatment procedure (77470) | $1,824 | $7,296 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $9,460.25 | $37,841 | 3.6× |
| Sternoclavicular joints (71130) | $166 | $664 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,786.25 | $11,145 | 5.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,494.75 | $5,979 | 2.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $183.50 | $734 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,290.25 | $9,161 | 4.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,181.50 | $4,726 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,028.50 | $4,114 | 5.2× |
| Thoracic spine 2 views (72070) | $382.50 | $1,530 | 2.5× |
| Thoracic spine 3 views (72072) | $401 | $1,604 | 2.6× |
| Thoracolumbar 2 views (72080) | $226.75 | $907 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $688.75 | $2,755 | 1.2× |
| Thyroid Met Imaging Body (78018) | $857.75 | $3,431 | 1.1× |
| Thyroid Uptake Measurement (78012) | $605.25 | $2,421 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $728.75 | $2,915 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $1,228.50 | $4,914 | 2.2× |
| Tx devices design & construction intermediate (77333) | $643.50 | $2,574 | 3.3× |
| Tx devices design & construction simple (77332) | $628.75 | $2,515 | 3.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$363.25–$635.75 | $1,453–$2,543 | varies |
| Ultrasound Exam Aaa Screen (76706) | $335.75 | $1,343 | 2.2× |
| Ultrasound, abdomen limited (76705) | $783 | $3,132 | 5.1× |
| Umbilical-artery Doppler (OB) (76820) | $236.50 | $946 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) | $80.75 | $323 | 0.6× |
| Unlisted fluoroscopic procedure (76496) | $482 | $1,928 | 3.8× |
| Unlisted magnetic resonance procedure (76498) | $641.75 | $2,567 | 5.0× |
| Unlisted us procedure (76999) | $721.25 | $2,885 | 5.6× |
| Upper gi w/o kub (74240) | $338.75 | $1,355 | 1.3× |
| Ureteral Reflux Study (78740) | $296.50 | $1,186 | 0.5× |
| Urethrocystogram voiding (74455) | $320.75 | $1,283 | 0.9× |
| Urethrocystography retrograde (74450) | $404.75 | $1,619 | 1.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$451.75–$790.50 | $1,807–$3,162 | varies |
| Us chest (76604) | $364.25 | $1,457 | 2.4× |
| Us exam, pelvic, limited (76857) | $347 | $1,388 | 2.3× |
| Us head (76506) | $314.75 | $1,259 | 2.0× |
| Us kidney transplant (76776) | $195.25 | $781 | 1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $505.75 | $2,023 | 3.3× |
| Us ob detailed single fetus (76811) | $765.50 | $3,062 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $541.75 | $2,167 | 3.5× |
| Us ob transvaginal (76817) | $541.75 | $2,167 | 3.5× |
| Us pelvic non ob complete (76856) | $785.75 | $3,143 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $636.25 | $2,545 | 4.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $447.75 | $1,791 | 2.9× |
| Us retroperitoneal complete (76770) | $647.75 | $2,591 | 4.2× |
| Us retroperitoneal limited (76775) | $451.50 | $1,806 | 2.9× |
| Us scrotum and contents (76870) | $867.75 | $3,471 | 5.6× |
| Us spinal canal and contents (76800) | $202.50 | $810 | 1.3× |
| Us thyroid (76536) | $889 | $3,556 | 5.8× |
| Us transrectal (76872) | $261.75 | $1,047 | 1.7× |
| Vein X-Ray Chest (75827) | $2,820.50 | $11,282 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,918.75 | $7,675 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,918.75 | $7,675 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,660.50 | $10,642 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,432.50 | $5,730 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $1,284.75 | $5,139 | 0.6× |
| Venography Renal Bilateral (75833) | $2,732.25 | $10,929 | 0.6× |
| Venography Renal Unilateral (75831) | $1,918.75 | $7,675 | 0.4× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$3,766.50 | $15,066 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $80.50 | $322 | 0.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$389.25–$681.25 | $1,557–$2,725 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $120.50 | $482 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $375.25 | $1,501 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $2,458.75 | $9,835 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $195.75 | $783 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$368.75–$645.25 | $1,475–$2,581 | varies |
| X-Ray Exam Breast Specimen (76098) | $725.50 | $2,902 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $122.75 | $491 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $183.25 | $733 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $357.25 | $1,429 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $134.75 | $539 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $148.25 | $593 | 1.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $415.25 | $1,661 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $196 | $784 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $216 | $864 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $374 | $1,496 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $493.75 | $1,975 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $481.75 | $1,927 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $742.50 | $2,970 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $455 | $1,820 | 3.0× |
| X-ray eye for foreign body (70030) | $25 | $100 | 0.2× |
| X-ray humerus (73060) | $418 | $1,672 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $540 | $2,160 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $275.25 | $1,101 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $405.75 | $1,623 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $85 | $340 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $502 | $2,008 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $289 | $1,156 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $517.50 | $2,070 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $496.75 | $1,987 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $259.25 | $1,037 | 1.7× |
| X-Ray Tmj Unilat (70328) | $86.50 | $346 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,021.75 | $4,087 | 2.0× |
| X-Rays Bone Length Studies (77073) | $334.25 | $1,337 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $429.75 | $1,719 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $675.50 | $2,702 | 4.4× |
| Xr facial bones less than 3 views (70140) | $158.75 | $635 | 1.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$207.75–$277 | $831–$1,108 | 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.