Imaging prices at Emanuel Medical Center
Turlock, CA · every code in this section with a posted price and a Medicare benchmark.
314 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $19,387.50 | $25,850 | 10.9× |
| Abdomen 1 View (74018) | $1,452.75 | $1,937 | 13.0× |
| Abdomen 2 views (74019) | $1,808.25 | $2,411 | 13.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $11,541 | $15,388 | 22.4× |
| Angiography extremity bilateral rs&i (75716) | $12,129 | $16,172 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $10,047.75 | $13,397 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $16,715.25 | $22,287 | 4.1× |
| Ankle 2 views (73600) | $1,178.25 | $1,571 | 10.5× |
| Aortography thoracic serialography rs&i (75605) | $30,288 | $40,384 | 4.2× |
| Artery X-Rays Abdomen (75726) | $14,295.75 | $19,061 | 2.0× |
| Basic radiation dosimetry calculation (77300) | $2,436.75 | $3,249 | 14.1× |
| Bone age studies (77072) | $915.75 | $1,221 | 6.8× |
| Bone Imaging 3 Phase (78315) | $4,920 | $6,560 | 9.6× |
| Bone Imaging Limited Area (78300) | $2,643 | $3,524 | 5.1× |
| Bone Imaging Multiple Areas (78305) | $2,217.75 | $2,957 | 4.3× |
| Bone Imaging Whole Body (78306) | $6,520.50 | $8,694 | 12.7× |
| Bone survey infant (77076) | $2,028 | $2,704 | 15.1× |
| Brachytx isodose complex (77318) | $24,282 | $32,376 | 50.4× |
| Brachytx isodose intermed (77317) | $3,658.50 | $4,878 | 7.6× |
| Brachytx Isodose Plan Simple (77316) | $2,608.50 | $3,478 | 5.4× |
| Brain Flow Imaging Only (78610) | $3,069 | $4,092 | 4.4× |
| Cerebrospinal Fluid Scan (78630) | $3,151.50 | $4,202 | 4.5× |
| Chest 1 view (71045) | $1,323.75 | $1,765 | 11.8× |
| Chest 2 views (71046) | $2,020.50 | $2,694 | 18.1× |
| Chest 4 or more views (71048) | $794.25 | $1,059 | 5.9× |
| Clavicle complete (73000) | $1,991.25 | $2,655 | 17.8× |
| Continuing medical physics consltj pr wk (77336) | $2,764.50 | $3,686 | 16.0× |
| Contrast Exam Abdominl Aorta (75625) | $15,354 | $20,472 | 3.8× |
| Contrast X-Ray Bladder (74430) | $1,625.25 | $2,167 | 3.6× |
| CT abdomen and pelvis without and with contrast (74178) | $9,372 | $12,496 | 20.9× |
| CT abdomen and pelvis without contrast (74176) | $8,826 | $11,768 | 28.8× |
| CT abdomen w contrast (74160) | $18,590.25 | $24,787 | 82.4× |
| CT abdomen w wo contrast (74170) | $19,567.50 | $26,090 | 86.7× |
| CT abdomen w/o contrast (74150) | $16,456.50 | $21,942 | 122.4× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$6,429.75–$18,157.50 | $8,573–$24,210 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,208.25–$17,094 | $5,611–$22,792 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,134–$13,338 | $5,512–$17,784 | varies |
| CT angio hrt w/3d image (75574) | $6,736.50 | $8,982 | 15.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,977.25–$6,975.75 | $5,303–$9,301 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$4,033.50–$13,338 | $5,378–$17,784 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,915–$4,432.50 | $5,220–$5,910 | varies |
| CT cervical spine w/ contrast (72126) | $11,136 | $14,848 | 24.8× |
| CT cervical spine w/o contrast (72125) | $11,474.25 | $15,299 | 85.3× |
| CT cervical spine w/wo cont (72127) | $12,926.25 | $17,235 | 57.3× |
| CT chest w contrast (71260) | $26,083.50 | $34,778 | 115.6× |
| CT chest w/wo contrast (71270) | $4,258.50 | $5,678 | 18.9× |
| CT head/brain with contrast (70460) | $7,959.75 | $10,613 | 35.3× |
| CT head/brain without and with contrast (70470) | $13,338 | $17,784 | 59.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,295.50 | $4,394 | 7.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,111.50 | $1,482 | 9.9× |
| CT hrt w/3d image congen (75573) | $3,844.50 | $5,126 | 8.6× |
| CT iac w contrast (70481) | $7,748.25 | $10,331 | 34.3× |
| CT l-spine w&w/o contrast (72133) | $5,077.50 | $6,770 | 22.5× |
| CT lower ext w/o (73700) | $5,997 | $7,996 | 44.6× |
| CT lower extremity w/contrast material (73701) | $7,885.50 | $10,514 | 35.0× |
| CT lumbar spine w contrast (72132) | $10,190.25 | $13,587 | 22.7× |
| CT lumbar spine w/o contrast (72131) | $8,963.25 | $11,951 | 66.7× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,456.75–$7,782 | $4,609–$10,376 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,760.75–$7,748.25 | $3,681–$10,331 | varies |
| CT neck tissue combo (70492) | $13,298.25 | $17,731 | 58.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,420.50 | $5,894 | 19.6× |
| CT orbits w/o contrast (70480) | $7,142.25 | $9,523 | 53.1× |
| CT pelvis w&w/o contrast (72194) | $10,901.25 | $14,535 | 48.3× |
| CT pelvis w/o contrast (72192) | $8,914.50 | $11,886 | 66.3× |
| CT scan of leg combo (73702) | $4,329 | $5,772 | 19.2× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,848.25–$4,439.25 | $5,131–$5,919 | varies |
| CT soft tissue neck w contrast (70491) | $16,110 | $21,480 | 71.4× |
| CT soft tissue neck w/o contrast (70490) | $11,260.50 | $15,014 | 83.7× |
| CT thoracic spine w contrast (72129) | $3,873 | $5,164 | 17.2× |
| CT thoracic spine w/o contrast (72128) | $10,691.25 | $14,255 | 79.5× |
| CT thoracic spine w/wo cont (72130) | $4,978.50 | $6,638 | 22.1× |
| CT thorax w/o contrast (71250) | $14,729.25 | $19,639 | 109.5× |
| CT upper ext wo (73200) | $5,042.25 | $6,723 | 37.5× |
| CT upper extremity w/o & w/contrast material (73202) | $4,432.50 | $5,910 | 19.6× |
| CT upper extremity with contrast (73201) | $5,090.25 | $6,787 | 11.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$4,511.25–$11,898 | $6,015–$15,864 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,279.50–$11,898 | $5,706–$15,864 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$4,003.50–$4,692 | $5,338–$6,256 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,953.25 | $5,271 | 1.5× |
| Dxa Bone Density Axial (77080) | $461.25 | $615 | 3.4× |
| Dxa bone density study (77085) | $3,067.50 | $4,090 | 22.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $409.50 | $546 | 3.7× |
| Esophagram (74220) | $1,971 | $2,628 | 8.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,493.50 | $4,658 | 26.0× |
| Fluoroscopy up to 1 hr (76000) | $3,118.50 | $4,158 | 10.2× |
| Follow-Up Angiography (75898) | $7,547.25 | $10,063 | 1.9× |
| Foot 2 views (73620) | $1,178.25 | $1,571 | 10.5× |
| Forearm 2 views (73090) | $2,040.75 | $2,721 | 18.2× |
| Gastric emptying imaging study (78264) | $8,676 | $11,568 | 16.9× |
| Gastroesophageal Reflux Exam (78262) | $2,068.50 | $2,758 | 4.0× |
| Gated Heart Planar Single (78472) | $3,110.25 | $4,147 | 6.0× |
| Hand 2 views (73120) | $1,124.25 | $1,499 | 8.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $21,317.25 | $28,423 | 23.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $17,646.75 | $23,529 | 19.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $13,821 | $18,428 | 15.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $15,383.25 | $20,511 | 3.8× |
| Hepatobil Syst Image W/Drug (78227) | $10,330.50 | $13,774 | 14.8× |
| Hepatobiliary System Imaging (78226) | $3,113.25 | $4,151 | 6.1× |
| Ht Muscle Image Spect Sing (78451) | $6,918 | $9,224 | 4.2× |
| Hysterosalpingogram (74740) | $1,785.75 | $2,381 | 5.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,329.75 | $1,773 | 11.9× |
| Infusion Ivp (74410) | $1,527.75 | $2,037 | 6.8× |
| K Flow/Funct Image Multiple (78709) | $3,286.50 | $4,382 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $2,895 | $3,860 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $3,888 | $5,184 | 5.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,700 | $3,600 | 5.3× |
| Knee 3 Views (73562) | $1,896.75 | $2,529 | 16.9× |
| Liver & Spleen Imaging Static Only (78215) | $2,594.25 | $3,459 | 5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,917.50 | $3,890 | 5.7× |
| Liver imaging static only (78201) | $3,032.25 | $4,043 | 4.3× |
| Liver imaging w/vascular flow (78202) | $3,057.75 | $4,077 | 4.4× |
| Lung Perf&Ventilat Diferentl (78598) | $3,237 | $4,316 | 4.6× |
| Lung perfusion differential (78597) | $2,595.75 | $3,461 | 5.0× |
| Lung Ventilat&Perfus Imaging (78582) | $4,970.25 | $6,627 | 7.1× |
| Lung Ventilation Imaging (78579) | $2,268.75 | $3,025 | 4.4× |
| Lymph System Imaging (78195) | $3,189.75 | $4,253 | 4.6× |
| Magnetic Image Jaw Joint (70336) | $4,104 | $5,472 | 13.4× |
| Meckels Divert Exam (78290) | $2,844 | $3,792 | 5.5× |
| Mlc imrt design & construction per imrt plan (77338) | $13,671.75 | $18,229 | 28.4× |
| Mr safety determination physician/other qhp (76016) | $308.25 | $411 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $47.25 | $63 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $488.25 | $651 | 4.0× |
| Mr safety implt pos&/immoblj (76019) | $639.75 | $853 | 8.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $965.25 | $1,287 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $10,731 | $14,308 | 23.9× |
| MRA head w/o contrast (70544) | $7,070.25 | $9,427 | 23.0× |
| MRA head with contrast (70545) | $4,530 | $6,040 | 10.1× |
| MRA neck w contrast (70548) | $7,978.50 | $10,638 | 17.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,632.50 | $7,510 | 12.6× |
| MRA neck w/o contrast (70547) | $8,033.25 | $10,711 | 26.2× |
| MRI abdomen w contrast (74182) | $4,956 | $6,608 | 11.0× |
| MRI abdomen w/o contrast (74181) | $10,067.25 | $13,423 | 32.8× |
| MRI any jt lower extrem w/contrast material (73722) | $8,459.25 | $11,279 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,750.25 | $7,667 | 12.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,843.50 | $6,458 | 4.8× |
| MRI cervical spine w contrast (72142) | $5,320.50 | $7,094 | 11.9× |
| MRI cervical spine w/o cont (72141) | $12,545.25 | $16,727 | 40.9× |
| MRI chest w/o contrast (71550) | $4,449.75 | $5,933 | 14.5× |
| MRI chest with contrast (71551) | $5,810.25 | $7,747 | 5.8× |
| MRI chest wo w contrast (71552) | $6,918.75 | $9,225 | 15.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,386 | $13,848 | 23.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,929.50 | $7,906 | 13.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,578 | $10,104 | 24.7× |
| MRI lumbar spine w contrast (72149) | $11,772 | $15,696 | 26.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $19,026.75 | $25,369 | 42.4× |
| MRI orbit face &/neck w/o contrast (70540) | $7,158.75 | $9,545 | 23.3× |
| MRI orbit face neck w contrast (70542) | $8,756.25 | $11,675 | 19.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,105 | $16,140 | 27.0× |
| MRI pelvis w contrast (72196) | $4,866 | $6,488 | 10.8× |
| MRI pelvis w/o & w contrast (72197) | $12,885.75 | $17,181 | 28.7× |
| MRI pelvis w/o contrast (72195) | $7,680.75 | $10,241 | 25.0× |
| MRI thoracic spine w/o contrast (72146) | $7,518.75 | $10,025 | 24.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,118.50 | $8,158 | 19.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,443.50 | $7,258 | 12.1× |
| MRI, abdomen, combo (74183) | $11,655.75 | $15,541 | 26.0× |
| MRI, dorsal spine combo (72157) | $14,838 | $19,784 | 33.1× |
| MRI, dorsal spine contrast (72147) | $5,093.25 | $6,791 | 11.4× |
| MRI, joint upper extrem (73221) | $6,410.25 | $8,547 | 20.9× |
| MRI, joint upper extrem combo (73223) | $5,652.75 | $7,537 | 12.6× |
| MRI, lumbar spine combo (72158) | $13,261.50 | $17,682 | 29.6× |
| Myocardial Spect Multiple Studies (78452) | $11,066.25 | $14,755 | 6.6× |
| Neck soft tissue (70360) | $1,140.75 | $1,521 | 10.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $39,420 | $52,560 | 22.1× |
| Parathyroid Planar Imaging (78070) | $3,445.50 | $4,594 | 6.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,699.25 | $3,599 | 5.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$547.50–$1,569 | $730–$2,092 | varies |
| Pet Image W/Ct Lmtd (78814) | $9,302.25 | $12,403 | 5.1× |
| PET image w/CT, full body (78816) | $11,883.75 | $15,845 | 6.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $13,314.75 | $17,753 | 7.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,495.50 | $5,994 | 8.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,032.25 | $4,043 | 22.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,380–$3,766.50 | $1,840–$5,022 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $2,161.50 | $2,882 | 19.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $960 | $1,280 | 8.6× |
| Radex elbow complete minimum 3 views (73080) | $2,013.75 | $2,685 | 18.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,493.75 | $3,325 | 18.5× |
| Radex fingr minimum 2 views (73140) | $1,839 | $2,452 | 16.4× |
| Radex foot complete minimum 3 views (73630) | $2,211 | $2,948 | 19.8× |
| Radex Hand Minimum 3 Views (73130) | $2,352.75 | $3,137 | 21.0× |
| Radex lower extremity infant minimum 2 views (73592) | $1,179 | $1,572 | 10.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,800.75 | $2,401 | 16.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,823.25 | $2,431 | 16.3× |
| Radex shoulder complete minimum 2 views (73030) | $2,521.50 | $3,362 | 22.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $2,387.25 | $3,183 | 21.3× |
| Radex Spine 1 View Specify Level (72020) | $1,512.75 | $2,017 | 13.5× |
| Radex Sternum Minimum 2 Views (71120) | $892.50 | $1,190 | 8.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $678 | $904 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $1,284 | $1,712 | 11.5× |
| Radex upper extremity infant minimum 2 views (73092) | $917.25 | $1,223 | 6.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $2,148.75 | $2,865 | 19.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,100.25 | $1,467 | 8.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $51,359.25 | $68,479 | 5.4× |
| Radiation treatment delivery level 1 (77402) | $2,678.25 | $3,571 | 20.4× |
| Radiation treatment delivery level 2 (77407) | $3,200.25 | $4,267 | 6.5× |
| Radiation treatment delivery level 3 (77412) | $4,512 | $6,016 | 6.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,129.25 | $2,839 | 15.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,808.25 | $2,411 | 13.4× |
| Radiologic exam colon double contrast study (74280) | $2,013 | $2,684 | 8.9× |
| Radiologic exam colon single contrast study (74270) | $2,559.75 | $3,413 | 11.3× |
| Radiologic exam knee complete 4/more views (73564) | $1,553.25 | $2,071 | 11.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,495.50 | $1,994 | 11.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,950.25 | $5,267 | 17.5× |
| Radiologic exam swallow function contrast study (74230) | $2,109.75 | $2,813 | 9.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,053.50 | $2,738 | 9.1× |
| Radiologic examination femur 1 view (73551) | $764.25 | $1,019 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $2,105.25 | $2,807 | 18.8× |
| Radiologic examination knee 1/2 views (73560) | $1,287.75 | $1,717 | 11.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $963 | $1,284 | 7.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,786.50 | $2,382 | 16.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $2,416.50 | $3,222 | 4.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,416.50 | $3,222 | 4.9× |
| Ribs bilateral 3 views (71110) | $1,472.25 | $1,963 | 10.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $432.75 | $577 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,577.75 | $7,437 | 8.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,122 | $5,496 | 5.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,843.75 | $5,125 | 5.5× |
| Scapula (73010) | $1,296.75 | $1,729 | 9.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $383.25 | $511 | 16.4× |
| Shoulder 1 view (73020) | $1,337.25 | $1,783 | 11.9× |
| Shoulder Arthrography (73040) | $2,701.50 | $3,602 | 6.0× |
| Skull less than 4 views (70250) | $1,035.75 | $1,381 | 7.7× |
| Special dosimetry (77331) | $2,642.25 | $3,523 | 15.3× |
| Special Physics Consult (77370) | $6,406.50 | $8,542 | 37.1× |
| Special teletherapy port plan (77321) | $4,350 | $5,800 | 9.0× |
| Special treatment procedure (77470) | $8,436.75 | $11,249 | 11.9× |
| Spleen Imaging (78185) | $1,262.25 | $1,683 | 2.5× |
| Stereotactic Body Radiation Delivery (77373) | $37,928.25 | $50,571 | 16.5× |
| Sternoclavicular joints (71130) | $525 | $700 | 4.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $938.25 | $1,251 | 7.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $10,701.75 | $14,269 | 22.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $4,281.75 | $5,709 | 8.9× |
| Testicular Imaging W/Flow (78761) | $2,131.50 | $2,842 | 4.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $7,797 | $10,396 | 16.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,595.50 | $4,794 | 7.5× |
| Ther rad simulaj-aided field setting simple (77280) | $3,322.50 | $4,430 | 19.2× |
| Thoracic spine 2 views (72070) | $610.50 | $814 | 4.5× |
| Thoracic spine 3 views (72072) | $2,364.75 | $3,153 | 17.6× |
| Thoracolumbar 2 views (72080) | $1,161.75 | $1,549 | 10.4× |
| Thyroid Imaging With Vascular Flow (78013) | $2,676 | $3,568 | 5.2× |
| Thyroid Met Imaging Body (78018) | $3,411.75 | $4,549 | 4.9× |
| Thyroid Uptake Measurement (78012) | $1,500 | $2,000 | 2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,651.25 | $3,535 | 5.2× |
| Tx Devices Design & Construction Complex (77334) | $4,294.50 | $5,726 | 8.9× |
| Tx devices design & construction intermediate (77333) | $2,485.50 | $3,314 | 14.4× |
| Tx devices design & construction simple (77332) | $2,040 | $2,720 | 11.8× |
| Ultrasound Breast Limited (76642) | $1,372.50 | $1,830 | 12.3× |
| Ultrasound, abdomen limited (76705) | $6,525.75 | $8,701 | 48.5× |
| Upper gi w/o kub (74240) | $1,625.25 | $2,167 | 7.2× |
| Ureteral Reflux Study (78740) | $2,191.50 | $2,922 | 4.3× |
| Urethrocystogram voiding (74455) | $2,256.75 | $3,009 | 7.4× |
| Urethrocystography retrograde (74450) | $1,568.25 | $2,091 | 5.1× |
| Us breast unilateral complete (76641) | $2,244 | $2,992 | 16.7× |
| Us chest (76604) | $1,466.25 | $1,955 | 10.9× |
| Us complete joint (76881) | $2,204.25 | $2,939 | 16.4× |
| Us exam, pelvic, limited (76857) | $1,766.25 | $2,355 | 13.1× |
| Us head (76506) range across 2 matching MRF lines |
$695.25–$1,442.25 | $927–$1,923 | varies |
| Us kidney transplant (76776) | $1,320.75 | $1,761 | 9.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,692.75 | $2,257 | 12.6× |
| Us ob detailed single fetus (76811) | $3,233.25 | $4,311 | 10.5× |
| Us ob limited 1 or more fetuses (76815) | $4,593.75 | $6,125 | 34.2× |
| Us ob transvaginal (76817) | $3,493.50 | $4,658 | 26.0× |
| Us pelvic non ob complete (76856) | $4,263 | $5,684 | 31.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,750.50 | $6,334 | 35.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,896 | $2,528 | 14.1× |
| Us retroperitoneal complete (76770) | $3,827.25 | $5,103 | 28.5× |
| Us retroperitoneal limited (76775) | $2,383.50 | $3,178 | 17.7× |
| Us scrotum and contents (76870) | $4,241.25 | $5,655 | 31.5× |
| Us spinal canal and contents (76800) | $2,475.75 | $3,301 | 18.4× |
| Us thyroid (76536) | $3,766.50 | $5,022 | 28.0× |
| Us transrectal (76872) | $1,971 | $2,628 | 14.7× |
| Venography caval inferior serialography rs&i (75825) | $7,738.50 | $10,318 | 1.9× |
| Venography extremity bilateral rs&i (75822) | $8,278.50 | $11,038 | 4.1× |
| Venography extremity unilateral rs&i (75820) | $4,212.75 | $5,617 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $1,405.50 | $1,874 | 12.6× |
| Wrist 2 views (73100) | $1,444.50 | $1,926 | 12.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $865.50 | $1,154 | 7.7× |
| X-ray antegrade pyelogram tube (74425) | $4,020.75 | $5,361 | 9.0× |
| X-Ray Aorta Leg Arteries (75630) | $14,954.25 | $19,939 | 3.7× |
| X-Ray Bend Only L-S Spine (72120) | $692.25 | $923 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,201.50 | $1,602 | 10.7× |
| X-Ray Exam Breast Specimen (76098) | $1,448.25 | $1,931 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,205.25 | $1,607 | 10.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,528.50 | $2,038 | 11.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $997.50 | $1,330 | 7.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$471.75–$1,482.75 | $629–$1,977 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$582.75–$1,077.75 | $777–$1,437 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $863.25 | $1,151 | 6.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,601.25 | $2,135 | 11.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,525.50 | $2,034 | 11.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,059.75 | $1,413 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $2,399.25 | $3,199 | 17.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$636–$2,589.75 | $848–$3,453 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,017.25 | $4,023 | 22.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,873.25 | $3,831 | 21.4× |
| X-ray humerus (73060) | $1,913.25 | $2,551 | 17.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,571.25 | $2,095 | 7.0× |
| X-ray IV pyelogram+tomography (74415) | $1,689.75 | $2,253 | 7.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $782.25 | $1,043 | 7.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $992.25 | $1,323 | 8.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$683.25–$2,651.25 | $911–$3,535 | varies |
| X-ray nose-rectum child f.b. (76010) | $1,622.25 | $2,163 | 14.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,641.50 | $3,522 | 19.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,472.25 | $1,963 | 10.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $447.75 | $597 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,810.50 | $2,414 | 16.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,384.75 | $4,513 | 30.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,028.75 | $2,705 | 15.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,144.25 | $2,859 | 4.8× |
| X-Rays Bone Length Studies (77073) | $650.25 | $867 | 4.8× |
| X-Rays Bone Survey Complete (77075) | $3,518.25 | $4,691 | 26.2× |
| Xr c-spine 4 or 5 views (72050) | $3,191.25 | $4,255 | 23.7× |
| Xr facial bones less than 3 views (70140) | $526.50 | $702 | 4.7× |
| Xr orbits complete 4 views (70200) | $1,197 | $1,596 | 8.9× |
| Xr Tomogram Single Plane (76100) | $1,227 | $1,636 | 9.1× |
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.