Imaging prices at Flagstaff Medical Center
Flagstaff, AZ · every code in this section with a posted price and a Medicare benchmark.
341 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) | $4,886.28 | $9,772.56 | 3.3× |
| Abdomen 1 View (74018) | $219.93 | $439.85 | 2.4× |
| Abdomen 2 views (74019) | $310.50 | $621 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,282.75 | $2,565.49 | 3.0× |
| Angio internal mammary (75756) | $1,677.34 | $3,354.67 | 0.5× |
| Angio pulmonary bilat (75743) | $3,102.41 | $6,204.81 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $4,696.40 | $9,392.80 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $3,604.75 | $7,209.50 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,123.53 | $4,247.05 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,381.11 | $4,762.22 | 0.7× |
| Ankle 2 views (73600) | $177.66 | $355.31 | 1.9× |
| Aortography thoracic serialography rs&i (75605) | $3,537.71 | $7,075.42 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,790.07 | $7,580.13 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,271.19 | $6,542.37 | 0.6× |
| Arthrogram ankle (73615) | $716.48 | $1,432.96 | 1.9× |
| Arthrogram Wrist (73115) | $669.81 | $1,339.61 | 1.8× |
| Basic radiation dosimetry calculation (77300) | $432.32 | $864.63 | 3.0× |
| Bone age studies (77072) | $220.78 | $441.56 | 2.0× |
| Bone Imaging 3 Phase (78315) | $2,473.37 | $4,946.74 | 5.8× |
| Bone Imaging Limited Area (78300) | $815.52 | $1,631.03 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $1,203.10 | $2,406.19 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,670.74 | $3,341.48 | 3.9× |
| Bone marrow imaging limited area (78102) | $914.51 | $1,829.02 | 2.1× |
| Bone marrow imaging; multiple areas (78103) | $914.51 | $1,829.02 | 2.1× |
| Bone survey infant (77076) | $216.79 | $433.57 | 1.9× |
| Brachytx isodose complex (77318) | $931.91 | $1,863.82 | 2.3× |
| Brachytx isodose intermed (77317) | $768.14 | $1,536.28 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $661.22 | $1,322.44 | 1.7× |
| Brain Image W/Flow < 4 Views (78601) | $548.30 | $1,096.60 | 1.3× |
| Brain imaging < 4 static views (78600) | $1,217.68 | $2,435.35 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,016.74 | $2,033.47 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,387.43 | $2,774.86 | 3.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,387.43 | $2,774.86 | 1.7× |
| Cardiac Shunt Detection (78428) | $796.38 | $1,592.76 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $570.49 | $1,140.98 | 6.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,080.47 | $2,160.94 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $1,217.68 | $2,435.35 | 2.1× |
| Chest 1 view (71045) | $142.91 | $285.82 | 1.5× |
| Chest 2 views (71046) | $145.62 | $291.24 | 1.6× |
| Chest 3 views (71047) | $174.75 | $349.49 | 1.9× |
| Chest 4 or more views (71048) | $292.66 | $585.32 | 2.6× |
| Clavicle complete (73000) | $177.66 | $355.31 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $97.75 | $195.50 | 0.9× |
| Continuing medical physics consltj pr wk (77336) | $607.25 | $1,214.50 | 4.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,696.68 | $7,393.35 | 1.1× |
| Contrast X-Ray Bladder (74430) | $676.03 | $1,352.05 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $530.73 | $1,061.45 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $734.38 | $1,468.75 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,482.26 | $10,964.52 | 14.7× |
| CT abdomen and pelvis without contrast (74176) | $3,346.86 | $6,693.72 | 13.1× |
| CT abdomen w contrast (74160) | $1,665.64 | $3,331.27 | 8.9× |
| CT abdomen w wo contrast (74170) | $2,048.01 | $4,096.01 | 10.9× |
| CT abdomen w/o contrast (74150) | $1,589.76 | $3,179.52 | 14.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,769.17 | $7,538.34 | 10.1× |
| CT Angio Chest (71275) | $2,101.48 | $4,202.95 | 11.2× |
| CT Angio Head (70496) | $2,188.28 | $4,376.56 | 11.7× |
| CT angio hrt w/3d image (75574) | $2,142.21 | $4,284.42 | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,786.89 | $3,573.78 | 9.5× |
| CT Angio Neck (70498) | $2,314.06 | $4,628.12 | 12.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,455.09 | $2,910.18 | 7.8× |
| CT cervical spine w/ contrast (72126) | $2,386.47 | $4,772.93 | 6.4× |
| CT cervical spine w/o contrast (72125) | $1,644.93 | $3,289.86 | 14.7× |
| CT chest w contrast (71260) | $1,338.11 | $2,676.22 | 7.1× |
| CT chest w/wo contrast (71270) | $1,718.96 | $3,437.92 | 9.2× |
| CT head/brain with contrast (70460) | $1,277.34 | $2,554.68 | 6.8× |
| CT head/brain without and with contrast (70470) | $2,055.49 | $4,110.97 | 11.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,211 | $2,422 | 3.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $119.12 | $238.24 | 1.3× |
| CT iac w contrast (70481) | $1,388.95 | $2,777.89 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,677.58 | $3,355.16 | 9.0× |
| CT lower ext w/o (73700) | $1,418.17 | $2,836.34 | 12.7× |
| CT lower extremity w/contrast material (73701) | $1,702.33 | $3,404.65 | 9.1× |
| CT lumbar spine w contrast (72132) | $1,655.41 | $3,310.82 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,397.99 | $2,795.97 | 12.5× |
| CT maxillofacial w contrast (70487) | $1,605.81 | $3,211.61 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,255.19 | $2,510.38 | 11.3× |
| CT neck tissue combo (70492) | $1,911.09 | $3,822.17 | 10.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,473.59 | $2,947.18 | 7.9× |
| CT orbits w/o contrast (70480) | $1,255.19 | $2,510.38 | 11.3× |
| CT pelvis w&w/o contrast (72194) | $1,653.15 | $3,306.29 | 8.8× |
| CT pelvis w/o contrast (72192) | $1,384.08 | $2,768.16 | 12.4× |
| CT scan of leg combo (73702) | $1,620.95 | $3,241.90 | 8.7× |
| CT scans face/jaw combo (70488) | $2,075.05 | $4,150.09 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,679.37 | $3,358.73 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,589.04 | $3,178.08 | 14.2× |
| CT thoracic spine w contrast (72129) | $2,386.47 | $4,772.93 | 12.8× |
| CT thoracic spine w/o contrast (72128) | $2,044.09 | $4,088.17 | 18.3× |
| CT thorax w/o contrast (71250) | $1,272.19 | $2,544.37 | 11.4× |
| CT upper ext wo (73200) | $1,245.15 | $2,490.30 | 11.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,473.59 | $2,947.18 | 7.9× |
| CT upper extremity with contrast (73201) | $1,319.50 | $2,639 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,036.58 | $4,073.15 | 10.9× |
| Cta Abdomen (74175) | $1,884.59 | $3,769.18 | 10.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,251.17 | $6,502.34 | 8.7× |
| CTA pelvis (72191) | $1,653.15 | $3,306.29 | 8.8× |
| Dilation ureters/urethra rs&i (74485) | $1,387.61 | $2,775.22 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,829.60 | $3,659.19 | 0.9× |
| Diskography lumbar (72295) | $1,681.52 | $3,363.03 | 0.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $788.54 | $1,577.08 | 7.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $470.31 | $940.61 | 4.2× |
| Dxa Bone Density Axial (77080) | $215.58 | $431.16 | 1.9× |
| Dxa bone density study (77085) | $214.57 | $429.14 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $214.13 | $428.25 | 2.3× |
| Echo exam of fetal heart (76825) | $982.85 | $1,965.69 | 1.7× |
| Echo exam uterus (76831) | $191.32 | $382.63 | 0.8× |
| Echo Guide For Artery Repair (76936) | $690.93 | $1,381.85 | 3.0× |
| Echograp Trans R Pros Study (76873) | $276.02 | $552.03 | 2.5× |
| Esophagram (74220) | $439.85 | $879.69 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $668.71 | $1,337.41 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $264.17 | $528.33 | 1.0× |
| Follow-Up Angiography (75898) | $1,677.34 | $3,354.67 | 0.5× |
| Foot 2 views (73620) | $155.07 | $310.13 | 1.7× |
| Forearm 2 views (73090) | $124.26 | $248.51 | 1.3× |
| Gastric emptying imaging study (78264) | $1,938.49 | $3,876.97 | 4.5× |
| Gated Heart Planar Single (78472) | $1,731.71 | $3,463.41 | 4.1× |
| Hand 2 views (73120) | $164.30 | $328.60 | 1.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,876.20 | $5,752.39 | 3.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,574.51 | $5,149.02 | 3.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,246.20 | $4,492.39 | 3.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,158.22 | $8,316.44 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,310.48 | $6,620.96 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,752.11 | $3,504.21 | 3.0× |
| Hepatobiliary System Imaging (78226) | $918.12 | $1,836.23 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $2,110.24 | $4,220.47 | 1.5× |
| Hysterosalpingogram (74740) | $260.80 | $521.59 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $503.12 | $1,006.24 | 5.4× |
| Infant hip ultrasound, limited static exam (76886) | $353.42 | $706.83 | 3.8× |
| Interstitial radiation source applic complex (77778) | $835.45 | $1,670.89 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $1,881.04 | $3,762.07 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,084.91 | $2,169.82 | 1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $732.76 | $1,465.52 | 1.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $592.04 | $1,184.08 | 1.4× |
| Knee 3 Views (73562) | $277.26 | $554.51 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $985.39 | $1,970.78 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $855.73 | $1,711.46 | 1.5× |
| Lung perfusion differential (78597) | $531.88 | $1,063.76 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,034.78 | $4,069.56 | 3.5× |
| Lymph System Imaging (78195) | $2,425.35 | $4,850.69 | 4.2× |
| Magnetic Image Jaw Joint (70336) | $1,742.10 | $3,484.20 | 6.8× |
| Meckels Divert Exam (78290) | $571.12 | $1,142.24 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) | $2,323.35 | $4,646.70 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,600.83 | $3,201.65 | 4.3× |
| MRA head w/o contrast (70544) | $1,562.44 | $3,124.87 | 6.1× |
| MRA neck w contrast (70548) | $1,551.49 | $3,102.98 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,958.52 | $3,917.04 | 5.3× |
| MRA neck w/o contrast (70547) | $1,329.87 | $2,659.74 | 5.2× |
| MRI abdomen w contrast (74182) | $2,091.10 | $4,182.19 | 5.6× |
| MRI abdomen w/o contrast (74181) | $2,101.38 | $4,202.75 | 8.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,154.39 | $4,308.78 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,377.23 | $4,754.45 | 6.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,154.39 | $4,308.78 | 2.6× |
| MRI cardiac w/o cont stress (75559) | $824.27 | $1,648.54 | 1.4× |
| MRI cardiac w/o contrast (75557) | $1,658.22 | $3,316.44 | 6.5× |
| MRI cervical spine w contrast (72142) | $2,765.07 | $5,530.14 | 7.4× |
| MRI cervical spine w/o cont (72141) | $2,437.12 | $4,874.24 | 9.6× |
| MRI chest w/o contrast (71550) | $1,760.28 | $3,520.55 | 6.9× |
| MRI chest wo w contrast (71552) | $2,376.81 | $4,753.62 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,858.35 | $3,716.69 | 5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,804.73 | $3,609.45 | 7.1× |
| MRI lumbar spine w contrast (72149) | $2,030.94 | $4,061.87 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,083.85 | $6,167.69 | 8.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,769.82 | $3,539.64 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,846.31 | $3,692.61 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,341.42 | $4,682.83 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,442.23 | $4,884.46 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,242.01 | $2,484.01 | 4.9× |
| MRI spectroscopy (76390) | $1,330.50 | $2,661 | 14.3× |
| MRI thoracic spine w/o contrast (72146) | $2,315.27 | $4,630.54 | 9.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,329.87 | $2,659.74 | 3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,263.71 | $2,527.42 | 5.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,377.23 | $4,754.45 | 6.4× |
| MRI, abdomen, combo (74183) | $2,820.51 | $5,641.02 | 7.6× |
| MRI, dorsal spine combo (72157) | $2,962.80 | $5,925.59 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,821.14 | $5,642.27 | 7.6× |
| MRI, joint upper extrem (73221) | $1,381.65 | $2,763.29 | 5.4× |
| MRI, joint upper extrem combo (73223) | $2,377.23 | $4,754.45 | 6.4× |
| MRI, lumbar spine combo (72158) | $2,956.68 | $5,913.35 | 7.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $796.38 | $1,592.76 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $2,814.28 | $5,628.56 | 2.0× |
| N-invas est c ffr sw aly CTA (75580) | $1,355.44 | $2,710.87 | 1.5× |
| Neck soft tissue (70360) | $199.86 | $399.72 | 2.2× |
| Nm whole blood volume (78122) | $1,149.57 | $2,299.13 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $509.16 | $1,018.32 | 4.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,837.29 | $7,674.57 | 2.6× |
| Nuclear Rx Intra-Arterial (79445) | $617.17 | $1,234.33 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $1,237.26 | $2,474.52 | 5.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $498.01 | $996.02 | 4.5× |
| Panoramic X-ray of jaws (70355) | $139.82 | $279.64 | 1.5× |
| Parathyroid Planar Imaging (78070) | $1,295.03 | $2,590.06 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $622.66 | $1,245.32 | 1.5× |
| Pelvis 1 or 2 views (72170) | $184.84 | $369.67 | 1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,082.79 | $8,165.58 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $918.80 | $1,837.60 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $321.76 | $643.51 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $292.20 | $584.39 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $288.56 | $577.12 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $177.66 | $355.31 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $232.08 | $464.15 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $256.72 | $513.44 | 2.3× |
| Radex fingr minimum 2 views (73140) | $124.26 | $248.51 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $184.84 | $369.67 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $184.84 | $369.67 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $109.66 | $219.32 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $296.20 | $592.39 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $296.90 | $593.80 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $261.09 | $522.17 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $232.08 | $464.15 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $219.92 | $439.84 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $113.82 | $227.63 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $214.80 | $429.59 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $271.30 | $542.60 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $177.66 | $355.31 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $144.62 | $289.24 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $184.84 | $369.67 | 2.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,918.67 | $27,837.33 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $384.70 | $769.39 | 3.5× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$247.79–$389.03 | $495.58–$778.05 | varies |
| Radiation treatment delivery level 3 (77412) | $526.30 | $1,052.60 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $346.57 | $693.14 | 3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $201.69 | $403.38 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $866.43 | $1,732.86 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $590.33 | $1,180.66 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $271.78 | $543.55 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $294.86 | $589.72 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $380.08 | $760.16 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $439.85 | $879.69 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $438.14 | $876.27 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $489.39 | $978.78 | 2.6× |
| Radiologic examination femur 1 view (73551) | $130.08 | $260.15 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $212.22 | $424.44 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $155.07 | $310.13 | 1.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $358.14 | $716.28 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $155.07 | $310.13 | 1.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,072.25 | $2,144.50 | 2.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,158.28 | $2,316.56 | 2.8× |
| Ribs bilateral 3 views (71110) | $313.82 | $627.63 | 2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,296.18 | $2,592.35 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,106.98 | $2,213.95 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$1,643.87–$1,643.92 | $3,287.73–$3,287.83 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,584.69 | $3,169.38 | 2.7× |
| Rp Therapy Intravenous Administration (79101) | $678.88 | $1,357.76 | 2.7× |
| Scapula (73010) | $292.56 | $585.12 | 2.6× |
| Shoulder 1 view (73020) | $148.05 | $296.09 | 1.6× |
| Shoulder Arthrography (73040) | $915.92 | $1,831.84 | 2.5× |
| Sialogram (70390) | $514.30 | $1,028.59 | 2.0× |
| Skull less than 4 views (70250) | $193.40 | $386.79 | 1.7× |
| Special dosimetry (77331) | $394.31 | $788.61 | 2.7× |
| Special Physics Consult (77370) | $1,014.62 | $2,029.24 | 7.1× |
| Special teletherapy port plan (77321) | $755.75 | $1,511.50 | 1.9× |
| Special treatment procedure (77470) | $2,837.21 | $5,674.41 | 4.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,766.85 | $9,533.70 | 2.5× |
| Sternoclavicular joints (71130) | $219.93 | $439.85 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $777.08 | $1,554.16 | 1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $893.28 | $1,786.55 | 2.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,597.69 | $3,195.38 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,044.43 | $2,088.85 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $816.53 | $1,633.05 | 5.7× |
| Thoracic spine 2 views (72070) | $264.94 | $529.87 | 2.4× |
| Thoracic spine 3 views (72072) | $264.94 | $529.87 | 2.4× |
| Thoracolumbar 2 views (72080) | $188.11 | $376.22 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $374.57 | $749.13 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,395.50 | $2,790.99 | 2.4× |
| Thyroid Uptake Measurement (78012) | $912.12 | $1,824.24 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $975.77 | $1,951.54 | 2.4× |
| Tx devices design & construction intermediate (77333) | $530.89 | $1,061.78 | 3.7× |
| Tx devices design & construction simple (77332) | $388.41 | $776.82 | 2.7× |
| Ultrasound Breast Limited (76642) | $176.85 | $353.70 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $388.68 | $777.36 | 3.5× |
| Ultrasound, abdomen limited (76705) | $450.70 | $901.40 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $634.91 | $1,269.82 | 5.7× |
| Unlisted us procedure (76999) | $482.26 | $964.52 | 5.2× |
| Upper gi w/o kub (74240) | $593.79 | $1,187.58 | 3.2× |
| Ureteral Reflux Study (78740) | $646.56 | $1,293.11 | 1.5× |
| Urethrocystogram voiding (74455) | $770.55 | $1,541.09 | 3.0× |
| Urethrocystography retrograde (74450) | $514.30 | $1,028.59 | 2.0× |
| Us breast unilateral complete (76641) | $176.85 | $353.70 | 1.6× |
| Us chest (76604) | $437.66 | $875.32 | 3.9× |
| Us complete joint (76881) | $506.47 | $1,012.93 | 4.5× |
| Us exam, pelvic, limited (76857) | $323.47 | $646.94 | 2.9× |
| Us head (76506) | $412.50 | $824.99 | 3.7× |
| Us kidney transplant (76776) | $394.91 | $789.81 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $306.54 | $613.07 | 2.7× |
| Us ob detailed single fetus (76811) | $673.20 | $1,346.39 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $413.05 | $826.09 | 3.7× |
| Us ob transvaginal (76817) | $569.48 | $1,138.96 | 5.1× |
| Us pelvic non ob complete (76856) | $540.88 | $1,081.75 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $648.93 | $1,297.85 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $506.92 | $1,013.84 | 4.5× |
| Us retroperitoneal complete (76770) | $766.59 | $1,533.18 | 6.9× |
| Us retroperitoneal limited (76775) | $544.51 | $1,089.01 | 4.9× |
| Us scrotum and contents (76870) | $504.79 | $1,009.57 | 4.5× |
| Us spinal canal and contents (76800) | $468.95 | $937.89 | 4.2× |
| Us thyroid (76536) | $449.18 | $898.36 | 4.0× |
| Vascular Flow Imaging (78445) | $403.78 | $807.56 | 0.9× |
| Vein X-Ray Chest (75827) | $2,347.53 | $4,695.06 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,677.34 | $3,354.67 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,441.57 | $4,883.14 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,412.88 | $4,825.76 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,114.01 | $2,228.01 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,212.72 | $2,425.43 | 0.7× |
| Venography Renal Bilateral (75833) | $5,010.70 | $10,021.39 | 1.5× |
| Venography Renal Unilateral (75831) | $3,625.74 | $7,251.47 | 1.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,880.75 | $5,761.50 | 0.5× |
| Wrist 2 views (73100) | $154.15 | $308.29 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $216.79 | $433.57 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $510.02 | $1,020.03 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $4,154.14 | $8,308.27 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $157.68 | $315.35 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $124.26 | $248.51 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $302.53 | $605.06 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $130.08 | $260.15 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $373.98 | $747.96 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $324.12 | $648.24 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $477.74 | $955.47 | 5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $399.39 | $798.77 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $512.36 | $1,024.72 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) | $303.79 | $607.57 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $217.70 | $435.40 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $410.11 | $820.22 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $263.91 | $527.82 | 2.4× |
| X-ray eye for foreign body (70030) | $68.58 | $137.15 | 0.7× |
| X-ray humerus (73060) | $296.90 | $593.80 | 3.2× |
| X-ray IV pyelogram (ivp) (74400) | $500.61 | $1,001.21 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $566.05 | $1,132.10 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $193.40 | $386.79 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $114.86 | $229.72 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $291.64 | $583.27 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $95.72 | $191.43 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $286 | $572 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $243.03 | $486.06 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $280.73 | $561.45 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $246.64 | $493.27 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $325.81 | $651.62 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $335.02 | $670.03 | 3.0× |
| X-Ray Tmj Unilat (70328) | $154.77 | $309.53 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $494.45 | $988.89 | 1.3× |
| X-Rays Bone Length Studies (77073) | $445.46 | $890.91 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $478.68 | $957.36 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $291.64 | $583.27 | 2.6× |
| Xr facial bones less than 3 views (70140) | $219.93 | $439.85 | 2.4× |
| Xr orbits complete 4 views (70200) | $257.74 | $515.47 | 2.3× |
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.