Imaging prices at French Hospital Medical Center
San Luis Obispo, CA · every code in this section with a posted price and a Medicare benchmark.
260 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$120.35–$130.54 | $307–$333 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$343.40–$408.47 | $876–$1,042 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $519.80 | $1,326 | 1.0× |
| Adrenal Cortex & Medulla Img (78075) | $1,776.94 | $4,533 | 1.1× |
| Angio internal mammary (75756) | $4,711.06 | $12,018 | 1.2× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,711.06–$6,471.14 | $12,018–$16,508 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$4,711.06–$6,163.03 | $12,018–$15,722 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,487.62–$6,147.74 | $11,448–$15,683 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,711.06 | $12,018 | 1.2× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,711.06–$6,471.14 | $12,018–$16,508 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $4,361 | $11,125 | 1.1× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,594.63–$6,154.01 | $14,272–$15,699 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,475.86–$6,131.67 | $11,418–$15,642 | varies |
| Artery X-Rays Spine (75705) | $5,890.59 | $15,027 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $261.08 | $666 | 1.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$159.55–$173.66 | $407–$443 | varies |
| Bone Imaging 3 Phase (78315) | $689.92 | $1,760 | 1.3× |
| Bone Imaging Limited Area (78300) | $689.92 | $1,760 | 1.3× |
| Bone Imaging Whole Body (78306) | $689.92 | $1,760 | 1.3× |
| Bone survey infant (77076) | $159.94 | $408 | 1.2× |
| Brain Flow Imaging Only (78610) | $669.93 | $1,709 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $868.68 | $2,216 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $669.93 | $1,709 | 1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,931.78 | $4,928 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $639.36 | $1,631 | 1.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $669.93 | $1,709 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $669.93 | $1,709 | 1.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$123.48–$130.54 | $315–$333 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$288.12–$315.56 | $735–$805 | varies |
| Chest 3 views (71047) | $521.36 | $1,330 | 4.7× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$682.87–$779.30 | $1,742–$1,988 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $307.33 | $784 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,251.24–$5,823.56 | $10,845–$14,856 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$358.29–$377.50 | $914–$963 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$698.94–$822.03 | $1,783–$2,097 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$370.05–$451.98 | $944–$1,153 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$486.87–$535.48 | $1,242–$1,366 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$486.87–$535.48 | $1,242–$1,366 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$194.83–$219.13 | $497–$559 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$391.22–$423.36 | $998–$1,080 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$475.11–$564.09 | $1,212–$1,439 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$400.24–$2,015.67 | $1,021–$5,142 | varies |
| CT angio hrt w/3d image (75574) | $397.88 | $1,015 | 0.9× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$392.40–$1,977.25 | $1,001–$5,044 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$93.69–$107.41 | $239–$274 | varies |
| CT cervical spine w/ contrast (72126) | $729.52 | $1,861 | 1.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$182.28–$212.86 | $465–$543 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$455.51–$516.66 | $1,162–$1,318 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$475.50–$559.39 | $1,213–$1,427 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$475.50–$559.39 | $1,213–$1,427 | varies |
| CT colonography screening (74263) | $441.40 | $1,126 | 1.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $430.81 | $1,099 | 1.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $183.46 | $468 | 1.4× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$408.08–$484.52 | $1,041–$1,236 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$408.08–$484.52 | $1,041–$1,236 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $397.88 | $1,015 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$90.16–$97.61 | $230–$249 | varies |
| CT hrt w/3d image congen (75573) | $397.88 | $1,015 | 0.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$411.21–$457.08 | $1,049–$1,166 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$419.44–$509.21 | $1,070–$1,299 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$658.96–$808.70 | $1,681–$2,063 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$179.93–$210.12 | $459–$536 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$493.92–$576.24 | $1,260–$1,470 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$205.80–$246.96 | $525–$630 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$475.50–$559.39 | $1,213–$1,427 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$411.21–$457.08 | $1,049–$1,166 | varies |
| CT orbits w/o contrast (70480) | $182.68 | $466 | 1.4× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$495.49–$538.22 | $1,264–$1,373 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$194.04–$237.16 | $495–$605 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$493.92–$576.24 | $1,260–$1,470 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$475.50–$559.39 | $1,213–$1,427 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$195.61–$251.67 | $499–$642 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$413.56–$496.28 | $1,055–$1,266 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$165.43–$220.70 | $422–$563 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$409.64–$413.56 | $1,045–$1,055 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$195.61–$251.67 | $499–$642 | varies |
| CT unlisted procedure (76497) | $391.22 | $998 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$388.48–$1,175.61 | $991–$2,999 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$391.22–$1,552.72 | $998–$3,961 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$368.09–$401.80 | $939–$1,025 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,966.66 | $7,568 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $2,817.70 | $7,188 | 1.1× |
| Diskography lumbar (72295) | $2,817.70 | $7,188 | 1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $161.51 | $412 | 1.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $317.92 | $811 | 2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $225.40 | $575 | 1.7× |
| Dxa Bone Density Axial (77080) | $213.64 | $545 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $109.37 | $279 | 1.0× |
| Echo exam of fetal heart (76825) | $691.10 | $1,763 | 1.0× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$338.69–$367.31 | $864–$937 | varies |
| Echo Guide For Artery Repair (76936) | $340.65 | $869 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $351.24 | $896 | 1.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$224.62–$244.61 | $573–$624 | varies |
| Fetal Biophys Profile W/Nst (76818) | $174.05 | $444 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $193.65 | $494 | 1.4× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$288.52–$738.53 | $736–$1,884 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,440.99–$2,715 | $6,227–$6,926 | varies |
| Gastric emptying imaging study (78264) | $613.88 | $1,566 | 1.2× |
| Gated Heart, Multiple (78473) | $520.19 | $1,327 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$4,544.85–$4,711.06 | $11,594–$12,018 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,711.06 | $12,018 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $670.32 | $1,710 | 1.0× |
| Hepatobiliary System Imaging (78226) | $517.05 | $1,319 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,687.17 | $4,304 | 1.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$340.26–$1,293.21 | $868–$3,299 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $88.20 | $225 | 0.8× |
| Infusion Ivp (74410) | $378.68 | $966 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $871.42 | $2,223 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $798.90 | $2,038 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $605.25 | $1,544 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $520.19 | $1,327 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $520.19 | $1,327 | 1.0× |
| Lung perfusion differential (78597) | $520.19 | $1,327 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $633.08 | $1,615 | 0.9× |
| Lymph System Imaging (78195) | $703.25 | $1,794 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,715 | $6,926 | 1.3× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$504.51–$551.55 | $1,287–$1,407 | varies |
| Meckels Divert Exam (78290) | $520.19 | $1,327 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$690.71–$799.68 | $1,762–$2,040 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$345.36–$418.27 | $881–$1,067 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$418.27–$454.33 | $1,067–$1,159 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$413.96–$453.94 | $1,056–$1,158 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$668.76–$796.55 | $1,706–$2,032 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$350.45–$382.20 | $894–$975 | varies |
| MRI abdomen w contrast (74182) | $767.54 | $1,958 | 1.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$409.64–$486.08 | $1,045–$1,240 | varies |
| MRI bone marrow blood supply (77084) | $730.30 | $1,863 | 2.4× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$566.44–$1,176.40 | $1,445–$3,001 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$662.09–$794.98 | $1,689–$2,028 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$353.20–$419.44 | $901–$1,070 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$350.84–$414.35 | $895–$1,057 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$935.32–$1,013.32 | $2,386–$2,585 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$669.15–$796.94 | $1,707–$2,033 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$697.37–$766.76 | $1,779–$1,956 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$662.09–$794.98 | $1,689–$2,028 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$346.53–$416.31 | $884–$1,062 | varies |
| MRI orbit face neck w contrast (70542) | $607.21 | $1,549 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$624.07–$762.84 | $1,592–$1,946 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$658.17–$727.56 | $1,679–$1,856 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$664.44–$791.06 | $1,695–$2,018 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$355.94–$427.28 | $908–$1,090 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$363.39–$396.71 | $927–$1,012 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$767.54–$921.60 | $1,958–$2,351 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$660.92–$727.16 | $1,686–$1,855 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$660.92–$727.16 | $1,686–$1,855 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$697.37–$836.92 | $1,779–$2,135 | varies |
| Myelogram Lumbar (72265) | $730.30 | $1,863 | 0.7× |
| Myelography thoracic (72255) | $667.97 | $1,704 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,687.17 | $4,304 | 1.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$109.37–$130.15 | $279–$332 | varies |
| Nm csf leak detection (78650) | $1,692.27 | $4,317 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $409.64 | $1,045 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $855.74 | $2,183 | 0.5× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$337.91–$1,015.28 | $862–$2,590 | varies |
| Nuclear Rx Oral Admin (79005) | $318.31 | $812 | 1.1× |
| Ob us nuchal meas 1 gest (76813) | $185.42 | $473 | 1.4× |
| Parathyroid Planar Imaging (78070) | $493.14 | $1,258 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $591.14 | $1,508 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$177.97–$191.30 | $454–$488 | varies |
| Peritoneogram Rs&I (74190) | $1,373.18 | $3,503 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,711.06 | $12,018 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $494.32 | $1,261 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$205.80–$226.58 | $525–$578 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,429.63 | $3,647 | 2.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$149.36–$164.64 | $381–$420 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$108.59–$118 | $277–$301 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$89.77–$103.88 | $229–$265 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$89.38–$94.08 | $228–$240 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$85.07–$98.79 | $217–$252 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$139.16–$147 | $355–$375 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$178.36–$191.30 | $455–$488 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$446.10–$511.17 | $1,138–$1,304 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$175.62–$210.12 | $448–$536 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$192.48–$210.12 | $491–$536 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $202.67 | $517 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$160.72–$191.30 | $410–$488 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$174.44–$191.69 | $445–$489 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$188.16–$202.28 | $480–$516 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$194.04–$211.68 | $495–$540 | varies |
| Renal Cyst Study (74470) | $1,429.63 | $3,647 | 2.0× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$264.21–$318.31 | $674–$812 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,293.21 | $3,299 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,954.12 | $4,985 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,867.88–$4,511.92 | $4,765–$11,510 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,615.43 | $6,672 | 3.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $337.91 | $862 | 1.1× |
| Rp Therapy Intravenous Administration (79101) | $354.76 | $905 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$29.01–$30.19 | $74–$77 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$161.90–$174.05 | $413–$444 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$85.07–$98.79 | $217–$252 | varies |
| Superior sagittal sinus venogram (75870) | $4,711.06 | $12,018 | 1.2× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$177.19–$211.68 | $452–$540 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$177.19–$211.68 | $452–$540 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$92.12–$100.36 | $235–$256 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $466.88 | $1,191 | 0.9× |
| Thyroid Met Imaging Body (78018) | $666.40 | $1,700 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $466.88 | $1,191 | 0.9× |
| Tx devices design & construction simple (77332) | $215.60 | $550 | 1.2× |
| Ultrasound Elastography Parenchyma (76981) | $285.77 | $729 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$190.52–$228.15 | $486–$582 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$223.84–$680.52 | $571–$1,736 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$202.28–$211.29 | $516–$539 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $93.69 | $239 | 0.8× |
| Unlisted fluoroscopic procedure (76496) | $133.68 | $341 | 1.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$221.48–$243.44 | $565–$621 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$340.65–$370.44 | $869–$945 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$340.65–$370.44 | $869–$945 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$159.16–$388.08 | $406–$990 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$210.12–$419.44 | $536–$1,070 | varies |
| Us head (76506) | $152.49 | $389 | 1.1× |
| Us kidney transplant (76776) | $176.40 | $450 | 1.3× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$165.04–$186.99 | $421–$477 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$190.91–$205.80 | $487–$525 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$190.91–$668.76 | $487–$1,706 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$210.12–$226.58 | $536–$578 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$179.15–$187.38 | $457–$478 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$176.40–$190.91 | $450–$487 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$187.77–$201.88 | $479–$515 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$187.77–$431.20 | $479–$1,100 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$200.32–$225.40 | $511–$575 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$78.80–$90.95 | $201–$232 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$176.01–$189.73 | $449–$484 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,111.32–$2,715 | $2,835–$6,926 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,825.93 | $7,209 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $4,711.06 | $12,018 | 1.2× |
| Venogram Sinus/Jugular (75860) | $4,711.06 | $12,018 | 1.2× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,711.06–$6,471.14 | $12,018–$16,508 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,372.40–$3,871.40 | $3,501–$9,876 | varies |
| Venography Renal Bilateral (75833) | $4,711.06 | $12,018 | 1.2× |
| Venous sampling by catheter (75893) | $4,711.06 | $12,018 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$147.40–$153.67 | $376–$392 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,251.24–$5,823.56 | $10,845–$14,856 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$83.11–$98 | $212–$250 | varies |
| X-Ray Exam Breast Specimen (76098) | $602.12 | $1,536 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$85.07–$92.91 | $217–$237 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$162.29–$174.44 | $414–$445 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $319.88 | $816 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$293.61–$314.78 | $749–$803 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$161.51–$190.91 | $412–$487 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$93.30–$102.32 | $238–$261 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$173.66–$191.30 | $443–$488 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$324.19–$351.63 | $827–$897 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$93.30–$98 | $238–$250 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$126.23–$153.28 | $322–$391 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$176.40–$190.91 | $450–$487 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$87.81–$715.01 | $224–$1,824 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$264.21–$318.31 | $674–$812 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$160.72–$191.30 | $410–$488 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$160.72–$191.30 | $410–$488 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$84.28–$101.92 | $215–$260 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$89.77–$103.88 | $229–$265 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$152.88–$174.05 | $390–$444 | varies |
| X-Ray Stress View (77071) | $97.61 | $249 | 0.9× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$177.19–$211.68 | $452–$540 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$635.04–$702.86 | $1,620–$1,793 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$94.08–$225.80 | $240–$576 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$176.01–$533.52 | $449–$1,361 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$173.66–$191.30 | $443–$488 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$80.36–$87.81 | $205–$224 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$167–$186.60 | $426–$476 | 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.