Imaging prices at Garfield Medical Center
Monterey Park, CA · every code in this section with a posted price and a Medicare benchmark.
278 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 3 matching MRF lines |
$343–$623 | $343–$623 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$691–$1,039 | $691–$1,039 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$954–$3,053 | $954–$3,053 | varies |
| Angio pulmonary bilat (75743) | $6,026 | $6,026 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $5,035 | $5,035 | 1.2× |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$4,397–$8,485 | $4,397–$8,485 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,827 | $4,827 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,689 | $5,689 | 1.4× |
| Ankle 2 views (73600) | $563 | $563 | 5.0× |
| Aortography thoracic serialography rs&i (75605) | $9,689 | $9,689 | 1.4× |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$6,386–$60,040 | $6,386–$60,040 | varies |
| Artery X-Rays Spine (75705) | $28,505 | $28,505 | 4.0× |
| Arthrogram hip (73525) | $1,670 | $1,670 | 3.7× |
| Arthrogram Wrist (73115) | $1,663 | $1,663 | 3.7× |
| Bone age studies (77072) | $657 | $657 | 4.9× |
| Bone Imaging 3 Phase (78315) | $3,007 | $3,007 | 5.8× |
| Bone Imaging Limited Area (78300) | $2,055 | $2,055 | 4.0× |
| Bone Imaging Multiple Areas (78305) | $2,055 | $2,055 | 4.0× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$767–$3,657 | $767–$3,657 | varies |
| Bone survey infant (77076) | $894 | $894 | 6.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,878 | $2,878 | 4.1× |
| Cardiac Shunt Detection (78428) | $2,815 | $2,815 | 5.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,083 | $2,083 | 3.0× |
| Cerebrospinal Fluid Scan (78630) range across 4 matching MRF lines |
$1,231–$2,198 | $1,231–$2,198 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$454–$650 | $454–$650 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$473–$933 | $473–$933 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$699–$899 | $699–$899 | varies |
| Cholecystography Oral Contrast (74290) | $1,045 | $1,045 | 4.6× |
| Clavicle complete (73000) | $496 | $496 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $5,314 | $5,314 | 1.3× |
| Contrast X-Ray Bladder (74430) | $850 | $850 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $6,636 | $6,636 | 14.8× |
| CT abdomen and pelvis without contrast (74176) | $6,467 | $6,467 | 21.1× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$6,618–$7,312 | $6,618–$7,312 | varies |
| CT abdomen w wo contrast (74170) | $7,787 | $7,787 | 34.5× |
| CT abdomen w/o contrast (74150) | $7,312 | $7,312 | 54.4× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$2,585–$7,950 | $2,585–$7,950 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$7,770–$8,634 | $7,770–$8,634 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,602–$7,230 | $2,602–$7,230 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$7,770–$8,634 | $7,770–$8,634 | varies |
| CT Angio Neck (70498) | $7,230 | $7,230 | 32.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$7,770–$8,634 | $7,770–$8,634 | varies |
| CT cervical spine w/ contrast (72126) | $8,034 | $8,034 | 17.9× |
| CT cervical spine w/o contrast (72125) | $6,380 | $6,380 | 47.4× |
| CT cervical spine w/wo cont (72127) | $8,034 | $8,034 | 35.6× |
| CT chest w contrast (71260) | $6,618 | $6,618 | 29.3× |
| CT chest w/wo contrast (71270) | $7,230 | $7,230 | 32.0× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$5,280–$8,034 | $5,280–$8,034 | varies |
| CT head/brain without and with contrast (70470) | $7,230 | $7,230 | 32.0× |
| CT iac w contrast (70481) | $8,034 | $8,034 | 35.6× |
| CT l-spine w&w/o contrast (72133) | $7,230 | $7,230 | 32.0× |
| CT lower ext w/o (73700) | $6,334 | $6,334 | 47.1× |
| CT lower extremity w/contrast material (73701) | $6,841 | $6,841 | 30.3× |
| CT lumbar spine w contrast (72132) | $6,751 | $6,751 | 15.0× |
| CT lumbar spine w/o contrast (72131) | $6,274 | $6,274 | 46.7× |
| CT maxillofacial w contrast (70487) | $8,034 | $8,034 | 35.6× |
| CT maxillofacial wo contrast (70486) | $6,380 | $6,380 | 47.4× |
| CT neck tissue combo (70492) | $7,230 | $7,230 | 32.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$7,230–$8,034 | $7,230–$8,034 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$6,380–$7,089 | $6,380–$7,089 | varies |
| CT pelvis w&w/o contrast (72194) | $7,230 | $7,230 | 32.0× |
| CT pelvis w/o contrast (72192) | $6,378 | $6,378 | 47.4× |
| CT scan of leg combo (73702) | $6,157 | $6,157 | 27.3× |
| CT scans face/jaw combo (70488) | $7,230 | $7,230 | 32.0× |
| CT soft tissue neck w contrast (70491) | $6,380 | $6,380 | 28.3× |
| CT soft tissue neck w/o contrast (70490) | $6,380 | $6,380 | 47.4× |
| CT thoracic spine w contrast (72129) | $8,034 | $8,034 | 35.6× |
| CT thoracic spine w/o contrast (72128) | $6,274 | $6,274 | 46.7× |
| CT thoracic spine w/wo cont (72130) | $7,230 | $7,230 | 32.0× |
| CT thorax w/o contrast (71250) | $6,378 | $6,378 | 47.4× |
| CT unlisted procedure (76497) | $164 | $164 | 1.5× |
| CT upper ext wo (73200) | $6,334 | $6,334 | 47.1× |
| CT upper extremity w/o & w/contrast material (73202) | $8,634 | $8,634 | 38.3× |
| CT upper extremity with contrast (73201) | $7,198 | $7,198 | 16.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,951 | $7,951 | 35.2× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$7,770–$8,634 | $7,770–$8,634 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$7,230–$8,034 | $7,230–$8,034 | varies |
| Echo exam uterus (76831) | $1,367 | $1,367 | 4.5× |
| Esophagram (74220) | $755 | $755 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$537–$1,134 | $537–$1,134 | varies |
| Fluoroscopy up to 1 hr (76000) range across 10 matching MRF lines |
$418–$1,178 | $418–$1,178 | varies |
| Follow-Up Angiography (75898) | $5,616 | $5,616 | 1.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$507–$563 | $507–$563 | varies |
| Forearm 2 views (73090) | $535 | $535 | 4.8× |
| Gastric emptying imaging study (78264) | $3,053 | $3,053 | 5.9× |
| Gastroesophageal Reflux Exam (78262) | $2,459 | $2,459 | 4.8× |
| Gated Heart Planar Single (78472) | $2,564 | $2,564 | 5.0× |
| Heart first pass single,planar (78481) | $2,198 | $2,198 | 3.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,306 | $1,306 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,828 | $1,828 | 3.6× |
| Ht Musc Image Planar Mult (78454) | $5,563 | $5,563 | 3.3× |
| Hysterosalpingogram (74740) | $913 | $913 | 3.0× |
| Image fusion (77399) | $760 | $760 | 4.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,763 | $1,763 | 15.8× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$1,621–$2,080 | $1,621–$2,080 | varies |
| Interstitial radiation source applic complex (77778) | $5,130 | $5,130 | 5.7× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $14,498 | $14,498 | 1.5× |
| Intraop radiaj tx deliver xray single tx session (77424) | $14,498 | $14,498 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $2,955 | $2,955 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $2,637 | $2,637 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,931 | $1,931 | 2.8× |
| Kidney Imaging Morphol (78700) | $1,646 | $1,646 | 3.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,913 | $1,913 | 3.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,028 | $2,028 | 3.9× |
| Liver imaging static only (78201) | $1,791 | $1,791 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,409–$2,635 | $1,409–$2,635 | varies |
| Lung perfusion differential (78597) | $902 | $902 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,409 | $1,409 | 2.0× |
| Lung Ventilation Imaging (78579) | $902 | $902 | 1.8× |
| Lymph System Imaging (78195) | $1,686 | $1,686 | 2.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,616 | $5,616 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $8,455 | $8,455 | 27.6× |
| Mammary ductogram or galactogram multiple (77054) | $598 | $598 | 1.9× |
| Meckels Divert Exam (78290) | $3,392 | $3,392 | 6.6× |
| Mra Head W/O & W/Contrast Material (70546) | $7,353 | $7,353 | 16.4× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$7,599–$8,443 | $7,599–$8,443 | varies |
| MRA head with contrast (70545) | $6,660 | $6,660 | 14.8× |
| MRA neck w contrast (70548) | $8,263 | $8,263 | 18.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,929 | $8,929 | 19.9× |
| MRA neck w/o contrast (70547) | $7,599 | $7,599 | 24.8× |
| MRI abdomen w contrast (74182) | $7,754 | $7,754 | 17.3× |
| MRI abdomen w/o contrast (74181) | $7,599 | $7,599 | 24.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,353 | $7,353 | 7.3× |
| MRI cervical spine w contrast (72142) | $6,468 | $6,468 | 14.4× |
| MRI cervical spine w/o cont (72141) | $6,455 | $6,455 | 21.0× |
| MRI chest w/o contrast (71550) | $8,455 | $8,455 | 27.6× |
| MRI chest with contrast (71551) | $9,300 | $9,300 | 9.2× |
| MRI chest wo w contrast (71552) | $10,231 | $10,231 | 22.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,353 | $7,353 | 16.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,609 | $7,609 | 17.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,618 | $6,618 | 21.6× |
| MRI lumbar spine w contrast (72149) | $6,468 | $6,468 | 14.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,266 | $8,266 | 18.4× |
| MRI orbit face &/neck w/o contrast (70540) | $7,609 | $7,609 | 24.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,131 | $8,131 | 18.1× |
| MRI pelvis w contrast (72196) | $7,172 | $7,172 | 16.0× |
| MRI pelvis w/o & w contrast (72197) | $6,979 | $6,979 | 15.6× |
| MRI pelvis w/o contrast (72195) | $5,024 | $5,024 | 16.4× |
| MRI thoracic spine w/o contrast (72146) | $7,612 | $7,612 | 24.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,353 | $7,353 | 16.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,618 | $6,618 | 21.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,353 | $7,353 | 16.4× |
| MRI, abdomen, combo (74183) | $7,631 | $7,631 | 17.0× |
| MRI, dorsal spine combo (72157) | $8,266 | $8,266 | 18.4× |
| MRI, dorsal spine contrast (72147) | $6,468 | $6,468 | 14.4× |
| MRI, joint upper extrem (73221) | $7,609 | $7,609 | 24.8× |
| MRI, joint upper extrem combo (73223) | $7,353 | $7,353 | 16.4× |
| MRI, lumbar spine combo (72158) | $8,266 | $8,266 | 18.4× |
| Myelogram Lumbar (72265) | $2,674 | $2,674 | 2.7× |
| Myelograpy 2/more regions rs&i (72270) | $5,002 | $5,002 | 5.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,467 | $1,467 | 2.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 5 matching MRF lines |
$2,212–$2,667 | $2,212–$2,667 | varies |
| Myocardial Spect Multiple Studies (78452) | $5,020 | $5,020 | 3.0× |
| Neck soft tissue (70360) | $610 | $610 | 5.4× |
| Nervous system nuclear exam (78699) | $733 | $733 | 1.4× |
| Nm unlisted gi procedure (78299) | $733 | $733 | 1.4× |
| Nuclear Rx Intra-Arterial (79445) | $2,311 | $2,311 | 7.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,429–$2,080 | $1,429–$2,080 | varies |
| Optic foramina (70190) | $779 | $779 | 7.0× |
| Parathyroid Planar Imaging (78070) | $889 | $889 | 1.7× |
| Pelvis 1 or 2 views (72170) | $622 | $622 | 4.6× |
| Peritoneogram Rs&I (74190) | $693 | $693 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $17,013 | $17,013 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,372 | $2,372 | 4.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $838 | $838 | 6.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $735 | $735 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $706 | $706 | 6.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $496 | $496 | 4.4× |
| Radex elbow complete minimum 3 views (73080) | $762 | $762 | 6.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,244 | $1,244 | 9.3× |
| Radex fingr minimum 2 views (73140) | $501 | $501 | 4.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$666–$750 | $666–$750 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$762–$1,524 | $762–$1,524 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$994–$1,273 | $994–$1,273 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $785 | $785 | 7.0× |
| Radex Ribs Unilateral 2 Views (71100) | $809 | $809 | 7.2× |
| Radex shoulder complete minimum 2 views (73030) | $815 | $815 | 7.3× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$301–$541 | $301–$541 | varies |
| Radex Sternum Minimum 2 Views (71120) | $620 | $620 | 5.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,131 | $1,131 | 10.1× |
| Radex Toe Minimum 2 Views (73660) | $510 | $510 | 4.6× |
| Radex upper extremity infant minimum 2 views (73092) | $201 | $201 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $762 | $762 | 6.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,073 | $1,073 | 8.0× |
| Radiologic exam colon double contrast study (74280) | $2,025 | $2,025 | 9.0× |
| Radiologic exam colon single contrast study (74270) | $1,963 | $1,963 | 8.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$793–$887 | $793–$887 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,570 | $1,570 | 7.0× |
| Radiologic exam swallow function contrast study (74230) | $1,574 | $1,574 | 7.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,891 | $1,891 | 8.4× |
| Radiologic examination femur minimum 2 views (73552) | $789 | $789 | 7.0× |
| Radiologic examination knee 1/2 views (73560) | $789 | $789 | 7.0× |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$657–$1,008 | $657–$1,008 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $656 | $656 | 5.9× |
| Radiopharm Dacryocystography (78660) | $1,800 | $1,800 | 3.5× |
| Renal Cyst Study (74470) | $1,424 | $1,424 | 2.0× |
| Ribs bilateral 3 views (71110) | $965 | $965 | 7.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$473–$733 | $473–$733 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$718–$733 | $718–$733 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,819 | $7,819 | 11.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$2,490–$2,502 | $2,490–$2,502 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$2,490–$9,197 | $2,490–$9,197 | varies |
| Scapula (73010) | $657 | $657 | 4.9× |
| Sella turcica (70240) | $481 | $481 | 4.3× |
| Shoulder Arthrography (73040) | $1,423 | $1,423 | 3.2× |
| Sialogram (70390) | $1,156 | $1,156 | 3.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$529–$642 | $529–$642 | varies |
| Speech evaluation, complex (70371) | $1,073 | $1,073 | 3.5× |
| Sternoclavicular joints (71130) | $486 | $486 | 4.3× |
| Testicular Imaging W/Flow (78761) | $1,664 | $1,664 | 3.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$582–$745 | $582–$745 | varies |
| Thoracolumbar 2 views (72080) | $745 | $745 | 6.7× |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$889–$2,045 | $889–$2,045 | varies |
| Thyroid Met Imaging Body (78018) | $2,780 | $2,780 | 4.0× |
| Thyroid Uptake Measurement (78012) | $733 | $733 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $813 | $813 | 1.6× |
| Ultrasound Breast Limited (76642) | $677 | $677 | 6.0× |
| Ultrasound, abdomen limited (76705) | $1,432 | $1,432 | 10.7× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$164–$6,214 | $164–$6,214 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $733 | $733 | 1.4× |
| Unlisted magnetic resonance procedure (76498) | $164 | $164 | 1.5× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$164–$894 | $164–$894 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$1,154–$2,090 | $1,154–$2,090 | varies |
| Urethrocystogram voiding (74455) | $1,266 | $1,266 | 4.1× |
| Urethrocystography retrograde (74450) | $1,436 | $1,436 | 4.7× |
| Us breast unilateral complete (76641) | $1,033 | $1,033 | 7.7× |
| Us chest (76604) range across 2 matching MRF lines |
$1,164–$1,293 | $1,164–$1,293 | varies |
| Us complete joint (76881) | $1,246 | $1,246 | 9.3× |
| Us head (76506) | $1,746 | $1,746 | 13.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,246 | $1,246 | 9.3× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$467–$914 | $467–$914 | varies |
| Us ob transvaginal (76817) | $598 | $598 | 4.4× |
| Us pelvic non ob complete (76856) | $1,954 | $1,954 | 14.5× |
| Us retroperitoneal complete (76770) | $1,956 | $1,956 | 14.5× |
| Us scrotum and contents (76870) | $1,739 | $1,739 | 12.9× |
| Us spinal canal and contents (76800) | $1,940 | $1,940 | 14.4× |
| Us thyroid (76536) range across 3 matching MRF lines |
$1,260–$1,768 | $1,260–$1,768 | varies |
| Us transrectal (76872) | $359 | $359 | 2.7× |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$1,636–$1,803 | $1,636–$1,803 | varies |
| Vein X-Ray Chest (75827) | $4,074 | $4,074 | 2.0× |
| Vein X-Ray Spleen/Liver (75810) | $5,616 | $5,616 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $4,074 | $4,074 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,075–$2,797 | $2,075–$2,797 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,946–$2,140 | $1,946–$2,140 | varies |
| Venous sampling by catheter (75893) | $31,646 | $31,646 | 4.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,339 | $3,339 | 6.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$333–$563 | $333–$563 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $769 | $769 | 6.9× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$704–$1,019 | $704–$1,019 | varies |
| X-Ray Aorta Leg Arteries (75630) | $5,546 | $5,546 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $563 | $563 | 5.0× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$843–$894 | $843–$894 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $745 | $745 | 6.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,119 | $1,119 | 8.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$296–$467 | $296–$467 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $657 | $657 | 5.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $588.95 | $588.95 | 4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $957 | $957 | 7.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,111–$1,178 | $1,111–$1,178 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$516–$857 | $516–$857 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,046–$1,343 | $1,046–$1,343 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,737 | $1,737 | 12.9× |
| X-ray eye for foreign body (70030) | $1,060 | $1,060 | 9.5× |
| X-ray humerus (73060) | $640 | $640 | 5.7× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,392–$1,790 | $1,392–$1,790 | varies |
| X-ray IV pyelogram+tomography (74415) | $2,492 | $2,492 | 11.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$749–$1,487 | $749–$1,487 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,894 | $1,894 | 14.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $872 | $872 | 6.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $623 | $623 | 5.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,046–$1,109 | $1,046–$1,109 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,090–$1,244 | $1,090–$1,244 | varies |
| X-Ray Tmj Unilat (70328) | $876 | $876 | 7.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,767 | $1,767 | 3.9× |
| X-Rays Bone Length Studies (77073) | $530 | $530 | 3.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$908–$1,508 | $908–$1,508 | varies |
| Xr facial bones less than 3 views (70140) | $1,021 | $1,021 | 9.1× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$201–$1,348 | $201–$1,348 | 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.