Imaging prices at Glendale Adventist Medical Center
Glendale, CA · every code in this section with a posted price and a Medicare benchmark.
438 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) range across 2 matching MRF lines |
$143.55–$2,893.05 | $957–$19,287 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$5.70–$127.65 | $38–$851 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$7.05–$202.20 | $47–$1,348 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$30–$627.30 | $200–$4,182 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $466.05 | $3,107 | 0.3× |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$22.80–$302.25 | $152–$2,015 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,051.25 | $231–$13,675 | 0.5× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$2,051.25 | $313–$13,675 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,051.25 | $13,675 | 0.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,107.35 | $369–$14,049 | 0.5× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,538.40–$2,051.25 | $325–$13,675 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$2,051.25 | $255–$13,675 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$808.95 | $213–$5,393 | 0.2× |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$5.10–$221.70 | $25–$1,478 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$3,509.55 | $23,397 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $14.55 | $97 | 0.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines unusually low: confirm this is the full procedure |
$3,509.55 | $397–$23,397 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $749.85 | $4,999 | 0.2× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,509.55 | $23,397 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$3,509.55 | $23,397 | 0.5× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$18–$416.55 | $120–$2,777 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$313.95–$471 | $115–$3,140 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$17.70–$312.30 | $118–$2,082 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$20.85–$765.45 | $139–$5,103 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$6–$100.95 | $40–$673 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$30.90–$759.45 | $206–$5,063 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$494.70 | $126–$3,298 | 1.0× |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$25.05–$788.70 | $167–$5,258 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$25.95–$707.55 | $173–$4,717 | varies |
| Bone marrow imaging limited area (78102) | $307.80 | $2,052 | 0.6× |
| Bone marrow imaging; multiple areas (78103) | $307.80 | $2,052 | 0.6× |
| Bone marrow imaging; whole body (78104) | $307.80 | $2,052 | 0.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$21.75–$186.75 | $145–$1,245 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$97.05–$904.50 | $647–$6,030 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$61.35–$1,247.25 | $409–$8,315 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$46.80–$852.15 | $312–$5,681 | varies |
| Brain Image W/Flow < 4 Views (78601) | $362.55 | $2,417 | 0.7× |
| Brain imaging < 4 static views (78600) | $362.55 | $2,417 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$426.90 | $129–$2,846 | 0.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $362.55 | $2,417 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,382.85 | $297–$9,219 | 0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$79.65–$961.80 | $531–$6,412 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $91.20 | $608 | 0.1× |
| Cardiac Shunt Detection (78428) | $363 | $2,420 | 0.7× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$29.25–$337.35 | $195–$2,249 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$513.45 | $114–$3,423 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $466.50 | $3,110 | 0.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$5.40–$137.85 | $36–$919 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$6.45–$170.70 | $43–$1,138 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$8.70–$252.45 | $58–$1,683 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$9.60–$258 | $64–$1,720 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$9.90–$168.60 | $66–$1,124 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $94.35 | $629 | 0.7× |
| Clavicle complete (73000) range across 9 matching MRF lines |
$5.25–$241.20 | $35–$1,608 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$33.45–$604.20 | $223–$4,028 | varies |
| Continuing medical physics consltj pr wk (77336) | $389.85 | $2,599 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,051.25 | $267–$13,675 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$309.15 | $66–$2,061 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$19.95–$275.70 | $133–$1,838 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $152.70 | $1,018 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$61.80–$1,810.80 | $412–$12,072 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$53.70–$1,360.50 | $358–$9,070 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$29.55–$984.45 | $197–$6,563 | varies |
| CT abdomen w wo contrast (74170) range across 5 matching MRF lines |
$32.40–$1,078.50 | $216–$7,190 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$27.60–$830.70 | $184–$5,538 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$67.35–$2,381.70 | $449–$15,878 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$55.95–$1,372.80 | $373–$9,152 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$53.85–$1,149.60 | $359–$7,664 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$67.80–$1,690.35 | $452–$11,269 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$57.90–$3,106.80 | $386–$20,712 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$53.85–$1,149.60 | $359–$7,664 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$55.05–$2,044.35 | $367–$13,629 | varies |
| CT bone density (77078) | $236.10 | $1,574 | 2.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$19.95–$842.85 | $133–$5,619 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$37.65–$1,205.25 | $251–$8,035 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$30.75–$1,088.70 | $205–$7,258 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$39.15–$1,453.80 | $261–$9,692 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$36.15–$1,253.40 | $241–$8,356 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$38.55–$1,353.60 | $257–$9,024 | varies |
| CT colonography screening (74263) | $909.30 | $6,062 | 3.0× |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$34.95–$1,223.25 | $233–$8,155 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$39.30–$1,276.95 | $262–$8,513 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $50.70 | $338 | 0.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$16.95–$553.95 | $113–$3,693 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$34.95–$1,085.40 | $233–$7,236 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$39.15–$2,055.90 | $261–$13,706 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$23.10–$1,532.85 | $154–$10,219 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$35.85–$1,755 | $239–$11,700 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$37.65–$1,483.05 | $251–$9,887 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$30.75–$1,002.45 | $205–$6,683 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$34.65–$1,078.05 | $231–$7,187 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$26.55–$960.15 | $177–$6,401 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$49.65–$1,133.40 | $331–$7,556 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$39.15–$1,284.45 | $261–$8,563 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$39.75–$957.75 | $265–$6,385 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$28.05–$1,276.35 | $187–$8,509 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$25.20–$965.10 | $168–$6,434 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$28.05–$1,272.90 | $187–$8,486 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$39.15–$1,205.40 | $261–$8,036 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$42.75–$1,021.65 | $285–$6,811 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$39.60–$909 | $264–$6,060 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$37.80–$1,205.25 | $252–$8,035 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$30.75–$1,022.85 | $205–$6,819 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$39.30–$1,465.80 | $262–$9,772 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$31.50–$909.15 | $210–$6,061 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$30.75–$1,372.95 | $205–$9,153 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$37.35–$1,680 | $249–$11,200 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$35.85–$1,445.70 | $239–$9,638 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$72.75–$1,154.55 | $485–$7,697 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$52.95–$1,226.85 | $353–$8,179 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$19.95–$1,149.60 | $133–$7,664 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$55.05–$1,505.85 | $367–$10,039 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $363 | $2,420 | 0.5× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,395.45 | $170–$9,303 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $36.75 | $245 | 0.0× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$1,325.25 | $172–$8,835 | 0.5× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$6.15–$151.20 | $41–$1,008 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $72.75 | $485 | 0.6× |
| Echo exam uterus (76831) | $22.80 | $152 | 0.1× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$58.95–$199.80 | $393–$1,332 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$47.55–$265.95 | $317–$1,773 | varies |
| Esophageal Motility Study (78258) | $282.45 | $1,883 | 0.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$18.45–$249 | $123–$1,660 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$33.15–$239.10 | $221–$1,594 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$24–$250.50 | $160–$1,670 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$340.35 | $62–$2,269 | 1.1× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,528.95 | $376–$10,193 | 0.4× |
| Foot 2 views (73620) range across 13 matching MRF lines |
$4.80–$230.25 | $24–$1,535 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$5.10–$213.75 | $25–$1,425 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$23.85–$604.50 | $159–$4,030 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $419.25 | $2,795 | 0.8× |
| Gastroesophageal Reflux Exam (78262) | $392.85 | $2,619 | 0.8× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$29.70–$804.75 | $198–$5,365 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$44.40–$638.70 | $296–$4,258 | varies |
| Hand 2 views (73120) range across 11 matching MRF lines |
$6–$232.05 | $27–$1,547 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$179.55–$1,760.55 | $1,197–$11,737 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$127.35–$1,751.25 | $849–$11,675 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$65.40–$1,866.45 | $436–$12,443 | varies |
| Heart first pass single,planar (78481) | $363 | $2,420 | 0.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,051.25 | $13,675 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,051.25 | $13,675 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$786.90–$1,049.10 | $136–$6,994 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$22.65–$618.60 | $151–$4,124 | varies |
| Ht Musc Image Planar Mult (78454) | $41.10 | $274 | 0.0× |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$296.10–$1,599.15 | $262–$10,661 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$331.50 | $79–$2,210 | 1.1× |
| Image fusion (77399) | $4.05 | $27 | 0.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$22.80–$287.10 | $152–$1,914 | varies |
| Interstitial radiation source applic complex (77778) | $1,153.80 | $7,692 | 1.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $982.05 | $6,547 | 1.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $684.30 | $4,562 | 1.0× |
| Intracavitary radiation source applic simple (77761) | $459.60 | $3,064 | 0.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $5,342.10 | $35,614 | 0.6× |
| Joint Survey Single View (77077) | $10.80 | $72 | 0.1× |
| K Flow/Funct Image Multiple (78709) | $1,183.35 | $7,889 | 1.7× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$36.30–$787.05 | $242–$5,247 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$28.50–$866.25 | $190–$5,775 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $430.65 | $2,871 | 0.8× |
| Kidney Imaging Morphol (78700) | $302.85 | $2,019 | 0.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$545.85 | $100–$3,639 | 1.1× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$6–$304.50 | $40–$2,030 | varies |
| Leveen/Shunt Patency Exam (78291) | $353.10 | $2,354 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$381.15 | $98–$2,541 | 0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$425.85 | $116–$2,839 | 0.8× |
| Liver imaging static only (78201) | $370.20 | $2,468 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$688.65 | $167–$4,591 | 1.0× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$21.60–$615.60 | $144–$4,104 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$32.25–$672.90 | $215–$4,486 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$14.70–$250.65 | $98–$1,671 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$35.85–$818.70 | $239–$5,458 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $504 | $3,360 | 0.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $504 | $3,360 | 0.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,051.25 | $13,675 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $808.95 | $5,393 | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$45.45–$1,086.30 | $303–$7,242 | varies |
| Mammary ductogram or galactogram multiple (77054) | $280.20 | $1,868 | 0.9× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$238.20 | $75–$1,588 | 0.8× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$20.40–$280.20 | $136–$1,868 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$143.55–$2,385.75 | $957–$15,905 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $18.30 | $122 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$45.75–$1,995.60 | $305–$13,304 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$36.90–$1,695.45 | $246–$11,303 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$36.90–$1,795.95 | $246–$11,973 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$46.35–$1,891.05 | $309–$12,607 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$55.50–$1,963.35 | $370–$13,089 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$36.90–$1,791.60 | $246–$11,944 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$53.25–$1,393.20 | $355–$9,288 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$45–$1,220.85 | $300–$8,139 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$50.25–$1,193.55 | $335–$7,957 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$66.45–$1,481.25 | $443–$9,875 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$50.55–$1,125.90 | $337–$7,506 | varies |
| MRI bone marrow blood supply (77084) | $1,035.60 | $6,904 | 3.4× |
| MRI brain functional w/o physician admnistration (70554) | $725.10 | $4,834 | 2.4× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$49.35–$923.10 | $329–$6,154 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$44.70–$598.35 | $298–$3,989 | varies |
| MRI cardiac w/o cont stress (75559) | $89.70 | $598 | 0.1× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$71.85–$1,203.90 | $479–$8,026 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$55.35–$1,318.50 | $369–$8,790 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$45.75–$1,205.85 | $305–$8,039 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$45–$853.20 | $300–$5,688 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$53.40–$910.80 | $356–$6,072 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$69.60–$1,567.80 | $464–$10,452 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$49.95–$1,081.80 | $333–$7,212 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$49.65–$1,463.70 | $331–$9,758 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$31.20–$1,479.60 | $208–$9,864 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$55.20–$1,414.05 | $368–$9,427 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$70.80–$1,428.60 | $472–$9,524 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$41.55–$1,389.60 | $277–$9,264 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$49.95–$1,488.30 | $333–$9,922 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$66.15–$1,807.20 | $441–$12,048 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$53.25–$1,227.30 | $355–$8,182 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$64.35–$1,508.10 | $429–$10,054 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$33.90–$1,075.05 | $226–$7,167 | varies |
| MRI spectroscopy (76390) | $867.75 | $5,785 | 7.8× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$45.75–$1,469.25 | $305–$9,795 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$50.25–$75.30 | $335–$502 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$42.15–$778.65 | $281–$5,191 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$66.45–$1,417.50 | $443–$9,450 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$67.80–$1,596 | $452–$10,640 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$70.80–$1,762.80 | $472–$11,752 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$55.05–$1,562.55 | $367–$10,417 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$42.15–$996.15 | $281–$6,641 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$66.75–$1,527.60 | $445–$10,184 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$70.80–$1,697.40 | $472–$11,316 | varies |
| Musculoskeletal Nuclear Exam (78399) | $225 | $1,500 | 0.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$20.85–$486.15 | $139–$3,241 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $29.55 | $197 | 0.0× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$240.60–$1,741.35 | $309–$11,609 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$763.20 | $149–$5,088 | 0.7× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$5.70–$162.60 | $38–$1,084 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$22.20–$308.85 | $148–$2,059 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$27.90–$363 | $186–$2,420 | varies |
| Nm red cell survival study (78130) | $558.90 | $3,726 | 1.1× |
| Nm whole blood volume (78122) | $396.75 | $2,645 | 0.6× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$14.70–$167.70 | $98–$1,118 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$267.60–$3,268.65 | $1,784–$21,791 | varies |
| Nuclear Rx Intra-Arterial (79445) | $241.05 | $1,607 | 0.8× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$54.45–$557.70 | $363–$3,718 | varies |
| Ob us nuchal meas 1 gest (76813) | $37.05 | $247 | 0.3× |
| Optic foramina (70190) range across 3 matching MRF lines |
$7.20–$159.75 | $48–$1,065 | varies |
| Panoramic X-ray of jaws (70355) | $133.50 | $890 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,132.20 | $7,548 | 1.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$24.45–$539.25 | $163–$3,595 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$36.15–$509.25 | $241–$3,395 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$5.55–$146.40 | $37–$976 | varies |
| Pet Image Skull-Thigh (78812) | $57.90 | $386 | 0.0× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,978.05 | $437–$13,187 | 1.1× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$73.80–$1,828.20 | $492–$12,188 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$73.05–$1,680.45 | $487–$11,203 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $45.90 | $306 | 0.0× |
| PET whole body (78813) | $59.10 | $394 | 0.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,051.25 | $13,675 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$22.35–$664.35 | $149–$4,429 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$9.90–$276.15 | $66–$1,841 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$15.75–$270.45 | $105–$1,803 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$5.55–$254.70 | $37–$1,698 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$5.10–$206.55 | $25–$1,377 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$5.55–$278.55 | $37–$1,857 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$8.25–$309 | $55–$2,060 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$6.60–$178.05 | $29–$1,187 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$5.25–$239.70 | $35–$1,598 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$5.55–$264.60 | $37–$1,764 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$5.10–$129.15 | $25–$861 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$121.65–$141 | $811–$940 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 6 matching MRF lines |
$5.40–$199.20 | $26–$1,328 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$6.90–$168 | $46–$1,120 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$6–$268.05 | $40–$1,787 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$5.55–$133.95 | $37–$893 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$5.10–$165.15 | $34–$1,101 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$6.15–$177 | $41–$1,180 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$7.50–$209.70 | $50–$1,398 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$6.30–$200.70 | $28–$1,338 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$96.90–$129.15 | $25–$861 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$5.55–$266.70 | $37–$1,778 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$13.05–$361.50 | $87–$2,410 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,784.60 | $58,564 | 0.9× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$277.50–$344.55 | $1,850–$2,297 | varies |
| Radiation treatment delivery level 2 (77407) | $1,050 | $7,000 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $1,504.50 | $10,030 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$7.80–$262.05 | $52–$1,747 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $8.40 | $56 | 0.1× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$38.85–$621.60 | $259–$4,144 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$31.95–$467.55 | $213–$3,117 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$21.45–$361.35 | $143–$2,409 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$7.35–$357.30 | $49–$2,382 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$7.95–$291.75 | $53–$1,945 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$24.90–$334.80 | $166–$2,232 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$16.50–$283.20 | $110–$1,888 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$27.60–$377.40 | $184–$2,516 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$19.95–$251.55 | $133–$1,677 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$5.70–$291.45 | $38–$1,943 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$5.25–$240.15 | $35–$1,601 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$13.65–$211.05 | $91–$1,407 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$5.10–$226.80 | $25–$1,512 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $316.05 | $2,107 | 0.4× |
| Radiopharm Dacryocystography (78660) | $343.05 | $2,287 | 0.7× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $555.90 | $3,706 | 1.9× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $271.50 | $1,810 | 0.9× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $271.50 | $1,810 | 0.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $446.70 | $2,978 | 0.9× |
| Renal Cyst Study (74470) | $191.25 | $1,275 | 0.3× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$9.15–$337.20 | $61–$2,248 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$531.90 | $131–$3,546 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$21.90–$503.25 | $146–$3,355 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$30.30–$979.50 | $202–$6,530 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,174.80 | $159–$7,832 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$32.40–$1,185.60 | $216–$7,904 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,029 | $6,860 | 0.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$1,737.30 | $415–$11,582 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,791.90 | $11,946 | 1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $491.85 | $3,279 | 1.6× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$57.30–$423.75 | $382–$2,825 | varies |
| Salivary Gland Imaging (78230) | $353.10 | $2,354 | 0.7× |
| Scapula (73010) range across 6 matching MRF lines |
$5.85–$273.90 | $39–$1,826 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$48.75–$64.95 | $325–$433 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$6–$104.25 | $40–$695 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$4.80–$184.80 | $32–$1,232 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$25.80–$505.65 | $117–$3,371 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$252.90 | $78–$1,686 | 0.8× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$5.70–$199.95 | $38–$1,333 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$29.25–$337.35 | $195–$2,249 | varies |
| Special Physics Consult (77370) | $867.15 | $5,781 | 5.0× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$31.80–$637.35 | $212–$4,249 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$68.10–$1,624.95 | $454–$10,833 | varies |
| Spleen Imaging (78185) | $342.15 | $2,281 | 0.7× |
| Stereotactic Body Radiation Delivery (77373) | $11,238.45 | $74,923 | 4.9× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$6.90–$132.30 | $46–$882 | varies |
| Superior sagittal sinus venogram (75870) | $749.85 | $4,999 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $93.75 | $625 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$97.20–$1,296.90 | $648–$8,646 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$46.80–$333.90 | $312–$2,226 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$21.90–$293.85 | $146–$1,959 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$52.35–$864.75 | $349–$5,765 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$35.85–$418.05 | $239–$2,787 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$23.85–$496.35 | $159–$3,309 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$6.45–$191.85 | $43–$1,279 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$7.05–$212.25 | $47–$1,415 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$6.60–$198 | $44–$1,320 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $356.25 | $2,375 | 0.7× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$264.90 | $74–$1,766 | 0.5× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$684 | $167–$4,560 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$429 | $100–$2,860 | 0.8× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$38.40–$717.45 | $256–$4,783 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$25.35–$310.50 | $169–$2,070 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$15.15–$287.85 | $101–$1,919 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$21–$342 | $140–$2,280 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$16.95–$201.45 | $113–$1,343 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$18–$384.15 | $120–$2,561 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$7.65–$51.15 | $51–$341 | varies |
| Unlisted magnetic resonance procedure (76498) | $642.15 | $4,281 | 5.7× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $353.25 | $2,355 | 2.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$24.90–$294.15 | $166–$1,961 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $17.55 | $117 | 1.6× |
| Urea breath test c-14 isotopic analysis (78268) | $154.05 | $1,027 | 1.6× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$17.25–$333.45 | $115–$2,223 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$340.05 | $68–$2,267 | 1.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$240.60 | $68–$1,604 | 0.8× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$22.65–$278.10 | $151–$1,854 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$17.55–$267.15 | $117–$1,781 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$26.55–$281.10 | $177–$1,874 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$15.15–$205.05 | $101–$1,367 | varies |
| Us head (76506) range across 2 matching MRF lines |
$19.95–$258.60 | $133–$1,724 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$23.25–$436.80 | $155–$2,912 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$20.25–$335.25 | $135–$2,235 | varies |
| Us ob detailed single fetus (76811) | $321.30 | $2,142 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$20.10–$254.85 | $134–$1,699 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$23.55–$297.75 | $157–$1,985 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$21.15–$419.70 | $141–$2,798 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$30.75–$334.20 | $205–$2,228 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$26.85–$156.60 | $179–$1,044 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$22.80–$379.05 | $152–$2,527 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$17.85–$354 | $119–$2,360 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$19.65–$413.40 | $131–$2,756 | varies |
| Us spinal canal and contents (76800) | $305.10 | $2,034 | 2.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$17.40–$336.60 | $116–$2,244 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$19.95–$257.85 | $133–$1,719 | varies |
| Vascular Flow Imaging (78445) | $350.10 | $2,334 | 0.7× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$903.75 | $213–$6,025 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $808.95 | $5,393 | 0.2× |
| Vein X-Ray Skull Epidural (75872) | $504 | $3,360 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $808.95 | $5,393 | 0.2× |
| Venogram Sinus/Jugular (75860) | $2,051.25 | $13,675 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,051.25 | $13,675 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$2,051.25 | $213–$13,675 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,100.55 | $278–$7,337 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$29.55–$556.80 | $197–$3,712 | varies |
| Venography Orbital Rs&I (75880) | $504 | $3,360 | 0.6× |
| Venography Renal Bilateral (75833) | $2,051.25 | $13,675 | 0.5× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,051.25 | $217–$13,675 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$3,509.55 | $23,397 | 0.5× |
| Venous thrombosis imaging (78457) | $259.35 | $1,729 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$27.90–$222.30 | $186–$1,482 | varies |
| Vertebral fracture assessment via dxa (77086) | $56.25 | $375 | 0.5× |
| Wrist 2 views (73100) range across 11 matching MRF lines |
$5.25–$264.15 | $27–$1,761 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$6–$162.75 | $40–$1,085 | varies |
| X-ray antegrade pyelogram tube (74425) | $239.70 | $1,598 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,285.40 | $392–$15,236 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$7.05–$269.70 | $47–$1,798 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$5.25–$214.50 | $35–$1,430 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$391.80 | $66–$2,612 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$8.25–$165.15 | $55–$1,101 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$9.90–$204.15 | $66–$1,361 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$11.40–$284.10 | $76–$1,894 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$6–$127.05 | $40–$847 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$7.05–$213.45 | $47–$1,423 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$8.70–$258 | $58–$1,720 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$7.05–$236.25 | $47–$1,575 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$9.30–$295.65 | $62–$1,971 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$9.90–$292.05 | $66–$1,947 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$9.45–$353.40 | $63–$2,356 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$7.05–$179.55 | $47–$1,197 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$9.45–$327.45 | $63–$2,183 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$8.40–$266.40 | $56–$1,776 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$5.55–$134.10 | $37–$894 | varies |
| X-ray humerus (73060) range across 9 matching MRF lines |
$5.10–$234.75 | $25–$1,565 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$15.15–$287.40 | $101–$1,916 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$15–$313.50 | $100–$2,090 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$5.70–$221.85 | $38–$1,479 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$5.40–$178.50 | $36–$1,190 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$7.05–$207.75 | $47–$1,385 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$5.55–$128.40 | $37–$856 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$10.05–$373.20 | $67–$2,488 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$7.05–$171 | $47–$1,140 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$5.40–$129.30 | $36–$862 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$5.55–$414.15 | $28–$2,761 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$6.90–$211.05 | $46–$1,407 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$8.85–$300.15 | $59–$2,001 | varies |
| X-Ray Stress View (77071) | $40.05 | $267 | 0.4× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$7.80–$233.10 | $52–$1,554 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$50.85–$74.25 | $339–$495 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$385.05 | $106–$2,567 | 0.9× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$8.55–$175.65 | $57–$1,171 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$17.10–$317.85 | $114–$2,119 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$8.40–$280.20 | $56–$1,868 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$6.30–$205.50 | $42–$1,370 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$5.70–$143.85 | $38–$959 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$8.85–$101.10 | $59–$674 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$18–$283.05 | $120–$1,887 | 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.