Imaging prices at Good Shepherd Medical Center
Hermiston, OR · 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 |
$68–$887 | $68–$887 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$96–$1,138 | $96–$1,138 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$332–$3,246 | $332–$3,246 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$62–$822 | $62–$822 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$205–$2,672 | $205–$2,672 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$204–$4,032 | $204–$4,032 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$104–$870 | $104–$870 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$350–$3,928 | $350–$3,928 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$251–$387 | $251–$387 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$277–$4,246 | $277–$4,246 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$320–$4,067 | $320–$4,067 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$292–$1,436 | $292–$1,436 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$229–$5,439 | $229–$5,439 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$71–$925 | $71–$925 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$95–$980 | $95–$980 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$104–$872 | $104–$872 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$113–$848 | $113–$848 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$62–$1,198 | $62–$1,198 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$153–$3,110 | $153–$3,110 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$123–$1,484 | $123–$1,484 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$219–$3,677 | $219–$3,677 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$201–$4,032 | $201–$4,032 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$654–$7,570 | $654–$7,570 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$463–$5,235 | $463–$5,235 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$539–$7,026 | $539–$7,026 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$578–$8,422 | $578–$8,422 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$497–$5,548 | $497–$5,548 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$567–$8,233 | $567–$8,233 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$742–$7,875 | $742–$7,875 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$992–$6,858 | $992–$6,858 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$789–$6,097 | $789–$6,097 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$645–$7,273 | $645–$7,273 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$757–$6,759 | $757–$6,759 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$635–$7,066 | $635–$7,066 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$492–$5,832 | $492–$5,832 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$485–$4,938 | $485–$4,938 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$502–$5,686 | $502–$5,686 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$557–$7,431 | $557–$7,431 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$421–$4,587 | $421–$4,587 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$478–$6,431 | $478–$6,431 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$52–$53 | $52–$53 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$494–$4,919 | $494–$4,919 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$547–$5,951 | $547–$5,951 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$485–$5,682 | $485–$5,682 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$570–$7,917 | $570–$7,917 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$512–$5,798 | $512–$5,798 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$485–$4,603 | $485–$4,603 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$401–$3,740 | $401–$3,740 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$377–$3,895 | $377–$3,895 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$520–$5,941 | $520–$5,941 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$514–$5,251 | $514–$5,251 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$470–$3,764 | $470–$3,764 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$547–$6,941 | $547–$6,941 | varies |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$463–$4,145 | $463–$4,145 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$614–$6,944 | $614–$6,944 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$499–$5,942 | $499–$5,942 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$492–$4,679 | $492–$4,679 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$470–$3,879 | $470–$3,879 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$492–$5,528 | $492–$5,528 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$485–$4,561 | $485–$4,561 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$485–$4,268 | $485–$4,268 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$502–$4,178 | $502–$4,178 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$616–$6,442 | $616–$6,442 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$570–$5,446 | $570–$5,446 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$880–$7,248 | $880–$7,248 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$711–$6,467 | $711–$6,467 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$993–$7,066 | $993–$7,066 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$840–$4,929 | $840–$4,929 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$329–$1,691 | $329–$1,691 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $228 | $228 | 2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $237 | $237 | 2.0× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$274–$649 | $274–$649 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$109–$1,318 | $109–$1,318 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$111–$466 | $111–$466 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$109–$788 | $109–$788 | varies |
| Echo exam of fetal heart (76825) | $716 | $716 | 1.2× |
| Esophagram (74220) range across 2 matching MRF lines |
$178–$1,938 | $178–$1,938 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$194–$1,853 | $194–$1,853 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$271–$1,818 | $271–$1,818 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$101–$2,643 | $101–$2,643 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$64–$762 | $64–$762 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$64–$1,240 | $64–$1,240 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$278–$3,512 | $278–$3,512 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$326–$4,088 | $326–$4,088 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$64–$1,169 | $64–$1,169 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$295–$4,514 | $295–$4,514 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$277–$4,387 | $277–$4,387 | varies |
| Ht Musc Image Planar Mult (78454) | $266 | $266 | 0.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$266–$3,765 | $266–$3,765 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$123–$4,022 | $123–$4,022 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$426–$2,835 | $426–$2,835 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$320–$2,926 | $320–$2,926 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$86–$930 | $86–$930 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$178–$2,536 | $178–$2,536 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$201–$2,805 | $201–$2,805 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$405–$4,211 | $405–$4,211 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$235–$2,934 | $235–$2,934 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$561–$10,935 | $561–$10,935 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$478–$7,670 | $478–$7,670 | varies |
| MRA head with contrast (70545) | $8,094 | $8,094 | 20.9× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$556–$7,282 | $556–$7,282 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$630–$7,784 | $630–$7,784 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$170–$7,784 | $170–$7,784 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$567–$8,094 | $567–$8,094 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$556–$7,464 | $556–$7,464 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$585–$8,531 | $585–$8,531 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$757–$11,467 | $757–$11,467 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$570–$11,589 | $570–$11,589 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$663–$7,901 | $663–$7,901 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$618–$7,905 | $618–$7,905 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$539–$8,455 | $539–$8,455 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$740–$9,942 | $740–$9,942 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$508–$8,249 | $508–$8,249 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$757–$11,136 | $757–$11,136 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$506–$8,213 | $506–$8,213 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$703–$9,530 | $703–$9,530 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$917–$11,924 | $917–$11,924 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$539–$7,679 | $539–$7,679 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$285–$8,094 | $285–$8,094 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$757–$10,315 | $757–$10,315 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$740–$7,686 | $740–$7,686 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$803–$10,841 | $803–$10,841 | varies |
| MRI pelvis w/o contrast (72195) range across 5 matching MRF lines |
$523–$7,898 | $523–$7,898 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$618–$7,396 | $618–$7,396 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$539–$5,072 | $539–$5,072 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$506–$8,454 | $506–$8,454 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$800–$11,137 | $800–$11,137 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$803–$10,841 | $803–$10,841 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$922–$10,570 | $922–$10,570 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$797–$6,455 | $797–$6,455 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$503–$10,482 | $503–$10,482 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$757–$14,487 | $757–$14,487 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$868–$10,841 | $868–$10,841 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$490–$7,939 | $490–$7,939 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$65–$870 | $65–$870 | varies |
| Nonvascular Shunt X-Ray (75809) | $1,196 | $1,196 | 10.3× |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$311–$950 | $311–$950 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$180–$315 | $180–$315 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$197–$315 | $197–$315 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$30–$86 | $30–$86 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$277–$2,920 | $277–$2,920 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$398–$3,390 | $398–$3,390 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$65–$866 | $65–$866 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$378–$5,439 | $378–$5,439 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$374–$5,439 | $374–$5,439 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$205–$1,753 | $205–$1,753 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$211–$1,970 | $211–$1,970 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$78–$852 | $78–$852 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$64–$798 | $64–$798 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$74–$921 | $74–$921 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$105–$974 | $105–$974 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$56–$833 | $56–$833 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$78–$904 | $78–$904 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$71–$922 | $71–$922 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$86–$931 | $86–$931 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$62–$825 | $62–$825 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$95–$873 | $95–$873 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$78–$906 | $78–$906 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$74–$755 | $74–$755 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$68–$967 | $68–$967 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$74–$873 | $74–$873 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$109–$1,025 | $109–$1,025 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$58–$876 | $58–$876 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$86–$931 | $86–$931 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$74–$931 | $74–$931 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,637 | $1,637 | 14.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$104–$998 | $104–$998 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$125–$1,015 | $125–$1,015 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$350–$2,894 | $350–$2,894 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$253–$2,302 | $253–$2,302 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$105–$968 | $105–$968 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$101–$964 | $101–$964 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$192–$1,938 | $192–$1,938 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$192–$1,810 | $192–$1,810 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$269–$1,970 | $269–$1,970 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$65–$958 | $65–$958 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$74–$1,019 | $74–$1,019 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$78–$876 | $78–$876 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$150–$1,614 | $150–$1,614 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$62–$897 | $62–$897 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$109–$955 | $109–$955 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$337–$3,933 | $337–$3,933 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,933 | $3,933 | 2.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $231 | $231 | 0.2× |
| Scapula (73010) range across 2 matching MRF lines |
$64–$876 | $64–$876 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $654 | $654 | 28.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$68–$795 | $68–$795 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$205–$3,543 | $205–$3,543 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$96–$886 | $96–$886 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$71–$804 | $71–$804 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$78–$948 | $78–$948 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$96–$992 | $96–$992 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$91–$886 | $91–$886 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$296–$2,666 | $296–$2,666 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$189–$3,229 | $189–$3,229 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$268–$1,281 | $268–$1,281 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$100–$667 | $100–$667 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$100–$667 | $100–$667 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$205–$1,727 | $205–$1,727 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$229–$1,743 | $229–$1,743 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$195–$651 | $195–$651 | varies |
| Unlisted us procedure (76999) | $222 | $222 | 2.3× |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
$138–$2,983 | $138–$2,983 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$128–$1,906 | $128–$1,906 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$128–$1,765 | $128–$1,765 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$140–$2,554 | $140–$2,554 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$287–$1,366 | $287–$1,366 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$244–$1,701 | $244–$1,701 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$164–$1,218 | $164–$1,218 | varies |
| Us head (76506) range across 2 matching MRF lines |
$210–$1,406 | $210–$1,406 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$164–$689 | $164–$689 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,068–$3,429 | $1,068–$3,429 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$235–$1,235 | $235–$1,235 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$271–$1,733 | $271–$1,733 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$269–$1,982 | $269–$1,982 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$215–$1,724 | $215–$1,724 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$183–$1,329 | $183–$1,329 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$274–$1,982 | $274–$1,982 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$228–$1,940 | $228–$1,940 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$255–$1,940 | $255–$1,940 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$250–$1,922 | $250–$1,922 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$242–$322 | $242–$322 | varies |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$64–$1,190 | $64–$1,190 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$150–$800 | $150–$800 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$137–$3,673 | $137–$3,673 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$91–$931 | $91–$931 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$62–$853 | $62–$853 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$91–$1,066 | $91–$1,066 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$91–$825 | $91–$825 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$111–$1,113 | $111–$1,113 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,450 | $1,450 | 12.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$68–$931 | $68–$931 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$82–$931 | $82–$931 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$101–$1,113 | $101–$1,113 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$105–$1,191 | $105–$1,191 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$113–$1,062 | $113–$1,062 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,605–$1,688 | $1,605–$1,688 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$137–$1,736 | $137–$1,736 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$96–$937 | $96–$937 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$128–$1,490 | $128–$1,490 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$109–$1,089 | $109–$1,089 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$62–$958 | $62–$958 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$220–$2,158 | $220–$2,158 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$78–$898 | $78–$898 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$202–$534 | $202–$534 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$86–$934 | $86–$934 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$178–$946 | $178–$946 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$122–$1,508 | $122–$1,508 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$105–$931 | $105–$931 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$86–$876 | $86–$876 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$105–$904 | $105–$904 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$122–$1,517 | $122–$1,517 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$320–$459 | $320–$459 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$86–$752 | $86–$752 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$135–$1,928 | $135–$1,928 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$109–$912 | $109–$912 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$220–$1,736 | $220–$1,736 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$116–$1,490 | $116–$1,490 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$101–$833 | $101–$833 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$116–$941 | $116–$941 | 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.