Imaging prices at Greater El Monte Community Hospital
South El Monte, CA · every code in this section with a posted price and a Medicare benchmark.
315 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) | $489 | $489 | 4.4× |
| Abdomen 2 views (74019) | $1,007 | $1,007 | 7.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 6 matching MRF lines |
$1,154–$3,160 | $1,154–$3,160 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 3 matching MRF lines |
$1,986–$2,778 | $1,986–$2,778 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$1,844–$2,579 | $1,844–$2,579 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$1,151–$3,327 | $1,151–$3,327 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$2,380–$3,327 | $2,380–$3,327 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$2,737–$3,828 | $2,737–$3,828 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$739–$5,200 | $739–$5,200 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$975–$1,365 | $975–$1,365 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$975–$1,365 | $975–$1,365 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$733–$1,026 | $733–$1,026 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$325–$456 | $325–$456 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$2,663–$3,724 | $2,663–$3,724 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$1,444–$5,547 | $1,444–$5,547 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$1,818–$2,541 | $1,818–$2,541 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$1,473–$2,062 | $1,473–$2,062 | varies |
| Bone marrow imaging limited area (78102) range across 3 matching MRF lines |
$787–$1,102 | $787–$1,102 | varies |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
$1,163–$1,627 | $1,163–$1,627 | varies |
| Bone marrow imaging; whole body (78104) range across 3 matching MRF lines |
$1,414–$1,979 | $1,414–$1,979 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$661–$927 | $661–$927 | varies |
| Brain Flow Imaging Only (78610) range across 6 matching MRF lines |
$537–$1,646 | $537–$1,646 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 3 matching MRF lines |
$1,114–$1,559 | $1,114–$1,559 | varies |
| Brain imaging < 4 static views (78600) range across 3 matching MRF lines |
$941–$1,317 | $941–$1,317 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 3 matching MRF lines |
$1,611–$2,255 | $1,611–$2,255 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 3 matching MRF lines |
$1,404–$1,964 | $1,404–$1,964 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$2,153–$3,011 | $2,153–$3,011 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$1,149–$1,608 | $1,149–$1,608 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 3 matching MRF lines |
$941–$1,317 | $941–$1,317 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$1,599–$2,236 | $1,599–$2,236 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$144–$471 | $144–$471 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$439–$613 | $439–$613 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$451–$682 | $451–$682 | varies |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$402–$564 | $402–$564 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$2,546–$3,561 | $2,546–$3,561 | varies |
| Contrast X-Ray Bladder (74430) range across 6 matching MRF lines |
$557–$1,274 | $557–$1,274 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$975–$1,365 | $975–$1,365 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,221–$1,709 | $1,221–$1,709 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,973 | $4,973 | 11.1× |
| CT abdomen and pelvis without contrast (74176) | $4,846 | $4,846 | 15.8× |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$512–$4,739 | $512–$4,739 | varies |
| CT abdomen w wo contrast (74170) range across 5 matching MRF lines |
$718–$5,075 | $718–$5,075 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$512–$3,657 | $512–$3,657 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,439 | $2,439 | 5.4× |
| CT Angio Chest (71275) | $3,797 | $3,797 | 16.8× |
| CT Angio Head (70496) | $2,853 | $2,853 | 12.6× |
| CT angio hrt w/3d image (75574) | $585 | $585 | 1.3× |
| CT Angio Neck (70498) | $2,853 | $2,853 | 12.6× |
| CT bone density (77078) range across 2 matching MRF lines |
$967–$1,171 | $967–$1,171 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$2,915–$4,076 | $2,915–$4,076 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$2,430–$3,398 | $2,430–$3,398 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$2,976–$4,162 | $2,976–$4,162 | varies |
| CT chest w contrast (71260) range across 6 matching MRF lines |
$2,791–$4,739 | $2,791–$4,739 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$2,968–$4,150 | $2,968–$4,150 | varies |
| CT head/brain with contrast (70460) range across 6 matching MRF lines |
$408–$4,847 | $408–$4,847 | varies |
| CT head/brain without and with contrast (70470) range across 6 matching MRF lines |
$615–$4,920 | $615–$4,920 | varies |
| CT iac w contrast (70481) range across 6 matching MRF lines |
$464–$3,312 | $464–$3,312 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$2,551–$3,567 | $2,551–$3,567 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$2,109–$2,949 | $2,109–$2,949 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$2,607–$3,645 | $2,607–$3,645 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,928–$4,094 | $2,928–$4,094 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$2,430–$3,398 | $2,430–$3,398 | varies |
| CT maxillofacial w contrast (70487) range across 9 matching MRF lines |
$446–$3,831 | $446–$3,831 | varies |
| CT maxillofacial wo contrast (70486) range across 9 matching MRF lines |
$464–$3,353 | $464–$3,353 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$2,606–$3,644 | $2,606–$3,644 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 6 matching MRF lines |
$635–$4,739 | $635–$4,739 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$2,154–$3,012 | $2,154–$3,012 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$3,059–$4,277 | $3,059–$4,277 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$2,057–$2,876 | $2,057–$2,876 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$2,521–$3,526 | $2,521–$3,526 | varies |
| CT scans face/jaw combo (70488) range across 5 matching MRF lines |
$632–$3,873 | $632–$3,873 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$2,499–$3,494 | $2,499–$3,494 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$2,140–$2,992 | $2,140–$2,992 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$3,272–$4,574 | $3,272–$4,574 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$2,430–$3,398 | $2,430–$3,398 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$2,915–$4,076 | $2,915–$4,076 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,615–$3,657 | $2,615–$3,657 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,367–$3,310 | $2,367–$3,310 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,521–$3,526 | $2,521–$3,526 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,367–$3,310 | $2,367–$3,310 | varies |
| Cta Abdomen (74175) | $2,853 | $2,853 | 12.6× |
| CTA pelvis (72191) | $2,853 | $2,853 | 12.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 3 matching MRF lines |
$683–$957 | $683–$957 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) range across 3 matching MRF lines |
$570–$797 | $570–$797 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$1,058–$1,481 | $1,058–$1,481 | varies |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$955–$1,656 | $955–$1,656 | varies |
| Esophageal Motility Study (78258) range across 3 matching MRF lines |
$1,088–$1,522 | $1,088–$1,522 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$626–$876 | $626–$876 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$924–$1,293 | $924–$1,293 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$696–$975 | $696–$975 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$348–$489 | $348–$489 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$1,417–$1,982 | $1,417–$1,982 | varies |
| Gastric Mucosa Imaging (78261) range across 3 matching MRF lines |
$1,367–$1,913 | $1,367–$1,913 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$1,402–$1,962 | $1,402–$1,962 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,866–$2,610 | $1,866–$2,610 | varies |
| Gated Heart, Multiple (78473) range across 6 matching MRF lines |
$1,595–$2,235 | $1,595–$2,235 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Heart first pass single,planar (78481) range across 5 matching MRF lines |
$1,582–$2,214 | $1,582–$2,214 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,232 | $1,232 | 1.8× |
| Hepatobiliary System Imaging (78226) | $1,232 | $1,232 | 2.4× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,386–$1,602 | $1,386–$1,602 | varies |
| Ht Muscle Image Spect Sing (78451) range across 7 matching MRF lines |
$1,021–$5,620 | $1,021–$5,620 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$696–$975 | $696–$975 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$490–$593 | $490–$593 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$975–$1,365 | $975–$1,365 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$1,587–$2,220 | $1,587–$2,220 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$1,173–$1,643 | $1,173–$1,643 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 7 matching MRF lines |
$1,357–$1,921 | $1,357–$1,921 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$1,227–$1,716 | $1,227–$1,716 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 6 matching MRF lines |
$677–$1,481 | $677–$1,481 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$383–$538 | $383–$538 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 3 matching MRF lines |
$1,291–$1,808 | $1,291–$1,808 | varies |
| Leveen/Shunt Patency Exam (78291) range across 3 matching MRF lines |
$1,201–$1,682 | $1,201–$1,682 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$979–$1,370 | $979–$1,370 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$1,451–$2,030 | $1,451–$2,030 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$806–$1,437.91 | $806–$1,437.91 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$1,224–$1,713 | $1,224–$1,713 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,329 | $1,329 | 1.9× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$851–$1,787 | $851–$1,787 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $2,641.68 | $2,641.68 | 3.8× |
| Lung Ventilation Imaging (78579) | $851 | $851 | 1.7× |
| Lymph System Imaging (78195) range across 6 matching MRF lines |
$771–$1,913 | $771–$1,913 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$3,488.57–$4,836 | $3,488.57–$4,836 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$1,102–$1,543 | $1,102–$1,543 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $4,873.93 | $4,873.93 | 10.9× |
| MRA head w/o contrast (70544) | $3,510.53 | $3,510.53 | 11.4× |
| MRA head with contrast (70545) | $2,060 | $2,060 | 4.6× |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$3,902–$8,140 | $3,902–$8,140 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$4,737.57–$8,776 | $4,737.57–$8,776 | varies |
| MRA neck w/o contrast (70547) | $3,523 | $3,523 | 11.5× |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$3,425–$4,294.40 | $3,425–$4,294.40 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,870–$3,735 | $2,870–$3,735 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,112–$3,935.58 | $2,112–$3,935.58 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,313–$4,968 | $2,313–$4,968 | varies |
| MRI bone marrow blood supply (77084) range across 5 matching MRF lines |
$3,337–$5,460 | $3,337–$5,460 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$3,236–$5,460 | $3,236–$5,460 | varies |
| MRI cervical spine w contrast (72142) range across 6 matching MRF lines |
$4,260.39–$6,704 | $4,260.39–$6,704 | varies |
| MRI cervical spine w/o cont (72141) range across 9 matching MRF lines |
$3,900–$6,584 | $3,900–$6,584 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$3,634.24–$5,502 | $3,634.24–$5,502 | varies |
| MRI chest with contrast (71551) | $4,112 | $4,112 | 4.1× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$4,996–$6,218 | $4,996–$6,218 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,055–$4,140 | $2,055–$4,140 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,313–$3,234 | $2,313–$3,234 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,012–$3,618 | $2,012–$3,618 | varies |
| MRI lumbar spine w contrast (72149) range across 6 matching MRF lines |
$4,297.82–$7,623 | $4,297.82–$7,623 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$2,965.84–$6,770 | $2,965.84–$6,770 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 7 matching MRF lines |
$3,606–$5,366 | $3,606–$5,366 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$4,257–$5,527 | $4,257–$5,527 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$4,795–$5,803 | $4,795–$5,803 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$3,425–$4,196 | $3,425–$4,196 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,653–$5,053.52 | $3,653–$5,053.52 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$2,521–$3,607.87 | $2,521–$3,607.87 | varies |
| MRI thoracic spine w/o contrast (72146) range across 5 matching MRF lines |
$3,842–$5,460 | $3,842–$5,460 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,854–$4,073 | $2,854–$4,073 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,512–$3,514 | $2,512–$3,514 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,858–$4,581.75 | $2,858–$4,581.75 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$5,051–$6,218 | $5,051–$6,218 | varies |
| MRI, dorsal spine combo (72157) range across 5 matching MRF lines |
$5,138–$6,599 | $5,138–$6,599 | varies |
| MRI, dorsal spine contrast (72147) range across 5 matching MRF lines |
$4,127–$7,737 | $4,127–$7,737 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,512–$3,683.50 | $2,512–$3,683.50 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,858–$4,792.25 | $2,858–$4,792.25 | varies |
| MRI, lumbar spine combo (72158) range across 6 matching MRF lines |
$2,965.84–$8,937 | $2,965.84–$8,937 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$2,053–$2,871 | $2,053–$2,871 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$2,053–$2,871 | $2,053–$2,871 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$1,918–$2,682 | $1,918–$2,682 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$2,308–$3,227 | $2,308–$3,227 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$1,688–$2,361 | $1,688–$2,361 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) range across 3 matching MRF lines |
$1,688–$2,361 | $1,688–$2,361 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,069 | $4,069 | 2.4× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,931–$5,620 | $1,931–$5,620 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$297–$416 | $297–$416 | varies |
| Nm csf leak detection (78650) range across 3 matching MRF lines |
$1,466–$2,051 | $1,466–$2,051 | varies |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$1,770–$2,475 | $1,770–$2,475 | varies |
| Nm red cell survival study (78130) range across 3 matching MRF lines |
$1,022–$1,431 | $1,022–$1,431 | varies |
| Nm whole blood volume (78122) range across 3 matching MRF lines |
$1,635–$2,286 | $1,635–$2,286 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$408–$572 | $408–$572 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$887–$1,242 | $887–$1,242 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 3 matching MRF lines |
$754–$1,056 | $754–$1,056 | varies |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 3 matching MRF lines |
$411–$577 | $411–$577 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$1,681–$2,351 | $1,681–$2,351 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$417–$584 | $417–$584 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$715–$1,001 | $715–$1,001 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$313–$439 | $313–$439 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$383–$538 | $383–$538 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$559–$783 | $559–$783 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$297–$416 | $297–$416 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$406–$570 | $406–$570 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$506–$709 | $506–$709 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 6 matching MRF lines |
$147–$613 | $147–$613 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$263–$369 | $263–$369 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$402–$564 | $402–$564 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$576–$807 | $576–$807 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$278–$390 | $278–$390 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$367–$641 | $367–$641 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$437–$613 | $437–$613 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$1,183–$1,656 | $1,183–$1,656 | varies |
| Radiologic exam colon single contrast study (74270) range across 6 matching MRF lines |
$905–$1,367 | $905–$1,367 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$390–$546 | $390–$546 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$417–$584 | $417–$584 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$696–$975 | $696–$975 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$1,045–$1,462 | $1,045–$1,462 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$889–$1,267 | $889–$1,267 | varies |
| Radiologic examination femur minimum 2 views (73552) | $538 | $538 | 4.8× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$348–$489 | $348–$489 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 6 matching MRF lines |
$668–$1,363 | $668–$1,363 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$423–$594 | $423–$594 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$316–$444 | $316–$444 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$473–$664 | $473–$664 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 3 matching MRF lines |
$546–$766 | $546–$766 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 3 matching MRF lines |
$887–$1,242 | $887–$1,242 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$487–$682 | $487–$682 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$1,176–$1,646 | $1,176–$1,646 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$1,445–$2,021 | $1,445–$2,021 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 7 matching MRF lines |
$571–$2,618 | $571–$2,618 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$571–$2,537 | $571–$2,537 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,484–$2,086 | $1,484–$2,086 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$297–$416 | $297–$416 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$398–$558 | $398–$558 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,177–$1,647 | $1,177–$1,647 | varies |
| Sialogram (70390) range across 3 matching MRF lines |
$1,138–$1,592 | $1,138–$1,592 | varies |
| Skull less than 4 views (70250) range across 6 matching MRF lines |
$248–$613 | $248–$613 | varies |
| Spleen Imaging (78185) range across 3 matching MRF lines |
$1,194–$1,671 | $1,194–$1,671 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$423–$594 | $423–$594 | varies |
| Testicular Imaging W/Flow (78761) range across 6 matching MRF lines |
$995–$1,614 | $995–$1,614 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines |
$1,357–$1,899 | $1,357–$1,899 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$531–$745 | $531–$745 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$452–$634 | $452–$634 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$417–$584 | $417–$584 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 3 matching MRF lines |
$1,469–$2,054 | $1,469–$2,054 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 3 matching MRF lines |
$1,028–$1,439 | $1,028–$1,439 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,129–$1,162 | $1,129–$1,162 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$2,285–$3,196 | $2,285–$3,196 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$471–$795 | $471–$795 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,620–$1,852 | $1,620–$1,852 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$457–$1,340 | $457–$1,340 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 11 matching MRF lines |
$69.79–$2,183 | $69.79–$2,183 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $388.36 | $388.36 | 0.8× |
| Unlisted respiratory px dx nuclear medicine (78599) range across 3 matching MRF lines |
$1,291–$1,808 | $1,291–$1,808 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$784–$1,119 | $784–$1,119 | varies |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$818–$1,144 | $818–$1,144 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$780–$1,091 | $780–$1,091 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$784–$1,098 | $784–$1,098 | varies |
| Us chest (76604) | $743 | $743 | 5.5× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$491–$726 | $491–$726 | varies |
| Us head (76506) range across 2 matching MRF lines |
$788–$954 | $788–$954 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$943–$1,320 | $943–$1,320 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $933 | $933 | 6.9× |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$32–$1,176 | $32–$1,176 | varies |
| Us ob limited 1 or more fetuses (76815) range across 6 matching MRF lines |
$302–$1,007 | $302–$1,007 | varies |
| Us ob transvaginal (76817) | $826 | $826 | 6.1× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$851–$1,192 | $851–$1,192 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $947 | $947 | 7.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$618–$748 | $618–$748 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,009–$1,412 | $1,009–$1,412 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$762–$1,235 | $762–$1,235 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$822–$1,151 | $822–$1,151 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,066–$1,291 | $1,066–$1,291 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$746–$1,045 | $746–$1,045 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$851–$1,192 | $851–$1,192 | varies |
| Vascular Flow Imaging (78445) range across 8 matching MRF lines |
$537–$2,057 | $537–$2,057 | varies |
| Vasogram (74440) range across 3 matching MRF lines |
$715–$1,001 | $715–$1,001 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,141–$1,598 | $1,141–$1,598 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,141–$2,908.23 | $1,141–$2,908.23 | varies |
| Venography extremity bilateral rs&i (75822) range across 6 matching MRF lines |
$2,585–$3,843 | $2,585–$3,843 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$1,904–$2,663 | $1,904–$2,663 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$1,301–$1,821 | $1,301–$1,821 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 3 matching MRF lines |
$1,447–$2,025 | $1,447–$2,025 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$332–$467 | $332–$467 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$641–$898 | $641–$898 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$2,546–$3,561 | $2,546–$3,561 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$520–$728 | $520–$728 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$348–$489 | $348–$489 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$228–$321 | $228–$321 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $572 | $572 | 5.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$903–$959 | $903–$959 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $439 | $439 | 3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $538 | $538 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $661 | $661 | 4.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$731–$1,024 | $731–$1,024 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$383–$538 | $383–$538 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$651–$912 | $651–$912 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$520–$728 | $520–$728 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$619–$975 | $619–$975 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$383–$538 | $383–$538 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$1,044–$1,461 | $1,044–$1,461 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$1,058–$1,481 | $1,058–$1,481 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$367–$515 | $367–$515 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$376–$528 | $376–$528 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$417–$584 | $417–$584 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$278–$390 | $278–$390 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$383–$538 | $383–$538 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$283–$515 | $283–$515 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 6 matching MRF lines |
$541–$768 | $541–$768 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$611–$857 | $611–$857 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$325–$456 | $325–$456 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$1,392–$1,948 | $1,392–$1,948 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$506–$709 | $506–$709 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$974–$1,363 | $974–$1,363 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$557–$781 | $557–$781 | varies |
| Xr facial bones less than 3 views (70140) range across 6 matching MRF lines |
$437–$629 | $437–$629 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$408–$572 | $408–$572 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$541–$759 | $541–$759 | varies |
| Xr Tomogram Single Plane (76100) range across 6 matching MRF lines |
$664–$1,091 | $664–$1,091 | 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.