Imaging prices at Gunnison Valley Hospital
Gunnison, CO · every code in this section with a posted price and a Medicare benchmark.
252 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 |
$51.85–$366.35 | $61–$431 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$69.70–$430.10 | $82–$506 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$314.50–$2,971.60 | $370–$3,496 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$105.40–$307.70 | $124–$362 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$155.55–$913.75 | $183–$1,075 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$176.80–$822.80 | $208–$968 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$155.55–$945.20 | $183–$1,112 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$100.30–$176.80 | $118–$208 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$109.65–$311.95 | $129–$367 | varies |
| Cat Scan Follow-Up Study (76380) | $241.40 | $284 | 2.6× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$52.70–$275.40 | $62–$324 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$58.65–$335.75 | $69–$395 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$105.40–$307.70 | $124–$362 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$73.10–$678.30 | $86–$798 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$93.50–$1,052.30 | $110–$1,238 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$174.25–$704.65 | $205–$829 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$163.20–$986.85 | $192–$1,161 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$110.50–$681.70 | $130–$802 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$448.80–$4,524.55 | $528–$5,323 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$337.45–$3,010.70 | $397–$3,542 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$368.90–$2,170.90 | $434–$2,554 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$454.75–$2,438.65 | $535–$2,869 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$282.20–$1,701.70 | $332–$2,002 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$522.75–$3,541.95 | $615–$4,167 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$377.40–$2,777.80 | $444–$3,268 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$459–$2,937.60 | $540–$3,456 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$168.30–$1,355.75 | $198–$1,595 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$388.45–$3,033.65 | $457–$3,569 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$547.40–$2,805 | $644–$3,300 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$333.20–$2,736.15 | $392–$3,219 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$307.70–$2,081.65 | $362–$2,449 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$317.90–$1,860.65 | $374–$2,189 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$321.30–$2,289.90 | $378–$2,694 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$294.95–$2,175.15 | $347–$2,559 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$354.45–$2,564.45 | $417–$3,017 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$354.45–$2,221.90 | $417–$2,614 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$396.10–$2,523.65 | $466–$2,969 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$123.25–$629 | $145–$740 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$40.80–$170.85 | $48–$201 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$178.50–$508.30 | $210–$598 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$334.05–$2,241.45 | $393–$2,637 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$310.25–$2,502.40 | $365–$2,944 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$323.85–$1,636.25 | $381–$1,925 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$368.90–$2,187.90 | $434–$2,574 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$310.25–$2,312 | $365–$2,720 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$309.40–$1,829.20 | $364–$2,152 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$386.75–$2,028.95 | $455–$2,387 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$334.05–$1,669.40 | $393–$1,964 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$405.45–$2,509.20 | $477–$2,952 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$334.05–$2,616.30 | $393–$3,078 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$335.75–$1,652.40 | $395–$1,944 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$387.60–$2,343.45 | $456–$2,757 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$289–$1,709.35 | $340–$2,011 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$388.45–$2,397 | $457–$2,820 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$300.05–$2,262.70 | $353–$2,662 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$400.35–$2,034.05 | $471–$2,393 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$360.40–$1,637.95 | $424–$1,927 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$277.95–$1,988.15 | $327–$2,339 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$306–$1,704.25 | $360–$2,005 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$359.55–$2,502.40 | $423–$2,944 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$311.10–$1,605.65 | $366–$1,889 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$329.80–$1,666.85 | $388–$1,961 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$349.35–$2,156.45 | $411–$2,537 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$333.20–$1,878.50 | $392–$2,210 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$617.10–$3,264.85 | $726–$3,841 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$368.90–$2,641.80 | $434–$3,108 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,402.95 | $2,827 | 6.5× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$510.85–$2,607.80 | $601–$3,068 | varies |
| Diskography lumbar (72295) | $1,605.65 | $1,889 | 0.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$89.25–$556.75 | $105–$655 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$109.65–$239.70 | $129–$282 | varies |
| Echo exam uterus (76831) | $444.55 | $523 | 1.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$110.50–$686.80 | $130–$808 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$188.70–$606.90 | $222–$714 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$116.45–$803.25 | $137–$945 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$112.20–$296.65 | $132–$349 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$105.40–$325.55 | $124–$383 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$142.80–$300.90 | $168–$354 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$99.45–$981.75 | $117–$1,155 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $71.40 | $84 | 0.8× |
| Joint Survey Single View (77077) | $93.50 | $110 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$112.20–$348.50 | $132–$410 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$298.35–$1,349.80 | $351–$1,588 | varies |
| Mammary ductogram or galactogram multiple (77054) | $159.80 | $188 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $151.30 | $178 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$396.95–$3,207.90 | $467–$3,774 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$289–$2,047.65 | $340–$2,409 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$317.90–$2,283.10 | $374–$2,686 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$289–$2,469.25 | $340–$2,905 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$377.40–$3,529.20 | $444–$4,152 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$277.95–$2,009.40 | $327–$2,364 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$417.35–$2,643.50 | $491–$3,110 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$348.50–$2,253.35 | $410–$2,651 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$348.50–$2,645.20 | $410–$3,112 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$490.45–$3,207.90 | $577–$3,774 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$480.25–$2,616.30 | $565–$3,078 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$189.55–$1,022.55 | $223–$1,203 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$171.70–$584.80 | $202–$688 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$383.35–$2,860.25 | $451–$3,365 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$328.10–$2,297.55 | $386–$2,703 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$367.20–$1,934.60 | $432–$2,276 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$566.10–$2,333.25 | $666–$2,745 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$715.70–$3,747.65 | $842–$4,409 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$267.75–$2,590.80 | $315–$3,048 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$422.45–$3,587.85 | $497–$4,221 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$312.80–$2,401.25 | $368–$2,825 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$510.85–$2,913.80 | $601–$3,428 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$510.85–$3,632.90 | $601–$4,274 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$298.35–$1,962.65 | $351–$2,309 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$289–$2,211.70 | $340–$2,602 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$396.95–$3,564.05 | $467–$4,193 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$480.25–$2,832.20 | $565–$3,332 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$510.85–$3,932.10 | $601–$4,626 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$323.85–$2,300.10 | $381–$2,706 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$343.40–$2,297.55 | $404–$2,703 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$377.40–$2,666.45 | $444–$3,137 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$293.25–$2,355.35 | $345–$2,771 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$409.70–$3,321.80 | $482–$3,908 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$495.55–$3,462.90 | $583–$4,074 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$495.55–$3,724.70 | $583–$4,382 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$371.45–$2,793.10 | $437–$3,286 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$388.45–$2,327.30 | $457–$2,738 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$510.85–$3,211.30 | $601–$3,778 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$495.55–$3,825 | $583–$4,500 | varies |
| Myelogram Lumbar (72265) | $328.95 | $387 | 0.4× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$1,298.80–$2,956.30 | $1,528–$3,478 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$50.15–$345.95 | $59–$407 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $508.30 | $598 | 4.6× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$45.90–$263.50 | $54–$310 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$53.55–$76.50 | $63–$90 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$75.65–$287.30 | $89–$338 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$142.80–$334.05 | $168–$393 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$309.40–$5,169.70 | $364–$6,082 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$426.70–$7,074.55 | $502–$8,323 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$422.45–$7,074.55 | $497–$8,323 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$90.95–$559.30 | $107–$658 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$89.25–$1,182.35 | $105–$1,391 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$105.40–$333.20 | $124–$392 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$105.40–$311.10 | $124–$366 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$346.80–$525.30 | $408–$618 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$77.35–$462.40 | $91–$544 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$105.40–$303.45 | $124–$357 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$105.40–$326.40 | $124–$384 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$112.20–$324.70 | $132–$382 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$55.25–$217.60 | $65–$256 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $498.95 | $587 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$56.10–$364.65 | $66–$429 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$76.50–$417.35 | $90–$491 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$105.40–$403.75 | $124–$475 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$147.90–$379.10 | $174–$446 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$32.30–$272.85 | $38–$321 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$83.30–$515.95 | $98–$607 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$90.10–$300.05 | $106–$353 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$64.60–$349.35 | $76–$411 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$65.45–$422.45 | $77–$497 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$105.40–$272 | $124–$320 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$52.70–$198.05 | $62–$233 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$112.20–$333.20 | $132–$392 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$77.35–$458.15 | $91–$539 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$69.70–$438.60 | $82–$516 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$215.90–$1,074.40 | $254–$1,264 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$166.60–$854.25 | $196–$1,005 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$142.80–$442 | $168–$520 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$79.90–$498.95 | $94–$587 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$133.45–$931.60 | $157–$1,096 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$89.25–$267.75 | $105–$315 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$172.55–$955.40 | $203–$1,124 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$105.40–$362.10 | $124–$426 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$105.40–$311.95 | $124–$367 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$109.65–$1,421.20 | $129–$1,672 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$105.40–$338.30 | $124–$398 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$79.05–$484.50 | $93–$570 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$142.80–$354.45 | $168–$417 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$28.05–$45.05 | $33–$53 | varies |
| Sella turcica (70240) | $47.60 | $56 | 0.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$52.70–$263.50 | $62–$310 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$163.20–$844.90 | $192–$994 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$88.40–$463.25 | $104–$545 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$142.80–$404.60 | $168–$476 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$52.70–$333.20 | $62–$392 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $154.70 | $182 | 0.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$142.80–$416.50 | $168–$490 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$66.30–$509.15 | $78–$599 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$105.40–$379.10 | $124–$446 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$58.65–$416.50 | $69–$490 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$56.10–$522.75 | $66–$615 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$171.70–$621.35 | $202–$731 | varies |
| Umbilical-artery Doppler (OB) (76820) | $290.70 | $342 | 2.6× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$292.40–$816 | $344–$960 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$163.20–$645.15 | $192–$759 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$130.05–$976.65 | $153–$1,149 | varies |
| Urethrocystography retrograde (74450) | $130.05 | $153 | 0.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$87.55–$507.45 | $103–$597 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$189.55–$596.70 | $223–$702 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$78.20–$788.80 | $92–$928 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$132.60–$641.75 | $156–$755 | varies |
| Us head (76506) range across 2 matching MRF lines |
$235.45–$442.85 | $277–$521 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$171.70–$946.05 | $202–$1,113 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$170.85–$504.90 | $201–$594 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$159.80–$545.70 | $188–$642 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$163.20–$742.90 | $192–$874 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$204.85–$744.60 | $241–$876 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$211.65–$709.75 | $249–$835 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$158.95–$649.40 | $187–$764 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$217.60–$669.80 | $256–$788 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$167.45–$667.25 | $197–$785 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$188.70–$710.60 | $222–$836 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$83.30–$257.55 | $98–$303 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$182.75–$742.05 | $215–$873 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$204.85–$507.45 | $241–$597 | varies |
| Venography extremity bilateral rs&i (75822) | $243.95 | $287 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $367.20 | $432 | 0.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$105.40–$300.90 | $124–$354 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$105.40–$449.65 | $124–$529 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$64.60–$480.25 | $76–$565 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$112.20–$297.50 | $132–$350 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$56.95–$614.55 | $67–$723 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$109.65–$646 | $129–$760 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$118.15–$687.65 | $139–$809 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$121.55–$782 | $143–$920 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$50.15–$291.55 | $59–$343 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$105.40–$419.05 | $124–$493 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$71.40–$75.65 | $84–$89 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$142.80–$484.50 | $168–$570 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$74.80–$284.75 | $88–$335 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$39.95–$284.75 | $47–$335 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$124.10–$717.40 | $146–$844 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$105.40–$369.75 | $124–$435 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$105.40–$636.65 | $124–$749 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$75.65–$445.40 | $89–$524 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$66.30–$297.50 | $78–$350 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$105.40–$351.05 | $124–$413 | varies |
| X-ray IV pyelogram (ivp) (74400) | $181.90 | $214 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$56.95–$385.90 | $67–$454 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$105.40–$433.50 | $124–$510 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$142.80–$466.65 | $168–$549 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$126.65–$229.50 | $149–$270 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$88.40–$561 | $104–$660 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$65.45–$428.40 | $77–$504 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$64.60–$428.40 | $76–$504 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$105.40–$413.10 | $124–$486 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$83.30–$483.65 | $98–$569 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$142.80–$708.90 | $168–$834 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$65.45–$549.10 | $77–$646 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$65.45–$351.90 | $77–$414 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $117.30 | $138 | 0.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$73.95–$413.10 | $87–$486 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$157.25–$1,895.50 | $185–$2,230 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$90.95–$561 | $107–$660 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$56.10–$279.65 | $66–$329 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$48.45–$417.35 | $57–$491 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$86.70–$413.95 | $102–$487 | 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.