Imaging prices at HCA HealthOne Mountain Ridge
Thornton, CO · every code in this section with a posted price and a Medicare benchmark.
345 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) | $1,987.15 | $1,987.15 | 21.6× |
| Abdomen 2 views (74019) | $2,571.07 | $2,571.07 | 23.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,796.35 | $5,796.35 | 13.7× |
| Angio internal mammary (75756) | $10,923.56 | $10,923.56 | 3.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$15,275.41–$30,020.66 | $15,275.41–$30,020.66 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $15,502.74 | $15,502.74 | 4.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$11,560.13–$12,888.38 | $11,560.13–$12,888.38 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$11,174.83–$12,752.39 | $11,174.83–$12,752.39 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$11,212.95–$15,502.74 | $11,212.95–$15,502.74 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $11,368.24 | $11,368.24 | 3.4× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$2,047.20–$4,167.44 | $2,047.20–$4,167.44 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$10,975.28–$12,752.39 | $10,975.28–$12,752.39 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$11,910.25–$25,685.19 | $11,910.25–$25,685.19 | varies |
| Artery X-Rays Adrenal Gland (75731) | $6,418.37 | $6,418.37 | 1.9× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$10,975.28–$12,752.39 | $10,975.28–$12,752.39 | varies |
| Artery X-Rays Spine (75705) | $10,006.22 | $10,006.22 | 1.7× |
| Arthrogram ankle (73615) | $8,098.39 | $8,098.39 | 22.0× |
| Arthrogram hip (73525) | $5,350.17 | $5,350.17 | 14.5× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$8,107.70–$16,211.34 | $8,107.70–$16,211.34 | varies |
| Basic radiation dosimetry calculation (77300) | $1,090.41 | $1,090.41 | 7.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$1,830.75–$1,864.07 | $1,830.75–$1,864.07 | varies |
| Bone Imaging 3 Phase (78315) | $13,294.66 | $13,294.66 | 31.5× |
| Bone Imaging Limited Area (78300) | $13,552.17 | $13,552.17 | 32.1× |
| Bone Imaging Multiple Areas (78305) | $8,577.71 | $8,577.71 | 20.3× |
| Bone Imaging Whole Body (78306) | $13,242.86 | $13,242.86 | 31.4× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$6,457.51–$6,574.94 | $6,457.51–$6,574.94 | varies |
| Brain Flow Imaging Only (78610) | $4,273.56 | $4,273.56 | 7.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,925.49 | $8,925.49 | 15.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $8,925.49 | $8,925.49 | 15.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$11,955.89–$14,456.16 | $11,955.89–$14,456.16 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$4,078.49–$6,623 | $4,078.49–$6,623 | varies |
| Cerebrospinal Fluid Scan (78630) | $8,762.20 | $8,762.20 | 15.3× |
| Chest 1 view (71045) | $1,269.31 | $1,269.31 | 13.8× |
| Chest 2 views (71046) | $2,160.09 | $2,160.09 | 23.5× |
| Chest 3 views (71047) | $3,672.15 | $3,672.15 | 40.0× |
| Chest 4 or more views (71048) | $4,590.23 | $4,590.23 | 41.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,144.90–$1,424.75 | $1,144.90–$1,424.75 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $285.32 | $285.32 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$11,174.83–$11,193.79 | $11,174.83–$11,193.79 | varies |
| Contrast X-Ray Bladder (74430) | $4,066.04 | $4,066.04 | 11.0× |
| Contrast X-Ray Of Elbow (73085) | $8,928.19 | $8,928.19 | 24.3× |
| Contrast X-Ray Of Knee Joint (73580) | $8,239.11 | $8,239.11 | 22.4× |
| Corpora cavernosography (74445) | $13,051.68 | $13,051.68 | 118.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$19,095.13–$31,908.43 | $19,095.13–$31,908.43 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$11,736.68–$22,123.84 | $11,736.68–$22,123.84 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$7,707.94–$15,037.63 | $7,707.94–$15,037.63 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$9,547.53–$16,739.82 | $9,547.53–$16,739.82 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$6,255.04–$11,959.33 | $6,255.04–$11,959.33 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$24,995.91–$26,167.17 | $24,995.91–$26,167.17 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$11,288.49–$23,770.46 | $11,288.49–$23,770.46 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$5,069.23–$15,741.42 | $5,069.23–$15,741.42 | varies |
| CT angio hrt w/3d image (75574) | $14,177.35 | $14,177.35 | 38.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 11 matching MRF lines |
$13,034.58–$20,147.85 | $13,034.58–$20,147.85 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$5,069.23–$22,945.24 | $5,069.23–$22,945.24 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$13,034.58–$20,514.20 | $13,034.58–$20,514.20 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$9,250.22–$14,371.57 | $9,250.22–$14,371.57 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$7,763.14–$13,028.87 | $7,763.14–$13,028.87 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$10,559.01–$17,013.51 | $10,559.01–$17,013.51 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$7,698.72–$12,741.56 | $7,698.72–$12,741.56 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$9,313.91–$16,861.98 | $9,313.91–$16,861.98 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$8,054.12–$17,081.16 | $8,054.12–$17,081.16 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$8,673.75–$18,948.82 | $8,673.75–$18,948.82 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $20,982.46 | $20,982.46 | 57.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$869.06–$913.90 | $869.06–$913.90 | varies |
| CT hrt w/3d image congen (75573) | $11,341.85 | $11,341.85 | 30.8× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$8,054.12–$9,518.51 | $8,054.12–$9,518.51 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$10,559.01–$17,283.48 | $10,559.01–$17,283.48 | varies |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$5,220.74–$9,160.43 | $5,220.74–$9,160.43 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$5,817.74–$8,750.40 | $5,817.74–$8,750.40 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$9,250.22–$14,371.57 | $9,250.22–$14,371.57 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$7,763.14–$13,028.87 | $7,763.14–$13,028.87 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$7,556.21–$9,518.51 | $7,556.21–$9,518.51 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$4,794.20–$7,442.53 | $4,794.20–$7,442.53 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$10,559.01–$15,851.83 | $10,559.01–$15,851.83 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$9,245.27–$14,523.12 | $9,245.27–$14,523.12 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$4,794.20–$7,442.53 | $4,794.20–$7,442.53 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$10,176.66–$17,005.46 | $10,176.66–$17,005.46 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$6,255.04–$10,164.54 | $6,255.04–$10,164.54 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$7,661.90–$11,509.27 | $7,661.90–$11,509.27 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$9,245.27–$17,990.45 | $9,245.27–$17,990.45 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$8,678.33–$13,058.11 | $8,678.33–$13,058.11 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$8,274.68–$12,452.57 | $8,274.68–$12,452.57 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$9,250.22–$21,947.37 | $9,250.22–$21,947.37 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$7,763.14–$13,028.87 | $7,763.14–$13,028.87 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$10,559.01–$31,615.72 | $10,559.01–$31,615.72 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$6,709.95–$11,106.66 | $6,709.95–$11,106.66 | varies |
| CT upper ext wo (73200) range across 7 matching MRF lines |
$5,220.74–$7,369.84 | $5,220.74–$7,369.84 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$7,661.90–$25,592.95 | $7,661.90–$25,592.95 | varies |
| CT upper extremity with contrast (73201) range across 8 matching MRF lines |
$6,196.17–$9,327 | $6,196.17–$9,327 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$13,514.94–$20,935.66 | $13,514.94–$20,935.66 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$13,083.55–$20,267.67 | $13,083.55–$20,267.67 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$13,083.55–$26,182.84 | $13,083.55–$26,182.84 | varies |
| Dilation ureters/urethra rs&i (74485) | $7,661.61 | $7,661.61 | 3.5× |
| Discography Cerv/Thor Spine (72285) | $6,675.21 | $6,675.21 | 3.2× |
| Diskography lumbar (72295) | $7,415.68 | $7,415.68 | 3.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,280.97 | $2,280.97 | 20.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $958.64 | $958.64 | 8.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $483.89 | $483.89 | 4.4× |
| Dxa Bone Density Axial (77080) | $3,707.84 | $3,707.84 | 33.6× |
| Echo exam of fetal heart (76825) | $4,736.34 | $4,736.34 | 8.2× |
| Echo exam uterus (76831) | $10,385.35 | $10,385.35 | 41.3× |
| Echo Guide For Artery Repair (76936) | $11,293.97 | $11,293.97 | 49.6× |
| Esophagram (74220) | $3,568.64 | $3,568.64 | 19.3× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$1,543.81–$3,860.15 | $1,543.81–$3,860.15 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,479.90–$2,223.26 | $1,479.90–$2,223.26 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$3,158.20–$3,371.27 | $3,158.20–$3,371.27 | varies |
| Follow-Up Angiography (75898) | $10,942.35 | $10,942.35 | 3.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$1,841.06–$3,677.81 | $1,841.06–$3,677.81 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$2,008.69–$4,016.03 | $2,008.69–$4,016.03 | varies |
| Gastric emptying imaging study (78264) | $9,735.35 | $9,735.35 | 23.1× |
| Gastroesophageal Reflux Exam (78262) | $11,193.06 | $11,193.06 | 26.5× |
| Gated Heart Planar Single (78472) | $12,575.08 | $12,575.08 | 29.8× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$1,412.55–$2,822.46 | $1,412.55–$2,822.46 | varies |
| Heart first pass single,planar (78481) | $6,561.10 | $6,561.10 | 11.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,646.45 | $9,646.45 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,278.39 | $10,278.39 | 3.1× |
| Hepatobil Syst Image W/Drug (78227) | $13,035.36 | $13,035.36 | 22.8× |
| Hepatobiliary System Imaging (78226) | $10,428.31 | $10,428.31 | 24.7× |
| Ht Musc Image Planar Mult (78454) | $29,115.70 | $29,115.70 | 21.3× |
| Ht Muscle Image Spect Sing (78451) | $23,557.05 | $23,557.05 | 17.2× |
| Hysterosalpingogram (74740) | $2,867.10 | $2,867.10 | 11.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,398.19–$2,892.42 | $1,398.19–$2,892.42 | varies |
| K Flow/Funct Image Multiple (78709) | $10,733.73 | $10,733.73 | 18.7× |
| K Flow/Funct Image W/Drug (78708) | $8,937.43 | $8,937.43 | 15.6× |
| K Flow/Funct Image W/O Drug (78707) | $11,900.65 | $11,900.65 | 20.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $8,083.76 | $8,083.76 | 19.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,658.88–$5,313.66 | $2,658.88–$5,313.66 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,866.31 | $2,866.31 | 6.8× |
| Liver & Spleen Imaging Static Only (78215) | $9,984.95 | $9,984.95 | 23.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $8,482.15 | $8,482.15 | 20.1× |
| Liver imaging static only (78201) | $5,642.33 | $5,642.33 | 9.9× |
| Lung Perf&Ventilat Diferentl (78598) | $24,648.28 | $24,648.28 | 43.0× |
| Lung perfusion differential (78597) | $12,028.06 | $12,028.06 | 28.5× |
| Lung Ventilat&Perfus Imaging (78582) | $22,901.15 | $22,901.15 | 40.0× |
| Lung Ventilation Imaging (78579) | $12,620.20 | $12,620.20 | 29.9× |
| Lymph System Imaging (78195) | $10,210.62 | $10,210.62 | 17.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,839.09 | $6,839.09 | 2.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$8,966.57–$13,483.32 | $8,966.57–$13,483.32 | varies |
| Mammary ductogram or galactogram multiple (77054) | $3,884.58 | $3,884.58 | 15.4× |
| Mammary ductogram or galactogram single (77053) | $3,053.52 | $3,053.52 | 12.1× |
| Meckels Divert Exam (78290) | $9,702.10 | $9,702.10 | 23.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $80.82 | $80.82 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$13,377.19–$16,788.43 | $13,377.19–$16,788.43 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$10,368.35–$16,336.35 | $10,368.35–$16,336.35 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$11,434.71–$16,776.02 | $11,434.71–$16,776.02 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$11,269.50–$16,939.46 | $11,269.50–$16,939.46 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$13,377.19–$18,287.28 | $13,377.19–$18,287.28 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$10,368.35–$15,873.35 | $10,368.35–$15,873.35 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$12,015.45–$17,625.53 | $12,015.45–$17,625.53 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$11,414.74–$17,594.38 | $11,414.74–$17,594.38 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$10,493.56–$14,603.66 | $10,493.56–$14,603.66 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$10,683.77–$15,073.85 | $10,683.77–$15,073.85 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$10,493.56–$14,739.76 | $10,493.56–$14,739.76 | varies |
| MRI bone marrow blood supply (77084) | $17,351.43 | $17,351.43 | 68.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $16,521.25 | $16,521.25 | 65.6× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$10,842.11–$11,955.89 | $10,842.11–$11,955.89 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$9,867.69–$17,285.47 | $9,867.69–$17,285.47 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$9,111.74–$13,602.48 | $9,111.74–$13,602.48 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$11,155.28–$18,779.21 | $11,155.28–$18,779.21 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$12,270.80–$12,294.65 | $12,270.80–$12,294.65 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$14,999.39–$20,868.28 | $14,999.39–$20,868.28 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
$10,493.56–$14,446.52 | $10,493.56–$14,446.52 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$10,683.77–$22,207.08 | $10,683.77–$22,207.08 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$9,897.75–$14,446.52 | $9,897.75–$14,446.52 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$9,867.69–$17,599.73 | $9,867.69–$17,599.73 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$15,319.77–$18,039.88 | $15,319.77–$18,039.88 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$8,966.57–$11,547.12 | $8,966.57–$11,547.12 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$10,027.90–$11,067.88 | $10,027.90–$11,067.88 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$11,054.26–$15,382.17 | $11,054.26–$15,382.17 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$8,255.62–$12,107.37 | $8,255.62–$12,107.37 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$10,032.91–$13,727.82 | $10,032.91–$13,727.82 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$7,169.22–$10,974.47 | $7,169.22–$10,974.47 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$9,111.74–$12,675.66 | $9,111.74–$12,675.66 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$10,493.56–$29,479.59 | $10,493.56–$29,479.59 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$9,897.75–$17,351.43 | $9,897.75–$17,351.43 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$10,683.77–$29,609.44 | $10,683.77–$29,609.44 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$15,039.41–$19,785.48 | $15,039.41–$19,785.48 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$15,319.77–$18,039.67 | $15,319.77–$18,039.67 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$9,867.69–$13,725.78 | $9,867.69–$13,725.78 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$9,897.75–$13,772.89 | $9,897.75–$13,772.89 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$906–$16,283.34 | $906–$16,283.34 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$15,319.77–$18,039.79 | $15,319.77–$18,039.79 | varies |
| Myelogram cervical (72240) | $9,918.52 | $9,918.52 | 12.0× |
| Myelogram Lumbar (72265) | $9,003.84 | $9,003.84 | 10.9× |
| Myelography thoracic (72255) | $8,711.82 | $8,711.82 | 10.5× |
| Myelograpy 2/more regions rs&i (72270) | $9,491.08 | $9,491.08 | 11.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $20,016.33 | $20,016.33 | 14.7× |
| Myocardial Spect Multiple Studies (78452) | $30,914.62 | $30,914.62 | 22.6× |
| N-invas est c ffr sw aly CTA (75580) | $3,649.01 | $3,649.01 | 4.0× |
| Neck soft tissue (70360) | $2,039.82 | $2,039.82 | 22.2× |
| Nm myocard infarct spect (78469) | $9,735.35 | $9,735.35 | 17.0× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$7,015.26–$7,142.83 | $7,015.26–$7,142.83 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$7,993.57–$18,794.94 | $7,993.57–$18,794.94 | varies |
| Parathyroid Planar Imaging (78070) | $11,636.46 | $11,636.46 | 27.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $24,333.71 | $24,333.71 | 57.7× |
| Pelvis 1 or 2 views (72170) | $2,196.61 | $2,196.61 | 19.9× |
| Peritoneogram Rs&I (74190) | $3,514.18 | $3,514.18 | 6.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,387.20 | $10,387.20 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $10,280.95 | $10,280.95 | 24.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,221.25 | $3,221.25 | 29.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$3,514.18–$3,575.39 | $3,514.18–$3,575.39 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$2,212.82–$4,180.90 | $2,212.82–$4,180.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$1,551.99–$3,159.10 | $1,551.99–$3,159.10 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$2,260.16–$4,518.88 | $2,260.16–$4,518.88 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$2,707–$2,756.25 | $2,707–$2,756.25 | varies |
| Radex fingr minimum 2 views (73140) | $1,655.86 | $1,655.86 | 18.0× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$2,358.82–$4,714.84 | $2,358.82–$4,714.84 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$2,500.74–$5,000.13 | $2,500.74–$5,000.13 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$1,830.75–$3,725.46 | $1,830.75–$3,725.46 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,781.90 | $2,781.90 | 30.3× |
| Radex Ribs Unilateral 2 Views (71100) | $2,415.60 | $2,415.60 | 26.3× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$2,577.77–$5,154.22 | $2,577.77–$5,154.22 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,421.88–$1,447.72 | $1,421.88–$1,447.72 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,504.88 | $3,504.88 | 18.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,323.64–$1,347.69 | $1,323.64–$1,347.69 | varies |
| Radex Sternum Minimum 2 Views (71120) | $2,173.61 | $2,173.61 | 23.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$2,908.81–$2,961.67 | $2,908.81–$2,961.67 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$1,193.59–$2,384.46 | $1,193.59–$2,384.46 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$1,927.68–$3,926.90 | $1,927.68–$3,926.90 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$2,139.85–$4,275.55 | $2,139.85–$4,275.55 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$7,444–$7,579.33 | $7,444–$7,579.33 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$3,000.34–$3,054.92 | $3,000.34–$3,054.92 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,342.38 | $3,342.38 | 30.3× |
| Radiologic exam colon double contrast study (74280) | $6,519.51 | $6,519.51 | 35.2× |
| Radiologic exam colon single contrast study (74270) | $5,504.31 | $5,504.31 | 29.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,667.91 | $3,667.91 | 19.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$3,503.72–$7,004.77 | $3,503.72–$7,004.77 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$2,565.95–$2,612.61 | $2,565.95–$2,612.61 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,535.83 | $2,535.83 | 13.7× |
| Radiologic exam swallow function contrast study (74230) | $3,437.49 | $3,437.49 | 18.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $8,644.36 | $8,644.36 | 46.7× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$1,245.29–$1,267.93 | $1,245.29–$1,267.93 | varies |
| Radiologic examination femur minimum 2 views (73552) | $2,535.83 | $2,535.83 | 27.6× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$1,790.97–$3,642.94 | $1,790.97–$3,642.94 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $6,801.33 | $6,801.33 | 61.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,383.11–$4,763.55 | $2,383.11–$4,763.55 | varies |
| Renal Cyst Study (74470) | $5,805.61 | $5,805.61 | 10.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$3,819.55–$3,889.02 | $3,819.55–$3,889.02 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,635.72 | $5,635.72 | 13.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,630.20–$1,851.85 | $1,630.20–$1,851.85 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $13,519.01 | $13,519.01 | 23.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $14,034.11 | $14,034.11 | 24.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $12,697.20 | $12,697.20 | 22.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $12,697.20 | $12,697.20 | 9.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,697.20 | $12,697.20 | 8.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $12,697.20 | $12,697.20 | 9.3× |
| Rp Therapy Intravenous Administration (79101) | $3,334.96 | $3,334.96 | 13.5× |
| Scapula (73010) range across 4 matching MRF lines |
$1,542.71–$1,875.93 | $1,542.71–$1,875.93 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$172.33–$187.83 | $172.33–$187.83 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$1,745.83–$3,549.69 | $1,745.83–$3,549.69 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$5,254.68–$5,350.17 | $5,254.68–$5,350.17 | varies |
| Sialogram (70390) | $2,640.62 | $2,640.62 | 10.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$2,547.70–$2,594.02 | $2,547.70–$2,594.02 | varies |
| Speech evaluation, complex (70371) | $3,937.65 | $3,937.65 | 15.6× |
| Sternoclavicular joints (71130) | $1,875.93 | $1,875.93 | 20.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,271.20 | $3,271.20 | 8.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $4,002.70 | $4,002.70 | 21.6× |
| Thoracic spine 2 views (72070) | $1,680.24 | $1,680.24 | 15.2× |
| Thoracic spine 3 views (72072) | $2,492.62 | $2,492.62 | 22.6× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$2,525.15–$2,571.07 | $2,525.15–$2,571.07 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $7,331.05 | $7,331.05 | 17.4× |
| Thyroid Met Imaging Body (78018) | $10,274.36 | $10,274.36 | 17.9× |
| Thyroid Uptake Measurement (78012) | $4,466.07 | $4,466.07 | 10.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $11,193.06 | $11,193.06 | 26.5× |
| Tx Devices Design & Construction Complex (77334) | $1,775.68 | $1,775.68 | 4.5× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$5,536.95–$8,119.99 | $5,536.95–$8,119.99 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$963.69–$4,037.76 | $963.69–$4,037.76 | varies |
| Umbilical-artery Doppler (OB) (76820) | $483.89 | $483.89 | 4.4× |
| Upper gi w/o kub (74240) | $5,342.07 | $5,342.07 | 28.9× |
| Ureteral Reflux Study (78740) | $7,106.71 | $7,106.71 | 16.9× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$992.52–$4,066.04 | $992.52–$4,066.04 | varies |
| Urethrocystography retrograde (74450) | $8,210.49 | $8,210.49 | 32.6× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$8,635.96–$11,275.27 | $8,635.96–$11,275.27 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$443.94–$5,440.53 | $443.94–$5,440.53 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$1,275.89–$3,582.85 | $1,275.89–$3,582.85 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$1,386.47–$3,321.89 | $1,386.47–$3,321.89 | varies |
| Us head (76506) range across 2 matching MRF lines |
$1,293.17–$3,568.32 | $1,293.17–$3,568.32 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,971.57–$7,109.06 | $1,971.57–$7,109.06 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$443.94–$2,482.36 | $443.94–$2,482.36 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$1,278.36–$3,759.66 | $1,278.36–$3,759.66 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,366.83–$5,315.32 | $1,366.83–$5,315.32 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,435.64–$5,618.18 | $1,435.64–$5,618.18 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,912.57–$5,618.18 | $1,912.57–$5,618.18 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$1,086.60–$1,817.20 | $1,086.60–$1,817.20 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,750.35–$4,083.16 | $1,750.35–$4,083.16 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$1,273.38–$3,579.34 | $1,273.38–$3,579.34 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,381.55–$3,023.14 | $1,381.55–$3,023.14 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$1,381.55–$2,099.45 | $1,381.55–$2,099.45 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$1,268.49–$4,306.13 | $1,268.49–$4,306.13 | varies |
| Us transrectal (76872) | $4,836.47 | $4,836.47 | 43.9× |
| Vascular Flow Imaging (78445) | $2,866.31 | $2,866.31 | 6.8× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$9,760.50–$9,938.01 | $9,760.50–$9,938.01 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,860.09 | $9,860.09 | 3.0× |
| Vein X-Ray Spleen/Liver (75810) | $10,923.56 | $10,923.56 | 3.3× |
| Venogram Sinus/Jugular (75860) | $6,217.18 | $6,217.18 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $6,330.23 | $6,330.23 | 1.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$3,708.05–$5,517.51 | $3,708.05–$5,517.51 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$3,526.75–$11,174.83 | $3,526.75–$11,174.83 | varies |
| Venography Renal Bilateral (75833) | $10,967.42 | $10,967.42 | 3.3× |
| Venography Renal Unilateral (75831) | $10,713.78 | $10,713.78 | 3.2× |
| Venous sampling by catheter (75893) | $11,246.17 | $11,246.17 | 1.9× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$1,659.50–$3,319.04 | $1,659.50–$3,319.04 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,212.82 | $2,212.82 | 24.1× |
| X-ray antegrade pyelogram tube (74425) | $4,145.86 | $4,145.86 | 11.3× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$11,591.32–$11,815.63 | $11,591.32–$11,815.63 | varies |
| X-Ray Bend Only L-S Spine (72120) | $2,286.14 | $2,286.14 | 20.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,635.65–$3,207.44 | $1,635.65–$3,207.44 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,282.88–$2,422.56 | $1,282.88–$2,422.56 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,323.64 | $1,323.64 | 14.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$4,175.34–$4,251.28 | $4,175.34–$4,251.28 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$3,268.61–$3,328.06 | $3,268.61–$3,328.06 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$1,617.03–$1,646.46 | $1,617.03–$1,646.46 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,612.23 | $4,612.23 | 50.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$4,175.34–$4,251.28 | $4,175.34–$4,251.28 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$3,268.61–$3,328.06 | $3,268.61–$3,328.06 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,612.61 | $2,612.61 | 23.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,834.57 | $5,834.57 | 52.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$4,284.20–$4,362.08 | $4,284.20–$4,362.08 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $3,184.74 | $3,184.74 | 34.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$4,605.46–$4,689.23 | $4,605.46–$4,689.23 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $3,009.01 | $3,009.01 | 27.3× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$1,064.77–$2,166.82 | $1,064.77–$2,166.82 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$2,008.69–$4,016.03 | $2,008.69–$4,016.03 | varies |
| X-ray IV pyelogram (ivp) (74400) | $6,154.78 | $6,154.78 | 33.3× |
| X-ray IV pyelogram+tomography (74415) | $9,448.59 | $9,448.59 | 51.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,756.25 | $2,756.25 | 30.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$1,409.94–$1,435.58 | $1,409.94–$1,435.58 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,009.01 | $3,009.01 | 27.3× |
| X-ray nose-rectum child f.b. (76010) | $2,212.82 | $2,212.82 | 24.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$4,405.02–$4,485.12 | $4,405.02–$4,485.12 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,400.71 | $2,400.71 | 21.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,083.03 | $2,083.03 | 18.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,342.59 | $2,342.59 | 25.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$2,717.64–$2,767.03 | $2,717.64–$2,767.03 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$3,657.56–$3,724.05 | $3,657.56–$3,724.05 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$1,306.38–$2,611.42 | $1,306.38–$2,611.42 | varies |
| X-ray thoracic spine 4 vw (72074) | $3,516.88 | $3,516.88 | 31.9× |
| X-Ray Tmj Unilat (70328) | $3,528.81 | $3,528.81 | 38.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,312.36 | $3,312.36 | 9.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$4,231.13–$4,308.05 | $4,231.13–$4,308.05 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$9,967.63–$10,148.85 | $9,967.63–$10,148.85 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$4,025.30–$4,098.50 | $4,025.30–$4,098.50 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$2,611.42–$2,658.88 | $2,611.42–$2,658.88 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$3,389.41–$3,451.03 | $3,389.41–$3,451.03 | varies |
| Xr Tomogram Single Plane (76100) | $5,135.22 | $5,135.22 | 46.6× |
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.