Imaging prices at HCA HealthOne Presbyterian St. Luke's Medical Center
Denver, CO · every code in this section with a posted price and a Medicare benchmark.
393 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $11,554.50 | $11,554.50 | 7.9× |
| Abdomen 1 View (74018) | $240 | $240 | 2.6× |
| Abdomen 2 views (74019) | $465.50 | $465.50 | 4.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,177 | $6,177 | 14.6× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$5,587.25–$10,810.50 | $5,587.25–$10,810.50 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$15,132.25–$15,773.75 | $15,132.25–$15,773.75 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $10,810.50 | $10,810.50 | 3.2× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$13,175.75–$14,385 | $13,175.75–$14,385 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$4,263.50–$5,587.25 | $4,263.50–$5,587.25 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$976.50–$1,937.75 | $976.50–$1,937.75 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $10,024 | $10,024 | 3.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,657.25 | $2,657.25 | 0.8× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,711.50–$14,385 | $3,711.50–$14,385 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$5,073.50–$14,385 | $5,073.50–$14,385 | varies |
| Arthrogram ankle (73615) | $1,716.50 | $1,716.50 | 4.7× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,147.25–$1,431.75 | $1,147.25–$1,431.75 | varies |
| Arthrogram Wrist (73115) | $1,958.50 | $1,958.50 | 5.3× |
| Basic radiation dosimetry calculation (77300) | $2,396 | $2,396 | 16.9× |
| Bone age studies (77072) | $1,073.50 | $1,073.50 | 9.7× |
| Bone Imaging 3 Phase (78315) | $8,198.75 | $8,198.75 | 19.4× |
| Bone Imaging Limited Area (78300) | $2,181.50 | $2,181.50 | 5.2× |
| Bone Imaging Multiple Areas (78305) | $8,198.75 | $8,198.75 | 19.4× |
| Bone Imaging Whole Body (78306) | $11,716.75 | $11,716.75 | 27.8× |
| Bone marrow imaging limited area (78102) | $2,157.50 | $2,157.50 | 5.1× |
| Bone marrow imaging; whole body (78104) | $2,157.50 | $2,157.50 | 5.1× |
| Bone survey infant (77076) | $1,727.50 | $1,727.50 | 15.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,919.75 | $4,919.75 | 8.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,654.25 | $15,654.25 | 10.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $21,902.75 | $21,902.75 | 59.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $8,664.25 | $8,664.25 | 10.5× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,693.75–$2,815.50 | $2,693.75–$2,815.50 | varies |
| Cerebrospinal Fluid Scan (78630) | $10,842.50 | $10,842.50 | 18.9× |
| Chest 1 view (71045) | $954.75 | $954.75 | 10.4× |
| Chest 2 views (71046) | $1,018 | $1,018 | 11.1× |
| Chest 3 views (71047) | $1,148.50 | $1,148.50 | 12.5× |
| Chest 4 or more views (71048) | $2,036.25 | $2,036.25 | 18.5× |
| Clavicle complete (73000) | $914.50 | $914.50 | 10.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $610 | $610 | 5.5× |
| Continuing medical physics consltj pr wk (77336) | $3,317.75 | $3,317.75 | 23.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Contrast X-Ray Bladder (74430) | $1,702 | $1,702 | 4.6× |
| Contrast X-Ray Of Elbow (73085) | $1,605 | $1,605 | 4.4× |
| Contrast X-Ray Of Knee Joint (73580) | $914.50 | $914.50 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $13,024.50 | $13,024.50 | 35.4× |
| CT abdomen and pelvis without contrast (74176) | $8,262 | $8,262 | 32.8× |
| CT abdomen w contrast (74160) | $6,416.75 | $6,416.75 | 34.7× |
| CT abdomen w wo contrast (74170) | $8,888.75 | $8,888.75 | 48.0× |
| CT abdomen w/o contrast (74150) | $4,686.25 | $4,686.25 | 42.5× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$13,024.50–$18,175.25 | $13,024.50–$18,175.25 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$10,987.50–$15,334.25 | $10,987.50–$15,334.25 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$9,155.25–$12,849.50 | $9,155.25–$12,849.50 | varies |
| CT angio hrt w/3d image (75574) | $2,567.25 | $2,567.25 | 7.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $9,155.25 | $9,155.25 | 49.5× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$9,155.25–$12,777.50 | $9,155.25–$12,777.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$9,155.25–$10,185.75 | $9,155.25–$10,185.75 | varies |
| CT cervical spine w/ contrast (72126) | $8,021.50 | $8,021.50 | 21.8× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$521.25–$4,686.25 | $521.25–$4,686.25 | varies |
| CT cervical spine w/wo cont (72127) | $17,900.50 | $17,900.50 | 96.7× |
| CT chest w contrast (71260) | $8,021.50 | $8,021.50 | 43.4× |
| CT chest w/wo contrast (71270) | $8,888 | $8,888 | 48.0× |
| CT head/brain with contrast (70460) | $8,021.50 | $8,021.50 | 43.4× |
| CT head/brain without and with contrast (70470) | $8,888 | $8,888 | 48.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,567.25 | $2,567.25 | 7.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $300.75 | $300.75 | 3.3× |
| CT hrt w/3d image congen (75573) | $2,567.25 | $2,567.25 | 7.0× |
| CT iac w contrast (70481) | $8,021.50 | $8,021.50 | 43.4× |
| CT l-spine w&w/o contrast (72133) | $17,900.50 | $17,900.50 | 96.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,686.25–$11,446.50 | $4,686.25–$11,446.50 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$8,021.50–$15,024.75 | $8,021.50–$15,024.75 | varies |
| CT lumbar spine w contrast (72132) | $8,021.50 | $8,021.50 | 21.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$521.25–$4,686.25 | $521.25–$4,686.25 | varies |
| CT maxillofacial w contrast (70487) | $8,021.50 | $8,021.50 | 43.4× |
| CT maxillofacial wo contrast (70486) | $4,686.25 | $4,686.25 | 42.5× |
| CT neck tissue combo (70492) | $10,186.75 | $10,186.75 | 55.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $17,900.50 | $17,900.50 | 96.7× |
| CT orbits w/o contrast (70480) | $4,686.25 | $4,686.25 | 42.5× |
| CT pelvis w&w/o contrast (72194) | $8,888 | $8,888 | 48.0× |
| CT pelvis w/o contrast (72192) | $4,686.25 | $4,686.25 | 42.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$17,900.50–$20,275 | $17,900.50–$20,275 | varies |
| CT scans face/jaw combo (70488) | $8,888 | $8,888 | 48.0× |
| CT soft tissue neck w contrast (70491) | $8,021.50 | $8,021.50 | 43.4× |
| CT soft tissue neck w/o contrast (70490) | $4,686.25 | $4,686.25 | 42.5× |
| CT thoracic spine w contrast (72129) | $8,021.50 | $8,021.50 | 43.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$521.25–$4,686.25 | $521.25–$4,686.25 | varies |
| CT thoracic spine w/wo cont (72130) | $12,589.50 | $12,589.50 | 68.0× |
| CT thorax w/o contrast (71250) | $4,686.25 | $4,686.25 | 42.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$4,686.25–$11,446.50 | $4,686.25–$11,446.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$17,900.50–$20,275 | $17,900.50–$20,275 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$12,649.50–$15,024.75 | $12,649.50–$15,024.75 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$9,155.25–$12,569 | $9,155.25–$12,569 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$9,155.25–$12,777.50 | $9,155.25–$12,777.50 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$9,155.25–$10,818.25 | $9,155.25–$10,818.25 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,669.50 | $1,669.50 | 6.6× |
| Dilation ureters/urethra rs&i (74485) | $7,331.50 | $7,331.50 | 3.3× |
| Diskography lumbar (72295) | $4,814.75 | $4,814.75 | 2.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $453.75 | $453.75 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,318.50 | $1,318.50 | 12.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,456.50 | $1,456.50 | 13.2× |
| Echo exam of fetal heart (76825) | $1,318.50 | $1,318.50 | 2.3× |
| Echo exam uterus (76831) | $3,459 | $3,459 | 13.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $957 | $957 | 3.8× |
| Echograp Trans R Pros Study (76873) | $2,677.25 | $2,677.25 | 24.3× |
| Esophagram (74220) | $802.25 | $802.25 | 4.3× |
| Fetal Biophys Profile W/Nst (76818) | $2,960.25 | $2,960.25 | 26.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,855.50 | $1,855.50 | 16.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,979.75 | $1,979.75 | 7.9× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$979.50–$1,701 | $979.50–$1,701 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,456.50–$2,592 | $2,456.50–$2,592 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$976.50–$1,941.75 | $976.50–$1,941.75 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$976.50–$1,937.75 | $976.50–$1,937.75 | varies |
| Gastric emptying imaging study (78264) | $7,645.75 | $7,645.75 | 18.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,028 | $2,028 | 4.8× |
| Gated Heart Planar Single (78472) | $8,725 | $8,725 | 20.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$909.75–$1,806 | $909.75–$1,806 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$3,215.75–$14,385 | $3,215.75–$14,385 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,810.50 | $10,810.50 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $7,199.50 | $7,199.50 | 12.6× |
| Hepatobiliary System Imaging (78226) | $7,199.50 | $7,199.50 | 17.1× |
| Ht Muscle Image Spect Sing (78451) | $13,094 | $13,094 | 9.6× |
| Hysterosalpingogram (74740) | $1,543.25 | $1,543.25 | 6.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,926 | $1,926 | 21.0× |
| Infant hip ultrasound, limited static exam (76886) | $1,707.25 | $1,707.25 | 18.6× |
| Interstitial radiation source applic complex (77778) | $40,217 | $40,217 | 54.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $17,600 | $17,600 | 24.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $14,105.75 | $14,105.75 | 24.2× |
| Intracavitary radiation source applic simple (77761) | $10,571.75 | $10,571.75 | 18.1× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $21,935.50 | $21,935.50 | 2.8× |
| Intraop radiaj tx deliver xray single tx session (77424) | $21,935.50 | $21,935.50 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $10,609.25 | $10,609.25 | 18.5× |
| K Flow/Funct Image W/Drug (78708) | $9,642 | $9,642 | 16.8× |
| K Flow/Funct Image W/O Drug (78707) | $9,111.50 | $9,111.50 | 15.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $5,692.25 | $5,692.25 | 13.5× |
| Kidney Imaging Morphol (78700) | $7,003.75 | $7,003.75 | 16.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,024.25–$2,043.25 | $1,024.25–$2,043.25 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,156.50 | $2,156.50 | 5.1× |
| Liver & Spleen Imaging Static Only (78215) | $5,087.50 | $5,087.50 | 12.1× |
| Liver imaging static only (78201) | $3,147 | $3,147 | 5.5× |
| Liver imaging w/vascular flow (78202) | $4,919.75 | $4,919.75 | 8.6× |
| Lung Perf&Ventilat Diferentl (78598) | $15,516.50 | $15,516.50 | 27.1× |
| Lung perfusion differential (78597) | $11,731 | $11,731 | 27.8× |
| Lung Ventilat&Perfus Imaging (78582) | $7,944 | $7,944 | 13.9× |
| Lung Ventilation Imaging (78579) | $3,789 | $3,789 | 9.0× |
| Lymph System Imaging (78195) | $10,684.25 | $10,684.25 | 18.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,800.75 | $1,800.75 | 2.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,345 | $4,345 | 1.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,561.75 | $4,561.75 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $13,494.25 | $13,494.25 | 53.6× |
| Magnetic Resonance Elastography (76391) | $1,276.75 | $1,276.75 | 5.1× |
| Meckels Divert Exam (78290) | $3,128.75 | $3,128.75 | 7.4× |
| Mlc imrt design & construction per imrt plan (77338) | $11,039.75 | $11,039.75 | 28.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $81 | $81 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $21,902.75 | $21,902.75 | 59.5× |
| MRA head w/o contrast (70544) | $10,795.50 | $10,795.50 | 42.9× |
| MRA head with contrast (70545) | $12,041.50 | $12,041.50 | 32.7× |
| MRA neck w contrast (70548) | $18,119.75 | $18,119.75 | 49.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $21,902.75 | $21,902.75 | 59.5× |
| MRA neck w/o contrast (70547) | $10,795.50 | $10,795.50 | 42.9× |
| MRI abdomen w contrast (74182) | $16,755.75 | $16,755.75 | 45.5× |
| MRI abdomen w/o contrast (74181) | $10,795.50 | $10,795.50 | 42.9× |
| MRI any jt lower extrem w/contrast material (73722) | $18,119.75 | $18,119.75 | 21.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$21,902.75–$39,822.25 | $21,902.75–$39,822.25 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$16,251.75–$18,119.75 | $16,251.75–$18,119.75 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,276.75 | $1,276.75 | 5.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,276.75 | $1,276.75 | 5.1× |
| MRI cardiac w/o cont stress (75559) | $2,175.25 | $2,175.25 | 3.8× |
| MRI cardiac w/o contrast (75557) | $15,173.50 | $15,173.50 | 60.3× |
| MRI cervical spine w contrast (72142) | $18,119.75 | $18,119.75 | 49.2× |
| MRI cervical spine w/o cont (72141) | $13,494.25 | $13,494.25 | 53.6× |
| MRI chest w/o contrast (71550) | $13,494.25 | $13,494.25 | 53.6× |
| MRI chest with contrast (71551) | $15,530 | $15,530 | 18.8× |
| MRI chest wo w contrast (71552) | $21,902.75 | $21,902.75 | 59.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $16,251.75 | $16,251.75 | 44.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$21,902.75–$41,176.75 | $21,902.75–$41,176.75 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,494.25 | $13,494.25 | 53.6× |
| MRI lumbar spine w contrast (72149) | $18,119.75 | $18,119.75 | 49.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $21,902.75 | $21,902.75 | 59.5× |
| MRI orbit face &/neck w/o contrast (70540) | $13,494.25 | $13,494.25 | 53.6× |
| MRI orbit face neck w contrast (70542) | $18,119.75 | $18,119.75 | 49.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,521.75 | $17,521.75 | 47.6× |
| MRI pelvis w contrast (72196) | $19,411.75 | $19,411.75 | 52.7× |
| MRI pelvis w/o & w contrast (72197) | $17,521.75 | $17,521.75 | 47.6× |
| MRI pelvis w/o contrast (72195) | $13,494.25 | $13,494.25 | 53.6× |
| MRI spectroscopy (76390) | $7,116.75 | $7,116.75 | 77.5× |
| MRI thoracic spine w/o contrast (72146) | $13,494.25 | $13,494.25 | 53.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $16,251.75 | $16,251.75 | 44.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,494.25 | $13,494.25 | 53.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $21,902.75 | $21,902.75 | 59.5× |
| MRI, abdomen, combo (74183) | $21,902.75 | $21,902.75 | 59.5× |
| MRI, dorsal spine combo (72157) | $17,521.75 | $17,521.75 | 47.6× |
| MRI, dorsal spine contrast (72147) | $18,119.75 | $18,119.75 | 49.2× |
| MRI, joint upper extrem (73221) | $13,494.25 | $13,494.25 | 53.6× |
| MRI, joint upper extrem combo (73223) | $21,902.75 | $21,902.75 | 59.5× |
| MRI, lumbar spine combo (72158) | $17,521.75 | $17,521.75 | 47.6× |
| Myelogram cervical (72240) | $2,305.75 | $2,305.75 | 2.8× |
| Myelogram Lumbar (72265) | $3,371.50 | $3,371.50 | 4.1× |
| Myelography thoracic (72255) | $3,004.50 | $3,004.50 | 3.6× |
| Myelograpy 2/more regions rs&i (72270) | $3,384.25 | $3,384.25 | 4.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $21,633.50 | $21,633.50 | 15.8× |
| Myocardial Spect Multiple Studies (78452) | $13,094 | $13,094 | 9.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $21,633.50 | $21,633.50 | 9.3× |
| N-invas est c ffr sw aly CTA (75580) | $3,456.75 | $3,456.75 | 3.8× |
| Neck soft tissue (70360) | $1,260 | $1,260 | 13.7× |
| Nm csf leak detection (78650) | $4,827.25 | $4,827.25 | 3.5× |
| Nm myocard infarct spect (78469) | $8,283.50 | $8,283.50 | 14.5× |
| Nm whole blood volume (78122) | $8,738.75 | $8,738.75 | 15.3× |
| Nonvascular Shunt X-Ray (75809) | $845 | $845 | 7.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $29,364.25 | $29,364.25 | 20.1× |
| Nuclear Rx Intra-Arterial (79445) | $2,366.50 | $2,366.50 | 9.6× |
| Nuclear Rx Oral Admin (79005) | $2,715 | $2,715 | 11.0× |
| Ob us nuchal meas 1 gest (76813) | $1,086.25 | $1,086.25 | 9.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $17,264 | $17,264 | 30.1× |
| Parathyroid Planar Imaging (78070) | $8,645.50 | $8,645.50 | 20.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $17,264 | $17,264 | 40.9× |
| Pelvis 1 or 2 views (72170) | $762.25 | $762.25 | 6.9× |
| Perineogram (74775) | $801 | $801 | 3.2× |
| Peritoneogram Rs&I (74190) | $1,980 | $1,980 | 3.4× |
| Pet Image Skull-Thigh (78812) | $15,654.25 | $15,654.25 | 10.4× |
| Pet Image W/Ct Lmtd (78814) | $15,654.25 | $15,654.25 | 10.4× |
| PET image w/CT, full body (78816) | $15,654.25 | $15,654.25 | 10.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $15,654.25 | $15,654.25 | 10.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $15,654.25 | $15,654.25 | 11.5× |
| PET whole body (78813) | $15,654.25 | $15,654.25 | 10.4× |
| Platelet survival study Non-Facility (78191) | $2,260.25 | $2,260.25 | 5.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,810.50 | $10,810.50 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,185.25 | $4,185.25 | 9.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,300.50 | $1,300.50 | 11.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$1,727.50–$2,404 | $1,727.50–$2,404 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,026.50–$2,047.50 | $1,026.50–$2,047.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$814.50–$1,624.25 | $814.50–$1,624.25 | varies |
| Radex elbow complete minimum 3 views (73080) | $1,037.25 | $1,037.25 | 11.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,441.50 | $1,441.50 | 13.1× |
| Radex fingr minimum 2 views (73140) | $624.50 | $624.50 | 6.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,094.50–$2,176 | $1,094.50–$2,176 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$986.25–$1,973.75 | $986.25–$1,973.75 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$873.50–$1,747.75 | $873.50–$1,747.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,449.75 | $1,449.75 | 13.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,138.75 | $1,138.75 | 12.4× |
| Radex Ribs Unilateral 2 Views (71100) | $868.25 | $868.25 | 9.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,128.25–$2,248 | $1,128.25–$2,248 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $800.50 | $800.50 | 8.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,224.25 | $1,224.25 | 6.6× |
| Radex Spine 1 View Specify Level (72020) | $940.25 | $940.25 | 10.2× |
| Radex Sternum Minimum 2 Views (71120) | $960.75 | $960.75 | 10.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,170.25 | $1,170.25 | 12.7× |
| Radex Toe Minimum 2 Views (73660) | $762.25 | $762.25 | 8.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$873.50–$1,747.75 | $873.50–$1,747.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,037.25 | $1,037.25 | 11.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $407.75 | $407.75 | 3.7× |
| Radiation treatment delivery level 1 (77402) | $2,938 | $2,938 | 27.3× |
| Radiation treatment delivery level 2 (77407) | $3,746.75 | $3,746.75 | 9.2× |
| Radiation treatment delivery level 3 (77412) | $5,728.75 | $5,728.75 | 9.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $836.50 | $836.50 | 7.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $465.50 | $465.50 | 4.2× |
| Radiologic exam colon double contrast study (74280) | $2,496.75 | $2,496.75 | 13.5× |
| Radiologic exam colon single contrast study (74270) | $2,409.75 | $2,409.75 | 13.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $659.75 | $659.75 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,024.25–$2,043.25 | $1,024.25–$2,043.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $960.75 | $960.75 | 8.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,224.25 | $1,224.25 | 6.6× |
| Radiologic exam swallow function contrast study (74230) | $1,545.50 | $1,545.50 | 8.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,161.75 | $2,161.75 | 11.7× |
| Radiologic examination femur 1 view (73551) | $258.50 | $258.50 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $258.50 | $258.50 | 2.8× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$960.75–$1,923 | $960.75–$1,923 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,830.75 | $2,830.75 | 25.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$960.75–$1,923 | $960.75–$1,923 | varies |
| Radiopharm Dacryocystography (78660) | $3,319.75 | $3,319.75 | 7.9× |
| Renal Cyst Study (74470) | $3,224.75 | $3,224.75 | 5.6× |
| Ribs bilateral 3 views (71110) | $1,429.25 | $1,429.25 | 13.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,036.50 | $2,036.50 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $14,763.50 | $14,763.50 | 25.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $10,888.25 | $10,888.25 | 19.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $12,940.75 | $12,940.75 | 22.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $7,006.75 | $7,006.75 | 5.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,948.50 | $7,948.50 | 5.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $7,006.75 | $7,006.75 | 5.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $5,418 | $5,418 | 22.0× |
| Rp Therapy Intravenous Administration (79101) | $2,715 | $2,715 | 11.0× |
| Salivary Gland Imaging Serial Images (78231) | $2,028 | $2,028 | 4.8× |
| Scapula (73010) | $1,024.25 | $1,024.25 | 9.3× |
| Shoulder 1 view (73020) | $762.25 | $762.25 | 8.3× |
| Shoulder Arthrography (73040) | $2,435 | $2,435 | 6.6× |
| Sialogram (70390) | $1,429.25 | $1,429.25 | 5.7× |
| Skull less than 4 views (70250) | $950.50 | $950.50 | 8.6× |
| Special dosimetry (77331) | $5,728.75 | $5,728.75 | 40.4× |
| Special Physics Consult (77370) | $6,536.25 | $6,536.25 | 46.1× |
| Special teletherapy port plan (77321) | $10,725 | $10,725 | 27.2× |
| Special treatment procedure (77470) | $11,315 | $11,315 | 19.4× |
| Speech evaluation, complex (70371) | $825.50 | $825.50 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $9,528.25 | $9,528.25 | 5.1× |
| Sternoclavicular joints (71130) | $1,128.25 | $1,128.25 | 12.3× |
| Superior sagittal sinus venogram (75870) | $4,351.50 | $4,351.50 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $39,759 | $39,759 | 100.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $22,935.75 | $22,935.75 | 58.1× |
| Testicular Imaging W/Flow (78761) | $5,542.50 | $5,542.50 | 13.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,717.50–$8,906.75 | $1,717.50–$8,906.75 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $7,431.50 | $7,431.50 | 18.8× |
| Ther rad simulaj-aided field setting simple (77280) | $3,788.75 | $3,788.75 | 26.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $874 | $874 | 4.7× |
| Thoracic spine 2 views (72070) | $859.50 | $859.50 | 7.8× |
| Thoracic spine 3 views (72072) | $940.25 | $940.25 | 8.5× |
| Thoracolumbar 2 views (72080) | $1,052 | $1,052 | 11.5× |
| Thyroid Imaging With Vascular Flow (78013) | $5,957.50 | $5,957.50 | 14.1× |
| Thyroid Met Imaging Body (78018) | $5,840.50 | $5,840.50 | 10.2× |
| Thyroid Uptake Measurement (78012) | $3,005 | $3,005 | 7.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,459.50 | $5,459.50 | 12.9× |
| Tx Devices Design & Construction Complex (77334) | $6,653.75 | $6,653.75 | 16.8× |
| Tx devices design & construction intermediate (77333) | $5,174.25 | $5,174.25 | 36.5× |
| Tx devices design & construction simple (77332) | $3,037.75 | $3,037.75 | 21.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$2,173.25–$2,703.75 | $2,173.25–$2,703.75 | varies |
| Ultrasound elastography first target lesion (76982) | $513.25 | $513.25 | 4.7× |
| Ultrasound Elastography Parenchyma (76981) | $513.25 | $513.25 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $499.25 | $499.25 | 4.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,857.75–$2,639.50 | $1,857.75–$2,639.50 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,466.50 | $1,466.50 | 13.3× |
| Unlisted magnetic resonance procedure (76498) | $17,159.75 | $17,159.75 | 186.9× |
| Upper gi w/o kub (74240) | $1,892.75 | $1,892.75 | 10.2× |
| Urethrocystogram voiding (74455) | $1,005.75 | $1,005.75 | 4.0× |
| Urethrocystography retrograde (74450) | $2,443.50 | $2,443.50 | 9.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$2,173.25–$2,703.75 | $2,173.25–$2,703.75 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$1,378.50–$2,017.50 | $1,378.50–$2,017.50 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,707.25–$2,155.75 | $1,707.25–$2,155.75 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,544.50–$2,193.75 | $1,544.50–$2,193.75 | varies |
| Us head (76506) | $2,995.75 | $2,995.75 | 27.2× |
| Us kidney transplant (76776) | $3,556.25 | $3,556.25 | 32.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,121.75–$1,416.25 | $1,121.75–$1,416.25 | varies |
| Us ob detailed single fetus (76811) | $3,016 | $3,016 | 12.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$931.75–$1,444.25 | $931.75–$1,444.25 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$852.25–$5,010.25 | $852.25–$5,010.25 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$993.75–$2,776.50 | $993.75–$2,776.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,241.50–$1,302.25 | $1,241.50–$1,302.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,114.50 | $1,114.50 | 10.1× |
| Us retroperitoneal complete (76770) | $3,019 | $3,019 | 27.4× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,857.75–$2,690.50 | $1,857.75–$2,690.50 | varies |
| Us scrotum and contents (76870) | $1,781.50 | $1,781.50 | 16.2× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,302.25–$1,443.25 | $1,302.25–$1,443.25 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$2,638–$3,331.25 | $2,638–$3,331.25 | varies |
| Us transrectal (76872) | $2,677.25 | $2,677.25 | 24.3× |
| Vascular Flow Imaging (78445) | $8,247 | $8,247 | 19.6× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,641–$4,728.75 | $4,641–$4,728.75 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,263.50 | $4,263.50 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $4,263.50 | $4,263.50 | 1.3× |
| Venogram Sinus/Jugular (75860) | $10,810.50 | $10,810.50 | 3.2× |
| Venography Adrenal Unilateral (75840) | $10,810.50 | $10,810.50 | 3.2× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$14,385–$14,656 | $14,385–$14,656 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,825.50–$6,657 | $4,825.50–$6,657 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$2,676.50–$4,825.50 | $2,676.50–$4,825.50 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$7,271–$7,579.50 | $7,271–$7,579.50 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$4,021.75–$14,385 | $4,021.75–$14,385 | varies |
| Venous sampling by catheter (75893) | $10,343.75 | $10,343.75 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $710.50 | $710.50 | 7.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$960.75–$1,602.50 | $960.75–$1,602.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,147.25 | $1,147.25 | 12.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,105.25–$2,806.75 | $2,105.25–$2,806.75 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$14,656–$18,039.75 | $14,656–$18,039.75 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,128.25 | $1,128.25 | 10.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $917 | $917 | 10.0× |
| X-Ray Exam Breast Specimen (76098) | $598.75 | $598.75 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $258.50 | $258.50 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $427.25 | $427.25 | 3.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $920.50 | $920.50 | 8.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $258.50 | $258.50 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $258.50 | $258.50 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $427.25 | $427.25 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $427.25 | $427.25 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $427.25 | $427.25 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $813 | $813 | 7.4× |
| X-Ray Exam L-S Spine Bending (72114) | $2,913.50 | $2,913.50 | 26.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,344.25 | $1,344.25 | 14.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,923 | $1,923 | 17.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,809.75 | $1,809.75 | 16.4× |
| X-ray eye for foreign body (70030) | $467.75 | $467.75 | 5.1× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$976.50–$1,937.75 | $976.50–$1,937.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,424.75 | $2,424.75 | 13.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $762.25 | $762.25 | 8.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,052 | $1,052 | 9.5× |
| X-ray nose-rectum child f.b. (76010) | $711 | $711 | 7.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,890.75 | $1,890.75 | 17.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $646 | $646 | 5.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $696.75 | $696.75 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,545.50 | $1,545.50 | 16.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,497 | $1,497 | 13.6× |
| X-Ray Stress View (77071) | $579.75 | $579.75 | 6.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,443.50 | $2,443.50 | 6.6× |
| X-Rays Bone Length Studies (77073) | $1,233 | $1,233 | 11.2× |
| X-Rays Bone Survey Complete (77075) | $4,936.50 | $4,936.50 | 44.8× |
| Xr c-spine 4 or 5 views (72050) | $1,658 | $1,658 | 15.0× |
| Xr facial bones less than 3 views (70140) | $1,276.75 | $1,276.75 | 13.9× |
| Xr orbits complete 4 views (70200) | $1,441.50 | $1,441.50 | 13.1× |
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.