Imaging prices at HCA HealthOne Rose Medical Center
Denver, CO · every code in this section with a posted price and a Medicare benchmark.
385 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) | $12,905 | $12,905 | 8.8× |
| Abdomen 1 View (74018) | $1,563 | $1,563 | 17.0× |
| Abdomen 2 views (74019) | $2,438 | $2,438 | 22.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $8,348 | $8,348 | 19.8× |
| Angio internal mammary (75756) | $25,248 | $25,248 | 7.6× |
| Angio pulmonary bilat (75743) | $25,248 | $25,248 | 7.6× |
| Angiography extremity bilateral rs&i (75716) | $20,745 | $20,745 | 6.2× |
| Angiography extremity unilateral rs&i (75710) | $21,488 | $21,488 | 6.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $25,248 | $25,248 | 7.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $20,745 | $20,745 | 6.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,343–$2,682 | $1,343–$2,682 | varies |
| Aortography thoracic serialography rs&i (75605) | $20,698 | $20,698 | 3.5× |
| Artery X-Rays Abdomen (75726) | $24,150 | $24,150 | 4.1× |
| Artery X-Rays Pelvis (75736) | $20,745 | $20,745 | 3.5× |
| Artery X-Rays Spine (75705) | $44,053 | $44,053 | 7.5× |
| Arthrogram ankle (73615) | $2,678 | $2,678 | 7.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,678–$5,141 | $2,678–$5,141 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,462–$2,559 | $1,462–$2,559 | varies |
| Basic radiation dosimetry calculation (77300) | $2,406 | $2,406 | 17.0× |
| Bone age studies (77072) | $1,540 | $1,540 | 14.0× |
| Bone Imaging 3 Phase (78315) | $8,366.23 | $8,366.23 | 19.8× |
| Bone Imaging Limited Area (78300) | $8,366.23 | $8,366.23 | 19.8× |
| Bone Imaging Multiple Areas (78305) | $9,048.11 | $9,048.11 | 21.5× |
| Bone Imaging Whole Body (78306) | $8,366.23 | $8,366.23 | 19.8× |
| Bone marrow imaging; whole body (78104) | $13,893.25 | $13,893.25 | 32.9× |
| Bone survey infant (77076) | $3,571 | $3,571 | 32.4× |
| Brachytx isodose complex (77318) | $20,970 | $20,970 | 53.1× |
| Brachytx isodose intermed (77317) | $17,943 | $17,943 | 45.4× |
| Brachytx Isodose Plan Simple (77316) | $14,706 | $14,706 | 37.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,264.22 | $8,264.22 | 14.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $37,412 | $37,412 | 24.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $10,754 | $10,754 | 29.2× |
| Cardiac Shunt Detection (78428) | $10,085.45 | $10,085.45 | 23.9× |
| Cat Scan Follow-Up Study (76380) | $6,797 | $6,797 | 74.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,910 | $4,910 | 8.6× |
| Cerebrospinal Fluid Scan (78630) | $7,543 | $7,543 | 13.2× |
| Chest 1 view (71045) | $816 | $816 | 8.9× |
| Chest 2 views (71046) | $1,023 | $1,023 | 11.1× |
| Chest 3 views (71047) | $1,486 | $1,486 | 16.2× |
| Chest 4 or more views (71048) | $1,486 | $1,486 | 13.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,603–$2,405 | $1,603–$2,405 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$181–$199 | $181–$199 | varies |
| Continuing medical physics consltj pr wk (77336) | $3,323 | $3,323 | 23.4× |
| Contrast Exam Abdominl Aorta (75625) | $21,488 | $21,488 | 6.5× |
| Contrast X-Ray Bladder (74430) | $1,462 | $1,462 | 4.0× |
| Contrast X-Ray Of Elbow (73085) | $2,678 | $2,678 | 7.3× |
| Contrast X-Ray Of Knee Joint (73580) | $2,678 | $2,678 | 7.3× |
| CT abdomen and pelvis without and with contrast (74178) | $22,184 | $22,184 | 60.3× |
| CT abdomen and pelvis without contrast (74176) | $22,183 | $22,183 | 88.1× |
| CT abdomen w contrast (74160) | $14,169 | $14,169 | 76.6× |
| CT abdomen w wo contrast (74170) | $14,468 | $14,468 | 78.2× |
| CT abdomen w/o contrast (74150) | $11,693 | $11,693 | 106.0× |
| CT Angio Abdomen and Pelvis (74174) | $25,492 | $25,492 | 69.3× |
| CT Angio Chest (71275) | $6,293 | $6,293 | 34.0× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$17,051–$21,047 | $17,051–$21,047 | varies |
| CT angio hrt w/3d image (75574) | $8,248 | $8,248 | 22.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$11,846–$17,770 | $11,846–$17,770 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$6,293–$10,289 | $6,293–$10,289 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $15,133 | $15,133 | 81.8× |
| CT cervical spine w/ contrast (72126) | $15,034 | $15,034 | 40.9× |
| CT cervical spine w/o contrast (72125) | $13,186 | $13,186 | 119.6× |
| CT cervical spine w/wo cont (72127) | $16,372 | $16,372 | 88.5× |
| CT chest w contrast (71260) | $13,157 | $13,157 | 71.1× |
| CT chest w/wo contrast (71270) | $18,599 | $18,599 | 100.5× |
| CT colonography screening (74263) range across 2 matching MRF lines |
$2,752–$21,775 | $2,752–$21,775 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $5,499 | $5,499 | 29.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $4,632 | $4,632 | 42.0× |
| CT head/brain with contrast (70460) | $13,089 | $13,089 | 70.7× |
| CT head/brain without and with contrast (70470) | $15,227 | $15,227 | 82.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,823 | $3,823 | 10.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $319 | $319 | 3.5× |
| CT hrt w/3d image congen (75573) | $3,823 | $3,823 | 10.4× |
| CT iac w contrast (70481) | $11,879 | $11,879 | 64.2× |
| CT l-spine w&w/o contrast (72133) | $13,648 | $13,648 | 73.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$10,026–$15,034 | $10,026–$15,034 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$12,276–$18,415 | $12,276–$18,415 | varies |
| CT lumbar spine w contrast (72132) | $11,372 | $11,372 | 30.9× |
| CT lumbar spine w/o contrast (72131) | $10,439 | $10,439 | 94.7× |
| CT maxillofacial w contrast (70487) | $11,087 | $11,087 | 59.9× |
| CT maxillofacial wo contrast (70486) | $8,692 | $8,692 | 78.8× |
| CT neck tissue combo (70492) | $13,586 | $13,586 | 73.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $10,724 | $10,724 | 58.0× |
| CT orbits w/o contrast (70480) | $10,393 | $10,393 | 94.2× |
| CT pelvis w&w/o contrast (72194) | $18,203 | $18,203 | 98.4× |
| CT pelvis w/o contrast (72192) | $10,063 | $10,063 | 91.2× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$17,049–$25,571 | $17,049–$25,571 | varies |
| CT scans face/jaw combo (70488) | $13,186 | $13,186 | 71.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$11,186–$12,332 | $11,186–$12,332 | varies |
| CT soft tissue neck w/o contrast (70490) | $11,481 | $11,481 | 104.1× |
| CT thoracic spine w contrast (72129) | $15,169 | $15,169 | 82.0× |
| CT thoracic spine w/o contrast (72128) | $13,544 | $13,544 | 122.8× |
| CT thoracic spine w/wo cont (72130) | $16,622 | $16,622 | 89.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$11,331–$12,491 | $11,331–$12,491 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$10,908–$21,425 | $10,908–$21,425 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$15,656–$30,918 | $15,656–$30,918 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$13,550–$26,695 | $13,550–$26,695 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$11,008–$12,135 | $11,008–$12,135 | varies |
| Cta Abdomen (74175) | $16,049 | $16,049 | 86.7× |
| CTA pelvis (72191) | $18,203 | $18,203 | 98.4× |
| Dilation ureters/urethra rs&i (74485) | $11,471 | $11,471 | 5.2× |
| Diskography lumbar (72295) | $20,698 | $20,698 | 10.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,098 | $1,098 | 10.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,098 | $1,098 | 10.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,303 | $1,303 | 11.8× |
| Dxa Bone Density Axial (77080) | $3,583 | $3,583 | 32.5× |
| Dxa bone density study (77085) | $1,507 | $1,507 | 13.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $3,167 | $3,167 | 34.5× |
| Echo exam of fetal heart (76825) | $2,981 | $2,981 | 5.2× |
| Echo exam uterus (76831) | $2,814 | $2,814 | 11.2× |
| Echo Guide For Artery Repair (76936) | $3,251 | $3,251 | 14.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,981 | $2,981 | 11.8× |
| Esophageal Motility Study (78258) | $7,455 | $7,455 | 17.7× |
| Esophagram (74220) | $2,313 | $2,313 | 12.5× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$2,448–$2,663 | $2,448–$2,663 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,148–$1,247 | $1,148–$1,247 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $11,308 | $11,308 | 44.9× |
| Fluoroscopy up to 1 hr (76000) | $1,592 | $1,592 | 6.3× |
| Follow-Up Angiography (75898) | $9,834 | $9,834 | 3.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,343–$2,682 | $1,343–$2,682 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,603–$3,175 | $1,603–$3,175 | varies |
| Gastric emptying imaging study (78264) | $8,945.02 | $8,945.02 | 21.2× |
| Gastroesophageal Reflux Exam (78262) | $9,555 | $9,555 | 22.7× |
| Gated Heart Planar Single (78472) | $11,002.49 | $11,002.49 | 26.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $10,734.42 | $10,734.42 | 18.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,532–$3,061 | $1,532–$3,061 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $8,810 | $8,810 | 12.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $8,810 | $8,810 | 12.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,810 | $8,810 | 12.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $24,999 | $24,999 | 7.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $21,907 | $21,907 | 6.6× |
| Hepatobil Syst Image W/Drug (78227) | $9,480 | $9,480 | 16.6× |
| Hepatobiliary System Imaging (78226) | $9,480 | $9,480 | 22.5× |
| Ht Musc Image Planar Mult (78454) | $8,346 | $8,346 | 6.1× |
| Ht Muscle Image Spect Sing (78451) | $8,346 | $8,346 | 6.1× |
| Hysterosalpingogram (74740) | $4,315 | $4,315 | 17.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,226 | $3,226 | 35.1× |
| Interstitial radiation source applic complex (77778) | $5,340 | $5,340 | 7.3× |
| Intraop radiaj tx deliver xray single tx session (77424) | $61,206 | $61,206 | 7.9× |
| K Flow/Funct Image Multiple (78709) | $8,366.23 | $8,366.23 | 14.6× |
| K Flow/Funct Image W/Drug (78708) | $17,044 | $17,044 | 29.8× |
| K Flow/Funct Image W/O Drug (78707) | $17,044 | $17,044 | 29.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,791–$3,578 | $1,791–$3,578 | varies |
| Leveen/Shunt Patency Exam (78291) | $7,418.04 | $7,418.04 | 17.6× |
| Liver & Spleen Imaging Static Only (78215) | $9,546.37 | $9,546.37 | 22.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $11,795 | $11,795 | 28.0× |
| Liver imaging static only (78201) | $2,429 | $2,429 | 4.2× |
| Liver imaging w/vascular flow (78202) | $11,795 | $11,795 | 20.6× |
| Lung Perf&Ventilat Diferentl (78598) | $13,369.22 | $13,369.22 | 23.3× |
| Lung perfusion differential (78597) | $2,433.31 | $2,433.31 | 5.8× |
| Lung Ventilat&Perfus Imaging (78582) | $13,369.22 | $13,369.22 | 23.3× |
| Lung Ventilation Imaging (78579) | $2,433.31 | $2,433.31 | 5.8× |
| Lymph System Imaging (78195) | $8,563 | $8,563 | 15.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$10,261–$11,312 | $10,261–$11,312 | varies |
| Mammary ductogram or galactogram multiple (77054) | $4,140 | $4,140 | 16.4× |
| Mammary ductogram or galactogram single (77053) | $4,633 | $4,633 | 18.4× |
| Meckels Divert Exam (78290) | $11,159.26 | $11,159.26 | 26.5× |
| Mlc imrt design & construction per imrt plan (77338) | $9,903 | $9,903 | 25.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $77 | $77 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$13,389–$14,760 | $13,389–$14,760 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$11,440–$12,611 | $11,440–$12,611 | varies |
| MRA head with contrast (70545) | $13,903 | $13,903 | 37.8× |
| MRA neck w contrast (70548) | $12,612 | $12,612 | 34.3× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$13,389–$14,760 | $13,389–$14,760 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$11,440–$12,611 | $11,440–$12,611 | varies |
| MRI abdomen w contrast (74182) | $15,090 | $15,090 | 41.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$11,764–$12,968 | $11,764–$12,968 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$13,455–$26,638 | $13,455–$26,638 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$13,155–$25,186 | $13,155–$25,186 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$12,205–$24,605 | $12,205–$24,605 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $12,796 | $12,796 | 50.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$12,937–$14,262 | $12,937–$14,262 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$11,114–$12,252 | $11,114–$12,252 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$10,754–$11,856 | $10,754–$11,856 | varies |
| MRI chest with contrast (71551) | $15,659 | $15,659 | 18.9× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$15,754–$17,367 | $15,754–$17,367 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$12,205–$28,599 | $12,205–$28,599 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$10,258–$15,149 | $10,258–$15,149 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$10,258–$25,243 | $10,258–$25,243 | varies |
| MRI lumbar spine w contrast (72149) | $14,822 | $14,822 | 40.3× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$13,827–$15,243 | $13,827–$15,243 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$12,210–$13,461 | $12,210–$13,461 | varies |
| MRI orbit face neck w contrast (70542) | $15,606 | $15,606 | 42.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$14,156–$15,606 | $14,156–$15,606 | varies |
| MRI pelvis w contrast (72196) | $14,502 | $14,502 | 39.4× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$13,155–$14,502 | $13,155–$14,502 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$10,258–$11,308 | $10,258–$11,308 | varies |
| MRI spectroscopy (76390) | $7,183 | $7,183 | 78.2× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$10,258–$11,308 | $10,258–$11,308 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$13,455–$24,605 | $13,455–$24,605 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$10,258–$24,605 | $10,258–$24,605 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$12,205–$24,605 | $12,205–$24,605 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$14,462–$15,943 | $14,462–$15,943 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$14,601–$16,096 | $14,601–$16,096 | varies |
| MRI, dorsal spine contrast (72147) | $14,822 | $14,822 | 40.3× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$12,205–$24,605 | $12,205–$24,605 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$13,742–$24,605 | $13,742–$24,605 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$17,114–$18,867 | $17,114–$18,867 | varies |
| Myelogram cervical (72240) | $5,085 | $5,085 | 6.1× |
| Myelogram Lumbar (72265) | $5,085 | $5,085 | 6.1× |
| Myelography thoracic (72255) | $5,085 | $5,085 | 6.1× |
| Myelograpy 2/more regions rs&i (72270) | $5,085 | $5,085 | 6.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,001 | $6,001 | 14.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $37,412 | $37,412 | 27.4× |
| Myocardial Spect Multiple Studies (78452) | $27,076 | $27,076 | 19.8× |
| N-invas est c ffr sw aly CTA (75580) | $3,138 | $3,138 | 3.5× |
| Neck soft tissue (70360) | $1,715 | $1,715 | 18.7× |
| Nm csf leak detection (78650) | $6,684 | $6,684 | 4.9× |
| Nonvascular Shunt X-Ray (75809) | $676 | $676 | 6.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $18,912 | $18,912 | 13.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,793.31 | $1,793.31 | 7.3× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$10,833–$10,837.12 | $10,833–$10,837.12 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$1,343–$2,002 | $1,343–$2,002 | varies |
| Parathyroid Planar Imaging (78070) | $9,654 | $9,654 | 22.9× |
| Pelvis 1 or 2 views (72170) | $1,525 | $1,525 | 13.8× |
| Perineogram (74775) | $4,315 | $4,315 | 17.1× |
| Peritoneogram Rs&I (74190) | $8,129 | $8,129 | 14.1× |
| Pet Image Skull-Thigh (78812) | $37,412 | $37,412 | 24.8× |
| Pet Image W/Ct Lmtd (78814) | $37,412 | $37,412 | 24.8× |
| PET image w/CT, full body (78816) | $37,412 | $37,412 | 24.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $41,864 | $41,864 | 27.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $37,412 | $37,412 | 27.4× |
| PET whole body (78813) | $37,412 | $37,412 | 24.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $20,698 | $20,698 | 6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,014.27 | $7,014.27 | 16.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,642 | $2,642 | 24.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,850 | $2,850 | 4.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,820–$3,616 | $1,820–$3,616 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,762–$3,513 | $1,762–$3,513 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,762–$3,513 | $1,762–$3,513 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,532 | $2,532 | 23.0× |
| Radex fingr minimum 2 views (73140) | $1,532 | $1,532 | 16.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,762–$3,513 | $1,762–$3,513 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,637–$3,269 | $1,637–$3,269 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,498–$2,987 | $1,498–$2,987 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,472 | $2,472 | 22.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,970 | $1,970 | 21.5× |
| Radex Ribs Unilateral 2 Views (71100) | $1,052 | $1,052 | 11.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,055–$4,082 | $2,055–$4,082 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,144 | $1,144 | 12.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,806 | $3,806 | 20.6× |
| Radex Spine 1 View Specify Level (72020) | $1,626 | $1,626 | 17.7× |
| Radex Sternum Minimum 2 Views (71120) | $2,127 | $2,127 | 23.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,906 | $2,906 | 31.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,498–$2,987 | $1,498–$2,987 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,453–$2,895 | $1,453–$2,895 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,637–$3,269 | $1,637–$3,269 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,200 | $4,200 | 38.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $59,861 | $59,861 | 7.7× |
| Radiation treatment delivery level 1 (77402) | $2,950 | $2,950 | 27.4× |
| Radiation treatment delivery level 2 (77407) | $3,756 | $3,756 | 9.2× |
| Radiation treatment delivery level 3 (77412) | $5,749 | $5,749 | 9.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,376 | $2,376 | 21.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,438 | $2,438 | 22.1× |
| Radiologic exam colon double contrast study (74280) | $4,762 | $4,762 | 25.7× |
| Radiologic exam colon single contrast study (74270) | $3,880 | $3,880 | 21.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,313 | $2,313 | 12.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,002–$3,997 | $2,002–$3,997 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,338 | $2,338 | 21.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,630 | $3,630 | 19.6× |
| Radiologic exam swallow function contrast study (74230) | $2,732 | $2,732 | 14.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,103 | $5,103 | 27.6× |
| Radiologic examination femur 1 view (73551) | $914 | $914 | 10.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$1,802–$2,463 | $1,802–$2,463 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,563–$3,106 | $1,563–$3,106 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,797 | $2,797 | 25.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,626–$3,231 | $1,626–$3,231 | varies |
| Renal Cyst Study (74470) | $2,678 | $2,678 | 4.6× |
| Ribs bilateral 3 views (71110) | $2,669 | $2,669 | 24.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $8,366.23 | $8,366.23 | 19.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $8,366.23 | $8,366.23 | 19.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $15,779 | $15,779 | 27.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $27,076 | $27,076 | 47.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $27,076 | $27,076 | 47.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $16,732.44 | $16,732.44 | 12.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $16,732.44 | $16,732.44 | 12.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $13,444.39 | $13,444.39 | 54.6× |
| Scapula (73010) range across 3 matching MRF lines |
$1,549–$2,405 | $1,549–$2,405 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$85–$170 | $85–$170 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,189–$1,789 | $1,189–$1,789 | varies |
| Shoulder Arthrography (73040) | $2,678 | $2,678 | 7.3× |
| Sialogram (70390) | $2,275 | $2,275 | 9.0× |
| Skull less than 4 views (70250) | $1,937 | $1,937 | 17.6× |
| Special dosimetry (77331) | $5,646 | $5,646 | 39.8× |
| Special Physics Consult (77370) | $6,550 | $6,550 | 46.2× |
| Special teletherapy port plan (77321) | $10,752 | $10,752 | 27.2× |
| Special treatment procedure (77470) | $24,050 | $24,050 | 41.3× |
| Speech evaluation, complex (70371) | $4,467 | $4,467 | 17.7× |
| Stereotactic Body Radiation Delivery (77373) | $22,784 | $22,784 | 12.1× |
| Sternoclavicular joints (71130) | $1,970 | $1,970 | 21.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $2,330.22 | $2,330.22 | 21.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $21,098 | $21,098 | 53.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $9,785 | $9,785 | 24.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,462 | $1,462 | 5.8× |
| Testicular Imaging W/Flow (78761) | $8,022 | $8,022 | 19.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $10,921 | $10,921 | 27.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $9,438 | $9,438 | 23.9× |
| Ther rad simulaj-aided field setting simple (77280) | $5,785 | $5,785 | 40.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,642 | $2,642 | 14.3× |
| Thoracic spine 2 views (72070) | $1,720 | $1,720 | 15.6× |
| Thoracic spine 3 views (72072) | $2,188 | $2,188 | 19.8× |
| Thoracolumbar 2 views (72080) | $1,751 | $1,751 | 19.1× |
| Thyroid Imaging With Vascular Flow (78013) | $5,111.44 | $5,111.44 | 12.1× |
| Thyroid Met Imaging Body (78018) | $13,258 | $13,258 | 23.1× |
| Thyroid Uptake Measurement (78012) | $4,166.46 | $4,166.46 | 9.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $7,208 | $7,208 | 17.1× |
| Tx Devices Design & Construction Complex (77334) | $6,067 | $6,067 | 15.4× |
| Tx devices design & construction intermediate (77333) | $4,712 | $4,712 | 33.2× |
| Tx devices design & construction simple (77332) | $2,770 | $2,770 | 19.5× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$810–$1,533 | $810–$1,533 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$4,194–$4,672 | $4,194–$4,672 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,997 | $2,997 | 27.2× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$1,046–$2,685 | $1,046–$2,685 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$1,303–$1,415 | $1,303–$1,415 | varies |
| Upper gi w/o kub (74240) | $5,103 | $5,103 | 27.6× |
| Urethrocystogram voiding (74455) | $2,678 | $2,678 | 10.6× |
| Urethrocystography retrograde (74450) | $1,462 | $1,462 | 5.8× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$629–$1,620 | $629–$1,620 | varies |
| Us chest (76604) | $1,206 | $1,206 | 10.9× |
| Us complete joint (76881) | $2,354 | $2,354 | 21.3× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$1,981–$2,328 | $1,981–$2,328 | varies |
| Us head (76506) | $3,960 | $3,960 | 35.9× |
| Us kidney transplant (76776) | $6,397 | $6,397 | 58.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$792–$805 | $792–$805 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,414–$1,537 | $1,414–$1,537 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$1,343–$1,460 | $1,343–$1,460 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,343–$2,343 | $1,343–$2,343 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,899–$3,153 | $2,899–$3,153 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,343–$2,661 | $1,343–$2,661 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$915–$1,631 | $915–$1,631 | varies |
| Us retroperitoneal complete (76770) | $3,592 | $3,592 | 32.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,942–$2,997 | $2,942–$2,997 | varies |
| Us scrotum and contents (76870) | $3,967 | $3,967 | 36.0× |
| Us spinal canal and contents (76800) | $2,231 | $2,231 | 20.2× |
| Us thyroid (76536) | $3,880 | $3,880 | 35.2× |
| Us transrectal (76872) | $3,117 | $3,117 | 28.3× |
| Vascular Flow Imaging (78445) | $4,454.26 | $4,454.26 | 10.6× |
| Vein X-Ray Chest (75827) | $8,737 | $8,737 | 5.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,489 | $4,489 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $21,488 | $21,488 | 6.5× |
| Venogram Sinus/Jugular (75860) | $20,745 | $20,745 | 6.2× |
| Venography Adrenal Unilateral (75840) | $10,130 | $10,130 | 3.0× |
| Venography caval inferior serialography rs&i (75825) | $24,150 | $24,150 | 7.3× |
| Venography extremity bilateral rs&i (75822) | $8,542 | $8,542 | 5.1× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$6,935–$7,767 | $6,935–$7,767 | varies |
| Venography Renal Bilateral (75833) | $24,699 | $24,699 | 7.4× |
| Venography Renal Unilateral (75831) | $24,699 | $24,699 | 7.4× |
| Venous sampling by catheter (75893) | $20,745 | $20,745 | 3.5× |
| Vertebral fracture assessment via dxa (77086) | $1,005 | $1,005 | 10.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,218–$2,443 | $1,218–$2,443 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,995 | $1,995 | 21.7× |
| X-ray antegrade pyelogram tube (74425) | $2,763 | $2,763 | 7.5× |
| X-Ray Aorta Leg Arteries (75630) | $21,488 | $21,488 | 6.5× |
| X-Ray Bend Only L-S Spine (72120) | $1,415 | $1,415 | 12.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,464–$2,917 | $1,464–$2,917 | varies |
| X-Ray Exam Breast Specimen (76098) | $2,678 | $2,678 | 4.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,628 | $1,628 | 17.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $4,200 | $4,200 | 38.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $4,200 | $4,200 | 38.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $914 | $914 | 10.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,827 | $1,827 | 19.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,105 | $2,105 | 19.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,827 | $1,827 | 16.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,105 | $2,105 | 19.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,380 | $2,380 | 21.6× |
| X-Ray Exam L-S Spine Bending (72114) | $4,261 | $4,261 | 38.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,751 | $1,751 | 19.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,023 | $3,023 | 27.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,669 | $2,669 | 24.2× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$425–$1,081 | $425–$1,081 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,558–$2,333 | $1,558–$2,333 | varies |
| X-ray IV pyelogram (ivp) (74400) | $4,539 | $4,539 | 24.5× |
| X-ray IV pyelogram+tomography (74415) | $5,163 | $5,163 | 27.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,105 | $2,105 | 19.1× |
| X-ray nose-rectum child f.b. (76010) | $1,570 | $1,570 | 17.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,061 | $3,061 | 27.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,055 | $2,055 | 18.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,820 | $1,820 | 19.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,523 | $2,523 | 27.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,595 | $2,595 | 23.5× |
| X-Rays Bone Length Studies (77073) | $1,453 | $1,453 | 13.2× |
| X-Rays Bone Survey Complete (77075) | $8,329 | $8,329 | 75.5× |
| Xr c-spine 4 or 5 views (72050) | $2,631 | $2,631 | 23.9× |
| Xr facial bones less than 3 views (70140) | $2,275 | $2,275 | 24.8× |
| Xr orbits complete 4 views (70200) | $2,389 | $2,389 | 21.7× |
| Xr Tomogram Single Plane (76100) | $4,194 | $4,194 | 38.0× |
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.