Imaging prices at HCA HealthOne Swedish Medical Center
Englewood, 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) | $43,818.51 | $43,818.51 | 30.0× |
| Abdomen 1 View (74018) | $1,884.42 | $1,884.42 | 20.5× |
| Abdomen 2 views (74019) | $2,075.23 | $2,075.23 | 18.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,615.92 | $4,615.92 | 10.9× |
| Adrenal Cortex & Medulla Img (78075) | $8,667.13 | $8,667.13 | 6.3× |
| Angio internal mammary (75756) | $12,370.76 | $12,370.76 | 3.7× |
| Angio pulmonary bilat (75743) | $12,535.83 | $12,535.83 | 3.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,641.86 | $4,641.86 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $11,921.19 | $11,921.19 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $11,811.85 | $11,811.85 | 3.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $11,970.01 | $11,970.01 | 3.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,736.63–$3,483.87 | $1,736.63–$3,483.87 | varies |
| Aortography thoracic serialography rs&i (75605) | $11,761.04 | $11,761.04 | 2.0× |
| Artery X-Rays Abdomen (75726) | $25,677.05 | $25,677.05 | 4.4× |
| Artery X-Rays Adrenal Gland (75731) | $4,570.39 | $4,570.39 | 1.4× |
| Artery X-Rays Pelvis (75736) | $11,761.04 | $11,761.04 | 2.0× |
| Artery X-Rays Spine (75705) | $16,557.50 | $16,557.50 | 2.8× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$2,010.96–$2,031.10 | $2,010.96–$2,031.10 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,662.19–$3,291.42 | $1,662.19–$3,291.42 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$3,704.59–$7,407.76 | $3,704.59–$7,407.76 | varies |
| Basic radiation dosimetry calculation (77300) | $3,145.68 | $3,145.68 | 22.2× |
| Bone age studies (77072) | $1,462.74 | $1,462.74 | 13.3× |
| Bone Imaging 3 Phase (78315) | $7,484.91 | $7,484.91 | 17.7× |
| Bone Imaging Limited Area (78300) | $5,371.22 | $5,371.22 | 12.7× |
| Bone Imaging Multiple Areas (78305) | $7,715.97 | $7,715.97 | 18.3× |
| Bone Imaging Whole Body (78306) | $11,068.85 | $11,068.85 | 26.2× |
| Bone marrow imaging; whole body (78104) | $10,061.74 | $10,061.74 | 23.9× |
| Bone survey infant (77076) | $5,414.62 | $5,414.62 | 49.1× |
| Brachytx isodose complex (77318) | $23,639.58 | $23,639.58 | 59.9× |
| Brachytx isodose intermed (77317) | $17,418.68 | $17,418.68 | 44.1× |
| Brachytx Isodose Plan Simple (77316) | $13,680.35 | $13,680.35 | 34.6× |
| Brain Image W/Flow < 4 Views (78601) | $5,495.56 | $5,495.56 | 13.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $10,376.72 | $10,376.72 | 18.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $29,915.82 | $29,915.82 | 19.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $13,158.13 | $13,158.13 | 35.8× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,091.74–$2,230.84 | $2,091.74–$2,230.84 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,756.82 | $4,756.82 | 8.3× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$7,415.90–$7,909.06 | $7,415.90–$7,909.06 | varies |
| Chest 1 view (71045) | $1,740.50 | $1,740.50 | 19.0× |
| Chest 2 views (71046) | $1,908.57 | $1,908.57 | 20.8× |
| Chest 3 views (71047) | $2,385.69 | $2,385.69 | 26.0× |
| Chest 4 or more views (71048) | $3,069.40 | $3,069.40 | 27.8× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $355.67 | $355.67 | 3.2× |
| Cholecystography Oral Contrast (74290) | $2,641.27 | $2,641.27 | 14.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,799.83–$2,995.20 | $1,799.83–$2,995.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $370.47 | $370.47 | 3.4× |
| Continuing medical physics consltj pr wk (77336) | $4,524.10 | $4,524.10 | 31.9× |
| Contrast Exam Abdominl Aorta (75625) | $30,242.41 | $30,242.41 | 9.1× |
| Contrast X-Ray Bladder (74430) | $10,208.25 | $10,208.25 | 27.7× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,827.62–$1,845.86 | $1,827.62–$1,845.86 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,827.62 | $1,827.62 | 5.0× |
| Corpora cavernosography (74445) | $5,950.60 | $5,950.60 | 54.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$14,254.20–$15,679.81 | $14,254.20–$15,679.81 | varies |
| CT abdomen and pelvis without contrast (74176) | $15,552.24 | $15,552.24 | 61.8× |
| CT abdomen w contrast (74160) | $7,778.62 | $7,778.62 | 42.0× |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$7,374.75–$8,112.72 | $7,374.75–$8,112.72 | varies |
| CT abdomen w/o contrast (74150) | $6,872.37 | $6,872.37 | 62.3× |
| CT Angio Abdomen and Pelvis (74174) | $8,106.82 | $8,106.82 | 22.0× |
| CT Angio Chest (71275) | $10,245.14 | $10,245.14 | 55.4× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$11,495.09–$16,908.35 | $11,495.09–$16,908.35 | varies |
| CT angio hrt w/3d image (75574) | $7,090.79 | $7,090.79 | 19.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$9,975.02–$20,944.74 | $9,975.02–$20,944.74 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$11,646.08–$17,071.47 | $11,646.08–$17,071.47 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,515.83 | $9,515.83 | 51.4× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$10,186.29–$10,863.68 | $10,186.29–$10,863.68 | varies |
| CT cervical spine w/o contrast (72125) | $9,989.42 | $9,989.42 | 90.6× |
| CT cervical spine w/wo cont (72127) | $10,670.87 | $10,670.87 | 57.7× |
| CT chest w contrast (71260) | $8,271.22 | $8,271.22 | 44.7× |
| CT chest w/wo contrast (71270) | $9,530.07 | $9,530.07 | 51.5× |
| CT colonography screening (74263) | $7,070.16 | $7,070.16 | 28.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $6,607.88 | $6,607.88 | 59.9× |
| CT head/brain with contrast (70460) | $7,458.13 | $7,458.13 | 40.3× |
| CT head/brain without and with contrast (70470) | $8,103.64 | $8,103.64 | 43.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $7,090.79 | $7,090.79 | 19.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,478.07 | $2,478.07 | 27.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$8,166.01–$8,192.80 | $8,166.01–$8,192.80 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$10,670.87–$12,177.20 | $10,670.87–$12,177.20 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$7,362–$14,803.15 | $7,362–$14,803.15 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$7,827.75–$15,756.57 | $7,827.75–$15,756.57 | varies |
| CT lumbar spine w contrast (72132) | $9,991.50 | $9,991.50 | 27.1× |
| CT lumbar spine w/o contrast (72131) | $9,750.58 | $9,750.58 | 88.4× |
| CT maxillofacial w contrast (70487) | $8,192.80 | $8,192.80 | 44.3× |
| CT maxillofacial wo contrast (70486) | $8,891.42 | $8,891.42 | 80.6× |
| CT neck tissue combo (70492) | $8,271.22 | $8,271.22 | 44.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$8,735.95–$10,248.32 | $8,735.95–$10,248.32 | varies |
| CT orbits w/o contrast (70480) | $8,990.20 | $8,990.20 | 81.5× |
| CT pelvis w&w/o contrast (72194) | $8,112.72 | $8,112.72 | 43.8× |
| CT pelvis w/o contrast (72192) | $7,329.43 | $7,329.43 | 66.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$8,554.35–$15,988.53 | $8,554.35–$15,988.53 | varies |
| CT scans face/jaw combo (70488) | $9,887.48 | $9,887.48 | 53.4× |
| CT soft tissue neck w contrast (70491) | $7,683.79 | $7,683.79 | 41.5× |
| CT soft tissue neck w/o contrast (70490) | $7,424.27 | $7,424.27 | 67.3× |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$9,991.50–$10,655.93 | $9,991.50–$10,655.93 | varies |
| CT thoracic spine w/o contrast (72128) | $9,785.84 | $9,785.84 | 88.7× |
| CT thoracic spine w/wo cont (72130) | $10,670.87 | $10,670.87 | 57.7× |
| CT thorax w/o contrast (71250) | $7,424.27 | $7,424.27 | 67.3× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$7,365.78–$14,803.15 | $7,365.78–$14,803.15 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$8,554.35–$17,051.77 | $8,554.35–$17,051.77 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$7,842.49–$15,704.81 | $7,842.49–$15,704.81 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $17,359.49 | $17,359.49 | 93.8× |
| Cta Abdomen (74175) | $10,212.59 | $10,212.59 | 55.2× |
| CTA pelvis (72191) | $9,819.80 | $9,819.80 | 53.1× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$5,559.24–$5,929.85 | $5,559.24–$5,929.85 | varies |
| Discography Cerv/Thor Spine (72285) | $7,576.74 | $7,576.74 | 3.7× |
| Diskography lumbar (72295) | $7,115.35 | $7,115.35 | 3.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$1,927.77–$2,120.38 | $1,927.77–$2,120.38 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$2,383.66–$2,622.79 | $2,383.66–$2,622.79 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $528.45 | $528.45 | 4.8× |
| Dxa Bone Density Axial (77080) | $1,306.57 | $1,306.57 | 11.8× |
| Dxa bone density study (77085) | $1,306.57 | $1,306.57 | 11.8× |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$2,217.13–$2,438.56 | $2,217.13–$2,438.56 | varies |
| Echograp Trans R Pros Study (76873) | $4,467.73 | $4,467.73 | 40.5× |
| Esophagram (74220) | $2,928.36 | $2,928.36 | 15.8× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$1,431.88–$4,761.74 | $1,431.88–$4,761.74 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,174.51 | $3,174.51 | 28.8× |
| Fluoroscopy up to 1 hr (76000) | $3,507.12 | $3,507.12 | 13.9× |
| Follow-Up Angiography (75898) | $57,086.02 | $57,086.02 | 17.1× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$1,890.62–$3,791.49 | $1,890.62–$3,791.49 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$1,693.95–$3,408.41 | $1,693.95–$3,408.41 | varies |
| Gastric emptying imaging study (78264) | $8,274.43 | $8,274.43 | 19.6× |
| Gastroesophageal Reflux Exam (78262) | $8,274.43 | $8,274.43 | 19.6× |
| Gated Heart Planar Single (78472) | $10,152.91 | $10,152.91 | 24.1× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$1,635.73–$3,261.79 | $1,635.73–$3,261.79 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $53,128.28 | $53,128.28 | 72.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $41,652.22 | $41,652.22 | 56.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $31,488.78 | $31,488.78 | 42.9× |
| Heart first pass single,planar (78481) | $12,100.81 | $12,100.81 | 21.1× |
| Heart Image (Pet) Multiple (78492) | $22,139.61 | $22,139.61 | 14.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,140.76 | $4,140.76 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,140.76 | $4,140.76 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $14,783.31 | $14,783.31 | 25.8× |
| Hepatobiliary System Imaging (78226) | $14,783.31 | $14,783.31 | 35.1× |
| Ht Muscle Image Spect Sing (78451) | $10,486.55 | $10,486.55 | 7.7× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $68,882.32 | $68,882.32 | 118.2× |
| Hysterosalpingogram (74740) | $3,734.54 | $3,734.54 | 14.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$2,279.47–$2,496.25 | $2,279.47–$2,496.25 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$1,988.26–$2,186.42 | $1,988.26–$2,186.42 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$5,687.27–$42,761.61 | $5,687.27–$42,761.61 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) | $14,580.25 | $14,580.25 | 25.0× |
| Intracavitary radiation source applic simple (77761) | $10,925.87 | $10,925.87 | 18.7× |
| Intraop radiaj tx deliver xray single tx session (77424) | $45,551.34 | $45,551.34 | 5.9× |
| K Flow/Funct Image W/Drug (78708) | $11,062.65 | $11,062.65 | 19.3× |
| K Flow/Funct Image W/O Drug (78707) | $12,688.30 | $12,688.30 | 22.2× |
| Kidney Imaging Morphol (78700) | $6,832.16 | $6,832.16 | 16.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$7,237.29–$7,718.57 | $7,237.29–$7,718.57 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,103–$4,332.79 | $2,103–$4,332.79 | varies |
| Leveen/Shunt Patency Exam (78291) | $8,096.23 | $8,096.23 | 19.2× |
| Liver & Spleen Imaging Static Only (78215) | $8,893.01 | $8,893.01 | 21.1× |
| Liver imaging static only (78201) | $8,688.88 | $8,688.88 | 15.2× |
| Liver imaging w/vascular flow (78202) | $11,007.72 | $11,007.72 | 19.2× |
| Lung perfusion differential (78597) | $3,904.09 | $3,904.09 | 9.3× |
| Lung Ventilat&Perfus Imaging (78582) | $15,315.88 | $15,315.88 | 26.7× |
| Lymph System Imaging (78195) | $7,933.82 | $7,933.82 | 13.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,598.95 | $2,598.95 | 3.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,270.94 | $6,270.94 | 1.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,270.94 | $6,270.94 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$14,419.21–$15,651.04 | $14,419.21–$15,651.04 | varies |
| Meckels Divert Exam (78290) | $3,795.31 | $3,795.31 | 9.0× |
| Mlc imrt design & construction per imrt plan (77338) | $54,697.37 | $54,697.37 | 138.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $78.36 | $78.36 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $16,969.09 | $16,969.09 | 46.1× |
| MRA head w/o contrast (70544) | $11,633.49 | $11,633.49 | 46.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $16,950.67 | $16,950.67 | 46.1× |
| MRA neck w/o contrast (70547) | $11,623.23 | $11,623.23 | 46.2× |
| MRI abdomen w contrast (74182) | $16,929.41 | $16,929.41 | 46.0× |
| MRI abdomen w/o contrast (74181) | $16,766.61 | $16,766.61 | 66.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$14,637.87–$15,611.29 | $14,637.87–$15,611.29 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$13,608.84–$29,562.28 | $13,608.84–$29,562.28 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$13,608.84–$29,562.28 | $13,608.84–$29,562.28 | varies |
| MRI brain functional w/o physician admnistration (70554) | $17,426.24 | $17,426.24 | 69.2× |
| MRI cardiac w/o contrast (75557) | $10,705.08 | $10,705.08 | 42.5× |
| MRI cervical spine w contrast (72142) | $16,937.78 | $16,937.78 | 46.0× |
| MRI cervical spine w/o cont (72141) | $16,929.71 | $16,929.71 | 67.3× |
| MRI chest w/o contrast (71550) | $15,087.41 | $15,087.41 | 59.9× |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$13,611.48–$14,057.64 | $13,611.48–$14,057.64 | varies |
| MRI chest wo w contrast (71552) | $21,372.26 | $21,372.26 | 58.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$14,637.87–$31,528.17 | $14,637.87–$31,528.17 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$14,624.88–$29,562.28 | $14,624.88–$29,562.28 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$14,618.23–$29,562.28 | $14,618.23–$29,562.28 | varies |
| MRI lumbar spine w contrast (72149) | $16,937.78 | $16,937.78 | 46.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $19,965.44 | $19,965.44 | 54.3× |
| MRI orbit face &/neck w/o contrast (70540) | $15,832.20 | $15,832.20 | 62.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $19,152.41 | $19,152.41 | 52.0× |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$17,370.42–$18,854.40 | $17,370.42–$18,854.40 | varies |
| MRI pelvis w/o & w contrast (72197) | $20,921.37 | $20,921.37 | 56.8× |
| MRI pelvis w/o contrast (72195) | $17,089.54 | $17,089.54 | 67.9× |
| MRI spectroscopy (76390) | $5,292.22 | $5,292.22 | 57.6× |
| MRI thoracic spine w/o contrast (72146) | $17,739.96 | $17,739.96 | 70.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$14,637.87–$15,611.29 | $14,637.87–$15,611.29 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$14,651.29–$29,543.66 | $14,651.29–$29,543.66 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$16,066.08–$29,562.28 | $16,066.08–$29,562.28 | varies |
| MRI, abdomen, combo (74183) | $23,936.53 | $23,936.53 | 65.0× |
| MRI, dorsal spine combo (72157) | $20,923.99 | $20,923.99 | 56.9× |
| MRI, dorsal spine contrast (72147) | $16,937.78 | $16,937.78 | 46.0× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$14,602.34–$29,562.28 | $14,602.34–$29,562.28 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$12,542.62–$13,614.44 | $12,542.62–$13,614.44 | varies |
| MRI, lumbar spine combo (72158) | $21,733.77 | $21,733.77 | 59.1× |
| Myelogram cervical (72240) | $7,124.39 | $7,124.39 | 8.6× |
| Myelogram Lumbar (72265) | $5,851.09 | $5,851.09 | 7.1× |
| Myelography thoracic (72255) | $5,691.59 | $5,691.59 | 6.9× |
| Myelograpy 2/more regions rs&i (72270) | $7,415.02 | $7,415.02 | 9.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,249.64 | $1,249.64 | 3.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $31,033.23 | $31,033.23 | 22.7× |
| Myocardial Spect Multiple Studies (78452) | $19,939.02 | $19,939.02 | 14.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $30,088.13 | $30,088.13 | 19.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $23,611.89 | $23,611.89 | 15.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $23,611.89 | $23,611.89 | 10.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $30,088.13 | $30,088.13 | 12.9× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $30,088.13 | $30,088.13 | 18.8× |
| N-invas est c ffr sw aly CTA (75580) | $3,378.51 | $3,378.51 | 3.7× |
| Neck soft tissue (70360) | $1,785.75 | $1,785.75 | 19.5× |
| Nm csf leak detection (78650) | $8,460.94 | $8,460.94 | 6.2× |
| Nm myocard infarct spect (78469) | $6,103.77 | $6,103.77 | 10.7× |
| Nonvascular Shunt X-Ray (75809) | $2,391.61 | $2,391.61 | 21.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $113,845.08 | $113,845.08 | 78.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,155.80 | $1,155.80 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $11,714.35 | $11,714.35 | 47.6× |
| Ob us nuchal meas 1 gest (76813) | $1,521.20 | $1,521.20 | 13.8× |
| Panoramic X-ray of jaws (70355) | $1,650.78 | $1,650.78 | 18.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$10,518.66–$11,218.15 | $10,518.66–$11,218.15 | varies |
| Parathyroid Planar Imaging (78070) | $10,518.66 | $10,518.66 | 24.9× |
| Pelvis 1 or 2 views (72170) | $1,926.74 | $1,926.74 | 17.5× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$4,315.25–$4,602.91 | $4,315.25–$4,602.91 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$5,394.41–$5,753.14 | $5,394.41–$5,753.14 | varies |
| PET image w/CT, full body (78816) | $32,907.04 | $32,907.04 | 21.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $32,907.04 | $32,907.04 | 21.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,140.76 | $4,140.76 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,070.33 | $8,070.33 | 19.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,206.38 | $2,206.38 | 20.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,909.89 | $4,909.89 | 8.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$1,916.36–$3,942.48 | $1,916.36–$3,942.48 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$1,417.33–$2,945.94 | $1,417.33–$2,945.94 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$1,900.37–$3,896.85 | $1,900.37–$3,896.85 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $3,033.07 | $3,033.07 | 27.5× |
| Radex fingr minimum 2 views (73140) | $1,526.27 | $1,526.27 | 16.6× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$1,894.26–$3,871.24 | $1,894.26–$3,871.24 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,813.06–$3,691.82 | $1,813.06–$3,691.82 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,714.86–$3,395.77 | $1,714.86–$3,395.77 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$1,720.43–$1,892.46 | $1,720.43–$1,892.46 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,086.85 | $2,086.85 | 22.7× |
| Radex Ribs Unilateral 2 Views (71100) | $1,895.32 | $1,895.32 | 20.6× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$2,013.79–$4,096.31 | $2,013.79–$4,096.31 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,657.41–$1,823.14 | $1,657.41–$1,823.14 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,315.97 | $2,315.97 | 12.5× |
| Radex Spine 1 View Specify Level (72020) | $2,037.29 | $2,037.29 | 22.2× |
| Radex Sternum Minimum 2 Views (71120) | $2,071.45 | $2,071.45 | 22.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $4,220.28 | $4,220.28 | 46.0× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$1,456.19–$2,996.68 | $1,456.19–$2,996.68 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,768.83–$3,556.52 | $1,768.83–$3,556.52 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$1,889.45–$3,878.41 | $1,889.45–$3,878.41 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$6,254.04–$12,233.98 | $6,254.04–$12,233.98 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $399,191.36 | $399,191.36 | 51.4× |
| Radiation treatment delivery level 1 (77402) | $3,551.58 | $3,551.58 | 33.0× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$7,861.57–$8,644.72 | $7,861.57–$8,644.72 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,719.70 | $2,719.70 | 24.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,594.03 | $2,594.03 | 23.5× |
| Radiologic exam colon double contrast study (74280) | $4,274.34 | $4,274.34 | 23.1× |
| Radiologic exam colon single contrast study (74270) | $3,700.29 | $3,700.29 | 20.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $940.81 | $940.81 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$2,759.07–$5,629.50 | $2,759.07–$5,629.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,250.13 | $2,250.13 | 20.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,012.29 | $4,012.29 | 21.7× |
| Radiologic exam swallow function contrast study (74230) | $3,928.24 | $3,928.24 | 21.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,345.40 | $5,345.40 | 28.9× |
| Radiologic examination femur 1 view (73551) range across 7 matching MRF lines |
$1,952.64–$2,959.05 | $1,952.64–$2,959.05 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$2,928.45–$4,438.60 | $2,928.45–$4,438.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$1,395.39–$3,714.58 | $1,395.39–$3,714.58 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$1,967.42–$3,983.79 | $1,967.42–$3,983.79 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $21,274.61 | $21,274.61 | 86.4× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $25,028.44 | $25,028.44 | 101.7× |
| Renal Cyst Study (74470) | $1,647.30 | $1,647.30 | 2.9× |
| Ribs bilateral 3 views (71110) | $2,862.82 | $2,862.82 | 26.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $13,459.16 | $13,459.16 | 23.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $14,316.03 | $14,316.03 | 25.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,934.29 | $2,934.29 | 5.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,604.92 | $6,604.92 | 4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $7,492.56 | $7,492.56 | 5.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,604.92 | $6,604.92 | 4.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $9,050.49 | $9,050.49 | 36.8× |
| Rp Therapy Intravenous Administration (79101) | $11,714.35 | $11,714.35 | 47.6× |
| Scapula (73010) range across 5 matching MRF lines |
$2,113.97–$4,205.23 | $2,113.97–$4,205.23 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$1,875.08–$3,725.73 | $1,875.08–$3,725.73 | varies |
| Shoulder Arthrography (73040) | $4,831.24 | $4,831.24 | 13.1× |
| Sialogram (70390) | $2,506.77 | $2,506.77 | 10.0× |
| Skull less than 4 views (70250) | $2,357.72 | $2,357.72 | 21.4× |
| Special dosimetry (77331) | $7,133.15 | $7,133.15 | 50.3× |
| Special Physics Consult (77370) | $10,672.13 | $10,672.13 | 75.3× |
| Special teletherapy port plan (77321) | $12,987.36 | $12,987.36 | 32.9× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$18,532.97–$27,906.73 | $18,532.97–$27,906.73 | varies |
| Speech evaluation, complex (70371) | $3,928.24 | $3,928.24 | 15.6× |
| Srs Multisource (77371) | $314,161.34 | $314,161.34 | 40.4× |
| Stereotactic Body Radiation Delivery (77373) | $99,797.84 | $99,797.84 | 52.9× |
| Sternoclavicular joints (71130) | $2,048.20 | $2,048.20 | 22.3× |
| Superior sagittal sinus venogram (75870) | $3,914.52 | $3,914.52 | 1.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $2,944.64 | $2,944.64 | 27.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $17,958.88 | $17,958.88 | 45.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $9,787.63 | $9,787.63 | 24.8× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$1,827.62–$3,656.69 | $1,827.62–$3,656.69 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $12,194.58 | $12,194.58 | 30.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $9,250.31 | $9,250.31 | 23.4× |
| Ther rad simulaj-aided field setting simple (77280) | $5,175.94 | $5,175.94 | 36.5× |
| Thoracic spine 2 views (72070) | $2,644.30 | $2,644.30 | 24.0× |
| Thoracic spine 3 views (72072) | $3,698.99 | $3,698.99 | 33.5× |
| Thoracolumbar 2 views (72080) | $2,642.92 | $2,642.92 | 28.8× |
| Thyroid Imaging With Vascular Flow (78013) | $5,144.34 | $5,144.34 | 12.2× |
| Thyroid Met Imaging Body (78018) | $7,037.31 | $7,037.31 | 12.3× |
| Thyroid Uptake Measurement (78012) | $3,092.83 | $3,092.83 | 7.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,798.13 | $5,798.13 | 13.7× |
| Tx Devices Design & Construction Complex (77334) | $9,700.70 | $9,700.70 | 24.6× |
| Tx devices design & construction intermediate (77333) | $7,074.19 | $7,074.19 | 49.9× |
| Tx devices design & construction simple (77332) | $3,772.87 | $3,772.87 | 26.6× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$1,070.90–$2,284.19 | $1,070.90–$2,284.19 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,905.62 | $2,905.62 | 26.3× |
| Ultrasound, abdomen limited (76705) | $3,027.01 | $3,027.01 | 27.4× |
| Umbilical-artery Doppler (OB) (76820) | $528.45 | $528.45 | 4.8× |
| Unlisted magnetic resonance procedure (76498) | $17,056.88 | $17,056.88 | 185.8× |
| Upper gi w/o kub (74240) | $3,549.39 | $3,549.39 | 19.2× |
| Ureteral Reflux Study (78740) | $12,688.30 | $12,688.30 | 30.1× |
| Urethrocystogram voiding (74455) | $1,308.53 | $1,308.53 | 5.2× |
| Urethrocystography retrograde (74450) | $3,619.17 | $3,619.17 | 14.4× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$1,038.63–$2,141.76 | $1,038.63–$2,141.76 | varies |
| Us chest (76604) | $2,767.98 | $2,767.98 | 25.1× |
| Us complete joint (76881) | $2,505.66 | $2,505.66 | 22.7× |
| Us exam, pelvic, limited (76857) | $2,134.50 | $2,134.50 | 19.4× |
| Us head (76506) | $2,847 | $2,847 | 25.8× |
| Us kidney transplant (76776) | $6,169.43 | $6,169.43 | 55.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$2,725.13–$2,906.35 | $2,725.13–$2,906.35 | varies |
| Us ob detailed single fetus (76811) | $3,662.97 | $3,662.97 | 14.6× |
| Us ob limited 1 or more fetuses (76815) | $2,271.12 | $2,271.12 | 20.6× |
| Us ob transvaginal (76817) | $1,523.98 | $1,523.98 | 13.8× |
| Us pelvic non ob complete (76856) | $2,173.90 | $2,173.90 | 19.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,847.56 | $2,847.56 | 25.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,953.82 | $1,953.82 | 17.7× |
| Us retroperitoneal complete (76770) | $3,862.99 | $3,862.99 | 35.0× |
| Us retroperitoneal limited (76775) | $3,020.36 | $3,020.36 | 27.4× |
| Us scrotum and contents (76870) | $2,810.44 | $2,810.44 | 25.5× |
| Us spinal canal and contents (76800) | $2,141.76 | $2,141.76 | 19.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$3,063.79–$3,267.53 | $3,063.79–$3,267.53 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$2,250.62–$2,474.85 | $2,250.62–$2,474.85 | varies |
| Vascular Flow Imaging (78445) | $2,115.74 | $2,115.74 | 5.0× |
| Vein X-Ray Chest (75827) | $5,111.17 | $5,111.17 | 3.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,177.76 | $4,177.76 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $3,767.88 | $3,767.88 | 1.1× |
| Venogram Sinus/Jugular (75860) | $6,258.63 | $6,258.63 | 1.9× |
| Venography Adrenal Unilateral (75840) | $6,018.03 | $6,018.03 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $19,975.31 | $19,975.31 | 6.0× |
| Venography extremity bilateral rs&i (75822) | $5,660.19 | $5,660.19 | 3.4× |
| Venography extremity unilateral rs&i (75820) | $3,503.50 | $3,503.50 | 2.1× |
| Venography Renal Bilateral (75833) | $6,991.13 | $6,991.13 | 2.1× |
| Venography Renal Unilateral (75831) | $6,690.97 | $6,690.97 | 2.0× |
| Venous sampling by catheter (75893) | $4,140.69 | $4,140.69 | 0.7× |
| Venous thrombosis imaging (78457) | $11,062.65 | $11,062.65 | 19.3× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$1,695.60–$3,409.76 | $1,695.60–$3,409.76 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$1,627.35–$2,187.73 | $1,627.35–$2,187.73 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,849.54–$1,992.59 | $1,849.54–$1,992.59 | varies |
| X-Ray Aorta Leg Arteries (75630) | $31,148.61 | $31,148.61 | 9.4× |
| X-Ray Bend Only L-S Spine (72120) | $3,744.51 | $3,744.51 | 34.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$1,708.23–$3,438.34 | $1,708.23–$3,438.34 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,200.75 | $1,200.75 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $3,624.85 | $3,624.85 | 39.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $5,437.31 | $5,437.31 | 49.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$4,169.36–$8,155.98 | $4,169.36–$8,155.98 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $2,037.69 | $2,037.69 | 22.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,859.47 | $2,859.47 | 31.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,336.86 | $4,336.86 | 39.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,050.57 | $4,050.57 | 36.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $6,798.29 | $6,798.29 | 61.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $10,197.43 | $10,197.43 | 92.5× |
| X-Ray Exam L-S Spine Bending (72114) | $6,597.39 | $6,597.39 | 59.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,594.93 | $2,594.93 | 28.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,233.15 | $3,233.15 | 29.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,427.74 | $2,427.74 | 22.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$343.79–$1,805.05 | $343.79–$1,805.05 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$1,941.22–$3,910.29 | $1,941.22–$3,910.29 | varies |
| X-ray IV pyelogram (ivp) (74400) | $4,658.90 | $4,658.90 | 25.2× |
| X-ray IV pyelogram+tomography (74415) | $7,660.22 | $7,660.22 | 41.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,847.72 | $1,847.72 | 20.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,874.66 | $2,874.66 | 26.1× |
| X-ray nose-rectum child f.b. (76010) | $1,640.82 | $1,640.82 | 17.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,939.83 | $2,939.83 | 26.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,882.80 | $1,882.80 | 17.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,205.29 | $2,205.29 | 24.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,652.05 | $2,652.05 | 28.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$2,405.13–$3,233.19 | $2,405.13–$3,233.19 | varies |
| X-ray thoracic spine 4 vw (72074) | $3,411.27 | $3,411.27 | 30.9× |
| X-Ray Tmj Unilat (70328) | $3,343.58 | $3,343.58 | 36.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $6,256.95 | $6,256.95 | 17.0× |
| X-Rays Bone Length Studies (77073) | $1,492.71 | $1,492.71 | 13.5× |
| X-Rays Bone Survey Complete (77075) | $12,344.20 | $12,344.20 | 111.9× |
| Xr c-spine 4 or 5 views (72050) | $3,806.57 | $3,806.57 | 34.5× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,913.79–$2,105.16 | $1,913.79–$2,105.16 | varies |
| Xr orbits complete 4 views (70200) | $2,676.30 | $2,676.30 | 24.3× |
| Xr Tomogram Single Plane (76100) | $3,794.32 | $3,794.32 | 34.4× |
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.