Imaging prices at Hemet Global Medical Center
Hemet, CA · every code in this section with a posted price and a Medicare benchmark.
281 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) | $5,733 | $5,733 | 3.2× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$273–$333 | $273–$333 | varies |
| Abdomen 2 views (74019) | $1,082 | $1,082 | 8.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,059 | $2,059 | 4.0× |
| Angio pulmonary bilat (75743) | $17,529 | $17,529 | 4.3× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$12,548–$16,189 | $12,548–$16,189 | varies |
| Angiography extremity unilateral rs&i (75710) range across 13 matching MRF lines |
$12,548–$16,189 | $12,548–$16,189 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $16,189 | $16,189 | 4.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,654 | $5,654 | 1.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$282–$348 | $282–$348 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$12,548–$17,529 | $12,548–$17,529 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$12,548–$17,529 | $12,548–$17,529 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$12,548–$17,529 | $12,548–$17,529 | varies |
| Artery X-Rays Pelvis (75736) | $17,529 | $17,529 | 2.4× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,704–$2,177 | $1,704–$2,177 | varies |
| Arthrogram Wrist (73115) | $2,177 | $2,177 | 4.9× |
| Basic radiation dosimetry calculation (77300) | $736 | $736 | 4.3× |
| Bone Imaging 3 Phase (78315) | $2,387 | $2,387 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,640 | $1,640 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,649 | $1,649 | 3.2× |
| Bone Imaging Whole Body (78306) | $2,086 | $2,086 | 4.1× |
| Bone survey infant (77076) | $528 | $528 | 3.9× |
| Brain Flow Imaging Only (78610) | $2,273 | $2,273 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $937 | $937 | 8.4× |
| Cerebrospinal Fluid Scan (78630) | $3,125 | $3,125 | 4.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$273–$449 | $273–$449 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$496–$587 | $496–$587 | varies |
| Chest 3 views (71047) | $552 | $552 | 4.9× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$601–$1,082 | $601–$1,082 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $1,116 | $1,116 | 8.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$323–$348 | $323–$348 | varies |
| Continuing medical physics consltj pr wk (77336) | $627 | $627 | 3.6× |
| Contrast Exam Abdominl Aorta (75625) | $12,548 | $12,548 | 3.1× |
| Contrast X-Ray Bladder (74430) | $1,117 | $1,117 | 2.5× |
| Contrast X-Ray Of Elbow (73085) | $2,177 | $2,177 | 4.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,305–$2,177 | $1,305–$2,177 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$4,446–$4,504 | $4,446–$4,504 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$2,579–$3,143 | $2,579–$3,143 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$2,331–$4,278 | $2,331–$4,278 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$2,592–$4,436 | $2,592–$4,436 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$1,489–$3,920 | $1,489–$3,920 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,231 | $3,231 | 7.2× |
| CT Angio Chest (71275) | $3,622 | $3,622 | 16.1× |
| CT Angio Head (70496) | $3,241 | $3,241 | 14.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,626–$3,293 | $2,626–$3,293 | varies |
| CT Angio Neck (70498) | $3,241 | $3,241 | 14.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,626–$3,293 | $2,626–$3,293 | varies |
| CT cervical spine w/ contrast (72126) | $4,422 | $4,422 | 9.9× |
| CT cervical spine w/o contrast (72125) | $4,155 | $4,155 | 30.9× |
| CT cervical spine w/wo cont (72127) | $4,502 | $4,502 | 20.0× |
| CT chest w contrast (71260) | $3,913 | $3,913 | 17.3× |
| CT chest w/wo contrast (71270) | $4,118 | $4,118 | 18.3× |
| CT head/brain with contrast (70460) | $3,323 | $3,323 | 14.7× |
| CT head/brain without and with contrast (70470) | $3,323 | $3,323 | 14.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,549–$2,900 | $2,549–$2,900 | varies |
| CT l-spine w&w/o contrast (72133) | $4,273 | $4,273 | 18.9× |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$1,489–$3,463 | $1,489–$3,463 | varies |
| CT lower extremity w/contrast material (73701) range across 17 matching MRF lines |
$1,880–$2,667 | $1,880–$2,667 | varies |
| CT lumbar spine w contrast (72132) | $4,118 | $4,118 | 9.2× |
| CT lumbar spine w/o contrast (72131) | $4,046 | $4,046 | 30.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,799–$2,611 | $1,799–$2,611 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,697–$2,184 | $1,697–$2,184 | varies |
| CT neck tissue combo (70492) | $3,554 | $3,554 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,419–$3,554 | $2,419–$3,554 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,127–$2,787 | $2,127–$2,787 | varies |
| CT pelvis w&w/o contrast (72194) range across 5 matching MRF lines |
$2,025–$3,631 | $2,025–$3,631 | varies |
| CT pelvis w/o contrast (72192) range across 6 matching MRF lines |
$1,489–$3,708 | $1,489–$3,708 | varies |
| CT scan of leg combo (73702) | $2,592 | $2,592 | 11.5× |
| CT scans face/jaw combo (70488) | $2,474 | $2,474 | 11.0× |
| CT soft tissue neck w contrast (70491) | $2,924 | $2,924 | 13.0× |
| CT soft tissue neck w/o contrast (70490) | $2,787 | $2,787 | 20.7× |
| CT thoracic spine w contrast (72129) | $4,118 | $4,118 | 18.3× |
| CT thoracic spine w/o contrast (72128) | $4,046 | $4,046 | 30.1× |
| CT thoracic spine w/wo cont (72130) | $4,273 | $4,273 | 18.9× |
| CT thorax w/o contrast (71250) | $3,238 | $3,238 | 24.1× |
| CT upper ext wo (73200) range across 15 matching MRF lines |
$1,410–$2,787 | $1,410–$2,787 | varies |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$1,174–$2,698 | $1,174–$2,698 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,454 | $5,454 | 24.2× |
| Cta Abdomen (74175) | $3,289 | $3,289 | 14.6× |
| CTA pelvis (72191) | $3,540 | $3,540 | 15.7× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$3,535–$8,933 | $3,535–$8,933 | varies |
| Esophagram (74220) | $543 | $543 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$449–$1,835 | $449–$1,835 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $761 | $761 | 5.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$612–$1,598 | $612–$1,598 | varies |
| Follow-Up Angiography (75898) | $2,614 | $2,614 | 0.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$251–$348 | $251–$348 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$316–$348 | $316–$348 | varies |
| Gastric emptying imaging study (78264) | $1,191 | $1,191 | 2.3× |
| Gastric Mucosa Imaging (78261) | $1,317 | $1,317 | 2.6× |
| Gated Heart Planar Single (78472) | $2,568 | $2,568 | 5.0× |
| Gated Heart, Multiple (78473) | $2,440 | $2,440 | 4.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$239–$348 | $239–$348 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $17,529 | $17,529 | 4.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $17,529 | $17,529 | 4.3× |
| Hepatobil Syst Image W/Drug (78227) | $3,183 | $3,183 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,799 | $2,799 | 5.4× |
| Ht Muscle Image Spect Sing (78451) | $6,097 | $6,097 | 3.7× |
| Hysterosalpingogram (74740) | $1,082 | $1,082 | 3.5× |
| K Flow/Funct Image Multiple (78709) | $2,112 | $2,112 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $2,112 | $2,112 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,492 | $1,492 | 2.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$258–$348 | $258–$348 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,758 | $1,758 | 3.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,448 | $1,448 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,705–$4,227 | $2,705–$4,227 | varies |
| Lymph System Imaging (78195) | $1,692 | $1,692 | 2.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,298 | $3,298 | 0.8× |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$682–$1,834 | $682–$1,834 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$1,025–$2,050 | $1,025–$2,050 | varies |
| MRA head w/o contrast (70544) | $4,316 | $4,316 | 14.1× |
| MRA neck w/o contrast (70547) | $4,316 | $4,316 | 14.1× |
| MRI abdomen w/o contrast (74181) | $4,432 | $4,432 | 14.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,993–$4,143 | $3,993–$4,143 | varies |
| MRI cervical spine w/o cont (72141) | $4,316 | $4,316 | 14.1× |
| MRI chest w/o contrast (71550) | $4,316 | $4,316 | 14.1× |
| MRI chest wo w contrast (71552) | $5,062 | $5,062 | 11.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,143–$4,316 | $4,143–$4,316 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,625–$3,523 | $2,625–$3,523 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,323 | $4,323 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$3,923–$4,316 | $3,923–$4,316 | varies |
| MRI orbit face neck w contrast (70542) | $4,029 | $4,029 | 9.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,759–$5,403 | $3,759–$5,403 | varies |
| MRI pelvis w/o & w contrast (72197) | $4,323 | $4,323 | 9.6× |
| MRI pelvis w/o contrast (72195) | $3,289 | $3,289 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $4,316 | $4,316 | 14.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,625–$3,523 | $2,625–$3,523 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,143–$4,316 | $4,143–$4,316 | varies |
| MRI, abdomen, combo (74183) | $4,323 | $4,323 | 9.6× |
| MRI, dorsal spine combo (72157) | $4,323 | $4,323 | 9.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,625–$4,316 | $2,625–$4,316 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,993–$4,143 | $3,993–$4,143 | varies |
| MRI, lumbar spine combo (72158) | $4,323 | $4,323 | 9.6× |
| Myelogram cervical (72240) | $2,196 | $2,196 | 2.2× |
| Myelogram Lumbar (72265) | $2,257 | $2,257 | 2.2× |
| Myelography thoracic (72255) | $3,052 | $3,052 | 3.0× |
| Myelograpy 2/more regions rs&i (72270) | $2,927 | $2,927 | 2.9× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,791 | $1,791 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $6,097 | $6,097 | 3.7× |
| Neck soft tissue (70360) | $282 | $282 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,777 | $4,777 | 2.7× |
| Nuclear Rx Oral Admin (79005) | $2,086 | $2,086 | 7.0× |
| Optic foramina (70190) range across 3 matching MRF lines |
$348–$361 | $348–$361 | varies |
| Parathyroid Planar Imaging (78070) | $1,012 | $1,012 | 2.0× |
| Pelvis 1 or 2 views (72170) | $323 | $323 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,880 | $1,880 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $670 | $670 | 5.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,281 | $1,281 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$348–$373 | $348–$373 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$292–$348 | $292–$348 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$348–$391 | $348–$391 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $666 | $666 | 5.0× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$232–$348 | $232–$348 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$348–$361 | $348–$361 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$348–$362 | $348–$362 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$226–$348 | $226–$348 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $348 | $348 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $407 | $407 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $499 | $499 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$348–$391 | $348–$391 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $323 | $323 | 2.9× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$308–$348 | $308–$348 | varies |
| Radex Sternum Minimum 2 Views (71120) | $391 | $391 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $579 | $579 | 5.2× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$232–$348 | $232–$348 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$226–$348 | $226–$348 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$348–$391 | $348–$391 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,837 | $1,837 | 13.7× |
| Radiation treatment delivery level 1 (77402) | $694 | $694 | 5.3× |
| Radiation treatment delivery level 2 (77407) | $694 | $694 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $1,280 | $1,280 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $617 | $617 | 4.6× |
| Radiologic exam colon double contrast study (74280) | $1,228 | $1,228 | 5.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$871–$989 | $871–$989 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$348–$552 | $348–$552 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $461 | $461 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $871 | $871 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $589 | $589 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $736 | $736 | 3.3× |
| Radiologic examination femur 1 view (73551) | $582 | $582 | 5.2× |
| Radiologic examination femur minimum 2 views (73552) | $582 | $582 | 5.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$282–$348 | $282–$348 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$842–$928 | $842–$928 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$323–$348 | $323–$348 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $728 | $728 | 1.0× |
| Ribs bilateral 3 views (71110) | $638 | $638 | 4.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,972 | $1,972 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,445 | $6,445 | 9.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,835 | $6,835 | 9.8× |
| Scapula (73010) range across 3 matching MRF lines |
$348–$391 | $348–$391 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$292–$348 | $292–$348 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,704–$2,177 | $1,704–$2,177 | varies |
| Sialogram (70390) | $2,017 | $2,017 | 6.6× |
| Skull less than 4 views (70250) | $373 | $373 | 2.8× |
| Special dosimetry (77331) | $947 | $947 | 5.5× |
| Special Physics Consult (77370) | $736 | $736 | 4.3× |
| Special teletherapy port plan (77321) | $1,642 | $1,642 | 3.4× |
| Special treatment procedure (77470) | $2,396 | $2,396 | 3.4× |
| Sternoclavicular joints (71130) | $357 | $357 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $768 | $768 | 1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $768 | $768 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,346 | $1,346 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,150 | $1,150 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) | $899 | $899 | 5.2× |
| Thoracic spine 2 views (72070) | $331 | $331 | 2.5× |
| Thoracic spine 3 views (72072) | $461 | $461 | 3.4× |
| Thoracolumbar 2 views (72080) | $772 | $772 | 6.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,839 | $1,839 | 3.6× |
| Thyroid Met Imaging Body (78018) | $1,938 | $1,938 | 2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,185 | $1,185 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $1,606 | $1,606 | 3.3× |
| Tx devices design & construction intermediate (77333) | $1,208 | $1,208 | 7.0× |
| Tx devices design & construction simple (77332) | $1,208 | $1,208 | 7.0× |
| Ultrasound Breast Limited (76642) | $622 | $622 | 5.6× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$547–$1,857 | $547–$1,857 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$403–$1,271 | $403–$1,271 | varies |
| Upper gi w/o kub (74240) | $1,168 | $1,168 | 5.2× |
| Urethrocystogram voiding (74455) | $971 | $971 | 3.2× |
| Urethrocystography retrograde (74450) | $1,117 | $1,117 | 3.6× |
| Us breast unilateral complete (76641) | $622 | $622 | 4.6× |
| Us chest (76604) | $1,141 | $1,141 | 8.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,206–$1,328 | $1,206–$1,328 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$560–$747 | $560–$747 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $828 | $828 | 6.2× |
| Us ob detailed single fetus (76811) | $1,309 | $1,309 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $1,346 | $1,346 | 10.0× |
| Us ob transvaginal (76817) | $1,370 | $1,370 | 10.2× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$627–$1,370 | $627–$1,370 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,281 | $1,281 | 9.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $642 | $642 | 4.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,835–$1,869 | $1,835–$1,869 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$747–$1,309 | $747–$1,309 | varies |
| Us scrotum and contents (76870) | $1,811 | $1,811 | 13.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,529–$1,811 | $1,529–$1,811 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$4,383–$5,654 | $4,383–$5,654 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,523 | $3,523 | 0.9× |
| Venogram Sinus/Jugular (75860) | $4,559 | $4,559 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $12,548 | $12,548 | 3.1× |
| Venography extremity bilateral rs&i (75822) | $4,383 | $4,383 | 2.2× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$4,383–$5,116 | $4,383–$5,116 | varies |
| Venography Renal Bilateral (75833) | $17,529 | $17,529 | 4.3× |
| Venography Renal Unilateral (75831) | $16,189 | $16,189 | 4.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$260–$348 | $260–$348 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $461 | $461 | 4.1× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$791–$856 | $791–$856 | varies |
| X-Ray Aorta Leg Arteries (75630) | $12,548 | $12,548 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $453 | $453 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$292–$348 | $292–$348 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$2,165–$3,298 | $2,165–$3,298 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $582 | $582 | 5.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $977 | $977 | 7.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,837 | $1,837 | 13.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $582 | $582 | 5.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $582 | $582 | 5.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $963 | $963 | 7.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $963 | $963 | 7.2× |
| X-Ray Exam L-S Spine Bending (72114) | $912 | $912 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $391 | $391 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $788 | $788 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$301–$348 | $301–$348 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$348–$496 | $348–$496 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$323–$348 | $323–$348 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$947–$1,237 | $947–$1,237 | varies |
| X-ray IV pyelogram+tomography (74415) | $1,389 | $1,389 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $378 | $378 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $226 | $226 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $648 | $648 | 4.8× |
| X-ray nose-rectum child f.b. (76010) | $256 | $256 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $407 | $407 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $502 | $502 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $422 | $422 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $632 | $632 | 5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $742 | $742 | 5.5× |
| X-Ray Tmj Unilat (70328) | $348 | $348 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $747 | $747 | 1.7× |
| X-Rays Bone Length Studies (77073) | $678 | $678 | 5.0× |
| X-Rays Bone Survey Complete (77075) | $1,355 | $1,355 | 10.1× |
| Xr c-spine 4 or 5 views (72050) | $598 | $598 | 4.4× |
| Xr facial bones less than 3 views (70140) | $453 | $453 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$348–$381 | $348–$381 | varies |
| Xr orbits complete 4 views (70200) | $769 | $769 | 5.7× |
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.