Imaging prices at Henry Mayo Newhall Hospital
Valencia, CA · every code in this section with a posted price and a Medicare benchmark.
335 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) | $7,687.58 | $7,687.58 | 4.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,087.50–$1,305 | $1,087.50–$1,305 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,663.21–$1,995.85 | $1,663.21–$1,995.85 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$3,087.75–$3,250.26 | $3,087.75–$3,250.26 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$14,085.40–$15,437.18 | $14,085.40–$15,437.18 | varies |
| Angiography extremity bilateral rs&i (75716) | $14,085.40 | $14,085.40 | 3.5× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$10,856.60–$11,428 | $10,856.60–$11,428 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$8,767.02–$15,437.18 | $8,767.02–$15,437.18 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,819.81 | $10,819.81 | 2.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$908.52–$2,044.02 | $908.52–$2,044.02 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,380.12 | $12,380.12 | 1.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,750.41 | $7,750.41 | 1.9× |
| Artery X-Rays Abdomen (75726) | $46,029.93 | $46,029.93 | 6.4× |
| Artery X-Rays Pelvis (75736) | $10,856.60 | $10,856.60 | 1.5× |
| Artery X-Rays Spine (75705) | $46,029.93 | $46,029.93 | 6.4× |
| Arthrogram ankle (73615) | $3,882.82 | $3,882.82 | 8.7× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$3,490.89–$3,674.62 | $3,490.89–$3,674.62 | varies |
| Arthrogram Wrist (73115) | $4,371.47 | $4,371.47 | 9.7× |
| Basic radiation dosimetry calculation (77300) | $1,760.07 | $1,760.07 | 10.2× |
| Bone age studies (77072) | $1,978.06 | $1,978.06 | 14.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$6,932.34–$7,297.20 | $6,932.34–$7,297.20 | varies |
| Bone Imaging Limited Area (78300) | $2,358.18 | $2,358.18 | 4.6× |
| Bone Imaging Multiple Areas (78305) | $6,043.17 | $6,043.17 | 11.8× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$3,936.13–$4,143.29 | $3,936.13–$4,143.29 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$2,358.18–$2,482.29 | $2,358.18–$2,482.29 | varies |
| Bone survey infant (77076) | $2,544.06 | $2,544.06 | 18.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,543.05 | $4,543.05 | 6.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,750.99 | $4,750.99 | 2.6× |
| Cardiac Shunt Detection (78428) | $1,537.30 | $1,537.30 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $3,365.57 | $3,365.57 | 30.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,200.33 | $5,200.33 | 7.4× |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$3,273.92–$7,410.48 | $3,273.92–$7,410.48 | varies |
| Chest 1 view (71045) | $968.32 | $968.32 | 8.7× |
| Chest 2 views (71046) | $1,300.30 | $1,300.30 | 11.6× |
| Chest 3 views (71047) | $1,429.35 | $1,429.35 | 12.8× |
| Chest 4 or more views (71048) | $1,166.78 | $1,166.78 | 8.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,094.98–$2,455.99 | $1,094.98–$2,455.99 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $4,997.73 | $4,997.73 | 37.2× |
| Continuing medical physics consltj pr wk (77336) | $959 | $959 | 5.5× |
| Contrast Exam Abdominl Aorta (75625) | $15,150.25 | $15,150.25 | 3.7× |
| Contrast X-Ray Bladder (74430) | $2,250.58 | $2,250.58 | 5.0× |
| Contrast X-Ray Of Elbow (73085) | $3,460.75 | $3,460.75 | 7.7× |
| Contrast X-Ray Of Knee Joint (73580) | $4,588.90 | $4,588.90 | 10.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$10,814.03–$11,354.73 | $10,814.03–$11,354.73 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$8,757.16–$9,195.02 | $8,757.16–$9,195.02 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$6,770.51–$7,109.04 | $6,770.51–$7,109.04 | varies |
| CT abdomen w wo contrast (74170) | $11,699.66 | $11,699.66 | 51.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$6,175.23–$6,483.99 | $6,175.23–$6,483.99 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$9,024.13–$9,475.34 | $9,024.13–$9,475.34 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$9,839.15–$10,331.11 | $9,839.15–$10,331.11 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$10,042.03–$10,544.13 | $10,042.03–$10,544.13 | varies |
| CT angio hrt w/3d image (75574) | $2,880.16 | $2,880.16 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$3,436.62–$7,216.91 | $3,436.62–$7,216.91 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$10,042.03–$10,544.13 | $10,042.03–$10,544.13 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,436.62–$7,216.91 | $3,436.62–$7,216.91 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$6,783.77–$7,122.96 | $6,783.77–$7,122.96 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$6,934.85–$7,281.59 | $6,934.85–$7,281.59 | varies |
| CT cervical spine w/wo cont (72127) | $4,307.30 | $4,307.30 | 19.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$7,050.70–$7,403.24 | $7,050.70–$7,403.24 | varies |
| CT chest w/wo contrast (71270) | $8,027.84 | $8,027.84 | 35.6× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$6,914.93–$7,260.68 | $6,914.93–$7,260.68 | varies |
| CT head/brain without and with contrast (70470) | $8,238.30 | $8,238.30 | 36.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $482.75 | $482.75 | 4.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,464.43–$3,637.65 | $3,464.43–$3,637.65 | varies |
| CT l-spine w&w/o contrast (72133) | $4,307.30 | $4,307.30 | 19.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,646.15–$5,928.46 | $5,646.15–$5,928.46 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$5,882.05–$6,176.15 | $5,882.05–$6,176.15 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$7,719.78–$8,105.77 | $7,719.78–$8,105.77 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$6,934.85–$7,281.59 | $6,934.85–$7,281.59 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$7,625.96–$8,007.26 | $7,625.96–$8,007.26 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$6,541.31–$6,868.38 | $6,541.31–$6,868.38 | varies |
| CT neck tissue combo (70492) | $8,861.33 | $8,861.33 | 39.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$7,562.91–$7,941.06 | $7,562.91–$7,941.06 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$6,735.19–$7,071.95 | $6,735.19–$7,071.95 | varies |
| CT pelvis w&w/o contrast (72194) | $9,695.90 | $9,695.90 | 43.0× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$6,394.73–$6,714.47 | $6,394.73–$6,714.47 | varies |
| CT scan of leg combo (73702) | $7,070.77 | $7,070.77 | 31.3× |
| CT scans face/jaw combo (70488) | $8,903.87 | $8,903.87 | 39.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$7,627.85–$8,009.24 | $7,627.85–$8,009.24 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$7,262.69–$7,625.82 | $7,262.69–$7,625.82 | varies |
| CT thoracic spine w contrast (72129) | $6,342.48 | $6,342.48 | 28.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$6,934.85–$7,281.59 | $6,934.85–$7,281.59 | varies |
| CT thoracic spine w/wo cont (72130) | $4,307.30 | $4,307.30 | 19.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$6,300.44–$6,615.46 | $6,300.44–$6,615.46 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$5,547.02–$5,824.37 | $5,547.02–$5,824.37 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,307.30–$8,614.62 | $4,307.30–$8,614.62 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$5,782.91–$12,144.13 | $5,782.91–$12,144.13 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$2,353.43–$9,628.13 | $2,353.43–$9,628.13 | varies |
| Cta Abdomen (74175) | $10,352.39 | $10,352.39 | 45.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,447.03 | $1,447.03 | 3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $846.18 | $846.18 | 6.3× |
| Echo exam uterus (76831) | $4,794.79 | $4,794.79 | 15.6× |
| Echo Guide For Artery Repair (76936) | $1,969.85 | $1,969.85 | 7.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$1,700.74–$2,040.89 | $1,700.74–$2,040.89 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$3,640.37–$4,368.44 | $3,640.37–$4,368.44 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,430.53–$1,505.82 | $1,430.53–$1,505.82 | varies |
| Follow-Up Angiography (75898) | $9,180.06 | $9,180.06 | 2.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$838.73–$1,881.24 | $838.73–$1,881.24 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,060.04–$2,377.66 | $1,060.04–$2,377.66 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$5,345.13–$5,626.45 | $5,345.13–$5,626.45 | varies |
| Gated Heart Planar Single (78472) | $4,543.05 | $4,543.05 | 8.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$806.39–$1,808.71 | $806.39–$1,808.71 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $22,134.17 | $22,134.17 | 5.5× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$3,536.28–$3,722.40 | $3,536.28–$3,722.40 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$9,138.09–$9,619.04 | $9,138.09–$9,619.04 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$7,973.81–$8,393.48 | $7,973.81–$8,393.48 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$3,644.30–$4,373.16 | $3,644.30–$4,373.16 | varies |
| Infusion Ivp (74410) | $3,382.85 | $3,382.85 | 15.0× |
| K Flow/Funct Image Multiple (78709) | $2,779.50 | $2,779.50 | 4.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$3,710.71–$3,906.01 | $3,710.71–$3,906.01 | varies |
| K Flow/Funct Image W/O Drug (78707) | $6,678.32 | $6,678.32 | 9.6× |
| Kidney Imaging Morphol (78700) | $3,657.20 | $3,657.20 | 7.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,106.59–$2,482.18 | $1,106.59–$2,482.18 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,537.30 | $1,537.30 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $2,548.96 | $2,548.96 | 5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,502.80 | $6,502.80 | 12.6× |
| Lung Perf&Ventilat Diferentl (78598) | $3,481.04 | $3,481.04 | 5.0× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$3,481.04–$3,664.25 | $3,481.04–$3,664.25 | varies |
| Lung Ventilation Imaging (78579) | $4,073.97 | $4,073.97 | 7.9× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$4,163.86–$4,383.01 | $4,163.86–$4,383.01 | varies |
| Magnetic Image Jaw Joint (70336) | $7,851.67 | $7,851.67 | 25.6× |
| Mammary ductogram or galactogram multiple (77054) | $1,648.14 | $1,648.14 | 5.4× |
| Mammary ductogram or galactogram single (77053) | $1,412.69 | $1,412.69 | 4.6× |
| Meckels Divert Exam (78290) | $2,548.96 | $2,548.96 | 5.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,461.72 | $1,461.72 | 3.0× |
| Mr safety determination physician/other qhp (76016) | $355.64 | $355.64 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $88.73 | $88.73 | 2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $349.89 | $349.89 | 2.9× |
| Mr safety implt pos&/immoblj (76019) | $226.41 | $226.41 | 3.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $921.39 | $921.39 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$7,509.55–$7,904.79 | $7,509.55–$7,904.79 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$6,278.98–$13,218.90 | $6,278.98–$13,218.90 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,849.73–$4,052.35 | $3,849.73–$4,052.35 | varies |
| MRA neck w contrast (70548) | $3,849.73 | $3,849.73 | 8.6× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$7,509.55–$7,904.79 | $7,509.55–$7,904.79 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$6,278.98–$6,609.45 | $6,278.98–$6,609.45 | varies |
| MRI abdomen w contrast (74182) | $7,891.49 | $7,891.49 | 17.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$8,637.03–$9,091.61 | $8,637.03–$9,091.61 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,862.83 | $4,862.83 | 4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$6,572.14–$6,918.04 | $6,572.14–$6,918.04 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,862.83 | $4,862.83 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $15,153.62 | $15,153.62 | 49.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,058.07 | $6,058.07 | 19.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$6,247.43–$6,576.24 | $6,247.43–$6,576.24 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,774.16–$6,078.06 | $5,774.16–$6,078.06 | varies |
| MRI chest w/o contrast (71550) | $7,188.91 | $7,188.91 | 23.4× |
| MRI chest with contrast (71551) | $6,337.10 | $6,337.10 | 6.3× |
| MRI chest wo w contrast (71552) | $6,572.14 | $6,572.14 | 14.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,862.83 | $4,862.83 | 10.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,572.14 | $6,572.14 | 14.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,525.88 | $4,525.88 | 14.7× |
| MRI lumbar spine w contrast (72149) | $7,891.49 | $7,891.49 | 17.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$6,910.06–$7,273.75 | $6,910.06–$7,273.75 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,097.06 | $3,097.06 | 10.1× |
| MRI orbit face neck w contrast (70542) | $5,900.36 | $5,900.36 | 13.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$6,215.91–$6,543.06 | $6,215.91–$6,543.06 | varies |
| MRI pelvis w contrast (72196) | $7,492.94 | $7,492.94 | 16.7× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$7,771.94–$8,180.99 | $7,771.94–$8,180.99 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$6,456.66–$6,796.48 | $6,456.66–$6,796.48 | varies |
| MRI spectroscopy (76390) | $1,816.19 | $1,816.19 | 16.2× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$7,293.67–$7,677.55 | $7,293.67–$7,677.55 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,862.83 | $4,862.83 | 10.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$4,525.88–$4,764.08 | $4,525.88–$4,764.08 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,572.14 | $6,572.14 | 14.6× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$11,998.72–$12,630.23 | $11,998.72–$12,630.23 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,891.49–$8,306.83 | $7,891.49–$8,306.83 | varies |
| MRI, dorsal spine contrast (72147) | $7,891.49 | $7,891.49 | 17.6× |
| MRI, joint upper extrem (73221) | $4,525.88 | $4,525.88 | 14.7× |
| MRI, joint upper extrem combo (73223) | $6,572.14 | $6,572.14 | 14.6× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$8,728.51–$9,187.90 | $8,728.51–$9,187.90 | varies |
| Myelogram cervical (72240) | $4,288.73 | $4,288.73 | 4.3× |
| Myelogram Lumbar (72265) | $4,288.73 | $4,288.73 | 4.3× |
| Myelography thoracic (72255) | $4,288.73 | $4,288.73 | 4.3× |
| Myelograpy 2/more regions rs&i (72270) | $8,438.63 | $8,438.63 | 8.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$7,973.81–$8,393.48 | $7,973.81–$8,393.48 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $8,774.03 | $8,774.03 | 3.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $5,903.05 | $5,903.05 | 3.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,431.16–$1,717.39 | $1,431.16–$1,717.39 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,687.58 | $7,687.58 | 4.3× |
| Nuclear Rx Oral Admin (79005) | $5,670.12 | $5,670.12 | 18.9× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $574.56 | $574.56 | 3.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $494.50 | $494.50 | 3.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$4,716.40–$4,964.63 | $4,716.40–$4,964.63 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$850.16–$1,020.19 | $850.16–$1,020.19 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,750.99 | $4,750.99 | 2.6× |
| PET image w/CT, full body (78816) | $4,750.99 | $4,750.99 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,750.99 | $4,750.99 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$5,140.08–$5,410.61 | $5,140.08–$5,410.61 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,929.46–$2,315.35 | $1,929.46–$2,315.35 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,954.14 | $1,954.14 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,099.78–$2,466.79 | $1,099.78–$2,466.79 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$955.13–$2,142.35 | $955.13–$2,142.35 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,118.30–$2,489.71 | $1,118.30–$2,489.71 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$2,114.27–$2,537.12 | $2,114.27–$2,537.12 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$806.39–$1,808.71 | $806.39–$1,808.71 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,001.72–$2,246.90 | $1,001.72–$2,246.90 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$915.71–$2,053.93 | $915.71–$2,053.93 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$827.08–$1,855.13 | $827.08–$1,855.13 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,037.64 | $1,037.64 | 7.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,531.82–$1,838.18 | $1,531.82–$1,838.18 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$1,526.04–$3,422.90 | $1,526.04–$3,422.90 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,100.82–$2,469.08 | $1,100.82–$2,469.08 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,467.77 | $1,467.77 | 13.1× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$978.43–$1,174.12 | $978.43–$1,174.12 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,118.30–$1,341.96 | $1,118.30–$1,341.96 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,040.89 | $2,040.89 | 18.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$704.75–$1,580.70 | $704.75–$1,580.70 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$966.82–$2,168.50 | $966.82–$2,168.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$813.94–$1,825.69 | $813.94–$1,825.69 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,676.98 | $2,676.98 | 19.9× |
| Radiation treatment delivery level 3 (77412) | $1,221.44 | $1,221.44 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,875.48–$2,250.58 | $1,875.48–$2,250.58 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,929.55–$2,315.46 | $1,929.55–$2,315.46 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$2,685.17–$3,222.20 | $2,685.17–$3,222.20 | varies |
| Radiologic exam colon single contrast study (74270) | $2,669.93 | $2,669.93 | 11.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $578.57 | $578.57 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,258.08–$2,821.90 | $1,258.08–$2,821.90 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,279.54–$1,535.45 | $1,279.54–$1,535.45 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$1,642.49–$1,970.99 | $1,642.49–$1,970.99 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$1,927.90–$2,313.48 | $1,927.90–$2,313.48 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,655.70–$1,986.84 | $1,655.70–$1,986.84 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$624.67–$2,364.71 | $624.67–$2,364.71 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,054.25–$2,364.71 | $1,054.25–$2,364.71 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,001.72–$2,246.90 | $1,001.72–$2,246.90 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,544.06 | $2,544.06 | 18.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$1,001.72–$2,246.90 | $1,001.72–$2,246.90 | varies |
| Ribs bilateral 3 views (71110) | $2,033.88 | $2,033.88 | 15.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,376.95 | $1,376.95 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$4,768.21–$8,115.57 | $4,768.21–$8,115.57 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$8,115.02–$8,542.13 | $8,115.02–$8,542.13 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$4,785.04–$5,036.88 | $4,785.04–$5,036.88 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,644.99 | $4,644.99 | 2.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$5,405–$5,689.47 | $5,405–$5,689.47 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$4,785.04–$5,036.88 | $4,785.04–$5,036.88 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$1,452.33–$1,528.77 | $1,452.33–$1,528.77 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$1,118.30–$2,508.35 | $1,118.30–$2,508.35 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $171 | $171 | 7.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$995.98–$2,233.99 | $995.98–$2,233.99 | varies |
| Shoulder Arthrography (73040) | $3,632.88 | $3,632.88 | 8.1× |
| Sialogram (70390) | $3,065.75 | $3,065.75 | 10.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,526.04–$1,831.25 | $1,526.04–$1,831.25 | varies |
| Special dosimetry (77331) | $814.82 | $814.82 | 4.7× |
| Special Physics Consult (77370) | $1,300.90 | $1,300.90 | 7.5× |
| Special treatment procedure (77470) | $3,194.18 | $3,194.18 | 4.5× |
| Stereotactic Body Radiation Delivery (77373) | $14,850 | $14,850 | 6.5× |
| Sternoclavicular joints (71130) | $1,341.96 | $1,341.96 | 12.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,463.29 | $1,463.29 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $975.50 | $975.50 | 2.0× |
| Testicular Imaging W/Flow (78761) | $1,845.85 | $1,845.85 | 3.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,178.36 | $2,178.36 | 4.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,084.90 | $1,084.90 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $903.32 | $903.32 | 5.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,234.78–$1,481.74 | $1,234.78–$1,481.74 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,432.88–$1,719.46 | $1,432.88–$1,719.46 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$1,065.86–$1,279.03 | $1,065.86–$1,279.03 | varies |
| Thyroid Met Imaging Body (78018) | $5,866.82 | $5,866.82 | 8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,180.57 | $3,180.57 | 6.2× |
| Tx Devices Design & Construction Complex (77334) | $1,564.03 | $1,564.03 | 3.2× |
| Tx devices design & construction intermediate (77333) | $587.03 | $587.03 | 3.4× |
| Tx devices design & construction simple (77332) | $385.13 | $385.13 | 2.2× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$805.49–$1,243.44 | $805.49–$1,243.44 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,199.42 | $1,199.42 | 8.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,848.12 | $1,848.12 | 13.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,388.08–$2,865.70 | $2,388.08–$2,865.70 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$846.18–$890.72 | $846.18–$890.72 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$513.23–$28,650.41 | $513.23–$28,650.41 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$3,113.63–$3,736.36 | $3,113.63–$3,736.36 | varies |
| Urethrocystogram voiding (74455) | $2,774.82 | $2,774.82 | 9.0× |
| Urethrocystography retrograde (74450) | $2,879.62 | $2,879.62 | 9.4× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$805.49–$1,243.44 | $805.49–$1,243.44 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$2,224.94–$2,669.93 | $2,224.94–$2,669.93 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$915.10–$1,098.12 | $915.10–$1,098.12 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,892.95–$2,271.54 | $1,892.95–$2,271.54 | varies |
| Us head (76506) | $4,487.26 | $4,487.26 | 33.4× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,540.10–$1,848.12 | $1,540.10–$1,848.12 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$608.77–$882.50 | $608.77–$882.50 | varies |
| Us ob detailed single fetus (76811) | $1,068.86 | $1,068.86 | 3.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$2,096.80–$2,516.16 | $2,096.80–$2,516.16 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,704.60–$2,045.52 | $1,704.60–$2,045.52 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$2,172.60–$4,345.20 | $2,172.60–$4,345.20 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,704.60–$2,045.52 | $1,704.60–$2,045.52 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,516.16 | $2,516.16 | 18.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$3,389.84–$4,067.81 | $3,389.84–$4,067.81 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,461.04–$1,753.25 | $1,461.04–$1,753.25 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$2,999.60–$3,599.52 | $2,999.60–$3,599.52 | varies |
| Us spinal canal and contents (76800) | $5,102.28 | $5,102.28 | 37.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$2,638.52–$3,166.22 | $2,638.52–$3,166.22 | varies |
| Vein X-Ray Chest (75827) | $8,049.36 | $8,049.36 | 4.0× |
| Venogram Sinus/Jugular (75860) | $6,128.41 | $6,128.41 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $8,049.36 | $8,049.36 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $7,249.18 | $7,249.18 | 3.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$7,153.75–$7,530.26 | $7,153.75–$7,530.26 | varies |
| Venography Renal Bilateral (75833) | $9,180.06 | $9,180.06 | 2.3× |
| Venography Renal Unilateral (75831) | $8,271.49 | $8,271.49 | 2.0× |
| Venous sampling by catheter (75893) | $25,823.26 | $25,823.26 | 3.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$956.45–$2,145.30 | $956.45–$2,145.30 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,542.08 | $1,542.08 | 13.8× |
| X-ray antegrade pyelogram tube (74425) | $5,334.67 | $5,334.67 | 11.9× |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$1,654.03–$21,043.51 | $1,654.03–$21,043.51 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,678.06 | $1,678.06 | 12.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,001.72–$2,246.90 | $1,001.72–$2,246.90 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$2,009.86–$2,427.95 | $2,009.86–$2,427.95 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,173.67 | $2,173.67 | 19.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,676.98 | $2,676.98 | 19.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,676.98 | $2,676.98 | 19.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $992.50 | $992.50 | 8.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$1,386.58–$1,663.90 | $1,386.58–$1,663.90 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,044.45 | $2,044.45 | 15.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$1,908.17–$2,289.80 | $1,908.17–$2,289.80 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$1,386.58–$1,663.90 | $1,386.58–$1,663.90 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,643.53–$1,972.24 | $1,643.53–$1,972.24 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $4,256.62 | $4,256.62 | 31.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,526.04–$1,831.25 | $1,526.04–$1,831.25 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,743.51 | $2,743.51 | 20.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$806.39–$1,808.77 | $806.39–$1,808.77 | varies |
| X-ray eye for foreign body (70030) | $1,503.94 | $1,503.94 | 13.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,094.98–$2,455.99 | $1,094.98–$2,455.99 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,228.92–$1,474.70 | $1,228.92–$1,474.70 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,706.54–$2,047.85 | $1,706.54–$2,047.85 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$1,526.04–$1,831.25 | $1,526.04–$1,831.25 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,398.38–$1,678.06 | $1,398.38–$1,678.06 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$1,118.30–$1,341.96 | $1,118.30–$1,341.96 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $967.67 | $967.67 | 7.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$995.81–$1,194.97 | $995.81–$1,194.97 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$2,096.80–$2,516.16 | $2,096.80–$2,516.16 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,599.97 | $2,599.97 | 19.3× |
| X-ray thoracic spine 4 vw (72074) | $1,845.16 | $1,845.16 | 13.7× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$806.39–$1,808.71 | $806.39–$1,808.71 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,781.88 | $2,781.88 | 6.2× |
| X-Rays Bone Length Studies (77073) | $2,418.36 | $2,418.36 | 18.0× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$3,739.38–$4,487.26 | $3,739.38–$4,487.26 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,123.44–$1,348.13 | $1,123.44–$1,348.13 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,001.72–$1,202.06 | $1,001.72–$1,202.06 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $648.29 | $648.29 | 4.8× |
| Xr orbits complete 4 views (70200) | $1,037.64 | $1,037.64 | 7.7× |
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.