Imaging prices at HonorHealth Scottsdale Osborn Medical Center

Scottsdale, AZ · every code in this section with a posted price and a Medicare benchmark.

366 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,449 $6,449 4.4×
Abdomen 1 View (74018)
range across 2 matching MRF lines
$85–$794 $85–$794 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$105–$844 $105–$844 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $2,457 $2,457 5.8×
Adrenal Cortex & Medulla Img (78075) $3,117 $3,117 2.3×
Angio internal mammary (75756) $14,410 $14,410 4.3×
Angio pulmonary bilat (75743) $16,603 $16,603 4.9×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $14,095 $14,095 4.2×
Angiography extremity bilateral rs&i (75716) $15,131 $15,131 4.5×
Angiography extremity unilateral rs&i (75710) $9,056 $9,056 2.7×
Angiography pulmonary unilateral slctv rs&i (75741) $10,618 $10,618 3.2×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,927 $10,927 3.2×
Ankle 2 views (73600)
range across 2 matching MRF lines
$91–$1,016 $91–$1,016 varies
Aortography thoracic serialography rs&i (75605) $17,250 $17,250 2.9×
Artery X-Rays Abdomen (75726) $15,746 $15,746 2.7×
Artery X-Rays Adrenal Gland (75731) $12,552 $12,552 3.7×
Artery X-Rays Pelvis (75736) $13,147 $13,147 2.2×
Artery X-Rays Spine (75705) $20,462 $20,462 3.4×
Arthrogram ankle (73615)
range across 2 matching MRF lines
$2,871–$4,307 $2,871–$4,307 varies
Arthrogram hip (73525) $2,634 $2,634 7.1×
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$1,660–$2,491 $1,660–$2,491 varies
Basic radiation dosimetry calculation (77300) $855 $855 6.0×
Bone age studies (77072) $636 $636 5.7×
Bone Imaging 3 Phase (78315) $4,356 $4,356 10.2×
Bone Imaging Limited Area (78300) $3,057 $3,057 7.2×
Bone Imaging Multiple Areas (78305) $4,275 $4,275 10.0×
Bone Imaging Whole Body (78306) $4,340 $4,340 10.2×
Bone marrow imaging limited area (78102) $2,983 $2,983 7.0×
Bone marrow imaging; multiple areas (78103) $3,035 $3,035 7.1×
Bone survey infant (77076) $2,654 $2,654 23.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,818 $1,818 3.1×
Brain Imaging Minimum 4 Static Views (78605) $741 $741 1.3×
Brain Imaging Pet Metabolic Evaluation (78608) $3,792 $3,792 2.5×
Cardiac MRI w/w/o contrast & further seq (75561) $4,835 $4,835 13.0×
Cardiac MRI w/w/o contrast w/stress (75563) $6,101 $6,101 7.3×
Cardiac Shunt Detection (78428) $1,510 $1,510 3.5×
Cat Scan Follow-Up Study (76380) $1,115 $1,115 12.0×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,703 $2,703 4.7×
Chest 1 view (71045)
range across 2 matching MRF lines
$74–$698 $74–$698 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$95–$863 $95–$863 varies
Chest 3 views (71047) $1,029 $1,029 11.1×
Chest 4 or more views (71048) $1,074 $1,074 9.6×
Cholecystography Oral Contrast (74290) $1,002 $1,002 5.4×
Cisternography Positive Contrast Rs&I (70015) $1,916 $1,916 2.3×
Clavicle complete (73000)
range across 2 matching MRF lines
$93–$1,141 $93–$1,141 varies
Continuing medical physics consltj pr wk (77336) $831 $831 5.8×
Contrast Exam Abdominl Aorta (75625) $11,251 $11,251 3.3×
Contrast X-Ray Bladder (74430) $1,498 $1,498 4.0×
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$1,652–$2,479 $1,652–$2,479 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$2,349–$3,524 $2,349–$3,524 varies
CT abdomen and pelvis without and with contrast (74178) $6,068 $6,068 16.3×
CT abdomen and pelvis without contrast (74176) $4,748 $4,748 18.6×
CT abdomen w contrast (74160) $6,947 $6,947 37.1×
CT abdomen w wo contrast (74170) $7,786 $7,786 41.6×
CT abdomen w/o contrast (74150) $6,134 $6,134 55.0×
CT Angio Abdomen and Pelvis (74174) $8,375 $8,375 22.5×
CT Angio Chest (71275) $5,143 $5,143 27.5×
CT Angio Head (70496) $7,084 $7,084 37.8×
CT angio hrt w/3d image (75574) $3,053 $3,053 8.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,933 $2,933 15.7×
CT Angio Neck (70498) $7,093 $7,093 37.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,498 $3,498 18.7×
CT cervical spine w/ contrast (72126) $8,231 $8,231 22.1×
CT cervical spine w/o contrast (72125) $7,777 $7,777 69.7×
CT cervical spine w/wo cont (72127) $8,314 $8,314 44.4×
CT chest w contrast (71260) $5,351 $5,351 28.6×
CT chest w/wo contrast (71270) $5,963 $5,963 31.9×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $5,563 $5,563 29.7×
CT head/brain with contrast (70460) $5,133 $5,133 27.4×
CT head/brain without and with contrast (70470) $6,053 $6,053 32.3×
CT heart no contrast quant eval coronry calcium (75571) $1,067 $1,067 11.5×
CT hrt w/3d image congen (75573) $3,065 $3,065 8.2×
CT iac w contrast (70481) $7,768 $7,768 41.5×
CT l-spine w&w/o contrast (72133) $10,553 $10,553 56.4×
CT lower ext w/o (73700) $2,976 $2,976 26.7×
CT lower extremity w/contrast material (73701) $3,037 $3,037 16.2×
CT lumbar spine w contrast (72132) $8,050 $8,050 21.6×
CT lumbar spine w/o contrast (72131) $7,769 $7,769 69.6×
CT maxillofacial w contrast (70487) $6,869 $6,869 36.7×
CT maxillofacial wo contrast (70486) $2,840 $2,840 25.5×
CT neck tissue combo (70492) $9,038 $9,038 48.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $11,120 $11,120 59.4×
CT orbits w/o contrast (70480) $6,599 $6,599 59.2×
CT pelvis w&w/o contrast (72194) $6,613 $6,613 35.3×
CT pelvis w/o contrast (72192) $4,008 $4,008 35.9×
CT scan of leg combo (73702) $3,761 $3,761 20.1×
CT scans face/jaw combo (70488) $7,430 $7,430 39.7×
CT soft tissue neck w contrast (70491) $7,177 $7,177 38.3×
CT soft tissue neck w/o contrast (70490) $6,744 $6,744 60.5×
CT thoracic spine w contrast (72129) $8,180 $8,180 43.7×
CT thoracic spine w/o contrast (72128) $7,381 $7,381 66.2×
CT thoracic spine w/wo cont (72130) $8,821 $8,821 47.1×
CT thorax w/o contrast (71250) $5,182 $5,182 46.5×
CT upper ext wo (73200) $3,128 $3,128 28.0×
CT upper extremity w/o & w/contrast material (73202) $4,418 $4,418 23.6×
CT upper extremity with contrast (73201) $3,929 $3,929 10.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,020 $4,020 21.5×
Cta Abdomen (74175) $5,904 $5,904 31.5×
CTA pelvis (72191) $5,377 $5,377 28.7×
Dilation ureters/urethra rs&i (74485) $2,476 $2,476 1.1×
Diskography lumbar (72295) $5,791 $5,791 2.8×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $1,278 $1,278 11.5×
Doppler Echo Fetal Spectral Display Complete (76827) $1,337 $1,337 12.0×
Doppler Fetal Mid Cerebral Artery (76821) $738 $738 6.6×
Dxa Bone Density Axial (77080) $1,656 $1,656 14.8×
Dxa bone density study (77085) $749 $749 6.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $682 $682 7.3×
Echo exam of fetal heart (76825) $1,723 $1,723 3.0×
Echo exam uterus (76831) $1,349 $1,349 5.3×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,643 $1,643 6.5×
Echograp Trans R Pros Study (76873) $1,718 $1,718 15.4×
Esophagram (74220) $1,286 $1,286 6.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $2,054 $2,054 18.4×
Fluoroscopy up to 1 hr (76000) $1,662 $1,662 6.5×
Follow-Up Angiography (75898) $4,518 $4,518 1.3×
Foot 2 views (73620)
range across 2 matching MRF lines
$80–$1,128 $80–$1,128 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$83–$1,149 $83–$1,149 varies
Gastric emptying imaging study (78264) $4,589 $4,589 10.8×
Gastroesophageal Reflux Exam (78262) $3,515 $3,515 8.2×
Gated Heart Planar Single (78472) $4,579 $4,579 10.7×
Hand 2 views (73120)
range across 2 matching MRF lines
$89–$944 $89–$944 varies
Heart first pass single,planar (78481) $2,941 $2,941 5.1×
Heart Image (Pet) Multiple (78492) $6,473 $6,473 4.2×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $10,876 $10,876 3.2×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $9,386 $9,386 2.8×
Hepatobil Syst Image W/Drug (78227) $3,944 $3,944 6.8×
Hepatobiliary System Imaging (78226) $3,304 $3,304 7.7×
Ht Musc Image Planar Mult (78454) $4,411 $4,411 3.2×
Ht Muscle Image Spect Sing (78451) $4,791 $4,791 3.5×
Hysterosalpingogram (74740) $1,344 $1,344 5.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,378 $1,378 14.8×
Interstitial radiation source applic complex (77778) $8,057 $8,057 10.8×
K Flow/Funct Image Multiple (78709) $4,943 $4,943 8.5×
K Flow/Funct Image W/Drug (78708) $3,736 $3,736 6.4×
K Flow/Funct Image W/O Drug (78707) $3,487 $3,487 6.0×
Knee 3 Views (73562)
range across 2 matching MRF lines
$115–$1,177 $115–$1,177 varies
Leveen/Shunt Patency Exam (78291) $2,411 $2,411 5.7×
Liver & Spleen Imaging Static Only (78215) $3,250 $3,250 7.6×
Liver imaging static only (78201) $3,112 $3,112 5.4×
Lung Perf&Ventilat Diferentl (78598) $2,132 $2,132 3.7×
Lung perfusion differential (78597) $1,138 $1,138 2.7×
Lung Ventilat&Perfus Imaging (78582) $3,188 $3,188 5.5×
Lung Ventilation Imaging (78579) $1,349 $1,349 3.2×
Lymph System Imaging (78195) $3,236 $3,236 5.6×
Magnetic Image Jaw Joint (70336)
range across 2 matching MRF lines
$3,746–$5,619 $3,746–$5,619 varies
Mammary ductogram or galactogram multiple (77054) $1,387 $1,387 5.4×
Mammary ductogram or galactogram single (77053) $1,327 $1,327 5.2×
Meckels Divert Exam (78290) $4,674 $4,674 11.0×
Mlc imrt design & construction per imrt plan (77338) $3,521 $3,521 8.8×
Mra Head W/O & W/Contrast Material (70546) $5,801 $5,801 15.6×
MRA head w/o contrast (70544) $3,102 $3,102 12.2×
MRA head with contrast (70545) $3,360 $3,360 9.0×
MRA neck w contrast (70548) $3,062 $3,062 8.2×
Mra Neck W/O &W/Contrast Material (70549) $5,613 $5,613 15.1×
MRA neck w/o contrast (70547) $2,991 $2,991 11.7×
MRI abdomen w contrast (74182) $6,769 $6,769 18.2×
MRI abdomen w/o contrast (74181) $4,462 $4,462 17.5×
MRI any jt lower extrem w/contrast material (73722) $5,678 $5,678 6.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,817 $5,817 15.6×
MRI any jt upper extremity w/contrast matrl (73222) $5,114 $5,114 6.1×
MRI Breast W/O Contrast Bilateral (77047) $1,997 $1,997 7.8×
MRI Breast Without Contrast Material Unilateral (77046) $1,463 $1,463 5.7×
MRI cardiac w/o cont stress (75559) $5,029 $5,029 8.6×
MRI cardiac w/o contrast (75557) $4,433 $4,433 17.4×
MRI cervical spine w contrast (72142) $4,721 $4,721 12.7×
MRI cervical spine w/o cont (72141) $4,006 $4,006 15.7×
MRI chest w/o contrast (71550) $3,217 $3,217 12.6×
MRI chest with contrast (71551) $5,268 $5,268 6.3×
MRI chest wo w contrast (71552) $6,261 $6,261 16.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $5,455 $5,455 14.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $6,343 $6,343 17.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,691 $4,691 18.4×
MRI lumbar spine w contrast (72149) $5,840 $5,840 15.7×
Mri Neck Spine W/O & W/Dye (72156) $6,017 $6,017 16.2×
MRI orbit face &/neck w/o contrast (70540) $4,479 $4,479 17.6×
MRI orbit face neck w contrast (70542) $5,693 $5,693 15.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $6,547 $6,547 17.6×
MRI pelvis w contrast (72196) $6,940 $6,940 18.6×
MRI pelvis w/o & w contrast (72197) $8,511 $8,511 22.9×
MRI pelvis w/o contrast (72195) $5,998 $5,998 23.6×
MRI thoracic spine w/o contrast (72146) $6,122 $6,122 24.0×
MRI upper extremity oth than jt w/contr matrl (73219) $5,300 $5,300 14.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $5,003 $5,003 19.6×
Mri Uppr Extremity W/O&W/Dye (73220) $5,490 $5,490 14.7×
MRI, abdomen, combo (74183) $9,611 $9,611 25.8×
MRI, dorsal spine combo (72157) $8,879 $8,879 23.9×
MRI, dorsal spine contrast (72147) $6,449 $6,449 17.3×
MRI, joint upper extrem (73221) $4,913 $4,913 19.3×
MRI, joint upper extrem combo (73223) $5,505 $5,505 14.8×
MRI, lumbar spine combo (72158) $6,915 $6,915 18.6×
Myelogram cervical (72240) $4,891 $4,891 5.8×
Myelogram Lumbar (72265) $3,324 $3,324 4.0×
Myelography thoracic (72255) $3,306 $3,306 4.0×
Myelograpy 2/more regions rs&i (72270) $5,754 $5,754 6.9×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,228 $4,228 3.1×
Myocardial Spect Multiple Studies (78452) $9,421 $9,421 6.8×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $7,413 $7,413 3.2×
Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) $7,413 $7,413 4.6×
Neck soft tissue (70360)
range across 2 matching MRF lines
$89–$727 $89–$727 varies
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,072 $1,072 2.5×
Nm myocard infarct spect (78469) $2,874 $2,874 5.0×
Nonvascular Shunt X-Ray (75809) $891 $891 8.0×
Ntsty modul radthx pln dose-vol histos (77301) $7,277 $7,277 4.9×
Nuclear Rx Intra-Arterial (79445) $2,534 $2,534 10.2×
Nuclear Rx Oral Admin (79005) $3,010 $3,010 12.1×
Oph bmtry us echograpy a-scan io lens pwr cal (76519)
range across 2 matching MRF lines
$579–$869 $579–$869 varies
Parathyroid Planar Imaging (78070) $2,435 $2,435 5.7×
Parathyroid planar imaging w/wo subtraction (78071) $2,891 $2,891 6.8×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$79–$1,050 $79–$1,050 varies
Pet Image W/Ct Lmtd (78814) $6,075 $6,075 4.0×
PET image w/CT, full body (78816) $6,638 $6,638 4.4×
PET imaging CT attenuation skull base mid-thigh (78815) $6,326 $6,326 4.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $9,038 $9,038 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $2,975 $2,975 7.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$142–$1,075 $142–$1,075 varies
Radex abscess/fistula/sinus tract rs&i (76080) $1,389 $1,389 2.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$103–$1,303 $103–$1,303 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$80–$1,299 $80–$1,299 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$93–$1,149 $93–$1,149 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$132–$1,974 $132–$1,974 varies
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$109–$826 $109–$826 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$96–$1,353 $96–$1,353 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$106–$1,203 $106–$1,203 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$89–$1,839 $89–$1,839 varies
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$107–$1,385 $107–$1,385 varies
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $1,479 $1,479 15.9×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$104–$1,032 $104–$1,032 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$98–$1,172 $98–$1,172 varies
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
$92–$934 $92–$934 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $2,253 $2,253 12.0×
Radex Spine 1 View Specify Level (72020) $1,073 $1,073 11.6×
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$95–$1,158 $95–$1,158 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$150–$6,640.23 $150–$6,640.23 varies
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$82–$768 $82–$768 varies
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$89–$1,128 $89–$1,128 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$117–$1,168 $117–$1,168 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,827 $1,827 16.4×
Radiation Delivery Stereotactic Cranial Linear (77372) $16,728 $16,728 2.1×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$124–$1,957 $124–$1,957 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $915 $915 8.2×
Radiologic exam colon double contrast study (74280) $1,975 $1,975 10.6×
Radiologic exam colon single contrast study (74270) $1,921 $1,921 10.3×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$134–$1,247.01 $134–$1,247.01 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2,442 $2,442 21.9×
Radiologic Exam Small Int Single Contrast Study (74250) $1,769 $1,769 9.5×
Radiologic exam swallow function contrast study (74230) $1,595 $1,595 8.5×
Radiologic exam upr gi trc double contrast study (74246) $1,559 $1,559 8.3×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$84–$942 $84–$942 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$101–$1,025 $101–$1,025 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$96–$1,048 $96–$1,048 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$90–$1,204 $90–$1,204 varies
Radiopharm Dacryocystography (78660) $1,319 $1,319 3.1×
Renal Cyst Study (74470) $2,689 $2,689 4.6×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$124–$1,594 $124–$1,594 varies
Rp loclzj tum plnr 1 area single day imaging (78800) $1,820 $1,820 4.3×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $3,538 $3,538 8.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $6,341 $6,341 10.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $4,105 $4,105 7.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $6,256 $6,256 10.8×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,966 $3,966 2.9×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,966 $3,966 2.6×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,966 $3,966 2.9×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $3,868 $3,868 15.5×
Rp Therapy Intravenous Administration (79101) $2,440 $2,440 9.8×
Scapula (73010)
range across 2 matching MRF lines
$68–$853 $68–$853 varies
Screening Digital Breast Tomosynthesis Bi (77063) $260 $260 11.1×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$61–$949 $61–$949 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$1,948–$2,922 $1,948–$2,922 varies
Sialogram (70390) $2,064 $2,064 8.1×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$102–$1,286 $102–$1,286 varies
Special dosimetry (77331) $607 $607 4.2×
Special Physics Consult (77370) $779 $779 5.4×
Special treatment procedure (77470) $2,621 $2,621 4.4×
Spleen Imaging (78185) $2,155 $2,155 5.1×
Stereotactic Body Radiation Delivery (77373) $18,867 $18,867 9.9×
Sternoclavicular joints (71130) $1,340 $1,340 14.4×
Superior sagittal sinus venogram (75870) $10,021 $10,021 3.0×
Testicular Imaging W/Flow (78761) $1,413 $1,413 3.3×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $2,759 $2,759 14.7×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$94–$1,306.66 $94–$1,306.66 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$112–$1,396.70 $112–$1,396.70 varies
Thoracolumbar 2 views (72080)
range across 2 matching MRF lines
$98–$1,137 $98–$1,137 varies
Thyroid Imaging With Vascular Flow (78013) $777 $777 1.8×
Thyroid Met Imaging Body (78018) $4,096 $4,096 7.1×
Thyroid Uptake Measurement (78012) $1,578 $1,578 3.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,233 $1,233 2.9×
Ultrasound Breast Limited (76642) $999 $999 10.8×
Ultrasound Exam Aaa Screen (76706) $1,615 $1,615 14.5×
Ultrasound, abdomen limited (76705) $1,848 $1,848 16.6×
Umbilical-artery Doppler (OB) (76820) $665 $665 6.0×
Unlisted fluoroscopic procedure (76496) $1,190 $1,190 12.8×
Unlisted magnetic resonance procedure (76498) $6,290 $6,290 67.7×
Upper gi w/o kub (74240) $1,322 $1,322 7.1×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $1,932 $1,932 174.7×
Ureteral Reflux Study (78740) $1,275 $1,275 3.0×
Urethrocystogram voiding (74455) $1,714 $1,714 6.7×
Urethrocystography retrograde (74450) $1,634 $1,634 6.4×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$1,072–$1,608 $1,072–$1,608 varies
Us chest (76604) $1,343 $1,343 12.0×
Us complete joint (76881) $945 $945 8.5×
Us exam, pelvic, limited (76857) $651 $651 5.8×
Us head (76506) $1,570 $1,570 14.1×
Us kidney transplant (76776) $1,121 $1,121 10.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $651 $651 5.8×
Us ob detailed single fetus (76811) $1,003 $1,003 3.9×
Us ob limited 1 or more fetuses (76815) $1,515 $1,515 13.6×
Us ob transvaginal (76817) $1,463 $1,463 13.1×
Us pelvic non ob complete (76856) $1,639 $1,639 14.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,389 $2,389 21.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,873 $1,873 16.8×
Us retroperitoneal complete (76770) $1,810 $1,810 16.2×
Us retroperitoneal limited (76775) $1,713 $1,713 15.4×
Us scrotum and contents (76870) $1,770 $1,770 15.9×
Us spinal canal and contents (76800) $1,583 $1,583 14.2×
Us thyroid (76536) $1,215 $1,215 10.9×
Us transrectal (76872) $980 $980 8.8×
Vein X-Ray Chest (75827) $7,585 $7,585 4.5×
Vein X-Ray Liver W/O Hemodyn (75887) $5,269 $5,269 1.6×
Vein X-Ray Spleen/Liver (75810) $12,215 $12,215 3.6×
Venogram Sinus/Jugular (75860) $9,114 $9,114 2.7×
Venography Adrenal Unilateral (75840) $9,337 $9,337 2.8×
Venography caval inferior serialography rs&i (75825) $8,515 $8,515 2.5×
Venography extremity bilateral rs&i (75822) $5,530 $5,530 3.3×
Venography extremity unilateral rs&i (75820) $4,690 $4,690 2.8×
Venography Renal Bilateral (75833) $15,893 $15,893 4.7×
Venography Renal Unilateral (75831) $9,155 $9,155 2.7×
Venous sampling by catheter (75893) $12,320 $12,320 2.1×
Vertebral fracture assessment via dxa (77086) $451 $451 4.9×
Wrist 2 views (73100)
range across 2 matching MRF lines
$95–$1,118 $95–$1,118 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$82–$943 $82–$943 varies
X-ray antegrade pyelogram tube (74425) $1,598 $1,598 4.3×
X-Ray Aorta Leg Arteries (75630) $17,741 $17,741 5.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$83–$971 $83–$971 varies
X-Ray Exam Breast Specimen (76098) $1,633 $1,633 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $1,448 $1,448 15.6×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$199–$1,630.79 $199–$1,630.79 varies
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,720 $1,720 15.4×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$94–$1,204 $94–$1,204 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$135–$1,273 $135–$1,273 varies
X-Ray Exam Hip Uni 4/> Views (73503) $1,722 $1,722 15.4×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$117–$1,468.73 $117–$1,468.73 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
$153–$1,579 $153–$1,579 varies
X-Ray Exam Hips Bi 5/> Views (73523) $1,970 $1,970 17.7×
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$174–$2,051 $174–$2,051 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$112–$1,208.75 $112–$1,208.75 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$176–$2,218 $176–$2,218 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$119–$1,303 $119–$1,303 varies
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$422–$633 $422–$633 varies
X-ray humerus (73060)
range across 2 matching MRF lines
$91–$1,181 $91–$1,181 varies
X-ray IV pyelogram (ivp) (74400) $1,513 $1,513 8.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$113–$1,079 $113–$1,079 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$112–$1,080 $112–$1,080 varies
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
$83–$858 $83–$858 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$148–$2,157.51 $148–$2,157.51 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 2 matching MRF lines
$112–$1,081.57 $112–$1,081.57 varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$93–$1,158.10 $93–$1,158.10 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$107–$1,707 $107–$1,707 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 2 matching MRF lines
$127–$1,757 $127–$1,757 varies
X-Ray Stress View (77071) $584 $584 6.3×
X-ray thoracic spine 4 vw (72074) $1,414 $1,414 12.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,465 $1,465 3.9×
X-Rays Bone Length Studies (77073) $779 $779 7.0×
X-Rays Bone Survey Complete (77075) $2,880 $2,880 25.8×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$153–$1,711.83 $153–$1,711.83 varies
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines
$91–$1,479 $91–$1,479 varies
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$135–$1,927 $135–$1,927 varies

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.