Imaging prices at HonorHealth Sonoran Crossing Medical Center
Phoenix, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted 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.