Imaging prices at Huntington Hospital
Pasadena, CA · every code in this section with a posted price and a Medicare benchmark.
334 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) | $8,437.19 | $12,980.30 | 4.7× |
| Abdomen 1 View (74018) | $395.17 | $607.96 | 3.5× |
| Abdomen 2 views (74019) | $490.57 | $754.72 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,531.65 | $3,894.84 | 4.9× |
| Angio pulmonary bilat (75743) | $4,322.77 | $6,650.42 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $6,345.74 | $9,762.67 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,092.97 | $6,296.87 | 1.0× |
| Ankle 2 views (73600) | $344.69 | $530.29 | 3.1× |
| Artery X-Rays Abdomen (75726) | $13,690.95 | $21,063 | 1.9× |
| Artery X-Rays Pelvis (75736) | $8,008.07 | $12,320.10 | 1.1× |
| Artery X-Rays Spine (75705) | $5,114.82 | $7,868.95 | 0.7× |
| Arthrogram hip (73525) | $971.80 | $1,495.08 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $2,597.14 | $3,995.60 | 15.0× |
| Bone age studies (77072) | $355.54 | $546.99 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,531.65 | $3,894.84 | 4.9× |
| Bone Imaging Limited Area (78300) | $2,531.65 | $3,894.84 | 4.9× |
| Bone Imaging Multiple Areas (78305) | $2,531.65 | $3,894.84 | 4.9× |
| Bone Imaging Whole Body (78306) | $2,531.65 | $3,894.84 | 4.9× |
| Bone marrow imaging; multiple areas (78103) | $2,531.65 | $3,894.84 | 4.9× |
| Bone survey infant (77076) | $355.54 | $546.99 | 2.6× |
| Brachytx isodose complex (77318) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Brachytx isodose intermed (77317) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Brachytx Isodose Plan Simple (77316) | $3,215.08 | $4,946.27 | 6.7× |
| Brain Image W/Flow < 4 Views (78601) | $2,531.65 | $3,894.84 | 4.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,234.69 | $4,976.44 | 4.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,531.65 | $3,894.84 | 4.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,402.99 | $9,850.76 | 14.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,234.69 | $4,976.44 | 4.6× |
| Cerebrospinal Fluid Scan (78630) | $3,234.69 | $4,976.44 | 4.6× |
| Chest 1 view (71045) | $580.13 | $892.50 | 5.2× |
| Chest 2 views (71046) | $721.67 | $1,110.26 | 6.4× |
| Chest 3 views (71047) | $969.90 | $1,492.15 | 8.7× |
| Chest 4 or more views (71048) | $1,218.17 | $1,874.11 | 9.1× |
| Clavicle complete (73000) | $363.99 | $559.98 | 3.3× |
| Continuing medical physics consltj pr wk (77336) | $1,239.19 | $1,906.44 | 7.2× |
| Contrast Exam Abdominl Aorta (75625) | $5,670.61 | $8,724.01 | 1.4× |
| Contrast X-Ray Bladder (74430) | $903.77 | $1,390.42 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $9,139.52 | $14,060.80 | 20.4× |
| CT abdomen and pelvis without contrast (74176) | $7,101.84 | $10,925.90 | 23.1× |
| CT abdomen w contrast (74160) | $4,786.98 | $7,364.59 | 21.2× |
| CT abdomen w wo contrast (74170) | $5,538.72 | $8,521.10 | 24.6× |
| CT abdomen w/o contrast (74150) | $4,632.22 | $7,126.49 | 34.5× |
| CT Angio Abdomen and Pelvis (74174) | $8,775.65 | $13,501 | 19.6× |
| CT Angio Chest (71275) | $4,868.08 | $7,489.36 | 21.6× |
| CT Angio Head (70496) | $5,065.83 | $7,793.59 | 22.5× |
| CT angio hrt w/3d image (75574) | $5,624.32 | $8,652.80 | 12.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,653.42 | $5,620.65 | 16.2× |
| CT Angio Neck (70498) | $4,981.13 | $7,663.28 | 22.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,236.53 | $8,056.20 | 23.2× |
| CT bone density (77078) | $2,597.14 | $3,995.60 | 23.2× |
| CT cervical spine w/ contrast (72126) | $4,255.10 | $6,546.31 | 9.5× |
| CT cervical spine w/o contrast (72125) | $4,210.78 | $6,478.13 | 31.3× |
| CT cervical spine w/wo cont (72127) | $4,493.89 | $6,913.68 | 19.9× |
| CT chest w contrast (71260) | $5,062.02 | $7,787.73 | 22.4× |
| CT chest w/wo contrast (71270) | $5,624.32 | $8,652.80 | 24.9× |
| CT head/brain with contrast (70460) | $3,444.90 | $5,299.84 | 15.3× |
| CT head/brain without and with contrast (70470) | $5,595.92 | $8,609.10 | 24.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $4,533.55 | $6,974.69 | 10.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,777.96 | $5,812.24 | 33.8× |
| CT iac w contrast (70481) | $4,981.13 | $7,663.28 | 22.1× |
| CT l-spine w&w/o contrast (72133) | $5,106.13 | $7,855.58 | 22.6× |
| CT lower ext w/o (73700) | $4,367.99 | $6,719.98 | 32.5× |
| CT lower extremity w/contrast material (73701) | $5,241.58 | $8,063.97 | 23.2× |
| CT lumbar spine w contrast (72132) | $4,255.10 | $6,546.31 | 9.5× |
| CT lumbar spine w/o contrast (72131) | $3,989.17 | $6,137.18 | 29.7× |
| CT maxillofacial w contrast (70487) | $4,981.13 | $7,663.28 | 22.1× |
| CT maxillofacial wo contrast (70486) | $4,773.59 | $7,343.99 | 35.5× |
| CT neck tissue combo (70492) | $5,624.32 | $8,652.80 | 24.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,624.32 | $8,652.80 | 24.9× |
| CT orbits w/o contrast (70480) | $3,320.77 | $5,108.88 | 24.7× |
| CT pelvis w&w/o contrast (72194) | $5,624.32 | $8,652.80 | 24.9× |
| CT pelvis w/o contrast (72192) | $4,773.59 | $7,343.99 | 35.5× |
| CT scan of leg combo (73702) | $6,289.90 | $9,676.77 | 27.9× |
| CT scans face/jaw combo (70488) | $5,624.32 | $8,652.80 | 24.9× |
| CT soft tissue neck w contrast (70491) | $4,981.13 | $7,663.28 | 22.1× |
| CT soft tissue neck w/o contrast (70490) | $4,773.59 | $7,343.99 | 35.5× |
| CT thoracic spine w contrast (72129) | $3,989.15 | $6,137.15 | 17.7× |
| CT thoracic spine w/o contrast (72128) | $3,767.54 | $5,796.22 | 28.0× |
| CT thoracic spine w/wo cont (72130) | $3,998.76 | $6,151.94 | 17.7× |
| CT thorax w/o contrast (71250) | $4,951.80 | $7,618.15 | 36.8× |
| CT upper ext wo (73200) | $4,671.98 | $7,187.66 | 34.7× |
| CT upper extremity w/o & w/contrast material (73202) | $5,624.32 | $8,652.80 | 24.9× |
| CT upper extremity with contrast (73201) | $4,981.13 | $7,663.28 | 11.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,016.76 | $6,179.63 | 17.8× |
| Cta Abdomen (74175) | $5,161.24 | $7,940.37 | 22.9× |
| CTA pelvis (72191) | $3,636.57 | $5,594.73 | 16.1× |
| Dxa Bone Density Axial (77080) | $2,597.14 | $3,995.60 | 19.3× |
| Dxa bone density study (77085) | $2,597.14 | $3,995.60 | 19.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $2,597.14 | $3,995.60 | 23.2× |
| Echo Guide For Artery Repair (76936) | $1,347.03 | $2,072.35 | 4.9× |
| Esophagram (74220) | $944.68 | $1,453.35 | 4.2× |
| Fetal Biophys Profile W/Nst (76818) | $841.74 | $1,294.98 | 6.3× |
| Follow-Up Angiography (75898) | $3,942.59 | $6,065.52 | 1.0× |
| Foot 2 views (73620) | $332.64 | $511.76 | 3.0× |
| Forearm 2 views (73090) | $387.11 | $595.55 | 3.5× |
| Gastric emptying imaging study (78264) | $2,531.65 | $3,894.84 | 4.9× |
| Gastric Mucosa Imaging (78261) | $2,531.65 | $3,894.84 | 4.9× |
| Gated Heart Planar Single (78472) | $2,531.65 | $3,894.84 | 4.9× |
| Hand 2 views (73120) | $309.28 | $475.81 | 2.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,799.65 | $10,461 | 7.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,627.52 | $7,119.26 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,398.75 | $6,767.31 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $3,234.69 | $4,976.44 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,531.65 | $3,894.84 | 4.9× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Ht Muscle Image Spect Sing (78451) | $5,048.53 | $7,766.97 | 3.0× |
| Hyperthermia external generated superficial (77600) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Hysterosalpingogram (74740) | $1,108.80 | $1,705.84 | 3.6× |
| Image fusion (77399) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Infant hip ultrasound, limited static exam (76886) | $232.32 | $357.41 | 2.1× |
| Interstitial radiation source applic complex (77778) range across 5 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 5 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 5 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Intracavitary radiation source applic simple (77761) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Intraop radiaj tx deliver xray single tx session (77424) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Joint Survey Single View (77077) | $2,597.14 | $3,995.60 | 19.3× |
| K Flow/Funct Image W/Drug (78708) | $3,881.62 | $5,971.73 | 5.6× |
| K Flow/Funct Image W/O Drug (78707) | $3,234.69 | $4,976.44 | 4.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,531.65 | $3,894.84 | 4.9× |
| Knee 3 Views (73562) | $472.23 | $726.50 | 4.2× |
| Leveen/Shunt Patency Exam (78291) | $2,531.65 | $3,894.84 | 4.9× |
| Liver & Spleen Imaging Static Only (78215) | $2,531.65 | $3,894.84 | 4.9× |
| Lung perfusion differential (78597) | $2,531.65 | $3,894.84 | 4.9× |
| Lung Ventilat&Perfus Imaging (78582) | $3,234.69 | $4,976.44 | 4.6× |
| Lymph System Imaging (78195) | $3,234.69 | $4,976.44 | 4.6× |
| Magnetic Image Jaw Joint (70336) | $4,706.95 | $7,241.46 | 15.3× |
| Mammary ductogram or galactogram multiple (77054) | $2,597.14 | $3,995.60 | 8.5× |
| Mammary ductogram or galactogram single (77053) | $2,597.14 | $3,995.60 | 8.5× |
| Meckels Divert Exam (78290) | $2,531.65 | $3,894.84 | 4.9× |
| Mlc imrt design & construction per imrt plan (77338) | $1,963.73 | $3,021.12 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,939.12 | $9,137.11 | 13.2× |
| MRA head w/o contrast (70544) | $5,678.74 | $8,736.52 | 18.5× |
| MRA head with contrast (70545) | $5,202.50 | $8,003.84 | 11.6× |
| MRA neck w contrast (70548) | $4,500.66 | $6,924.10 | 10.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,424.90 | $8,346 | 12.1× |
| MRA neck w/o contrast (70547) | $3,825.56 | $5,885.47 | 12.5× |
| MRI abdomen w contrast (74182) | $6,816.16 | $10,486.40 | 15.2× |
| MRI abdomen w/o contrast (74181) | $6,538.28 | $10,058.90 | 21.3× |
| MRI any jt lower extrem w/contrast material (73722) | $6,830.14 | $10,507.90 | 6.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,030.40 | $10,816 | 15.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,870.24 | $9,031.14 | 5.8× |
| MRI bone marrow blood supply (77084) | $2,597.14 | $3,995.60 | 8.5× |
| MRI brain functional w/physician admnistration (70555) | $5,021.04 | $7,724.67 | 16.4× |
| MRI cardiac w/o contrast (75557) | $5,122.39 | $7,880.60 | 16.7× |
| MRI cervical spine w contrast (72142) | $7,054.52 | $10,853.10 | 15.7× |
| MRI cervical spine w/o cont (72141) | $5,895.45 | $9,069.93 | 19.2× |
| MRI chest w/o contrast (71550) | $4,532.30 | $6,972.77 | 14.8× |
| MRI chest with contrast (71551) | $3,336.83 | $5,133.59 | 3.3× |
| MRI chest wo w contrast (71552) | $7,189 | $11,060 | 16.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,895.45 | $9,069.93 | 13.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,030.40 | $10,816 | 15.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,691.76 | $8,756.56 | 18.5× |
| MRI lumbar spine w contrast (72149) | $6,662.82 | $10,250.50 | 14.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,229.76 | $11,122.70 | 16.1× |
| MRI orbit face &/neck w/o contrast (70540) | $5,942.83 | $9,142.82 | 19.4× |
| MRI orbit face neck w contrast (70542) | $6,618.11 | $10,181.70 | 14.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,030.40 | $10,816 | 15.7× |
| MRI pelvis w contrast (72196) | $5,840.54 | $8,985.44 | 13.0× |
| MRI pelvis w/o & w contrast (72197) | $6,859.45 | $10,553 | 15.3× |
| MRI pelvis w/o contrast (72195) | $4,867.12 | $7,487.88 | 15.9× |
| MRI thoracic spine w/o contrast (72146) | $5,191.89 | $7,987.52 | 16.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $6,830.14 | $10,507.90 | 15.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,691.76 | $8,756.56 | 18.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,030.40 | $10,816 | 15.7× |
| MRI, abdomen, combo (74183) | $7,241.32 | $11,140.50 | 16.1× |
| MRI, dorsal spine combo (72157) | $7,030.40 | $10,816 | 15.7× |
| MRI, dorsal spine contrast (72147) | $6,072.13 | $9,341.74 | 13.5× |
| MRI, joint upper extrem (73221) | $4,891.87 | $7,525.96 | 15.9× |
| MRI, joint upper extrem combo (73223) | $7,104.44 | $10,929.90 | 15.8× |
| MRI, lumbar spine combo (72158) | $7,030.40 | $10,816 | 15.7× |
| Myelogram cervical (72240) | $3,336.83 | $5,133.59 | 3.3× |
| Myelogram Lumbar (72265) | $3,336.83 | $5,133.59 | 3.3× |
| Myelography thoracic (72255) | $3,336.83 | $5,133.59 | 3.3× |
| Myocardial Spect Multiple Studies (78452) | $5,048.53 | $7,766.97 | 3.0× |
| Neck soft tissue (70360) | $484.83 | $745.89 | 4.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,531.65 | $3,894.84 | 4.9× |
| Nm csf leak detection (78650) | $5,048.53 | $7,766.97 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,437.19 | $12,980.30 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $1,881.83 | $2,895.13 | 6.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,234.69 | $4,976.44 | 4.6× |
| Parathyroid Planar Imaging (78070) | $2,531.65 | $3,894.84 | 4.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,531.65 | $3,894.84 | 4.9× |
| Pelvis 1 or 2 views (72170) | $527.42 | $811.42 | 3.9× |
| Proton trmt simple w/comp (77522) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Proton tx delivery complex (77525) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Proton tx delivery intermediate (77523) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Proton tx delivery simple w/o compensation (77520) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,531.65 | $3,894.84 | 4.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $735.86 | $1,132.09 | 5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $923.92 | $1,421.42 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $418.68 | $644.12 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $363.99 | $559.98 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $464.96 | $715.33 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,044.66 | $1,607.17 | 7.8× |
| Radex fingr minimum 2 views (73140) | $267.27 | $411.18 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $420.79 | $647.37 | 3.8× |
| Radex Hand Minimum 3 Views (73130) | $395.53 | $608.50 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $398.90 | $613.69 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $676.92 | $1,041.41 | 6.0× |
| Radex Ribs Unilateral 2 Views (71100) | $471.27 | $725.03 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $460.74 | $708.83 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $504.76 | $776.56 | 4.5× |
| Radex Sternum Minimum 2 Views (71120) | $528.85 | $813.62 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $256.21 | $394.17 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $248.25 | $381.93 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $431.31 | $663.55 | 3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,955.96 | $3,009.17 | 14.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 5 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Radiation treatment delivery level 1 (77402) | $665.71 | $1,024.17 | 5.1× |
| Radiation treatment delivery level 2 (77407) | $1,004.65 | $1,545.62 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $1,409.32 | $2,168.18 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $735.86 | $1,132.09 | 5.5× |
| Radiologic exam colon double contrast study (74280) | $1,979.80 | $3,045.85 | 8.8× |
| Radiologic exam colon single contrast study (74270) | $1,577.94 | $2,427.60 | 7.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,228.08 | $1,889.35 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) | $490.24 | $754.21 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $850.01 | $1,307.70 | 6.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,043.52 | $1,605.42 | 4.6× |
| Radiologic exam swallow function contrast study (74230) | $1,016.18 | $1,563.36 | 4.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,323.43 | $2,036.05 | 5.9× |
| Radiologic examination femur 1 view (73551) | $401.66 | $617.94 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) | $401.86 | $618.24 | 3.6× |
| Radiologic examination knee 1/2 views (73560) | $332.64 | $511.76 | 3.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,370.50 | $2,108.46 | 10.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $313.91 | $482.94 | 2.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Ribs bilateral 3 views (71110) | $1,218.17 | $1,874.11 | 9.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,531.65 | $3,894.84 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,048.53 | $7,766.97 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,048.53 | $7,766.97 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,048.53 | $7,766.97 | 7.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,048.53 | $7,766.97 | 3.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,345.76 | $8,224.24 | 2.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $5,048.53 | $7,766.97 | 3.0× |
| Rp Therapy Intravenous Administration (79101) | $1,881.83 | $2,895.13 | 6.3× |
| Rp Therapy Unlisted Procedure (79999) | $136.50 | $210 | 0.5× |
| Scapula (73010) | $437.61 | $673.24 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $2,597.14 | $3,995.60 | 111.1× |
| Shoulder 1 view (73020) | $368.20 | $566.46 | 3.3× |
| Shoulder Arthrography (73040) | $847.40 | $1,303.69 | 1.9× |
| Skull less than 4 views (70250) | $885.46 | $1,362.25 | 6.6× |
| Special dosimetry (77331) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Special Physics Consult (77370) | $2,462.18 | $3,787.97 | 14.2× |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Special treatment procedure (77470) | $4,348.02 | $6,689.26 | 6.1× |
| Srs Multisource (77371) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Stereotactic Body Radiation Delivery (77373) | $8,204.24 | $12,621.90 | 3.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $6,516.38 | $10,025.20 | 13.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,748.78 | $4,228.89 | 5.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Ther rad simulaj-aided field setting simple (77280) | $1,373.16 | $2,112.55 | 7.9× |
| Thoracic spine 2 views (72070) | $708.66 | $1,090.25 | 5.3× |
| Thoracic spine 3 views (72072) | $1,064.60 | $1,637.84 | 7.9× |
| Thoracolumbar 2 views (72080) | $629.08 | $967.82 | 5.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,531.65 | $3,894.84 | 4.9× |
| Thyroid Met Imaging Body (78018) | $3,234.69 | $4,976.44 | 4.6× |
| Thyroid Uptake Measurement (78012) | $2,531.65 | $3,894.84 | 4.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,531.65 | $3,894.84 | 4.9× |
| Tx Devices Design & Construction Complex (77334) | $1,997.05 | $3,072.38 | 4.1× |
| Tx devices design & construction intermediate (77333) range across 4 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Tx devices design & construction simple (77332) | $753.36 | $1,159.02 | 4.4× |
| Ultrasound Breast Limited (76642) | $812.09 | $1,249.37 | 7.3× |
| Ultrasound Exam Aaa Screen (76706) | $312.68 | $481.05 | 2.3× |
| Ultrasound, abdomen limited (76705) | $1,100.20 | $1,692.62 | 8.2× |
| Unlis px ther radiol clinical tx planning (77299) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $2,531.65 | $3,894.84 | 4.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 3 matching MRF lines |
$568.71–$2,597.14 | $874.94–$3,995.60 | varies |
| Unlisted us procedure (76999) | $422.37 | $649.80 | 3.8× |
| Upper gi w/o kub (74240) | $788.51 | $1,213.09 | 3.5× |
| Urethrocystogram voiding (74455) | $1,138.23 | $1,751.12 | 3.7× |
| Urethrocystography retrograde (74450) | $559.64 | $860.98 | 1.8× |
| Us breast unilateral complete (76641) | $462.87 | $712.11 | 3.4× |
| Us chest (76604) | $732.18 | $1,126.43 | 5.4× |
| Us complete joint (76881) | $979.84 | $1,507.44 | 7.3× |
| Us exam, pelvic, limited (76857) | $654.31 | $1,006.63 | 4.9× |
| Us head (76506) | $1,590.60 | $2,447.08 | 11.8× |
| Us kidney transplant (76776) | $1,943.90 | $2,990.62 | 14.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $753.72 | $1,159.57 | 5.6× |
| Us ob detailed single fetus (76811) | $1,299.95 | $1,999.92 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $650.98 | $1,001.50 | 4.8× |
| Us ob transvaginal (76817) | $1,136.12 | $1,747.87 | 8.4× |
| Us pelvic non ob complete (76856) | $1,321.25 | $2,032.69 | 9.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,136.12 | $1,747.87 | 8.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $435.38 | $669.81 | 3.2× |
| Us retroperitoneal complete (76770) | $1,247.62 | $1,919.42 | 9.3× |
| Us retroperitoneal limited (76775) | $1,092.20 | $1,680.31 | 8.1× |
| Us scrotum and contents (76870) | $1,388.61 | $2,136.32 | 10.3× |
| Us spinal canal and contents (76800) | $636.67 | $979.49 | 4.7× |
| Us thyroid (76536) | $879.44 | $1,352.98 | 6.5× |
| Vein X-Ray Chest (75827) | $5,561.47 | $8,556.10 | 2.7× |
| Venogram Sinus/Jugular (75860) | $4,247.47 | $6,534.57 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $5,330.92 | $8,201.42 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $2,535.26 | $3,900.40 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,380.18 | $2,123.36 | 0.7× |
| Venous sampling by catheter (75893) | $4,762.07 | $7,326.26 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $2,597.14 | $3,995.60 | 23.2× |
| Wrist 2 views (73100) | $345.05 | $530.85 | 3.1× |
| X-ray antegrade pyelogram tube (74425) | $812.31 | $1,249.70 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $553.24 | $851.14 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $359.77 | $553.49 | 3.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $521.59 | $802.44 | 4.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $651.99 | $1,003.06 | 4.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,098.05 | $1,689.30 | 8.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $466.26 | $717.33 | 4.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $482.73 | $742.66 | 4.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $733.63 | $1,128.66 | 5.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $880.35 | $1,354.39 | 6.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,056.43 | $1,625.27 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,306.67 | $2,010.26 | 9.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $490.24 | $754.21 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,306.67 | $2,010.26 | 9.7× |
| X-ray humerus (73060) | $395.13 | $607.90 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $441.29 | $678.90 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $389.77 | $599.64 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $553.24 | $851.14 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,461.80 | $2,248.93 | 10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $426.29 | $655.83 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $673.26 | $1,035.79 | 6.0× |
| X-ray thoracic spine 4 vw (72074) | $1,417.33 | $2,180.51 | 10.5× |
| X-Rays Bone Length Studies (77073) | $1,403.23 | $2,158.82 | 10.4× |
| X-Rays Bone Survey Complete (77075) | $1,451.71 | $2,233.40 | 10.8× |
| Xr c-spine 4 or 5 views (72050) | $1,258.15 | $1,935.62 | 9.4× |
| Xr facial bones less than 3 views (70140) | $658.63 | $1,013.28 | 5.9× |
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.