Imaging prices at Imperial Valley Health - El Centro Hospital
El Centro, CA · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $328.30 | $469 | 2.9× |
| Abdomen 2 views (74019) | $494.90 | $707 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,365.70 | $1,951 | 2.7× |
| Adrenal Cortex & Medulla Img (78075) | $875 | $1,250 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $5,835.12 | $8,335.88 | 1.4× |
| Ankle 2 views (73600) | $382.20 | $546 | 3.4× |
| Arthrogram ankle (73615) | $854 | $1,220 | 1.9× |
| Arthrogram hip (73525) | $1,332.80 | $1,904 | 3.0× |
| Arthrogram Wrist (73115) | $679.70 | $971 | 1.5× |
| Bone age studies (77072) | $256.20 | $366 | 1.9× |
| Bone Imaging 3 Phase (78315) | $2,006.90 | $2,867 | 3.9× |
| Bone Imaging Limited Area (78300) | $1,287.30 | $1,839 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,602.30 | $2,289 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,776.60 | $2,538 | 3.5× |
| Bone marrow imaging limited area (78102) | $687.40 | $982 | 1.3× |
| Bone marrow imaging; whole body (78104) | $1,317.40 | $1,882 | 2.6× |
| Bone survey infant (77076) | $169.40 | $242 | 1.3× |
| Brain Flow Imaging Only (78610) | $659.40 | $942 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,797.50 | $5,425 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $728.70 | $1,041 | 6.5× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $800.80 | $1,144 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $1,647.80 | $2,354 | 2.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$345.80–$364 | $494–$520 | varies |
| Chest 2 views (71046) | $437.50 | $625 | 3.9× |
| Chest 3 views (71047) | $467.60 | $668 | 4.2× |
| Chest 4 or more views (71048) | $497.70 | $711 | 3.7× |
| Clavicle complete (73000) | $375.20 | $536 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,074.50 | $1,535 | 8.0× |
| Contrast X-Ray Bladder (74430) | $675.50 | $965 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $751.80 | $1,074 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $709.10 | $1,013 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $5,035.80 | $7,194 | 11.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,235.70–$4,242 | $6,051–$6,060 | varies |
| CT abdomen w contrast (74160) | $2,863.70 | $4,091 | 12.7× |
| CT abdomen w wo contrast (74170) | $3,537.80 | $5,054 | 15.7× |
| CT abdomen w/o contrast (74150) | $2,674.70 | $3,821 | 19.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,539.10 | $7,913 | 12.3× |
| CT Angio Chest (71275) | $3,234 | $4,620 | 14.3× |
| CT Angio Head (70496) | $2,664.20 | $3,806 | 11.8× |
| CT angio hrt w/3d image (75574) | $1,234.10 | $1,763 | 2.8× |
| CT Angio Neck (70498) | $2,914.10 | $4,163 | 12.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,155.60 | $4,508 | 14.0× |
| CT cervical spine w/ contrast (72126) | $2,593.50 | $3,705 | 5.8× |
| CT cervical spine w/o contrast (72125) | $3,159.80 | $4,514 | 23.5× |
| CT chest w contrast (71260) | $3,424.40 | $4,892 | 15.2× |
| CT chest w/wo contrast (71270) | $3,729.60 | $5,328 | 16.5× |
| CT head/brain with contrast (70460) | $2,214.80 | $3,164 | 9.8× |
| CT head/brain without and with contrast (70470) | $3,067.40 | $4,382 | 13.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $695.80 | $994 | 6.2× |
| CT hrt w/3d image congen (75573) | $1,991.13 | $2,844.47 | 4.4× |
| CT iac w contrast (70481) | $2,590.70 | $3,701 | 11.5× |
| CT l-spine w&w/o contrast (72133) | $3,341.80 | $4,774 | 14.8× |
| CT lower ext w/o (73700) | $2,415 | $3,450 | 18.0× |
| CT lower extremity w/contrast material (73701) | $2,585.10 | $3,693 | 11.5× |
| CT lumbar spine w contrast (72132) | $3,167.50 | $4,525 | 7.1× |
| CT lumbar spine w/o contrast (72131) | $2,912.70 | $4,161 | 21.7× |
| CT maxillofacial w contrast (70487) | $2,531.20 | $3,616 | 11.2× |
| CT maxillofacial wo contrast (70486) | $2,443 | $3,490 | 18.2× |
| CT neck tissue combo (70492) | $2,832.90 | $4,047 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,150.70 | $4,501 | 14.0× |
| CT orbits w/o contrast (70480) | $2,445.10 | $3,493 | 18.2× |
| CT pelvis w&w/o contrast (72194) | $2,613.80 | $3,734 | 11.6× |
| CT pelvis w/o contrast (72192) | $2,605.40 | $3,722 | 19.4× |
| CT scan of leg combo (73702) | $2,627.10 | $3,753 | 11.6× |
| CT scans face/jaw combo (70488) | $2,580.20 | $3,686 | 11.4× |
| CT soft tissue neck w contrast (70491) | $2,711.10 | $3,873 | 12.0× |
| CT soft tissue neck w/o contrast (70490) | $2,244.90 | $3,207 | 16.7× |
| CT thoracic spine w contrast (72129) | $2,597 | $3,710 | 11.5× |
| CT thoracic spine w/o contrast (72128) | $2,763.60 | $3,948 | 20.6× |
| CT thorax w/o contrast (71250) | $3,171.70 | $4,531 | 23.6× |
| CT upper ext wo (73200) | $2,265.20 | $3,236 | 16.8× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,520.70–$2,779 | $3,601–$3,970 | varies |
| CT upper extremity with contrast (73201) | $2,697.80 | $3,854 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,129 | $4,470 | 13.9× |
| Cta Abdomen (74175) | $3,071.60 | $4,388 | 13.6× |
| CTA pelvis (72191) | $3,019.10 | $4,313 | 13.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$577.50–$973.70 | $825–$1,391 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $514.50 | $735 | 4.6× |
| Echo exam uterus (76831) | $585.20 | $836 | 1.9× |
| Esophagram (74220) | $613.20 | $876 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $364.70 | $521 | 2.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$475.30–$606.20 | $679–$866 | varies |
| Foot 2 views (73620) | $324.10 | $463 | 2.9× |
| Forearm 2 views (73090) | $406 | $580 | 3.6× |
| Gastric emptying imaging study (78264) | $1,328.60 | $1,898 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $540.40 | $772 | 1.1× |
| Gated Heart Planar Single (78472) | $1,302 | $1,860 | 2.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$305.90–$306.60 | $437–$438 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,767.50 | $2,525 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,767.50 | $2,525 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $2,573.20 | $3,676 | 1.5× |
| Hysterosalpingogram (74740) | $929.60 | $1,328 | 3.0× |
| Infant hip ultrasound, limited static exam (76886) | $386.40 | $552 | 3.5× |
| Infusion Ivp (74410) | $694.40 | $992 | 3.1× |
| Joint Survey Single View (77077) | $281.40 | $402 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,621.20 | $2,316 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,709.40 | $2,442 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,823.50 | $2,605 | 2.6× |
| Knee 3 Views (73562) | $410.90 | $587 | 3.7× |
| Leveen/Shunt Patency Exam (78291) | $288.40 | $412 | 0.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,149.40 | $1,642 | 2.2× |
| Lung Perf&Ventilat Diferentl (78598) | $1,619.80 | $2,314 | 2.3× |
| Lung perfusion differential (78597) | $1,734.60 | $2,478 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,463 | $2,090 | 2.1× |
| Lung Ventilation Imaging (78579) | $481.60 | $688 | 0.9× |
| Lymph System Imaging (78195) | $1,219.40 | $1,742 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $2,569 | $3,670 | 8.4× |
| Mammary ductogram or galactogram multiple (77054) | $529.20 | $756 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $575.40 | $822 | 1.9× |
| Meckels Divert Exam (78290) | $548.80 | $784 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,100.70–$2,955.40 | $3,001–$4,222 | varies |
| MRA head w/o contrast (70544) | $2,814 | $4,020 | 9.2× |
| MRA head with contrast (70545) | $2,772 | $3,960 | 6.2× |
| MRA neck w contrast (70548) | $2,842 | $4,060 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,752 | $5,360 | 8.4× |
| MRA neck w/o contrast (70547) | $2,571.10 | $3,673 | 8.4× |
| MRI abdomen w contrast (74182) | $2,984.80 | $4,264 | 6.7× |
| MRI abdomen w/o contrast (74181) | $2,839.90 | $4,057 | 9.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,723.70 | $3,891 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,623.20 | $5,176 | 8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,608.20 | $3,726 | 2.6× |
| MRI bone marrow blood supply (77084) | $1,484 | $2,120 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,156.30 | $4,509 | 10.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,193.40 | $4,562 | 10.4× |
| MRI cervical spine w contrast (72142) | $4,003.30 | $5,719 | 8.9× |
| MRI cervical spine w/o cont (72141) | $3,430 | $4,900 | 11.2× |
| MRI chest w/o contrast (71550) | $3,413.90 | $4,877 | 11.1× |
| MRI chest with contrast (71551) | $3,495.80 | $4,994 | 3.5× |
| MRI chest wo w contrast (71552) | $3,744.30 | $5,349 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,617.30 | $3,739 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,906 | $5,580 | 8.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,769.20 | $3,956 | 9.0× |
| MRI lumbar spine w contrast (72149) | $3,381 | $4,830 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,966.50 | $7,095 | 11.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,948.40 | $4,212 | 9.6× |
| MRI orbit face neck w contrast (70542) | $3,691.10 | $5,273 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,926.30 | $5,609 | 8.8× |
| MRI pelvis w contrast (72196) | $3,061.80 | $4,374 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $3,758.30 | $5,369 | 8.4× |
| MRI pelvis w/o contrast (72195) | $2,919.70 | $4,171 | 9.5× |
| MRI thoracic spine w/o contrast (72146) | $3,407.60 | $4,868 | 11.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,695.70 | $3,851 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,550.80 | $3,644 | 8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,847.90 | $5,497 | 8.6× |
| MRI, abdomen, combo (74183) | $4,172.70 | $5,961 | 9.3× |
| MRI, dorsal spine combo (72157) | $3,873.80 | $5,534 | 8.6× |
| MRI, dorsal spine contrast (72147) | $3,400.60 | $4,858 | 7.6× |
| MRI, joint upper extrem (73221) | $2,580.20 | $3,686 | 8.4× |
| MRI, joint upper extrem combo (73223) | $3,491.60 | $4,988 | 7.8× |
| MRI, lumbar spine combo (72158) | $4,648.70 | $6,641 | 10.4× |
| Myelogram cervical (72240) | $1,898.40 | $2,712 | 1.9× |
| Myelogram Lumbar (72265) | $1,551.20 | $2,216 | 1.5× |
| Myelography thoracic (72255) | $1,311.80 | $1,874 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,455.30 | $2,079 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $379.40 | $542 | 0.7× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $610.40 | $872 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $3,402 | $4,860 | 2.0× |
| Neck soft tissue (70360) | $324.80 | $464 | 2.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $311.50 | $445 | 2.3× |
| Optic foramina (70190) | $173.60 | $248 | 1.6× |
| Parathyroid Planar Imaging (78070) | $941.50 | $1,345 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $876.40 | $1,252 | 1.7× |
| Pelvis 1 or 2 views (72170) | $392 | $560 | 2.9× |
| Pet Image W/Ct Lmtd (78814) | $2,998.10 | $4,283 | 1.6× |
| PET image w/CT, full body (78816) | $4,996.60 | $7,138 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,669 | $6,670 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,118.60 | $1,598 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $781.90 | $1,117 | 5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $989.80 | $1,414 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $462 | $660 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$331.10–$331.80 | $473–$474 | varies |
| Radex elbow complete minimum 3 views (73080) | $497 | $710 | 4.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $693 | $990 | 5.2× |
| Radex fingr minimum 2 views (73140) | $296.80 | $424 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $452.90 | $647 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $464.10 | $663 | 4.1× |
| Radex lower extremity infant minimum 2 views (73592) | $96.60 | $138 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $421.40 | $602 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $475.30 | $679 | 4.2× |
| Radex Ribs Unilateral 2 Views (71100) | $557.20 | $796 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) | $495.60 | $708 | 4.4× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$332.50–$430.50 | $475–$615 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$289.80–$345.80 | $414–$494 | varies |
| Radex Sternum Minimum 2 Views (71120) | $406.70 | $581 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $515.90 | $737 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $302.40 | $432 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $124.60 | $178 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $486.50 | $695 | 4.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $565.60 | $808 | 4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $498.40 | $712 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $1,124.90 | $1,607 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $951.30 | $1,359 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) | $505.40 | $722 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $444.50 | $635 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $731.50 | $1,045 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $777 | $1,110 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $780.50 | $1,115 | 3.5× |
| Radiologic examination femur 1 view (73551) | $389.90 | $557 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) | $390.60 | $558 | 3.5× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$332.50–$336 | $475–$480 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$632.80–$703.50 | $904–$1,005 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $158.20 | $226 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$387.10–$387.80 | $553–$554 | varies |
| Renal Cyst Study (74470) | $1,185.10 | $1,693 | 1.7× |
| Ribs bilateral 3 views (71110) | $605.50 | $865 | 4.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$997.50–$1,430.80 | $1,425–$2,044 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,614.20–$1,934.80 | $2,306–$2,764 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,832.60 | $2,618 | 2.6× |
| Salivary Gland Imaging Serial Images (78231) | $294 | $420 | 0.6× |
| Scapula (73010) | $438.90 | $627 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $116.20 | $166 | 5.0× |
| Sella turcica (70240) | $273 | $390 | 2.4× |
| Shoulder 1 view (73020) | $333.20 | $476 | 3.0× |
| Shoulder Arthrography (73040) | $1,056.30 | $1,509 | 2.4× |
| Sialogram (70390) | $418.60 | $598 | 1.4× |
| Skull less than 4 views (70250) | $393.40 | $562 | 2.9× |
| Sternoclavicular joints (71130) | $368.20 | $526 | 3.3× |
| Testicular Imaging W/Flow (78761) | $362.60 | $518 | 0.7× |
| Thoracic spine 2 views (72070) | $417.90 | $597 | 3.1× |
| Thoracic spine 3 views (72072) | $498.40 | $712 | 3.7× |
| Thoracolumbar 2 views (72080) | $534.80 | $764 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $861.70 | $1,231 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $908.60 | $1,298 | 1.8× |
| Ultrasound Breast Limited (76642) | $642.60 | $918 | 5.7× |
| Ultrasound elastography first target lesion (76982) | $215.48 | $307.83 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $215.48 | $307.83 | 1.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$854–$1,288 | $1,220–$1,840 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $277.90 | $397 | 0.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$511.70–$1,322.30 | $731–$1,889 | varies |
| Ureteral Reflux Study (78740) | $351.40 | $502 | 0.7× |
| Urethrocystogram voiding (74455) | $855.40 | $1,222 | 2.8× |
| Urethrocystography retrograde (74450) | $1,031.80 | $1,474 | 3.4× |
| Us breast unilateral complete (76641) | $732.90 | $1,047 | 5.5× |
| Us chest (76604) | $653.10 | $933 | 4.9× |
| Us complete joint (76881) | $1,019.90 | $1,457 | 7.6× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$361.20–$481.60 | $516–$688 | varies |
| Us head (76506) | $490 | $700 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$765.10–$942.90 | $1,093–$1,347 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$374.50–$499.10 | $535–$713 | varies |
| Us ob transvaginal (76817) | $852.60 | $1,218 | 6.3× |
| Us pelvic non ob complete (76856) | $1,024.80 | $1,464 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $935.20 | $1,336 | 7.0× |
| Us retroperitoneal complete (76770) | $805 | $1,150 | 6.0× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$535.50–$714 | $765–$1,020 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$661.50–$882 | $945–$1,260 | varies |
| Us spinal canal and contents (76800) | $452.20 | $646 | 3.4× |
| Us thyroid (76536) | $854 | $1,220 | 6.4× |
| Us transrectal (76872) range across 2 matching MRF lines |
$570.50–$760.90 | $815–$1,087 | varies |
| Vascular Flow Imaging (78445) | $819 | $1,170 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $2,060.10 | $2,943 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,569.40 | $2,242 | 0.8× |
| Wrist 2 views (73100) | $331.80 | $474 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $416.50 | $595 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $1,118.60 | $1,598 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) | $4,589.90 | $6,557 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $452.20 | $646 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $324.80 | $464 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $437.50 | $625 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$420–$765.10 | $600–$1,093 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $288.40 | $412 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$174.30–$659.40 | $249–$942 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,092.70 | $1,561 | 8.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,093.40 | $1,562 | 8.1× |
| X-Ray Exam L-S Spine Bending (72114) | $855.40 | $1,222 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $501.20 | $716 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $740.60 | $1,058 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $539.70 | $771 | 4.0× |
| X-ray eye for foreign body (70030) | $473.20 | $676 | 4.2× |
| X-ray humerus (73060) | $385.70 | $551 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,199.80 | $1,714 | 5.3× |
| X-ray IV pyelogram+tomography (74415) | $907.20 | $1,296 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $294 | $420 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $330.40 | $472 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $529.20 | $756 | 3.9× |
| X-ray nose-rectum child f.b. (76010) | $170.80 | $244 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $746.20 | $1,066 | 5.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $485.80 | $694 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $433.30 | $619 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $464.10 | $663 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $574.70 | $821 | 5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $647.50 | $925 | 4.8× |
| X-ray thoracic spine 4 vw (72074) | $496.30 | $709 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $844.90 | $1,207 | 1.9× |
| X-Rays Bone Length Studies (77073) | $434.70 | $621 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $938.70 | $1,341 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $644.70 | $921 | 4.8× |
| Xr facial bones less than 3 views (70140) | $520.10 | $743 | 4.6× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$158.20–$316.40 | $226–$452 | varies |
| Xr orbits complete 4 views (70200) | $520.10 | $743 | 3.9× |
| Xr Tomogram Single Plane (76100) | $882 | $1,260 | 6.6× |
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.