Imaging prices at John F Kennedy Memorial Hospital
Indio, CA · every code in this section with a posted price and a Medicare benchmark.
295 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) | $588 | $784 | 5.3× |
| Abdomen 2 views (74019) | $1,059 | $1,412 | 7.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,189.75 | $4,253 | 6.2× |
| Angio internal mammary (75756) | $6,690.75 | $8,921 | 1.6× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,001–$24,915.75 | $10,668–$33,221 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$23,070–$24,915.75 | $30,760–$33,221 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$7,384.50–$20,135.25 | $9,846–$26,847 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$7,195.50–$17,469 | $9,594–$23,292 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$7,690.50–$24,915.75 | $10,254–$33,221 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,074.25 | $8,099 | 1.5× |
| Ankle 2 views (73600) | $1,485.75 | $1,981 | 13.3× |
| Aortography thoracic serialography rs&i (75605) | $10,983.75 | $14,645 | 1.5× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,396–$10,908 | $12,528–$14,544 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$26,760.75–$28,902 | $35,681–$38,536 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$9,898.50–$10,682.25 | $13,198–$14,243 | varies |
| Arthrogram hip (73525) | $2,319.75 | $3,093 | 5.2× |
| Arthrogram Wrist (73115) | $4,052.25 | $5,403 | 9.0× |
| Bone age studies (77072) | $737.25 | $983 | 5.5× |
| Bone Imaging 3 Phase (78315) | $2,988 | $3,984 | 5.8× |
| Bone Imaging Limited Area (78300) | $2,019 | $2,692 | 3.9× |
| Bone Imaging Multiple Areas (78305) | $3,411.75 | $4,549 | 6.6× |
| Bone Imaging Whole Body (78306) | $2,763.75 | $3,685 | 5.4× |
| Bone marrow imaging limited area (78102) | $521.25 | $695 | 1.0× |
| Bone survey infant (77076) | $2,162.25 | $2,883 | 16.1× |
| Brain Flow Imaging Only (78610) | $1,380 | $1,840 | 2.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,989.75 | $2,653 | 2.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,763.50 | $5,018 | 7.3× |
| Cardiac Shunt Detection (78428) | $3,834 | $5,112 | 7.5× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$1,953.75–$4,824 | $2,605–$6,432 | varies |
| Cerebrospinal Fluid Scan (78630) | $2,136 | $2,848 | 3.1× |
| Chest 1 view (71045) | $588 | $784 | 5.3× |
| Chest 2 views (71046) | $588 | $784 | 5.3× |
| Chest 3 views (71047) | $496.50 | $662 | 4.4× |
| Chest 4 or more views (71048) | $1,431 | $1,908 | 10.6× |
| Clavicle complete (73000) | $1,326.75 | $1,769 | 11.9× |
| Contrast Exam Abdominl Aorta (75625) | $10,443.75 | $13,925 | 2.6× |
| Contrast X-Ray Bladder (74430) | $1,709.25 | $2,279 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $2,923.50 | $3,898 | 6.5× |
| CT abdomen and pelvis without and with contrast (74178) | $10,950.75 | $14,601 | 24.4× |
| CT abdomen and pelvis without contrast (74176) | $16,245 | $21,660 | 52.9× |
| CT abdomen w contrast (74160) | $10,776 | $14,368 | 47.8× |
| CT abdomen w wo contrast (74170) | $11,342.25 | $15,123 | 50.3× |
| CT abdomen w/o contrast (74150) | $9,009 | $12,012 | 67.0× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,425.75–$3,406.50 | $1,901–$4,542 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$8,322–$10,616.25 | $11,096–$14,155 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,107.75–$4,767 | $1,477–$6,356 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,556–$10,347 | $3,408–$13,796 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,134–$6,720.75 | $1,512–$8,961 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,946.75–$6,422.25 | $3,929–$8,563 | varies |
| CT bone density (77078) | $1,647.75 | $2,197 | 14.7× |
| CT cervical spine w/ contrast (72126) | $9,637.50 | $12,850 | 21.5× |
| CT cervical spine w/o contrast (72125) | $11,115.75 | $14,821 | 82.7× |
| CT cervical spine w/wo cont (72127) | $10,090.50 | $13,454 | 44.7× |
| CT chest w contrast (71260) | $12,171 | $16,228 | 54.0× |
| CT chest w/wo contrast (71270) | $10,616.25 | $14,155 | 47.1× |
| CT head/brain with contrast (70460) | $8,085 | $10,780 | 35.8× |
| CT head/brain without and with contrast (70470) | $7,335.75 | $9,781 | 32.5× |
| CT iac w contrast (70481) | $7,551 | $10,068 | 33.5× |
| CT l-spine w&w/o contrast (72133) | $6,586.50 | $8,782 | 29.2× |
| CT lower ext w/o (73700) | $7,557.75 | $10,077 | 56.2× |
| CT lower extremity w/contrast material (73701) | $8,141.25 | $10,855 | 36.1× |
| CT lumbar spine w contrast (72132) | $7,656 | $10,208 | 17.1× |
| CT lumbar spine w/o contrast (72131) | $8,010 | $10,680 | 59.6× |
| CT maxillofacial w contrast (70487) | $8,156.25 | $10,875 | 36.2× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$8,727.75–$9,152.25 | $11,637–$12,203 | varies |
| CT neck tissue combo (70492) | $5,041.50 | $6,722 | 22.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $10,055.25 | $13,407 | 44.6× |
| CT orbits w/o contrast (70480) | $7,108.50 | $9,478 | 52.9× |
| CT pelvis w&w/o contrast (72194) | $7,088.25 | $9,451 | 31.4× |
| CT pelvis w/o contrast (72192) | $7,028.25 | $9,371 | 52.3× |
| CT scan of leg combo (73702) | $4,874.25 | $6,499 | 21.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,321.25–$3,098.25 | $3,095–$4,131 | varies |
| CT soft tissue neck w contrast (70491) | $6,443.25 | $8,591 | 28.6× |
| CT soft tissue neck w/o contrast (70490) | $4,403.25 | $5,871 | 32.7× |
| CT thoracic spine w contrast (72129) | $6,819.75 | $9,093 | 30.2× |
| CT thoracic spine w/o contrast (72128) | $6,955.50 | $9,274 | 51.7× |
| CT thoracic spine w/wo cont (72130) | $6,579 | $8,772 | 29.2× |
| CT thorax w/o contrast (71250) | $11,960.25 | $15,947 | 89.0× |
| CT upper ext wo (73200) | $4,911 | $6,548 | 36.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,223.50 | $4,298 | 14.3× |
| CT upper extremity with contrast (73201) | $4,003.50 | $5,338 | 8.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,181.50–$11,980.50 | $4,242–$15,974 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,946.75–$13,632.75 | $3,929–$18,177 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,181.50–$8,818.50 | $4,242–$11,758 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$2,127.75–$2,246.25 | $2,837–$2,995 | varies |
| Dxa Bone Density Axial (77080) | $911.25 | $1,215 | 6.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $615.75 | $821 | 5.5× |
| Esophagram (74220) | $1,107 | $1,476 | 4.9× |
| Fetal Biophys Profile W/Nst (76818) | $1,158.75 | $1,545 | 8.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $765.75 | $1,021 | 5.7× |
| Fluoroscopy up to 1 hr (76000) | $1,711.50 | $2,282 | 5.6× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,516–$4,359 | $4,688–$5,812 | varies |
| Foot 2 views (73620) | $916.50 | $1,222 | 8.2× |
| Forearm 2 views (73090) | $1,405.50 | $1,874 | 12.6× |
| Gastric emptying imaging study (78264) | $1,232.25 | $1,643 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,258 | $4,344 | 6.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,323.75 | $5,765 | 6.2× |
| Hand 2 views (73120) | $462.75 | $617 | 3.4× |
| Heart first pass single,planar (78481) | $1,497 | $1,996 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$23,070–$24,915.75 | $30,760–$33,221 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$23,070–$24,915.75 | $30,760–$33,221 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,774.25 | $3,699 | 4.0× |
| Hepatobiliary System Imaging (78226) | $2,491.50 | $3,322 | 4.8× |
| Ht Musc Image Planar Mult (78454) | $4,933.50 | $6,578 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | $5,278.50 | $7,038 | 3.2× |
| Hysterosalpingogram (74740) | $2,754 | $3,672 | 9.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $909.75 | $1,213 | 8.1× |
| K Flow/Funct Image Multiple (78709) | $11,025.75 | $14,701 | 15.8× |
| K Flow/Funct Image W/Drug (78708) | $4,253.25 | $5,671 | 6.1× |
| K Flow/Funct Image W/O Drug (78707) | $4,439.25 | $5,919 | 6.4× |
| Kidney Imaging Morphol (78700) | $13,825.50 | $18,434 | 26.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,506.25 | $4,675 | 6.8× |
| Knee 3 Views (73562) | $1,046.25 | $1,395 | 9.3× |
| Liver & Spleen Imaging Static Only (78215) | $6,343.50 | $8,458 | 12.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $9,150.75 | $12,201 | 17.8× |
| Liver imaging w/vascular flow (78202) | $5,034 | $6,712 | 7.2× |
| Lung Perf&Ventilat Diferentl (78598) | $1,160.25 | $1,547 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,160.25 | $1,547 | 1.7× |
| Lung Ventilation Imaging (78579) | $1,827.75 | $2,437 | 3.6× |
| Lymph System Imaging (78195) | $2,560.50 | $3,414 | 3.7× |
| Meckels Divert Exam (78290) | $3,051 | $4,068 | 5.9× |
| Mr safety determination physician/other qhp (76016) | $457.50 | $610 | 4.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $127.50 | $170 | 3.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $477 | $636 | 3.9× |
| Mr safety implt pos&/immoblj (76019) | $308.25 | $411 | 4.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,255.50 | $1,674 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $11,983.50 | $15,978 | 26.7× |
| MRA head w/o contrast (70544) | $8,412 | $11,216 | 27.4× |
| MRA head with contrast (70545) | $7,500.75 | $10,001 | 16.7× |
| MRA neck w contrast (70548) | $6,082.50 | $8,110 | 13.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,699.50 | $10,266 | 17.2× |
| MRA neck w/o contrast (70547) | $4,681.50 | $6,242 | 15.3× |
| MRI abdomen w contrast (74182) | $6,885.75 | $9,181 | 15.3× |
| MRI abdomen w/o contrast (74181) | $9,755.25 | $13,007 | 31.8× |
| MRI any jt lower extrem w/contrast material (73722) | $5,706 | $7,608 | 5.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,566.25 | $8,755 | 14.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,955 | $11,940 | 8.9× |
| MRI cervical spine w contrast (72142) | $10,944 | $14,592 | 24.4× |
| MRI cervical spine w/o cont (72141) | $5,621.25 | $7,495 | 18.3× |
| MRI chest w/o contrast (71550) | $6,342.75 | $8,457 | 20.7× |
| MRI chest with contrast (71551) | $4,416 | $5,888 | 4.4× |
| MRI chest wo w contrast (71552) | $7,595.25 | $10,127 | 16.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,162 | $8,216 | 13.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,545.25 | $8,727 | 14.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,647.75 | $6,197 | 15.1× |
| MRI lumbar spine w contrast (72149) | $11,934.75 | $15,913 | 26.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,341.25 | $16,455 | 27.5× |
| MRI orbit face &/neck w/o contrast (70540) | $9,218.25 | $12,291 | 30.0× |
| MRI orbit face neck w contrast (70542) | $11,169 | $14,892 | 24.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $14,046 | $18,728 | 31.3× |
| MRI pelvis w contrast (72196) | $6,888 | $9,184 | 15.4× |
| MRI pelvis w/o & w contrast (72197) | $9,389.25 | $12,519 | 20.9× |
| MRI pelvis w/o contrast (72195) | $5,217 | $6,956 | 17.0× |
| MRI thoracic spine w/o contrast (72146) | $5,639.25 | $7,519 | 18.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $9,326.25 | $12,435 | 20.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,112.50 | $8,150 | 19.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $15,939 | $21,252 | 35.5× |
| MRI, abdomen, combo (74183) | $9,057 | $12,076 | 20.2× |
| MRI, dorsal spine combo (72157) | $9,681 | $12,908 | 21.6× |
| MRI, dorsal spine contrast (72147) | $7,659 | $10,212 | 17.1× |
| MRI, joint upper extrem (73221) | $8,331.75 | $11,109 | 27.1× |
| MRI, joint upper extrem combo (73223) | $10,129.50 | $13,506 | 22.6× |
| MRI, lumbar spine combo (72158) | $15,033.75 | $20,045 | 33.5× |
| Myelogram cervical (72240) | $5,647.50 | $7,530 | 5.6× |
| Myelogram Lumbar (72265) | $4,978.50 | $6,638 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $10,398.75 | $13,865 | 6.2× |
| Neck soft tissue (70360) | $828.75 | $1,105 | 7.4× |
| Parathyroid Planar Imaging (78070) | $2,380.50 | $3,174 | 4.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,448.25 | $1,931 | 2.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,365.75–$1,548 | $1,821–$2,064 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$23,070–$24,915.75 | $30,760–$33,221 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,297.75 | $4,397 | 6.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,856 | $3,808 | 21.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$2,936.25–$3,279 | $3,915–$4,372 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,652.25 | $2,203 | 14.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $996.75 | $1,329 | 8.9× |
| Radex elbow complete minimum 3 views (73080) | $1,849.50 | $2,466 | 16.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,103.75 | $2,805 | 15.6× |
| Radex fingr minimum 2 views (73140) | $774.75 | $1,033 | 6.9× |
| Radex foot complete minimum 3 views (73630) | $1,790.25 | $2,387 | 16.0× |
| Radex Hand Minimum 3 Views (73130) | $1,572 | $2,096 | 14.0× |
| Radex lower extremity infant minimum 2 views (73592) | $872.25 | $1,163 | 7.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $2,181.75 | $2,909 | 16.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,469.25 | $1,959 | 13.1× |
| Radex Ribs Unilateral 2 Views (71100) | $2,669.25 | $3,559 | 23.8× |
| Radex shoulder complete minimum 2 views (73030) | $1,832.25 | $2,443 | 16.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $914.25 | $1,219 | 8.2× |
| Radex Spine 1 View Specify Level (72020) | $711 | $948 | 6.4× |
| Radex Sternum Minimum 2 Views (71120) | $1,324.50 | $1,766 | 11.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,134.75 | $1,513 | 10.1× |
| Radex Toe Minimum 2 Views (73660) | $1,038.75 | $1,385 | 9.3× |
| Radex upper extremity infant minimum 2 views (73092) | $872.25 | $1,163 | 6.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,820.25 | $2,427 | 16.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,729.50 | $2,306 | 12.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $996.75 | $1,329 | 7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,059 | $1,412 | 7.9× |
| Radiologic exam colon double contrast study (74280) | $4,267.50 | $5,690 | 18.9× |
| Radiologic exam colon single contrast study (74270) | $2,586 | $3,448 | 11.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,251.75 | $1,669 | 5.5× |
| Radiologic exam knee complete 4/more views (73564) | $1,368 | $1,824 | 10.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,786.50 | $2,382 | 7.9× |
| Radiologic exam swallow function contrast study (74230) | $2,308.50 | $3,078 | 10.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,437.50 | $7,250 | 24.1× |
| Radiologic examination femur 1 view (73551) | $587.25 | $783 | 5.2× |
| Radiologic examination femur minimum 2 views (73552) | $1,325.25 | $1,767 | 11.8× |
| Radiologic examination knee 1/2 views (73560) | $817.50 | $1,090 | 7.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $715.50 | $954 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,299.75 | $1,733 | 11.6× |
| Ribs bilateral 3 views (71110) | $2,410.50 | $3,214 | 17.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,526.75 | $3,369 | 4.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,316.75 | $3,089 | 4.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,204.75 | $16,273 | 17.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,555.25 | $3,407 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,734.50 | $11,646 | 12.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,734.50 | $11,646 | 5.2× |
| Salivary Gland Imaging (78230) | $1,227 | $1,636 | 2.4× |
| Scapula (73010) | $1,479.75 | $1,973 | 11.0× |
| Shoulder 1 view (73020) | $666 | $888 | 6.0× |
| Shoulder Arthrography (73040) | $1,989.75 | $2,653 | 4.4× |
| Skull less than 4 views (70250) | $732 | $976 | 5.4× |
| Sternoclavicular joints (71130) | $1,628.25 | $2,171 | 14.5× |
| Thoracic spine 2 views (72070) | $807.75 | $1,077 | 6.0× |
| Thoracic spine 3 views (72072) | $996 | $1,328 | 7.4× |
| Thoracolumbar 2 views (72080) | $939 | $1,252 | 8.4× |
| Thyroid Uptake Measurement (78012) | $2,627.25 | $3,503 | 5.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,046.25 | $1,395 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,068–$3,095.25 | $1,424–$4,127 | varies |
| Unlisted magnetic resonance procedure (76498) | $3,234 | $4,312 | 28.9× |
| Upper gi w/o kub (74240) | $1,251.75 | $1,669 | 5.5× |
| Urethrocystogram voiding (74455) | $1,871.25 | $2,495 | 6.1× |
| Urethrocystography retrograde (74450) | $1,267.50 | $1,690 | 4.1× |
| Us breast unilateral complete (76641) | $1,123.50 | $1,498 | 8.4× |
| Us chest (76604) | $615 | $820 | 4.6× |
| Us complete joint (76881) | $870 | $1,160 | 6.5× |
| Us exam, pelvic, limited (76857) | $2,331 | $3,108 | 17.3× |
| Us head (76506) | $1,071 | $1,428 | 8.0× |
| Us kidney transplant (76776) | $1,647.75 | $2,197 | 12.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$450–$1,059 | $600–$1,412 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,798.50–$2,053.50 | $2,398–$2,738 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$2,095.50–$2,265 | $2,794–$3,020 | varies |
| Us ob transvaginal (76817) | $4,908 | $6,544 | 36.5× |
| Us pelvic non ob complete (76856) | $3,556.50 | $4,742 | 26.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,502 | $3,336 | 18.6× |
| Us retroperitoneal complete (76770) | $2,786.25 | $3,715 | 20.7× |
| Us retroperitoneal limited (76775) | $2,090.25 | $2,787 | 15.5× |
| Us scrotum and contents (76870) | $3,240 | $4,320 | 24.1× |
| Us spinal canal and contents (76800) | $1,459.50 | $1,946 | 10.9× |
| Us thyroid (76536) | $2,970.75 | $3,961 | 22.1× |
| Vein X-Ray Chest (75827) | $5,453.25 | $7,271 | 2.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$7,455.75–$8,052 | $9,941–$10,736 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$4,536–$4,899 | $6,048–$6,532 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,693.25–$6,516 | $7,591–$8,688 | varies |
| Venography extremity bilateral rs&i (75822) | $14,295 | $19,060 | 7.1× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$3,372–$3,995.25 | $4,496–$5,327 | varies |
| Venography Renal Bilateral (75833) | $6,118.50 | $8,158 | 1.5× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$23,070–$24,915.75 | $30,760–$33,221 | varies |
| Wrist 2 views (73100) | $1,077 | $1,436 | 9.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,072.25 | $2,763 | 18.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,400.75–$2,673 | $3,201–$3,564 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,127.50–$10,201.50 | $12,170–$13,602 | varies |
| X-Ray Bend Only L-S Spine (72120) | $765 | $1,020 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $531 | $708 | 4.7× |
| X-Ray Exam Breast Specimen (76098) | $843.75 | $1,125 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $594 | $792 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $861.75 | $1,149 | 6.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,880.25 | $2,507 | 14.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$587.25–$696 | $783–$928 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$587.25–$1,260 | $783–$1,680 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $754.50 | $1,006 | 5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,187.50 | $4,250 | 23.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $791.25 | $1,055 | 5.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,880.25 | $2,507 | 14.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,782.75–$1,833 | $2,377–$2,444 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $662.25 | $883 | 4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,316.25 | $1,755 | 9.8× |
| X-ray humerus (73060) | $1,387.50 | $1,850 | 12.4× |
| X-ray IV pyelogram (ivp) (74400) | $3,840.75 | $5,121 | 17.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $670.50 | $894 | 6.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $528 | $704 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,909.50 | $2,546 | 14.2× |
| X-ray nose-rectum child f.b. (76010) | $870 | $1,160 | 7.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,212.50 | $2,950 | 16.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,607.25 | $2,143 | 12.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,203 | $1,604 | 8.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,305.75 | $1,741 | 11.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,460.75 | $3,281 | 22.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,383.50 | $3,178 | 17.7× |
| X-ray thoracic spine 4 vw (72074) | $1,750.50 | $2,334 | 13.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,044.50 | $2,726 | 4.6× |
| X-Rays Bone Length Studies (77073) | $509.25 | $679 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $2,217.75 | $2,957 | 16.5× |
| Xr c-spine 4 or 5 views (72050) | $2,049.75 | $2,733 | 15.2× |
| Xr facial bones less than 3 views (70140) | $1,320 | $1,760 | 11.8× |
| Xr orbits complete 4 views (70200) | $919.50 | $1,226 | 6.8× |
| Xr Tomogram Single Plane (76100) | $1,938 | $2,584 | 14.4× |
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.