Imaging prices at Kaiser Foundation Hospital Westside

Hillsboro, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $7,746.05 $9,113 5.0×
Abdomen 1 View (74018) $406.30 $478 4.2×
Abdomen 2 views (74019) $495.55 $583 4.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,852.15 $2,179 4.2×
Angio internal mammary (75756) $15,025.45 $17,677 4.3×
Angio pulmonary bilat (75743) $15,025.45 $17,677 4.3×
Angiography extremity bilateral rs&i (75716) $15,025.45 $17,677 4.3×
Angiography extremity unilateral rs&i (75710) $15,025.45 $17,677 4.3×
Angiography pulmonary unilateral slctv rs&i (75741) $15,025.45 $17,677 4.3×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $15,025.45 $17,677 4.3×
Ankle 2 views (73600) $406.30 $478 4.2×
Aortography thoracic serialography rs&i (75605) $24,668.70 $29,022 4.0×
Aortography thoracic w/o serialography rs&i (75600) $15,025.45 $17,677 4.3×
Artery X-Rays Abdomen (75726) $24,668.70 $29,022 4.0×
Artery X-Rays Pelvis (75736) $24,668.70 $29,022 4.0×
Artery X-Rays Spine (75705) $24,668.70 $29,022 4.0×
Arthrogram ankle (73615) $1,727.20 $2,032 4.5×
Arthrogram hip (73525) $1,727.20 $2,032 4.5×
Arthrogram Wrist (73115) $1,727.20 $2,032 4.5×
Basic radiation dosimetry calculation (77300) $635.80 $748 4.3×
Bone age studies (77072) $495.55 $583 4.3×
Bone Imaging 3 Phase (78315) $1,852.15 $2,179 4.2×
Bone Imaging Limited Area (78300) $1,852.15 $2,179 4.2×
Bone Imaging Whole Body (78306) $1,852.15 $2,179 4.2×
Bone marrow imaging; whole body (78104) $1,852.15 $2,179 4.2×
Bone survey infant (77076) $495.55 $583 4.3×
Brachytx isodose complex (77318) $1,730.60 $2,036 4.2×
Brachytx isodose intermed (77317) $1,730.60 $2,036 4.2×
Brachytx Isodose Plan Simple (77316) $1,730.60 $2,036 4.2×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,570.40 $3,024 4.3×
Brain Imaging Pet Metabolic Evaluation (78608) $8,903.75 $10,475 5.6×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,852.15 $2,179 4.2×
Cardiac MRI w/w/o contrast & further seq (75561) $2,315.40 $2,724 6.0×
Cardiac MRI w/w/o contrast w/stress (75563) $3,855.60 $4,536 4.4×
Cat Scan Follow-Up Study (76380) $434.35 $511 4.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,570.40 $3,024 4.3×
Cerebrospinal Fluid Scan (78630) $2,570.40 $3,024 4.3×
Chest 1 view (71045) $406.30 $478 4.2×
Chest 2 views (71046) $406.30 $478 4.2×
Chest 3 views (71047) $406.30 $478 4.2×
Chest 4 or more views (71048) $495.55 $583 4.3×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $495.55 $583 4.3×
Clavicle complete (73000) $406.30 $478 4.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $519.35 $611 4.5×
Continuing medical physics consltj pr wk (77336) $635.80 $748 4.3×
Contrast Exam Abdominl Aorta (75625) $15,025.45 $17,677 4.3×
Contrast X-Ray Bladder (74430) $1,727.20 $2,032 4.5×
Contrast X-Ray Of Elbow (73085) $1,727.20 $2,032 4.5×
Contrast X-Ray Of Knee Joint (73580) $1,727.20 $2,032 4.5×
CT abdomen and pelvis without and with contrast (74178) $2,975 $3,500 7.7×
CT abdomen and pelvis without contrast (74176) $2,125 $2,500 8.0×
CT abdomen w contrast (74160) $1,478.15 $1,739 7.6×
CT abdomen w wo contrast (74170) $1,960.95 $2,307 10.1×
CT abdomen w/o contrast (74150) $685.95 $807 5.9×
CT Angio Abdomen and Pelvis (74174) $3,440.80 $4,048 8.9×
CT Angio Chest (71275) $1,713.60 $2,016 8.8×
CT Angio Head (70496) $2,498.15 $2,939 12.8×
CT angio hrt w/3d image (75574) $1,899.75 $2,235 4.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,899.75 $2,235 9.7×
CT Angio Neck (70498) $2,391.05 $2,813 12.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,689.80 $1,988 8.7×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $969 $1,140 5.0×
CT cervical spine w/ contrast (72126) $1,700 $2,000 4.4×
CT cervical spine w/o contrast (72125) $1,190.85 $1,401 10.2×
CT cervical spine w/wo cont (72127) $2,125 $2,500 10.9×
CT chest w contrast (71260) $1,618.40 $1,904 8.3×
CT chest w/wo contrast (71270) $1,899.75 $2,235 9.7×
CT colonography screening (74263) $6,148.05 $7,233 23.2×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,045.50 $1,230 5.4×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,135.60 $1,336 9.8×
CT head/brain with contrast (70460) $1,266.50 $1,490 6.5×
CT head/brain without and with contrast (70470) $1,478.15 $1,739 7.6×
CT heart contrast eval cardiac structure&morph (75572) $1,948.20 $2,292 5.0×
CT heart no contrast quant eval coronry calcium (75571) $425.85 $501 4.4×
CT hrt w/3d image congen (75573) $1,948.20 $2,292 5.0×
CT iac w contrast (70481) $1,478.15 $1,739 7.6×
CT l-spine w&w/o contrast (72133) $2,380 $2,800 12.2×
CT lower ext w/o (73700) $1,270.75 $1,495 10.9×
CT lower extremity w/contrast material (73701) $1,670.25 $1,965 8.6×
CT lumbar spine w contrast (72132) $2,040 $2,400 5.3×
CT lumbar spine w/o contrast (72131) $1,407.60 $1,656 12.1×
CT maxillofacial w contrast (70487) $1,478.15 $1,739 7.6×
CT maxillofacial wo contrast (70486) $1,137.30 $1,338 9.8×
CT neck tissue combo (70492) $1,689.80 $1,988 8.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,322.20 $2,732 11.9×
CT orbits w/o contrast (70480) $1,207.85 $1,421 10.4×
CT pelvis w&w/o contrast (72194) $1,899.75 $2,235 9.7×
CT pelvis w/o contrast (72192) $1,258 $1,480 10.8×
CT scan of leg combo (73702) $1,785 $2,100 9.2×
CT scans face/jaw combo (70488) $2,322.20 $2,732 11.9×
CT soft tissue neck w contrast (70491) $1,478.15 $1,739 7.6×
CT soft tissue neck w/o contrast (70490) $1,137.30 $1,338 9.8×
CT thoracic spine w contrast (72129) $1,689.80 $1,988 8.7×
CT thoracic spine w/o contrast (72128) $1,422.05 $1,673 12.2×
CT thoracic spine w/wo cont (72130) $1,785 $2,100 9.2×
CT thorax w/o contrast (71250) $1,389.75 $1,635 12.0×
CT upper ext wo (73200) $1,149.20 $1,352 9.9×
CT upper extremity w/o & w/contrast material (73202) $2,550 $3,000 13.1×
CT upper extremity with contrast (73201) $2,125 $2,500 5.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,352.80 $2,768 12.1×
Cta Abdomen (74175) $1,899.75 $2,235 9.7×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,948.20 $2,292 5.0×
CTA pelvis (72191) $1,689.80 $1,988 8.7×
Dilation ureters/urethra rs&i (74485) $9,777.55 $11,503 4.2×
Doppler Echo Fetal Spectral Display Complete (76827) $649.40 $764 5.6×
Doppler Fetal Mid Cerebral Artery (76821) $518.50 $610 4.5×
Dxa Bone Density Axial (77080) $495.55 $583 4.3×
Dxa bone density study (77085) $495.55 $583 4.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $406.30 $478 4.2×
Echo exam of fetal heart (76825) $2,604.40 $3,064 4.3×
Echo exam uterus (76831) $1,156.85 $1,361 4.4×
Echo Guide For Artery Repair (76936) $1,482.40 $1,744 6.2×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,156.85 $1,361 4.4×
Echograp Trans R Pros Study (76873) $907.80 $1,068 7.8×
Esophagram (74220) $826.20 $972 4.2×
Fetal Biophys Profile W/Nst (76818) $518.50 $610 4.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $518.50 $610 4.5×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,156 $1,360 4.4×
Fluoroscopy up to 1 hr (76000) $1,156 $1,360 4.4×
Follow-Up Angiography (75898) $15,025.45 $17,677 4.3×
Foot 2 views (73620) $406.30 $478 4.2×
Forearm 2 views (73090) $406.30 $478 4.2×
Gastric emptying imaging study (78264) $1,852.15 $2,179 4.2×
Gastroesophageal Reflux Exam (78262) $1,852.15 $2,179 4.2×
Gated Heart Planar Single (78472) $1,852.15 $2,179 4.2×
Hand 2 views (73120) $495.55 $583 4.3×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $5,100.85 $6,001 6.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,359.20 $3,952 4.3×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $3,163.70 $3,722 4.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $15,025.45 $17,677 4.3×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $15,025.45 $17,677 4.3×
Hepatobil Syst Image W/Drug (78227) $2,570.40 $3,024 4.3×
Hepatobiliary System Imaging (78226) $1,852.15 $2,179 4.2×
Ht Muscle Image Spect Sing (78451) $6,372.45 $7,497 4.4×
Hysterosalpingogram (74740) $1,156 $1,360 4.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $429.25 $505 4.4×
Infant hip ultrasound, limited static exam (76886) $429.25 $505 4.4×
Interstitial radiation source applic complex (77778) $3,359.20 $3,952 4.3×
K Flow/Funct Image Multiple (78709) $2,570.40 $3,024 4.3×
K Flow/Funct Image W/Drug (78708) $2,570.40 $3,024 4.3×
K Flow/Funct Image W/O Drug (78707) $2,570.40 $3,024 4.3×
Knee 3 Views (73562) $406.30 $478 4.2×
Liver & Spleen Imaging Static Only (78215) $1,852.15 $2,179 4.2×
Liver imaging static only (78201) $2,570.40 $3,024 4.3×
Lung perfusion differential (78597) $1,852.15 $2,179 4.2×
Lung Ventilat&Perfus Imaging (78582) $2,570.40 $3,024 4.3×
Lung Ventilation Imaging (78579) $1,852.15 $2,179 4.2×
Lymph System Imaging (78195) $2,570.40 $3,024 4.3×
Magnetic Image Jaw Joint (70336) $1,179.80 $1,388 4.4×
Magnetic Resonance Elastography (76391) $1,179.80 $1,388 4.4×
Mammary ductogram or galactogram multiple (77054) $1,156 $1,360 4.4×
Mammary ductogram or galactogram single (77053) $1,156 $1,360 4.4×
Meckels Divert Exam (78290) $1,852.15 $2,179 4.2×
Mlc imrt design & construction per imrt plan (77338) $1,739.10 $2,046 4.2×
Mr safety determination physician/other qhp (76016) $479.40 $564 5.0×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $132.60 $156 4.1×
Mr safety implt electronics prepj supvj phys/qhp (76018) $499.80 $588 4.7×
Mr safety implt pos&/immoblj (76019) $393.55 $463 6.0×
Mr safety med physics xm customization plng&mntr (76017) $1,320.90 $1,554 5.0×
Mra Head W/O & W/Contrast Material (70546) $3,241.05 $3,813 8.4×
MRA head w/o contrast (70544) $2,065.50 $2,430 7.8×
MRA head with contrast (70545) $2,315.40 $2,724 6.0×
MRA neck w contrast (70548) $2,777.80 $3,268 7.2×
Mra Neck W/O &W/Contrast Material (70549) $3,553.85 $4,181 9.2×
MRA neck w/o contrast (70547) $2,065.50 $2,430 7.8×
MRI abdomen w contrast (74182) $2,146.25 $2,525 5.5×
MRI abdomen w/o contrast (74181) $1,870 $2,200 7.1×
MRI any jt lower extrem w/contrast material (73722) $3,763.80 $4,428 4.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,825 $4,500 9.9×
MRI any jt upper extremity w/contrast matrl (73222) $3,763.80 $4,428 4.3×
MRI brain functional w/physician admnistration (70555) $2,359.60 $2,776 8.9×
MRI Breast W/O Contrast Bilateral (77047) $1,105 $1,300 4.2×
MRI cardiac w/o contrast (75557) $1,475.60 $1,736 5.6×
MRI cervical spine w contrast (72142) $3,230 $3,800 8.3×
MRI cervical spine w/o cont (72141) $2,065.50 $2,430 7.8×
MRI chest w/o contrast (71550) $2,065.50 $2,430 7.8×
MRI chest with contrast (71551) $3,763.80 $4,428 4.3×
MRI chest wo w contrast (71552) $3,655 $4,300 9.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,125 $2,500 5.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,703.45 $4,357 9.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,870 $2,200 7.1×
MRI lumbar spine w contrast (72149) $3,485 $4,100 9.0×
Mri Neck Spine W/O & W/Dye (72156) $5,091.50 $5,990 13.1×
MRI orbit face &/neck w/o contrast (70540) $1,870 $2,200 7.1×
MRI orbit face neck w contrast (70542) $2,040 $2,400 5.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,462.05 $4,073 8.9×
MRI pelvis w contrast (72196) $2,040 $2,400 5.3×
MRI pelvis w/o & w contrast (72197) $3,703.45 $4,357 9.6×
MRI pelvis w/o contrast (72195) $1,870 $2,200 7.1×
MRI spectroscopy (76390) $1,422.05 $1,673 14.7×
MRI thoracic spine w/o contrast (72146) $2,065.50 $2,430 7.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,852.15 $2,179 4.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,769.70 $2,082 6.7×
Mri Uppr Extremity W/O&W/Dye (73220) $2,777.80 $3,268 7.2×
MRI, abdomen, combo (74183) $3,564.05 $4,193 9.2×
MRI, dorsal spine combo (72157) $6,035 $7,100 15.6×
MRI, dorsal spine contrast (72147) $3,697.50 $4,350 9.5×
MRI, joint upper extrem (73221) $1,850.45 $2,177 7.0×
MRI, joint upper extrem combo (73223) $3,825 $4,500 9.9×
MRI, lumbar spine combo (72158) $3,825 $4,500 9.9×
Myelogram cervical (72240) $3,592.95 $4,227 4.1×
Myelogram Lumbar (72265) $3,592.95 $4,227 4.1×
Myelography thoracic (72255) $3,592.95 $4,227 4.1×
Myelograpy 2/more regions rs&i (72270) $3,592.95 $4,227 4.1×
Myocardial Spect Multiple Studies (78452) $6,372.45 $7,497 4.4×
Neck soft tissue (70360) $406.30 $478 4.2×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,932.05 $2,273 4.3×
Nm csf leak detection (78650) $6,372.45 $7,497 4.4×
Nonvascular Shunt X-Ray (75809) $495.55 $583 4.3×
Ntsty modul radthx pln dose-vol histos (77301) $7,197.80 $8,468 4.7×
Nuclear Rx Intra-Arterial (79445) $1,165.35 $1,371 4.5×
Nuclear Rx Oral Admin (79005) $1,165.35 $1,371 4.5×
Ob us nuchal meas 1 gest (76813) $518.50 $610 4.5×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $519.35 $611 4.5×
Ophthalmic Biometry US Echograpy a-Scan (76516) $569.50 $670 4.9×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $501.50 $590 4.3×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $141.10 $166 4.4×
Panoramic X-ray of jaws (70355) $406.30 $478 4.2×
Parathyroid imaging w/tomographic spect & CT (78072) $2,570.40 $3,024 4.3×
Parathyroid planar imaging w/wo subtraction (78071) $1,852.15 $2,179 4.2×
Pelvis 1 or 2 views (72170) $495.55 $583 4.3×
Peritoneogram Rs&I (74190) $2,619.70 $3,082 4.3×
PET image w/CT, full body (78816) $7,049.90 $8,294 4.4×
PET imaging CT attenuation skull base mid-thigh (78815) $6,958.10 $8,186 4.4×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $15,025.45 $17,677 4.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,852.15 $2,179 4.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $495.55 $583 4.3×
Radex abscess/fistula/sinus tract rs&i (76080) $2,619.70 $3,082 4.3×
Radex Ankle Complete Minimum 3 Views (73610) $406.30 $478 4.2×
Radex Calcaneus Minimum 2 Views (73650) $406.30 $478 4.2×
Radex elbow complete minimum 3 views (73080) $406.30 $478 4.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $495.55 $583 4.3×
Radex fingr minimum 2 views (73140) $406.30 $478 4.2×
Radex foot complete minimum 3 views (73630) $406.30 $478 4.2×
Radex Hand Minimum 3 Views (73130) $406.30 $478 4.2×
Radex lower extremity infant minimum 2 views (73592) $406.30 $478 4.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $406.30 $478 4.2×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $406.30 $478 4.2×
Radex Ribs Unilateral 2 Views (71100) $406.30 $478 4.2×
Radex shoulder complete minimum 2 views (73030) $406.30 $478 4.2×
Radex Sinuses Paransl < 3 Views (70210) $406.30 $478 4.2×
Radex Spine 1 View Specify Level (72020) $406.30 $478 4.2×
Radex Sternum Minimum 2 Views (71120) $406.30 $478 4.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $406.30 $478 4.2×
Radex Toe Minimum 2 Views (73660) $406.30 $478 4.2×
Radex upper extremity infant minimum 2 views (73092) $495.55 $583 4.3×
Radex Wrist Complete Minimum 3 Views (73110) $406.30 $478 4.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $495.55 $583 4.3×
Radiation Delivery Stereotactic Cranial Linear (77372) $36,478.60 $42,916 4.5×
Radiolog exam mandible compl minimum 4 views (70110) $495.55 $583 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $495.55 $583 4.3×
Radiologic exam colon double contrast study (74280) $826.20 $972 4.2×
Radiologic exam colon single contrast study (74270) $826.20 $972 4.2×
Radiologic Exam Esophagus Double Contrast Study (74221) $826.20 $972 4.2×
Radiologic exam knee complete 4/more views (73564) $495.55 $583 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $495.55 $583 4.3×
Radiologic Exam Small Int Single Contrast Study (74250) $826.20 $972 4.2×
Radiologic exam swallow function contrast study (74230) $826.20 $972 4.2×
Radiologic exam upr gi trc double contrast study (74246) $826.20 $972 4.2×
Radiologic examination femur 1 view (73551) $406.30 $478 4.2×
Radiologic examination femur minimum 2 views (73552) $406.30 $478 4.2×
Radiologic examination knee 1/2 views (73560) $406.30 $478 4.2×
Radiologic Examination Osseous Survey Limited (77074) $495.55 $583 4.3×
Radiologic examination tibia & fibula 2 views (73590) $406.30 $478 4.2×
Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) $1,165.35 $1,371 4.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,258.85 $1,481 2.9×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,258.85 $1,481 2.9×
Ribs bilateral 3 views (71110) $495.55 $583 4.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,852.15 $2,179 4.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $6,372.45 $7,497 10.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $6,372.45 $7,497 10.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $6,372.45 $7,497 10.6×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $6,651.25 $7,825 4.6×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $7,358.45 $8,657 4.6×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $6,675.90 $7,854 4.6×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $1,165.35 $1,371 4.5×
Rp Therapy Intravenous Administration (79101) $1,168.75 $1,375 4.5×
Salivary Gland Imaging (78230) $1,852.15 $2,179 4.2×
Scapula (73010) $495.55 $583 4.3×
Screening Digital Breast Tomosynthesis Bi (77063) $95.20 $112 4.1×
Shoulder 1 view (73020) $406.30 $478 4.2×
Shoulder Arthrography (73040) $1,727.20 $2,032 4.5×
Skull less than 4 views (70250) $495.55 $583 4.3×
Special dosimetry (77331) $635.80 $748 4.3×
Special Physics Consult (77370) $794.75 $935 5.3×
Special teletherapy port plan (77321) $1,730.60 $2,036 4.2×
Special treatment procedure (77470) $2,767.60 $3,256 4.5×
Spleen Imaging (78185) $1,852.15 $2,179 4.2×
Stereotactic Body Radiation Delivery (77373) $8,392.05 $9,873 4.2×
Sternoclavicular joints (71130) $406.30 $478 4.2×
Superior sagittal sinus venogram (75870) $15,025.45 $17,677 4.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,730.60 $2,036 4.2×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,730.60 $2,036 4.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,928.65 $2,269 4.6×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,730.60 $2,036 4.2×
Ther rad simulaj-aided field setting simple (77280) $952.85 $1,121 6.4×
Thoracic spine 2 views (72070) $495.55 $583 4.3×
Thoracic spine 3 views (72072) $495.55 $583 4.3×
Thoracolumbar 2 views (72080) $406.30 $478 4.2×
Thyroid Imaging With Vascular Flow (78013) $1,852.15 $2,179 4.2×
Thyroid Met Imaging Body (78018) $2,570.40 $3,024 4.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,852.15 $2,179 4.2×
Tx Devices Design & Construction Complex (77334) $1,739.10 $2,046 4.2×
Tx devices design & construction intermediate (77333) $794.75 $935 5.3×
Tx devices design & construction simple (77332) $635.80 $748 4.3×
Ultrasound Breast Limited (76642) $429.25 $505 4.4×
Ultrasound elastography first target lesion (76982) $518.50 $610 4.5×
Ultrasound Elastography Parenchyma (76981) $602.65 $709 5.2×
Ultrasound Exam Aaa Screen (76706) $509.15 $599 4.4×
Ultrasound, abdomen limited (76705) $532.95 $627 4.6×
Umbilical-artery Doppler (OB) (76820) $518.50 $610 4.5×
Unlisted Dx Radiographic Procedure (76499) $425.85 $501 4.4×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $3,743.40–$10,554.45 $4,404–$12,417 varies
Upper gi w/o kub (74240) $826.20 $972 4.2×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $31.45 $37 2.8×
Urea breath test c-14 isotopic analysis (78268) $245.65 $289 2.6×
Ureteral Reflux Study (78740) $1,852.15 $2,179 4.2×
Urethrocystogram voiding (74455) $1,156 $1,360 4.4×
Urethrocystography retrograde (74450) $1,156 $1,360 4.4×
Us chest (76604) $518.50 $610 4.5×
Us exam, pelvic, limited (76857) $519.35 $611 4.5×
Us head (76506) $518.50 $610 4.5×
Us kidney transplant (76776) $602.65 $709 5.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $506.60 $596 4.4×
Us ob detailed single fetus (76811) $1,156.85 $1,361 4.4×
Us ob limited 1 or more fetuses (76815) $518.50 $610 4.5×
Us ob transvaginal (76817) $518.50 $610 4.5×
Us pelvic non ob complete (76856) $602.65 $709 5.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $518.50 $610 4.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $518.50 $610 4.5×
Us retroperitoneal complete (76770) $593.30 $698 5.1×
Us retroperitoneal limited (76775) $518.50 $610 4.5×
Us scrotum and contents (76870) $572.05 $673 4.9×
Us spinal canal and contents (76800) $518.50 $610 4.5×
Us thyroid (76536) $602.65 $709 5.2×
Us transrectal (76872) $549.95 $647 4.7×
Vein X-Ray Chest (75827) $7,189.30 $8,458 4.1×
Vein X-Ray Liver W/O Hemodyn (75887) $15,025.45 $17,677 4.3×
Vein X-Ray Spleen/Liver (75810) $15,025.45 $17,677 4.3×
Venogram Sinus/Jugular (75860) $15,025.45 $17,677 4.3×
Venography Adrenal Unilateral (75840) $15,025.45 $17,677 4.3×
Venography caval inferior serialography rs&i (75825) $15,025.45 $17,677 4.3×
Venography extremity bilateral rs&i (75822) $7,189.30 $8,458 4.1×
Venography extremity unilateral rs&i (75820) $7,189.30 $8,458 4.1×
Venography Orbital Rs&I (75880) $2,820.30 $3,318 4.0×
Venography Renal Bilateral (75833) $15,025.45 $17,677 4.3×
Venography Renal Unilateral (75831) $15,025.45 $17,677 4.3×
Venous sampling by catheter (75893) $24,668.70 $29,022 4.0×
Vertebral fracture assessment via dxa (77086) $406.30 $478 4.2×
Wrist 2 views (73100) $406.30 $478 4.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $406.30 $478 4.2×
X-ray antegrade pyelogram tube (74425) $1,727.20 $2,032 4.5×
X-Ray Aorta Leg Arteries (75630) $15,025.45 $17,677 4.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $406.30 $478 4.2×
X-Ray Exam Breast Specimen (76098) $2,619.70 $3,082 4.3×
X-Ray Exam Entire Spi 1 Vw (72081) $406.30 $478 4.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $495.55 $583 4.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $495.55 $583 4.3×
X-Ray Exam Hip Uni 1 View (73501) $406.30 $478 4.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $406.30 $478 4.2×
X-Ray Exam Hip Uni 4/> Views (73503) $495.55 $583 4.3×
X-Ray Exam Hips Bi 2 Views (73521) $495.55 $583 4.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $495.55 $583 4.3×
X-Ray Exam Hips Bi 5/> Views (73523) $495.55 $583 4.3×
X-Ray Exam L-S Spine Bending (72114) $495.55 $583 4.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $406.30 $478 4.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $495.55 $583 4.3×
X-Ray Exam Unilat Ribs/Chest (71101) $495.55 $583 4.3×
X-ray eye for foreign body (70030) $406.30 $478 4.2×
X-ray humerus (73060) $406.30 $478 4.2×
X-ray IV pyelogram (ivp) (74400) $826.20 $972 4.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $406.30 $478 4.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $495.55 $583 4.3×
X-ray nose-rectum child f.b. (76010) $406.30 $478 4.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $495.55 $583 4.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $495.55 $583 4.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $495.55 $583 4.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $406.30 $478 4.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $406.30 $478 4.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $495.55 $583 4.3×
X-Ray Stress View (77071) $406.30 $478 4.2×
X-ray thoracic spine 4 vw (72074) $495.55 $583 4.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,727.20 $2,032 4.5×
X-Rays Bone Length Studies (77073) $495.55 $583 4.3×
X-Rays Bone Survey Complete (77075) $495.55 $583 4.3×
Xr c-spine 4 or 5 views (72050) $495.55 $583 4.3×
Xr orbits complete 4 views (70200) $495.55 $583 4.3×

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.