Imaging prices at Kaweah Health Medical Center
Visalia, CA · every code in this section with a posted price and a Medicare benchmark.
373 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) | $4,054 | $4,054 | 2.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$80–$263 | $80–$263 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$90–$403 | $90–$403 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$90–$1,867 | $90–$1,867 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$69–$3,382 | $69–$3,382 | varies |
| Angio internal mammary (75756) | $7,869 | $7,869 | 1.9× |
| Angio pulmonary bilat (75743) | $7,869 | $7,869 | 1.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$176–$7,869 | $176–$7,869 | varies |
| Angiography extremity unilateral rs&i (75710) | $7,869 | $7,869 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,869 | $7,869 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,869 | $7,869 | 1.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$80–$342 | $80–$342 | varies |
| Aortography thoracic serialography rs&i (75605) | $13,514 | $13,514 | 1.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,869 | $7,869 | 1.9× |
| Artery X-Rays Abdomen (75726) | $13,514 | $13,514 | 1.9× |
| Artery X-Rays Adrenal Gland (75731) | $106 | $106 | 0.0× |
| Artery X-Rays Pelvis (75736) | $13,514 | $13,514 | 1.9× |
| Artery X-Rays Spine (75705) | $13,514 | $13,514 | 1.9× |
| Arthrogram ankle (73615) | $53 | $53 | 0.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$55–$893 | $55–$893 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$53–$893 | $53–$893 | varies |
| Basic radiation dosimetry calculation (77300) | $424 | $424 | 2.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$18–$402 | $18–$402 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$93–$1,818 | $93–$1,818 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$57–$1,818 | $57–$1,818 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$78–$1,903 | $78–$1,903 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$66–$532 | $66–$532 | varies |
| Brachytx isodose complex (77318) | $947 | $947 | 2.0× |
| Brachytx isodose intermed (77317) | $947 | $947 | 2.0× |
| Brachytx Isodose Plan Simple (77316) | $947 | $947 | 2.0× |
| Brain Flow Imaging Only (78610) | $27 | $27 | 0.0× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$46–$1,690 | $46–$1,690 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$135–$3,646 | $135–$3,646 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$88–$1,263 | $88–$1,263 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$51–$2,012 | $51–$2,012 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$62–$1,785 | $62–$1,785 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$75–$273 | $75–$273 | varies |
| Chest 2 views (71046) range across 8 matching MRF lines |
$87–$337 | $87–$337 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$105–$426 | $105–$426 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$110–$382 | $110–$382 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $39 | $39 | 0.3× |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$111–$1,975 | $111–$1,975 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$85–$276 | $85–$276 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$100–$266 | $100–$266 | varies |
| Continuing medical physics consltj pr wk (77336) | $426 | $426 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $7,869 | $7,869 | 1.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$30–$893 | $30–$893 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$51–$893 | $51–$893 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$59–$893 | $59–$893 | varies |
| Corpora cavernosography (74445) range across 2 matching MRF lines |
$105–$853 | $105–$853 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$186–$6,371 | $186–$6,371 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$162–$4,571 | $162–$4,571 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$118–$2,835 | $118–$2,835 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$129–$3,310 | $129–$3,310 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$110–$2,402 | $110–$2,402 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$203–$4,428 | $203–$4,428 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$169–$3,175 | $169–$3,175 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$162–$2,697 | $162–$2,697 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$222–$3,175 | $222–$3,175 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$175–$2,806 | $175–$2,806 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$162–$2,697 | $162–$2,697 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$166–$2,912 | $166–$2,912 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$96–$2,425 | $96–$2,425 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$113–$3,623 | $113–$3,623 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$93–$2,684 | $93–$2,684 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$117–$3,880 | $117–$3,880 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$108–$2,942 | $108–$2,942 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$116–$3,176 | $116–$3,176 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$105–$2,205 | $105–$2,205 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$118–$2,826 | $118–$2,826 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $161 | $161 | 0.4× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$54–$253 | $54–$253 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$105–$2,660 | $105–$2,660 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$117–$3,880 | $117–$3,880 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$93–$2,024 | $93–$2,024 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$108–$2,225 | $108–$2,225 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$113–$3,623 | $113–$3,623 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$93–$2,572 | $93–$2,572 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$105–$2,225 | $105–$2,225 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$80–$2,017 | $80–$2,017 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$150–$2,635 | $150–$2,635 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$117–$2,971 | $117–$2,971 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$119–$2,139 | $119–$2,139 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$113–$3,536 | $113–$3,536 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$101–$2,472 | $101–$2,472 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$112–$2,706 | $112–$2,706 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$117–$2,775 | $117–$2,775 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$128–$2,230 | $128–$2,230 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$119–$1,836 | $119–$1,836 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$113–$3,623 | $113–$3,623 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$93–$2,684 | $93–$2,684 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$118–$3,880 | $118–$3,880 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$100–$2,309 | $100–$2,309 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$93–$1,879 | $93–$1,879 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$112–$2,888 | $112–$2,888 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$108–$2,294 | $108–$2,294 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$219–$3,308 | $219–$3,308 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$168–$2,831 | $168–$2,831 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$240–$2,425 | $240–$2,425 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$166–$3,072 | $166–$3,072 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $41 | $41 | 0.1× |
| Dilation ureters/urethra rs&i (74485) | $5,121 | $5,121 | 1.9× |
| Diskography lumbar (72295) | $4,882 | $4,882 | 1.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $322 | $322 | 2.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$18–$363 | $18–$363 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$28–$346 | $28–$346 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$18–$220 | $18–$220 | varies |
| Echo exam of fetal heart (76825) | $1,775 | $1,775 | 2.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$68–$787 | $68–$787 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$179–$779 | $179–$779 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $930 | $930 | 3.0× |
| Echograp Trans R Pros Study (76873) | $612 | $612 | 4.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$56–$640 | $56–$640 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$99–$665 | $99–$665 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$72–$583 | $72–$583 | varies |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$29–$836 | $29–$836 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$75–$364 | $75–$364 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$75–$362 | $75–$362 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$72–$1,867 | $72–$1,867 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$89–$2,379 | $89–$2,379 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$80–$407 | $80–$407 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,623 | $3,623 | 4.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,062 | $3,062 | 3.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,069 | $3,069 | 3.4× |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$164–$3,646 | $164–$3,646 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,869 | $7,869 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,869 | $7,869 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$82–$2,289 | $82–$2,289 | varies |
| Hepatobiliary System Imaging (78226) | $68 | $68 | 0.1× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$124–$3,382 | $124–$3,382 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$125–$3,382 | $125–$3,382 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$36–$1,099 | $36–$1,099 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$69–$540 | $69–$540 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$58–$540 | $58–$540 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$127–$1,680 | $127–$1,680 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$109–$1,680 | $109–$1,680 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$86–$1,680 | $86–$1,680 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$100–$409 | $100–$409 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$45–$1,712 | $45–$1,712 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$47–$1,710 | $47–$1,710 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$75–$1,631 | $75–$1,631 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $97 | $97 | 0.1× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$108–$2,090 | $108–$2,090 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $103 | $103 | 0.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$136–$3,493 | $136–$3,493 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$62–$1,867 | $62–$1,867 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $1,476 | $1,476 | 3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $93 | $93 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$137–$4,288 | $137–$4,288 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$111–$3,209 | $111–$3,209 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$111–$3,632 | $111–$3,632 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$139–$3,690 | $139–$3,690 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$167–$4,288 | $167–$4,288 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$112–$3,064 | $112–$3,064 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$160–$4,121 | $160–$4,121 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$135–$3,945 | $135–$3,945 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$151–$4,055 | $151–$4,055 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$201–$5,983 | $201–$5,983 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$151–$3,856 | $151–$3,856 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$149–$5,452 | $149–$5,452 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$134–$4,401 | $134–$4,401 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$167–$4,331 | $167–$4,331 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$138–$3,945 | $138–$3,945 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$136–$2,960 | $136–$2,960 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$160–$3,180 | $160–$3,180 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$210–$5,451 | $210–$5,451 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$151–$3,879 | $151–$3,879 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$201–$6,005 | $201–$6,005 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$125–$3,645 | $125–$3,645 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$166–$4,330 | $166–$4,330 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$214–$6,174 | $214–$6,174 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$125–$3,550 | $125–$3,550 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$151–$3,999 | $151–$3,999 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$200–$5,119 | $200–$5,119 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$160–$4,302 | $160–$4,302 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$205–$5,325 | $205–$5,325 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$136–$4,121 | $136–$4,121 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$138–$3,996 | $138–$3,996 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$151–$3,856 | $151–$3,856 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$126–$3,845 | $126–$3,845 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$201–$5,119 | $201–$5,119 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$205–$5,983 | $205–$5,983 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$214–$6,174 | $214–$6,174 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$166–$4,330 | $166–$4,330 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$126–$3,845 | $126–$3,845 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$201–$4,887 | $201–$4,887 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$214–$6,372 | $214–$6,372 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$85–$1,975 | $85–$1,975 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$79–$1,975 | $79–$1,975 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$84–$1,975 | $84–$1,975 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$128–$1,975 | $128–$1,975 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$143–$3,382 | $143–$3,382 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$148–$3,486 | $148–$3,486 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 2 matching MRF lines |
$155–$3,646 | $155–$3,646 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 2 matching MRF lines |
$146–$3,646 | $146–$3,646 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 2 matching MRF lines |
$172–$6,876 | $172–$6,876 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 2 matching MRF lines |
$201–$6,897 | $201–$6,897 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) range across 2 matching MRF lines |
$189–$6,897 | $189–$6,897 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$80–$220 | $80–$220 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$84–$3,988 | $84–$3,988 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$45–$266 | $45–$266 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $9,503 | $9,503 | 5.3× |
| Nuclear Rx Oral Admin (79005) | $1,770 | $1,770 | 5.9× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$110–$333 | $110–$333 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $266 | $266 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$143–$1,712 | $143–$1,712 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$74–$1,410 | $74–$1,410 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$75–$266 | $75–$266 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$175–$5,127 | $175–$5,127 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$198–$4,894 | $198–$4,894 | varies |
| PET image w/CT, full body (78816) range across 6 matching MRF lines |
$223–$5,477 | $223–$5,477 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$222–$5,127 | $222–$5,127 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$139–$4,894 | $139–$4,894 | varies |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$141–$3,646 | $141–$3,646 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$178–$5,477 | $178–$5,477 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,869 | $7,869 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$120–$458 | $120–$458 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$48–$1,371 | $48–$1,371 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$90–$455 | $90–$455 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$75–$259 | $75–$259 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$85–$443 | $85–$443 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$115–$382 | $115–$382 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$95–$265 | $95–$265 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$85–$427 | $85–$427 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$95–$464 | $95–$464 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$15–$386 | $15–$386 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$145–$365 | $145–$365 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$95–$382 | $95–$382 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$90–$305 | $90–$305 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$90–$369 | $90–$369 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$80–$267 | $80–$267 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$108–$941 | $108–$941 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$15–$307 | $15–$307 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$85–$424 | $85–$424 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$125–$445 | $125–$445 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$75–$266 | $75–$266 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$15–$380 | $15–$380 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$100–$463 | $100–$463 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$225–$360 | $225–$360 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $22,487 | $22,487 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $995 | $995 | 7.6× |
| Radiation treatment delivery level 2 (77407) | $1,281 | $1,281 | 2.6× |
| Radiation treatment delivery level 3 (77412) | $1,313 | $1,313 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$105–$382 | $105–$382 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $25 | $25 | 0.2× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$117–$1,118 | $117–$1,118 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$96–$903 | $96–$903 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$115–$444 | $115–$444 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$105–$390 | $105–$390 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$75–$731 | $75–$731 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$49–$696 | $49–$696 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$16–$641 | $16–$641 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$83–$1,214 | $83–$1,214 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$75–$319 | $75–$319 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$90–$319 | $90–$319 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$85–$328 | $85–$328 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$41–$697 | $41–$697 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$16–$220 | $16–$220 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$80–$368 | $80–$368 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $835 | $835 | 1.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $835 | $835 | 1.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$105–$447 | $105–$447 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$91–$3,382 | $91–$3,382 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $72 | $72 | 0.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$98–$3,382 | $98–$3,382 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$164–$3,382 | $164–$3,382 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$131–$3,382 | $131–$3,382 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$182–$1,631 | $182–$1,631 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$65–$323 | $65–$323 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$56–$152 | $56–$152 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$60–$260 | $60–$260 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$53–$1,121 | $53–$1,121 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$36–$723 | $36–$723 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$90–$266 | $90–$266 | varies |
| Special dosimetry (77331) | $433 | $433 | 2.5× |
| Special Physics Consult (77370) | $655 | $655 | 3.8× |
| Special teletherapy port plan (77321) | $1,100 | $1,100 | 2.3× |
| Special treatment procedure (77470) | $1,636 | $1,636 | 2.3× |
| Stereotactic Body Radiation Delivery (77373) | $6,381 | $6,381 | 2.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$100–$393 | $100–$393 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $679 | $679 | 5.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,359 | $1,359 | 2.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $947 | $947 | 2.0× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$66–$1,858 | $66–$1,858 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,551 | $2,551 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) | $868 | $868 | 5.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$85–$463 | $85–$463 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$100–$498 | $100–$498 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$85–$522 | $85–$522 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$33–$1,308 | $33–$1,308 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$76–$2,167 | $76–$2,167 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$46–$1,712 | $46–$1,712 | varies |
| Tx Devices Design & Construction Complex (77334) | $947 | $947 | 2.0× |
| Tx devices design & construction intermediate (77333) | $678 | $678 | 3.9× |
| Tx devices design & construction simple (77332) | $603 | $603 | 3.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$64–$250 | $64–$250 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$51–$319 | $51–$319 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $445 | $445 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$59–$1,036 | $59–$1,036 | varies |
| Unlisted fluoroscopic procedure (76496) | $220 | $220 | 2.0× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$75–$769 | $75–$769 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$31–$911 | $31–$911 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$31–$919 | $31–$919 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$68–$676 | $68–$676 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$58–$266 | $58–$266 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$85–$685 | $85–$685 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$46–$466 | $46–$466 | varies |
| Us head (76506) range across 2 matching MRF lines |
$59–$266 | $59–$266 | varies |
| Us kidney transplant (76776) | $70 | $70 | 0.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$48–$540 | $48–$540 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$61–$512 | $61–$512 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$70–$793 | $70–$793 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$64–$970 | $64–$970 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$93–$834 | $93–$834 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$80–$484 | $80–$484 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$68–$948 | $68–$948 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$54–$609 | $54–$609 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$59–$759 | $59–$759 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$120–$401 | $120–$401 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$53–$902 | $53–$902 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$64–$644 | $64–$644 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$101–$3,884 | $101–$3,884 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,869 | $7,869 | 1.9× |
| Vein X-Ray Skull Epidural (75872) | $1,546 | $1,546 | 1.9× |
| Venogram Sinus/Jugular (75860) | $7,869 | $7,869 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $7,869 | $7,869 | 1.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$132–$3,884 | $132–$3,884 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$94–$3,884 | $94–$3,884 | varies |
| Venography Renal Unilateral (75831) | $7,869 | $7,869 | 1.9× |
| Venous sampling by catheter (75893) | $13,514 | $13,514 | 1.9× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$16–$220 | $16–$220 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$85–$323 | $85–$323 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$75–$338 | $75–$338 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,043 | $1,043 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$178–$7,869 | $178–$7,869 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$100–$483 | $100–$483 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$75–$267 | $75–$267 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$30–$1,371 | $30–$1,371 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$24–$520 | $24–$520 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$165–$586 | $165–$586 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $34 | $34 | 0.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$85–$294 | $85–$294 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$115–$369 | $115–$369 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$100–$464 | $100–$464 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $28 | $28 | 0.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $30 | $30 | 0.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$145–$740 | $145–$740 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$100–$455 | $100–$455 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$145–$829 | $145–$829 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$105–$395 | $105–$395 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$85–$220 | $85–$220 | varies |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$17–$220 | $17–$220 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$80–$270 | $80–$270 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$45–$1,232 | $45–$1,232 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$95–$220 | $95–$220 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$100–$294 | $100–$294 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$100–$496 | $100–$496 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$17–$419 | $17–$419 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$125–$709 | $125–$709 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$95–$375 | $95–$375 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$85–$350 | $85–$350 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$85–$470 | $85–$470 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$95–$365 | $95–$365 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$110–$632 | $110–$632 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$130–$286 | $130–$286 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$110–$498 | $110–$498 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$85–$400 | $85–$400 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$48–$1,232 | $48–$1,232 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$26–$479 | $26–$479 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$51–$755 | $51–$755 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$130–$765 | $130–$765 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$80–$255 | $80–$255 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$115–$365 | $115–$365 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.