Imaging prices at Keck Hospital of Usc
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
358 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) | $11,963.75 | $11,963.75 | 6.7× |
| Abdomen 1 View (74018) | $668.75 | $668.75 | 6.0× |
| Abdomen 2 views (74019) | $854.50 | $854.50 | 6.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,977.50 | $4,977.50 | 9.7× |
| Adrenal Cortex & Medulla Img (78075) | $3,766.50 | $3,766.50 | 2.3× |
| Angio internal mammary (75756) | $4,875.25 | $4,875.25 | 1.2× |
| Angio pulmonary bilat (75743) | $7,072.75 | $7,072.75 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $7,882.25 | $7,882.25 | 1.9× |
| Angiography extremity unilateral rs&i (75710) | $7,728.75 | $7,728.75 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,072.75 | $7,072.75 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,082.50 | $7,082.50 | 1.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$608–$922.50 | $608–$922.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,770.50 | $7,770.50 | 1.1× |
| Artery X-Rays Abdomen (75726) | $12,265.25 | $12,265.25 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) | $5,910.75 | $5,910.75 | 1.5× |
| Artery X-Rays Pelvis (75736) | $10,240.75 | $10,240.75 | 1.4× |
| Artery X-Rays Spine (75705) | $7,322 | $7,322 | 1.0× |
| Arthrogram ankle (73615) | $2,083.75 | $2,083.75 | 4.6× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,877.25–$2,816 | $1,877.25–$2,816 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,019–$3,062.75 | $2,019–$3,062.75 | varies |
| Basic radiation dosimetry calculation (77300) | $1,624.25 | $1,624.25 | 9.4× |
| Bone age studies (77072) | $495.50 | $495.50 | 3.7× |
| Bone Imaging 3 Phase (78315) | $9,605.75 | $9,605.75 | 18.7× |
| Bone Imaging Limited Area (78300) | $4,408 | $4,408 | 8.6× |
| Bone Imaging Whole Body (78306) | $9,623.75 | $9,623.75 | 18.7× |
| Bone marrow imaging limited area (78102) | $2,910.25 | $2,910.25 | 5.7× |
| Brachytx isodose complex (77318) | $2,963 | $2,963 | 6.2× |
| Brachytx isodose intermed (77317) | $2,963 | $2,963 | 6.2× |
| Brachytx Isodose Plan Simple (77316) | $1,066.25 | $1,066.25 | 2.2× |
| Brain Flow Imaging Only (78610) | $1,084.25 | $1,084.25 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,960 | $2,960 | 4.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $18,695.25 | $18,695.25 | 10.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,276 | $1,276 | 2.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,043.75 | $3,043.75 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,131.75 | $6,131.75 | 13.7× |
| Cat Scan Follow-Up Study (76380) | $3,042 | $3,042 | 27.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $4,103.50 | $4,103.50 | 5.9× |
| Cerebrospinal Fluid Scan (78630) | $9,450.50 | $9,450.50 | 13.5× |
| Chest 1 view (71045) | $764 | $764 | 6.8× |
| Chest 2 views (71046) | $934 | $934 | 8.3× |
| Chest 3 views (71047) | $1,146.25 | $1,146.25 | 10.2× |
| Chest 4 or more views (71048) | $1,316 | $1,316 | 9.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $1,575 | $1,575 | 11.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,063.25–$1,595 | $1,063.25–$1,595 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,909.25 | $1,909.25 | 14.2× |
| Continuing medical physics consltj pr wk (77336) | $1,363.75 | $1,363.75 | 7.9× |
| Contrast X-Ray Bladder (74430) | $1,540.50 | $1,540.50 | 3.4× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$790.25–$1,185.50 | $790.25–$1,185.50 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,005.75–$3,042.75 | $2,005.75–$3,042.75 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $11,588.25 | $11,588.25 | 25.8× |
| CT abdomen and pelvis without contrast (74176) | $9,068.50 | $9,068.50 | 29.6× |
| CT abdomen w contrast (74160) | $5,444 | $5,444 | 24.1× |
| CT abdomen w wo contrast (74170) | $6,273.50 | $6,273.50 | 27.8× |
| CT abdomen w/o contrast (74150) | $4,584.75 | $4,584.75 | 34.1× |
| CT Angio Abdomen and Pelvis (74174) | $6,997.50 | $6,997.50 | 15.6× |
| CT Angio Chest (71275) | $5,451.75 | $5,451.75 | 24.2× |
| CT Angio Head (70496) | $5,955 | $5,955 | 26.4× |
| CT angio hrt w/3d image (75574) | $5,849.75 | $5,849.75 | 13.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$5,720.50–$8,580.75 | $5,720.50–$8,580.75 | varies |
| CT Angio Neck (70498) | $5,994 | $5,994 | 26.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,585 | $5,585 | 24.8× |
| CT cervical spine w/ contrast (72126) | $5,119 | $5,119 | 11.4× |
| CT cervical spine w/o contrast (72125) | $4,652 | $4,652 | 34.6× |
| CT cervical spine w/wo cont (72127) | $5,503 | $5,503 | 24.4× |
| CT chest w contrast (71260) | $5,105.25 | $5,105.25 | 22.6× |
| CT chest w/wo contrast (71270) | $5,663.25 | $5,663.25 | 25.1× |
| CT colonography screening (74263) | $1,923.50 | $1,923.50 | 6.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $3,226.25 | $3,226.25 | 14.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,439.50 | $2,439.50 | 18.1× |
| CT head/brain with contrast (70460) | $4,878.25 | $4,878.25 | 21.6× |
| CT head/brain without and with contrast (70470) | $5,724.25 | $5,724.25 | 25.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,849.75 | $5,849.75 | 13.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,201 | $2,201 | 19.7× |
| CT iac w contrast (70481) | $4,528 | $4,528 | 20.1× |
| CT l-spine w&w/o contrast (72133) | $5,803.50 | $5,803.50 | 25.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,073.25–$6,110 | $4,073.25–$6,110 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$4,503.50–$6,755.25 | $4,503.50–$6,755.25 | varies |
| CT lumbar spine w contrast (72132) | $5,084.50 | $5,084.50 | 11.3× |
| CT lumbar spine w/o contrast (72131) | $4,338.25 | $4,338.25 | 32.3× |
| CT maxillofacial w contrast (70487) | $4,666.75 | $4,666.75 | 20.7× |
| CT maxillofacial wo contrast (70486) | $3,724.50 | $3,724.50 | 27.7× |
| CT neck tissue combo (70492) | $5,314.75 | $5,314.75 | 23.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,798 | $4,798 | 21.3× |
| CT orbits w/o contrast (70480) | $4,162 | $4,162 | 31.0× |
| CT pelvis w&w/o contrast (72194) | $5,315.50 | $5,315.50 | 23.6× |
| CT pelvis w/o contrast (72192) | $4,485 | $4,485 | 33.4× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$4,920.25–$7,380.50 | $4,920.25–$7,380.50 | varies |
| CT scans face/jaw combo (70488) | $5,166.50 | $5,166.50 | 22.9× |
| CT soft tissue neck w contrast (70491) | $4,698.25 | $4,698.25 | 20.8× |
| CT soft tissue neck w/o contrast (70490) | $4,186.25 | $4,186.25 | 31.1× |
| CT thoracic spine w contrast (72129) | $5,820.75 | $5,820.75 | 25.8× |
| CT thoracic spine w/o contrast (72128) | $5,280.50 | $5,280.50 | 39.3× |
| CT thoracic spine w/wo cont (72130) | $6,262.75 | $6,262.75 | 27.8× |
| CT thorax w/o contrast (71250) | $4,380 | $4,380 | 32.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$4,068.50–$6,102.75 | $4,068.50–$6,102.75 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$4,740.25–$7,110.50 | $4,740.25–$7,110.50 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$4,473.25–$6,710 | $4,473.25–$6,710 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,549 | $2,549 | 11.3× |
| Cta Abdomen (74175) | $5,218 | $5,218 | 23.1× |
| CTA pelvis (72191) | $5,223.50 | $5,223.50 | 23.2× |
| Diskography lumbar (72295) | $3,107.75 | $3,107.75 | 1.2× |
| Dxa Bone Density Axial (77080) | $850.50 | $850.50 | 6.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $583.25 | $583.25 | 5.2× |
| Echo exam uterus (76831) | $1,043.50 | $1,043.50 | 3.4× |
| Echo Guide For Artery Repair (76936) | $2,484.50 | $2,484.50 | 8.9× |
| Esophagram (74220) | $1,550.75 | $1,550.75 | 6.9× |
| Fluoroscopy up to 1 hr (76000) | $922.75 | $922.75 | 3.0× |
| Follow-Up Angiography (75898) | $4,198.50 | $4,198.50 | 1.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,004.50–$1,523.75 | $1,004.50–$1,523.75 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,018.25–$1,545 | $1,018.25–$1,545 | varies |
| Gastric emptying imaging study (78264) | $3,689.25 | $3,689.25 | 7.2× |
| Gated Heart Planar Single (78472) | $2,028.75 | $2,028.75 | 3.9× |
| Gated Heart, Multiple (78473) | $3,043.75 | $3,043.75 | 5.9× |
| GI Endoscopic US S&I (76975) | $2,064.25 | $2,064.25 | 6.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$545.75–$828 | $545.75–$828 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $7,744 | $7,744 | 8.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,744 | $7,744 | 8.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $7,744 | $7,744 | 8.6× |
| Heart first pass single,planar (78481) | $2,028.75 | $2,028.75 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,470.50 | $5,470.50 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,998 | $4,998 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $6,113 | $6,113 | 8.8× |
| Hepatobiliary System Imaging (78226) | $5,026.75 | $5,026.75 | 9.8× |
| Ht Musc Image Planar Mult (78454) | $9,293.25 | $9,293.25 | 5.6× |
| Ht Muscle Image Spect Sing (78451) | $4,246.50 | $4,246.50 | 2.6× |
| Hysterosalpingogram (74740) | $1,163.50 | $1,163.50 | 3.8× |
| Interstitial radiation source applic complex (77778) | $5,998.75 | $5,998.75 | 6.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,169.50 | $2,169.50 | 2.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,659.50 | $1,659.50 | 2.3× |
| Intracavitary radiation source applic simple (77761) | $1,659.50 | $1,659.50 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $8,120 | $8,120 | 11.6× |
| K Flow/Funct Image W/O Drug (78707) | $7,163 | $7,163 | 10.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$680.50–$1,032.50 | $680.50–$1,032.50 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $5,037.75 | $5,037.75 | 9.8× |
| Liver imaging static only (78201) | $2,519 | $2,519 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $5,005 | $5,005 | 7.2× |
| Lymph System Imaging (78195) | $6,757.25 | $6,757.25 | 9.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,561.50 | $2,561.50 | 1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,566.50 | $6,566.50 | 1.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,566.50 | $6,566.50 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $6,173.50 | $6,173.50 | 20.1× |
| Magnetic Resonance Elastography (76391) | $3,864.50 | $3,864.50 | 12.6× |
| Meckels Divert Exam (78290) | $4,875 | $4,875 | 9.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,439.75 | $1,439.75 | 3.0× |
| Mr safety determination physician/other qhp (76016) | $372.75 | $372.75 | 3.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $111 | $111 | 3.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $388.50 | $388.50 | 3.2× |
| Mr safety implt pos&/immoblj (76019) | $197.50 | $197.50 | 2.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,022 | $1,022 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $9,279 | $9,279 | 20.7× |
| MRA head w/o contrast (70544) | $4,562.25 | $4,562.25 | 14.9× |
| MRA head with contrast (70545) | $6,074.50 | $6,074.50 | 13.5× |
| MRA neck w contrast (70548) | $6,074.50 | $6,074.50 | 13.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,548.25 | $9,548.25 | 21.3× |
| MRA neck w/o contrast (70547) | $4,965 | $4,965 | 16.2× |
| MRI abdomen w contrast (74182) | $8,665.50 | $8,665.50 | 19.3× |
| MRI abdomen w/o contrast (74181) | $7,068.50 | $7,068.50 | 23.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$6,530.25–$9,795.50 | $6,530.25–$9,795.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$8,659–$12,988.50 | $8,659–$12,988.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$6,411–$9,616.50 | $6,411–$9,616.50 | varies |
| MRI brain functional w/o physician admnistration (70554) | $5,466 | $5,466 | 17.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,298.50 | $5,298.50 | 17.3× |
| MRI cardiac w/o contrast (75557) | $8,507 | $8,507 | 27.7× |
| MRI cervical spine w contrast (72142) | $7,444.25 | $7,444.25 | 16.6× |
| MRI cervical spine w/o cont (72141) | $6,697 | $6,697 | 21.8× |
| MRI chest w/o contrast (71550) | $6,456.25 | $6,456.25 | 21.0× |
| MRI chest wo w contrast (71552) | $8,284 | $8,284 | 18.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$8,245.75–$12,368.75 | $8,245.75–$12,368.75 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$6,167.50–$9,251.25 | $6,167.50–$9,251.25 | varies |
| MRI lumbar spine w contrast (72149) | $8,064 | $8,064 | 18.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,367.50 | $9,367.50 | 20.9× |
| MRI orbit face &/neck w/o contrast (70540) | $6,955.75 | $6,955.75 | 22.7× |
| MRI orbit face neck w contrast (70542) | $8,171 | $8,171 | 18.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,617.25 | $10,617.25 | 23.7× |
| MRI pelvis w contrast (72196) | $7,281.25 | $7,281.25 | 16.2× |
| MRI pelvis w/o & w contrast (72197) | $10,656.25 | $10,656.25 | 23.7× |
| MRI pelvis w/o contrast (72195) | $6,706.50 | $6,706.50 | 21.9× |
| MRI spectroscopy (76390) | $6,617 | $6,617 | 59.1× |
| MRI thoracic spine w/o contrast (72146) | $4,882.75 | $4,882.75 | 15.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$5,791.25–$8,687 | $5,791.25–$8,687 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$8,934.50–$13,401.75 | $8,934.50–$13,401.75 | varies |
| MRI, abdomen, combo (74183) | $9,766 | $9,766 | 21.8× |
| MRI, dorsal spine combo (72157) | $10,437.50 | $10,437.50 | 23.3× |
| MRI, dorsal spine contrast (72147) | $8,486 | $8,486 | 18.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$6,073–$9,109.50 | $6,073–$9,109.50 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$10,061–$15,091.50 | $10,061–$15,091.50 | varies |
| MRI, lumbar spine combo (72158) | $10,593.25 | $10,593.25 | 23.6× |
| Myelogram cervical (72240) | $3,310.25 | $3,310.25 | 3.3× |
| Myelogram Lumbar (72265) | $2,305 | $2,305 | 2.3× |
| Myelography thoracic (72255) | $2,746.25 | $2,746.25 | 2.7× |
| Myelograpy 2/more regions rs&i (72270) | $3,867.50 | $3,867.50 | 3.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,121.25 | $2,121.25 | 4.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $9,159.75 | $9,159.75 | 5.5× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,144 | $2,144 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $7,810.25 | $7,810.25 | 4.7× |
| Myocardial Spect Multiple Studies (78452) | $6,286 | $6,286 | 3.8× |
| Neck soft tissue (70360) | $376 | $376 | 3.4× |
| Nm myocard infarct spect (78469) | $4,630.25 | $4,630.25 | 6.6× |
| Nonvascular Shunt X-Ray (75809) | $1,144.25 | $1,144.25 | 8.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,213.50 | $7,213.50 | 4.1× |
| Nuclear Rx Intra-Arterial (79445) | $673.75 | $673.75 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $2,325 | $2,325 | 7.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $775.75 | $775.75 | 5.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $1,159.50 | $1,159.50 | 8.6× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $1,237.75 | $1,237.75 | 7.2× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $261.50 | $261.50 | 1.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $528 | $528 | 3.9× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $95 | $95 | 2.6× |
| Ophthalmic us dx quantitative a-scan only (76511) | $695.50 | $695.50 | 5.2× |
| Parathyroid Planar Imaging (78070) | $4,861.50 | $4,861.50 | 9.5× |
| Pelvis 1 or 2 views (72170) | $707.50 | $707.50 | 5.3× |
| Peritoneogram Rs&I (74190) | $3,880.50 | $3,880.50 | 5.5× |
| Pet Image W/Ct Lmtd (78814) | $15,741.25 | $15,741.25 | 8.6× |
| PET image w/CT, full body (78816) | $16,542 | $16,542 | 9.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $16,518 | $16,518 | 9.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,056.50 | $6,056.50 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,311.25 | $5,311.25 | 10.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,259.75 | $1,259.75 | 9.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,144.25 | $1,144.25 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,193–$1,789.50 | $1,193–$1,789.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$623.25–$945.50 | $623.25–$945.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,196.75–$1,795.25 | $1,196.75–$1,795.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,133 | $2,133 | 15.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$818.50–$1,241.75 | $818.50–$1,241.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,067–$1,618.50 | $1,067–$1,618.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$580–$879.75 | $580–$879.75 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,039.75 | $1,039.75 | 9.3× |
| Radex Ribs Unilateral 2 Views (71100) | $933.50 | $933.50 | 8.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,200.75–$1,801.25 | $1,200.75–$1,801.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,147 | $1,147 | 10.2× |
| Radex Spine 1 View Specify Level (72020) | $902.25 | $902.25 | 8.1× |
| Radex Sternum Minimum 2 Views (71120) | $421 | $421 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,231.50 | $1,231.50 | 11.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$300.75–$456.50 | $300.75–$456.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$756.50–$1,134.75 | $756.50–$1,134.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,085 | $2,085 | 15.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $33,835.25 | $33,835.25 | 3.6× |
| Radiation treatment delivery level 1 (77402) | $943.50 | $943.50 | 7.2× |
| Radiation treatment delivery level 3 (77412) | $2,959 | $2,959 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $950 | $950 | 7.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,003.25 | $1,003.25 | 7.5× |
| Radiologic exam colon single contrast study (74270) | $2,849.75 | $2,849.75 | 12.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$831.75–$1,262 | $831.75–$1,262 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,839.50 | $1,839.50 | 13.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,997.75 | $1,997.75 | 8.9× |
| Radiologic exam swallow function contrast study (74230) | $1,369.50 | $1,369.50 | 6.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,883.50 | $1,883.50 | 8.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$650.25–$986.25 | $650.25–$986.25 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$604.75–$917.75 | $604.75–$917.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,639 | $1,639 | 12.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$661.50–$992.25 | $661.50–$992.25 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,831 | $1,831 | 3.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,831 | $1,831 | 3.7× |
| Ribs bilateral 3 views (71110) | $1,442 | $1,442 | 10.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,227.25 | $5,227.25 | 10.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,534.25 | $6,534.25 | 9.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,903 | $8,903 | 12.7× |
| Rp Therapy Intravenous Administration (79101) | $2,600.25 | $2,600.25 | 8.7× |
| Scapula (73010) range across 3 matching MRF lines |
$795.50–$1,206.75 | $795.50–$1,206.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $314.75 | $314.75 | 13.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$650–$986 | $650–$986 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,612–$2,418 | $1,612–$2,418 | varies |
| Skull less than 4 views (70250) | $1,455 | $1,455 | 10.8× |
| Special dosimetry (77331) | $404.75 | $404.75 | 2.3× |
| Special Physics Consult (77370) | $3,741 | $3,741 | 21.6× |
| Special teletherapy port plan (77321) | $909.50 | $909.50 | 1.9× |
| Special treatment procedure (77470) | $1,240 | $1,240 | 1.7× |
| Srs Multisource (77371) | $50,245.25 | $50,245.25 | 5.3× |
| Stereotactic Body Radiation Delivery (77373) | $10,085 | $10,085 | 4.4× |
| Sternoclavicular joints (71130) | $538.50 | $538.50 | 4.8× |
| Superior sagittal sinus venogram (75870) | $6,566.50 | $6,566.50 | 1.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $7,744 | $7,744 | 59.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $10,534.50 | $10,534.50 | 21.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,346.50 | $3,346.50 | 6.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,411.75 | $5,411.75 | 11.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $5,150.50 | $5,150.50 | 10.7× |
| Ther rad simulaj-aided field setting simple (77280) | $3,249 | $3,249 | 18.8× |
| Thoracic spine 2 views (72070) | $791.25 | $791.25 | 5.9× |
| Thoracic spine 3 views (72072) | $910 | $910 | 6.8× |
| Thoracolumbar 2 views (72080) | $977.50 | $977.50 | 8.7× |
| Thyroid Met Imaging Body (78018) | $4,065.75 | $4,065.75 | 5.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,097.75 | $4,097.75 | 8.0× |
| Tx Devices Design & Construction Complex (77334) | $3,177 | $3,177 | 6.6× |
| Tx devices design & construction intermediate (77333) | $1,908.50 | $1,908.50 | 11.0× |
| Tx devices design & construction simple (77332) | $1,145 | $1,145 | 6.6× |
| Ultrasound Breast Limited (76642) | $1,581.25 | $1,581.25 | 14.1× |
| Ultrasound Elastography Parenchyma (76981) | $767.50 | $767.50 | 5.7× |
| Ultrasound Exam Aaa Screen (76706) | $879.50 | $879.50 | 6.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,075 | $1,075 | 2.4× |
| Ultrasound, abdomen limited (76705) | $2,129 | $2,129 | 15.8× |
| Unlisted magnetic resonance procedure (76498) | $504 | $504 | 4.5× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $555 | $555 | 4.2× |
| Upper gi w/o kub (74240) | $1,520.50 | $1,520.50 | 6.7× |
| Urethrocystogram voiding (74455) | $1,190.75 | $1,190.75 | 3.9× |
| Urethrocystography retrograde (74450) | $1,971.25 | $1,971.25 | 6.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,581.25–$2,372 | $1,581.25–$2,372 | varies |
| Us chest (76604) | $1,266.50 | $1,266.50 | 9.4× |
| Us complete joint (76881) | $1,493.50 | $1,493.50 | 11.1× |
| Us exam, pelvic, limited (76857) | $1,242.25 | $1,242.25 | 9.2× |
| Us kidney transplant (76776) | $2,619.50 | $2,619.50 | 19.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$1,161.50–$1,742.25 | $1,161.50–$1,742.25 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,309 | $1,309 | 9.7× |
| Us ob transvaginal (76817) | $1,343.50 | $1,343.50 | 10.0× |
| Us pelvic non ob complete (76856) | $2,438 | $2,438 | 18.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,684 | $1,684 | 12.5× |
| Us retroperitoneal complete (76770) | $1,744.50 | $1,744.50 | 13.0× |
| Us retroperitoneal limited (76775) | $1,295 | $1,295 | 9.6× |
| Us scrotum and contents (76870) | $2,043.50 | $2,043.50 | 15.2× |
| Us thyroid (76536) | $1,709.50 | $1,709.50 | 12.7× |
| Us transrectal (76872) | $1,752.50 | $1,752.50 | 13.0× |
| Vein X-Ray Chest (75827) | $5,368 | $5,368 | 2.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,198.50 | $4,198.50 | 1.0× |
| Venogram Sinus/Jugular (75860) | $4,198.50 | $4,198.50 | 1.0× |
| Venography Adrenal Unilateral (75840) | $5,087.75 | $5,087.75 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $5,368 | $5,368 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $3,255 | $3,255 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $2,895.25 | $2,895.25 | 1.4× |
| Venography Renal Bilateral (75833) | $8,895.75 | $8,895.75 | 2.2× |
| Venography Renal Unilateral (75831) | $8,895.75 | $8,895.75 | 2.2× |
| Venous sampling by catheter (75893) | $13,753.75 | $13,753.75 | 1.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$608.75–$923.25 | $608.75–$923.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $620.25 | $620.25 | 5.5× |
| X-ray antegrade pyelogram tube (74425) | $1,053.25 | $1,053.25 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $9,825.25 | $9,825.25 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $1,218.75 | $1,218.75 | 9.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$634.50–$962.75 | $634.50–$962.75 | varies |
| X-Ray Exam Breast Specimen (76098) | $2,010 | $2,010 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,322 | $1,322 | 11.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,576.25 | $1,576.25 | 11.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,779.75 | $1,779.75 | 13.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $650.25 | $650.25 | 5.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $650.25 | $650.25 | 5.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,076.50 | $1,076.50 | 8.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,076.50 | $1,076.50 | 8.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,076.50 | $1,076.50 | 8.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,051.75 | $2,051.75 | 15.3× |
| X-Ray Exam L-S Spine Bending (72114) | $2,418.50 | $2,418.50 | 18.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,046.50 | $1,046.50 | 9.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,427 | $1,427 | 10.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,146 | $1,146 | 8.5× |
| X-ray eye for foreign body (70030) | $732.25 | $732.25 | 6.5× |
| X-ray humerus (73060) | $742.50 | $742.50 | 6.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $615.25 | $615.25 | 5.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $711.25 | $711.25 | 6.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,218.75 | $1,218.75 | 9.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,591.25 | $1,591.25 | 11.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,167.25 | $1,167.25 | 8.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $863 | $863 | 6.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $821 | $821 | 7.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,502.75 | $1,502.75 | 13.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,465 | $1,465 | 10.9× |
| X-ray thoracic spine 4 vw (72074) | $988.75 | $988.75 | 7.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,258 | $2,258 | 5.0× |
| X-Rays Bone Length Studies (77073) | $867.75 | $867.75 | 6.5× |
| X-Rays Bone Survey Complete (77075) | $2,048.50 | $2,048.50 | 15.2× |
| Xr c-spine 4 or 5 views (72050) | $1,284.50 | $1,284.50 | 9.6× |
| Xr facial bones less than 3 views (70140) | $1,042.25 | $1,042.25 | 9.3× |
| Xr orbits complete 4 views (70200) | $1,181 | $1,181 | 8.8× |
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.