Imaging prices at Kuakini Medical Center
Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $315.45 | $350.50 | 3.1× |
| Abdomen 2 views (74019) | $367.20 | $408 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,812.60 | $2,014 | 3.8× |
| Angio pulmonary bilat (75743) | $4,604.40 | $5,116 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,536.10 | $3,929 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,360.25 | $2,622.50 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $2,289.15 | $2,543.50 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,195.55 | $2,439.50 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,350.35 | $2,611.50 | 0.6× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,289.15 | $2,543.50 | 0.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,702.15 | $4,113.50 | 1.0× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,908.35 | $3,231.50 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $3,213.45 | $3,570.50 | 0.9× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,895.85 | $2,106.50 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,961.55 | $2,179.50 | 0.3× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Bone age studies (77072) | $313.65 | $348.50 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,679.85 | $1,866.50 | 3.6× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$711–$1,125 | $790–$1,250 | varies |
| Bone Imaging Multiple Areas (78305) | $1,400.40 | $1,556 | 3.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,366.20–$1,937.70 | $1,518–$2,153 | varies |
| Bone marrow imaging; whole body (78104) | $1,879.65 | $2,088.50 | 4.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,214.45 | $2,460.50 | 3.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,476.45 | $1,640.50 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,774.05 | $5,304.50 | 2.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,034 | $2,260 | 4.3× |
| Cardiac Shunt Detection (78428) | $989.10 | $1,099 | 2.1× |
| Cardiovasc nucl exam unlisted (78499) | $1,278 | $1,420 | 2.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $908.10 | $1,009 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,948.50 | $2,165 | 3.0× |
| Chest 1 view (71045) | $315.45 | $350.50 | 3.1× |
| Chest 2 views (71046) | $375.75 | $417.50 | 3.7× |
| Chest 3 views (71047) | $476.10 | $529 | 4.6× |
| Chest 4 or more views (71048) | $578.70 | $643 | 4.7× |
| Cholecystography Oral Contrast (74290) | $642.15 | $713.50 | 3.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $375.75 | $417.50 | 3.0× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,214.45 | $2,460.50 | 17.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,289.15 | $2,543.50 | 0.6× |
| Contrast X-Ray Bladder (74430) | $529.65 | $588.50 | 1.3× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $529.65 | $588.50 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $5,178.60 | $5,754 | 12.6× |
| CT abdomen and pelvis without contrast (74176) | $4,428.90 | $4,921 | 15.7× |
| CT abdomen w contrast (74160) | $2,335.95 | $2,595.50 | 11.3× |
| CT abdomen w wo contrast (74170) | $2,590.65 | $2,878.50 | 12.5× |
| CT abdomen w/o contrast (74150) | $2,214.45 | $2,460.50 | 17.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,178.60 | $5,754 | 12.6× |
| CT Angio Chest (71275) | $2,590.65 | $2,878.50 | 12.5× |
| CT Angio Head (70496) | $2,590.65 | $2,878.50 | 12.5× |
| CT angio hrt w/3d image (75574) | $2,087.55 | $2,319.50 | 5.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,590.65 | $2,878.50 | 12.5× |
| CT Angio Neck (70498) | $2,590.65 | $2,878.50 | 12.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,332 | $1,480 | 6.4× |
| CT cervical spine w/ contrast (72126) | $2,335.95 | $2,595.50 | 5.7× |
| CT cervical spine w/o contrast (72125) | $2,214.45 | $2,460.50 | 17.9× |
| CT cervical spine w/wo cont (72127) | $2,590.65 | $2,878.50 | 12.5× |
| CT chest w contrast (71260) | $2,335.95 | $2,595.50 | 11.3× |
| CT chest w/wo contrast (71270) | $2,590.65 | $2,878.50 | 12.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,214 | $2,460 | 17.9× |
| CT head/brain with contrast (70460) | $2,002.50 | $2,225 | 9.7× |
| CT head/brain without and with contrast (70470) | $2,103.30 | $2,337 | 10.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $506.25 | $562.50 | 4.9× |
| CT iac w contrast (70481) | $2,335.95 | $2,595.50 | 11.3× |
| CT l-spine w&w/o contrast (72133) | $2,590.65 | $2,878.50 | 12.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,214.45–$4,428.90 | $2,460.50–$4,921 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,335.95–$4,671.90 | $2,595.50–$5,191 | varies |
| CT lumbar spine w contrast (72132) | $2,335.95 | $2,595.50 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $2,214.45 | $2,460.50 | 17.9× |
| CT maxillofacial w contrast (70487) | $1,946.70 | $2,163 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,878.30 | $2,087 | 15.2× |
| CT neck tissue combo (70492) | $2,590.65 | $2,878.50 | 12.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,590.65 | $2,878.50 | 12.5× |
| CT orbits w/o contrast (70480) | $2,214.45 | $2,460.50 | 17.9× |
| CT pelvis w&w/o contrast (72194) | $2,590.65 | $2,878.50 | 12.5× |
| CT pelvis w/o contrast (72192) | $2,214.45 | $2,460.50 | 17.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,590.65–$5,181.30 | $2,878.50–$5,757 | varies |
| CT scans face/jaw combo (70488) | $2,043.45 | $2,270.50 | 9.9× |
| CT soft tissue neck w contrast (70491) | $2,335.95 | $2,595.50 | 11.3× |
| CT soft tissue neck w/o contrast (70490) | $2,214.45 | $2,460.50 | 17.9× |
| CT thoracic spine w contrast (72129) | $2,335.95 | $2,595.50 | 11.3× |
| CT thoracic spine w/o contrast (72128) | $2,214.45 | $2,460.50 | 17.9× |
| CT thoracic spine w/wo cont (72130) | $2,590.65 | $2,878.50 | 12.5× |
| CT thorax w/o contrast (71250) | $2,214.45 | $2,460.50 | 17.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,214.45–$4,428.90 | $2,460.50–$4,921 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,590.65–$5,181.30 | $2,878.50–$5,757 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,335.95–$4,672.35 | $2,595.50–$5,191.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,178.60 | $5,754 | 25.0× |
| Cta Abdomen (74175) | $2,590.65 | $2,878.50 | 12.5× |
| CTA pelvis (72191) | $2,590.65 | $2,878.50 | 12.5× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $482.40 | $536 | 1.7× |
| Dilation ureters/urethra rs&i (74485) | $2,509.20 | $2,788 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $3,117.60 | $3,464 | 1.4× |
| Diskography lumbar (72295) | $3,117.60 | $3,464 | 1.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$290.70–$485.55 | $323–$539.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $370.80 | $412 | 3.6× |
| Esophageal Motility Study (78258) | $1,030.95 | $1,145.50 | 2.2× |
| Esophagram (74220) | $529.65 | $588.50 | 2.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$792.45–$1,448.10 | $880.50–$1,609 | varies |
| Follow-Up Angiography (75898) | $1,458 | $1,620 | 0.4× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Gastric emptying imaging study (78264) | $1,744.20 | $1,938 | 3.7× |
| Gastroesophageal Reflux Exam (78262) | $1,186.65 | $1,318.50 | 2.5× |
| Gated Heart Planar Single (78472) | $2,034 | $2,260 | 4.3× |
| Gated Heart, Multiple (78473) | $2,269.80 | $2,522 | 4.8× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Heart first pass single,planar (78481) | $922.95 | $1,025.50 | 1.4× |
| Heart Image (Pet) Multiple (78492) | $4,774.05 | $5,304.50 | 2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,402.90 | $3,781 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,350.35 | $2,611.50 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,966.05 | $2,184.50 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,764.45 | $1,960.50 | 3.7× |
| Ht Musc Image Planar Mult (78454) | $2,295.45 | $2,550.50 | 1.5× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,942.20–$2,674.80 | $2,158–$2,972 | varies |
| Hysterosalpingogram (74740) | $1,655.10 | $1,839 | 5.9× |
| Infusion Ivp (74410) | $1,203.75 | $1,337.50 | 5.8× |
| K Flow/Funct Image W/Drug (78708) | $2,695.95 | $2,995.50 | 4.2× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,776.60–$2,404.35 | $1,974–$2,671.50 | varies |
| Kidney Imaging Morphol (78700) | $1,054.80 | $1,172 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,356.30 | $1,507 | 2.9× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$328.95–$657.90 | $365.50–$731 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,488.95 | $2,765.50 | 5.3× |
| Leveen/Shunt Patency Exam (78291) | $925.20 | $1,028 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,568.25 | $1,742.50 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,581.75 | $1,757.50 | 3.3× |
| Liver imaging static only (78201) | $1,125 | $1,250 | 1.8× |
| Liver imaging w/vascular flow (78202) | $1,287.45 | $1,430.50 | 2.0× |
| Lung perfusion differential (78597) | $1,348.20 | $1,498 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,338.20 | $2,598 | 3.6× |
| Lung Ventilation Imaging (78579) | $1,751.40 | $1,946 | 3.7× |
| Lymph System Imaging (78195) | $801.90 | $891 | 1.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,138.05 | $1,264.50 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $2,032.20 | $2,258 | 7.2× |
| Mammary ductogram or galactogram multiple (77054) | $684.45 | $760.50 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $492.30 | $547 | 1.7× |
| Meckels Divert Exam (78290) | $1,501.65 | $1,668.50 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,721.95 | $4,135.50 | 9.0× |
| MRA head w/o contrast (70544) | $2,186.10 | $2,429 | 7.8× |
| MRA head with contrast (70545) | $2,186.10 | $2,429 | 5.3× |
| MRA neck w contrast (70548) | $2,186.10 | $2,429 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,721.95 | $4,135.50 | 9.0× |
| MRA neck w/o contrast (70547) | $2,186.10 | $2,429 | 7.8× |
| MRI abdomen w contrast (74182) | $2,032.20 | $2,258 | 4.9× |
| MRI abdomen w/o contrast (74181) | $2,032.20 | $2,258 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,570.30–$7,140.60 | $3,967–$7,934 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI bone marrow blood supply (77084) | $2,032.20 | $2,258 | 7.2× |
| MRI cervical spine w contrast (72142) | $2,032.20 | $2,258 | 4.9× |
| MRI cervical spine w/o cont (72141) | $2,032.20 | $2,258 | 7.2× |
| MRI chest w/o contrast (71550) | $2,032.20 | $2,258 | 7.2× |
| MRI chest with contrast (71551) | $2,032.20 | $2,258 | 2.2× |
| MRI chest wo w contrast (71552) | $3,570.30 | $3,967 | 8.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,570.30–$7,140.60 | $3,967–$7,934 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI lumbar spine w contrast (72149) | $2,032.20 | $2,258 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,570.30 | $3,967 | 8.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,032.20 | $2,258 | 7.2× |
| MRI orbit face neck w contrast (70542) | $2,032.20 | $2,258 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,570.30 | $3,967 | 8.7× |
| MRI pelvis w contrast (72196) | $2,032.20 | $2,258 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $3,570.30 | $3,967 | 8.7× |
| MRI pelvis w/o contrast (72195) | $2,032.20 | $2,258 | 7.2× |
| MRI thoracic spine w/o contrast (72146) | $2,032.20 | $2,258 | 7.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,570.30–$7,140.60 | $3,967–$7,934 | varies |
| MRI, abdomen, combo (74183) | $3,570.30 | $3,967 | 8.7× |
| MRI, dorsal spine combo (72157) | $3,570.30 | $3,967 | 8.7× |
| MRI, dorsal spine contrast (72147) | $2,032.20 | $2,258 | 4.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,032.20–$4,064.40 | $2,258–$4,516 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,570.30–$7,140.60 | $3,967–$7,934 | varies |
| MRI, lumbar spine combo (72158) | $3,570.30 | $3,967 | 8.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,774.05 | $5,304.50 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,930.50 | $2,145 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $3,044.25 | $3,382.50 | 2.0× |
| Neck soft tissue (70360) | $313.65 | $348.50 | 3.1× |
| Nm csf leak detection (78650) | $1,190.25 | $1,322.50 | 0.8× |
| Nm myocard infarct spect (78469) | $1,448.10 | $1,609 | 2.3× |
| Nm unlisted gi procedure (78299) | $476.55 | $529.50 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $519.30 | $577 | 4.2× |
| Nuclear Rx Oral Admin (79005) | $2,320.20 | $2,578 | 8.4× |
| Optic foramina (70190) | $375.75 | $417.50 | 3.7× |
| Parathyroid Planar Imaging (78070) | $1,226.70 | $1,363 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,372.50 | $1,525 | 2.9× |
| Pelvis 1 or 2 views (72170) | $282.15 | $313.50 | 2.3× |
| Pet Image Skull-Thigh (78812) | $4,774.05 | $5,304.50 | 2.8× |
| Pet Image W/Ct Lmtd (78814) | $4,932 | $5,480 | 2.9× |
| PET image w/CT, full body (78816) | $4,932 | $5,480 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,932 | $5,480 | 2.9× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,774.05 | $5,304.50 | 3.1× |
| Pet Myocardial Sngl Study (78491) | $4,774.05 | $5,304.50 | 2.8× |
| PET whole body (78813) | $4,774.05 | $5,304.50 | 2.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,350.35 | $2,611.50 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,348.20 | $1,498 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $336.15 | $373.50 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $642.15 | $713.50 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $607.95 | $675.50 | 4.9× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $607.95 | $675.50 | 4.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $375.75 | $417.50 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $395.55 | $439.50 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $313.65 | $348.50 | 3.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $870.30 | $967 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $282.15 | $313.50 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $375.75 | $417.50 | 3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $482.40 | $536 | 4.7× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $607.95 | $675.50 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $476.10 | $529 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,168.65 | $1,298.50 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $925.20 | $1,028 | 4.5× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $797.85 | $886.50 | 6.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $766.35 | $851.50 | 3.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$766.35–$1,061.10 | $851.50–$1,179 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $689.85 | $766.50 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,127.70 | $1,253 | 9.1× |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$326.25–$652.50 | $362.50–$725 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $809.55 | $899.50 | 1.3× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,660.95 | $1,845.50 | 6.0× |
| Renal Cyst Study (74470) | $1,898.55 | $2,109.50 | 2.9× |
| Ribs bilateral 3 views (71110) | $593.55 | $659.50 | 4.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,879.20 | $2,088 | 4.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,314.90–$2,720.70 | $1,461–$3,023 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,868.65 | $4,298.50 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,720.70 | $3,023 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,723.50 | $1,915 | 2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,798.20 | $1,998 | 1.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,240.10 | $2,489 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,658.70 | $1,843 | 1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,398.95 | $2,665.50 | 8.7× |
| Rp Therapy Intravenous Administration (79101) | $779.85 | $866.50 | 2.8× |
| Scapula (73010) range across 6 matching MRF lines |
$375.75–$751.50 | $417.50–$835 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $48.15 | $53.50 | 2.1× |
| Sella turcica (70240) | $313.65 | $348.50 | 3.1× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$981.90–$1,963.80 | $1,091–$2,182 | varies |
| Sialogram (70390) | $529.65 | $588.50 | 1.9× |
| Skull less than 4 views (70250) | $375.75 | $417.50 | 3.0× |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$1,055.25–$1,354.50 | $1,172.50–$1,505 | varies |
| Sternoclavicular joints (71130) | $642.15 | $713.50 | 6.2× |
| Superior sagittal sinus venogram (75870) | $2,350.35 | $2,611.50 | 0.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $394.20 | $438 | 1.4× |
| Testicular Imaging W/Flow (78761) | $959.85 | $1,066.50 | 2.0× |
| Thoracic spine 2 views (72070) | $375.75 | $417.50 | 3.0× |
| Thoracic spine 3 views (72072) | $565.20 | $628 | 4.6× |
| Thoracolumbar 2 views (72080) | $375.75 | $417.50 | 3.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,190.70 | $1,323 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,434.15 | $1,593.50 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,561.50 | $1,735 | 2.4× |
| Thyroid Uptake Measurement (78012) | $764.55 | $849.50 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,579.50 | $1,755 | 3.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$341.10–$512.10 | $379–$569 | varies |
| Ultrasound elastography first target lesion (76982) | $253.35 | $281.50 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) | $253.35 | $281.50 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $642.15 | $713.50 | 5.2× |
| Ultrasound, abdomen limited (76705) | $642.15 | $713.50 | 5.2× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $544.05 | $604.50 | 1.2× |
| Upper gi w/o kub (74240) | $680.85 | $756.50 | 3.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $83.70 | $93 | 7.6× |
| Urea breath test c-14 isotopic analysis (78268) | $445.05 | $494.50 | 4.7× |
| Ureteral Reflux Study (78740) | $904.95 | $1,005.50 | 1.9× |
| Urethrocystogram voiding (74455) | $737.55 | $819.50 | 2.6× |
| Urethrocystography retrograde (74450) | $529.65 | $588.50 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$341.10–$512.10 | $379–$569 | varies |
| Us chest (76604) | $642.15 | $713.50 | 5.2× |
| Us complete joint (76881) range across 3 matching MRF lines |
$642.15–$1,284.30 | $713.50–$1,427 | varies |
| Us exam, pelvic, limited (76857) | $642.15 | $713.50 | 5.2× |
| Us kidney transplant (76776) | $692.10 | $769 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$642.15–$1,284.30 | $713.50–$1,427 | varies |
| Us pelvic non ob complete (76856) | $692.10 | $769 | 5.6× |
| Us retroperitoneal complete (76770) | $692.10 | $769 | 5.6× |
| Us retroperitoneal limited (76775) | $642.15 | $713.50 | 5.2× |
| Us scrotum and contents (76870) | $692.10 | $769 | 5.6× |
| Us thyroid (76536) | $692.10 | $769 | 5.6× |
| Us transrectal (76872) | $641.70 | $713 | 5.2× |
| Vascular Flow Imaging (78445) | $894.15 | $993.50 | 1.9× |
| Vein X-Ray Chest (75827) | $2,350.35 | $2,611.50 | 1.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,350.35 | $2,611.50 | 0.6× |
| Vein X-Ray Skull Epidural (75872) | $2,350.35 | $2,611.50 | 3.2× |
| Vein X-Ray Spleen/Liver (75810) | $2,350.35 | $2,611.50 | 0.6× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$2,350.35–$3,408.75 | $2,611.50–$3,787.50 | varies |
| Venography Adrenal Unilateral (75840) | $4,236.30 | $4,707 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,413.70 | $3,793 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,845 | $2,050 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,186.65 | $1,318.50 | 0.6× |
| Venography Orbital Rs&I (75880) | $854.10 | $949 | 1.2× |
| Venography Renal Bilateral (75833) | $3,536.10 | $3,929 | 0.9× |
| Venography Renal Unilateral (75831) | $3,213.45 | $3,570.50 | 0.9× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,350.35 | $2,611.50 | 0.4× |
| Venous thrombosis imaging (78457) | $799.20 | $888 | 1.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,494.45 | $1,660.50 | 3.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $375.75 | $417.50 | 3.7× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,655.10–$2,482.65 | $1,839–$2,758.50 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,289.15 | $2,543.50 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $529.65 | $588.50 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$282.15–$564.30 | $313.50–$627 | varies |
| X-Ray Exam Breast Specimen (76098) | $219.60 | $244 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $282.15 | $313.50 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$685.80–$1,127.70 | $762–$1,253 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $282.15 | $313.50 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $460.80 | $512 | 4.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $564.75 | $627.50 | 4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$921.60–$922.05 | $1,024–$1,024.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $834.30 | $927 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $375.75 | $417.50 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $766.35 | $851.50 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $607.95 | $675.50 | 4.9× |
| X-ray eye for foreign body (70030) range across 5 matching MRF lines |
$323.55–$375.75 | $359.50–$417.50 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$313.65–$627.30 | $348.50–$697 | varies |
| X-ray IV pyelogram (ivp) (74400) | $692.10 | $769 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $375.75 | $417.50 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $476.10 | $529 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $931.50 | $1,035 | 7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $642.15 | $713.50 | 5.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $282.15 | $313.50 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $375.75 | $417.50 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $529.65 | $588.50 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $607.95 | $675.50 | 4.9× |
| X-Ray Tmj Unilat (70328) | $375.75 | $417.50 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$779.85–$978.30 | $866.50–$1,087 | varies |
| X-Rays Bone Length Studies (77073) | $642.15 | $713.50 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $643.50 | $715 | 5.2× |
| Xr facial bones less than 3 views (70140) | $375.75 | $417.50 | 3.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $460.80 | $512 | 3.7× |
| Xr myelogram posterior fossa (70010) | $1,816.65 | $2,018.50 | 4.4× |
| Xr orbits complete 4 views (70200) | $607.95 | $675.50 | 4.9× |
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.