Imaging prices at Las Palmas Medical Center A Campus of Lpds Healthc
El Paso, TX · every code in this section with a posted price and a Medicare benchmark.
411 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) | $8,432 | $8,432 | 6.1× |
| Abdomen 1 View (74018) | $2,009 | $2,009 | 23.0× |
| Abdomen 2 views (74019) | $3,154 | $3,154 | 30.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $7,226 | $7,226 | 18.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $3,126 | $3,126 | 2.4× |
| Adrenal Cortex & Medulla Img (78075) | $4,980 | $4,980 | 3.8× |
| Angio internal mammary (75756) | $6,481 | $6,481 | 2.0× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$8,469–$9,908 | $8,469–$9,908 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,732 | $8,732 | 2.8× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$8,701–$9,444 | $8,701–$9,444 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$10,910–$11,620 | $10,910–$11,620 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$6,266–$6,712 | $6,266–$6,712 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$7,000–$7,311 | $7,000–$7,311 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$227–$1,408 | $227–$1,408 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,196 | $12,196 | 2.2× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$6,884–$14,814 | $6,884–$14,814 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$6,632–$6,662 | $6,632–$6,662 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$11,247–$12,147 | $11,247–$12,147 | varies |
| Artery X-Rays Spine (75705) | $6,907 | $6,907 | 1.2× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,754–$3,497 | $1,754–$3,497 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,166–$3,636 | $2,166–$3,636 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,820–$2,338 | $1,820–$2,338 | varies |
| Basic radiation dosimetry calculation (77300) | $2,552 | $2,552 | 18.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$227–$1,907 | $227–$1,907 | varies |
| Bone Imaging 3 Phase (78315) | $8,680 | $8,680 | 21.6× |
| Bone Imaging Limited Area (78300) | $6,925 | $6,925 | 17.2× |
| Bone Imaging Multiple Areas (78305) | $5,270 | $5,270 | 13.1× |
| Bone Imaging Whole Body (78306) | $8,040 | $8,040 | 20.0× |
| Bone marrow imaging; multiple areas (78103) | $3,209 | $3,209 | 8.0× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$254–$3,209 | $254–$3,209 | varies |
| Brachytx isodose complex (77318) | $7,838 | $7,838 | 20.8× |
| Brachytx isodose intermed (77317) | $5,189 | $5,189 | 13.8× |
| Brachytx Isodose Plan Simple (77316) | $4,013 | $4,013 | 10.7× |
| Brain Flow Imaging Only (78610) | $4,301 | $4,301 | 7.9× |
| Brain Image W/Flow < 4 Views (78601) | $4,175 | $4,175 | 10.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $5,704 | $5,704 | 10.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,448 | $3,448 | 6.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $20,887 | $20,887 | 14.5× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,258–$3,656 | $2,258–$3,656 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $5,865 | $5,865 | 10.8× |
| Cerebrospinal Fluid Scan (78630) | $6,410 | $6,410 | 11.8× |
| Chest 1 view (71045) | $1,164 | $1,164 | 13.3× |
| Chest 2 views (71046) | $1,230 | $1,230 | 14.1× |
| Chest 3 views (71047) | $2,442 | $2,442 | 27.9× |
| Chest 4 or more views (71048) | $2,491 | $2,491 | 23.7× |
| Cholecystography Oral Contrast (74290) | $2,644 | $2,644 | 15.0× |
| Cisternography Positive Contrast Rs&I (70015) | $5,971 | $5,971 | 7.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$227–$2,549 | $227–$2,549 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$11,652–$12,027 | $11,652–$12,027 | varies |
| Continuing medical physics consltj pr wk (77336) | $3,173 | $3,173 | 23.5× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$6,644–$8,364 | $6,644–$8,364 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$2,577–$2,666 | $2,577–$2,666 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$2,209–$4,416 | $2,209–$4,416 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,463–$3,929 | $1,463–$3,929 | varies |
| Corpora cavernosography (74445) | $2,646 | $2,646 | 25.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$216–$25,970 | $216–$25,970 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$216–$23,081 | $216–$23,081 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$12,104–$16,062 | $12,104–$16,062 | varies |
| CT abdomen w wo contrast (74170) | $17,313 | $17,313 | 98.3× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$11,091–$15,444 | $11,091–$15,444 | varies |
| CT Angio Abdomen and Pelvis (74174) | $21,765 | $21,765 | 62.1× |
| CT Angio Chest (71275) | $11,817 | $11,817 | 67.1× |
| CT Angio Head (70496) | $12,267 | $12,267 | 69.6× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$2,625–$16,320 | $2,625–$16,320 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$12,551–$18,828 | $12,551–$18,828 | varies |
| CT Angio Neck (70498) | $11,676 | $11,676 | 66.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$12,551–$16,419 | $12,551–$16,419 | varies |
| CT bone density (77078) | $1,192 | $1,192 | 13.6× |
| CT cervical spine w/ contrast (72126) | $17,247 | $17,247 | 49.2× |
| CT cervical spine w/o contrast (72125) | $16,523 | $16,523 | 157.3× |
| CT cervical spine w/wo cont (72127) | $22,399 | $22,399 | 127.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$10,310–$12,395 | $10,310–$12,395 | varies |
| CT chest w/wo contrast (71270) | $18,165 | $18,165 | 103.1× |
| CT colonography screening (74263) | $2,723 | $2,723 | 11.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,982 | $2,982 | 28.4× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$9,852–$12,474 | $9,852–$12,474 | varies |
| CT head/brain without and with contrast (70470) | $13,087 | $13,087 | 74.3× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$2,625–$16,320 | $2,625–$16,320 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $158 | $158 | 1.8× |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$2,625–$16,320 | $2,625–$16,320 | varies |
| CT iac w contrast (70481) | $11,110 | $11,110 | 63.1× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$15,160–$17,043 | $15,160–$17,043 | varies |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$2,220–$14,497 | $2,220–$14,497 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$9,664–$14,497 | $9,664–$14,497 | varies |
| CT lumbar spine w contrast (72132) | $16,813 | $16,813 | 48.0× |
| CT lumbar spine w/o contrast (72131) | $16,029 | $16,029 | 152.6× |
| CT maxillofacial w contrast (70487) | $10,565 | $10,565 | 60.0× |
| CT maxillofacial wo contrast (70486) | $9,852 | $9,852 | 93.8× |
| CT neck tissue combo (70492) | $12,876 | $12,876 | 73.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,840 | $11,840 | 67.2× |
| CT orbits w/o contrast (70480) | $10,814 | $10,814 | 103.0× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$13,048–$15,029 | $13,048–$15,029 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$8,852–$13,409 | $8,852–$13,409 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$10,994–$13,664 | $10,994–$13,664 | varies |
| CT scans face/jaw combo (70488) | $12,194 | $12,194 | 69.2× |
| CT soft tissue neck w contrast (70491) | $11,659 | $11,659 | 66.2× |
| CT soft tissue neck w/o contrast (70490) | $11,459 | $11,459 | 109.1× |
| CT thoracic spine w contrast (72129) | $15,282 | $15,282 | 86.7× |
| CT thoracic spine w/o contrast (72128) | $14,957 | $14,957 | 142.4× |
| CT thoracic spine w/wo cont (72130) | $16,425 | $16,425 | 93.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$9,701–$11,652 | $9,701–$11,652 | varies |
| CT unlisted procedure (76497) | $3,329 | $3,329 | 38.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$7,721–$16,073 | $7,721–$16,073 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$11,505–$21,084 | $11,505–$21,084 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$9,926–$19,188 | $9,926–$19,188 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$10,308–$19,460 | $10,308–$19,460 | varies |
| Cta Abdomen (74175) | $8,668 | $8,668 | 49.2× |
| CTA pelvis (72191) | $14,100 | $14,100 | 80.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,592 | $1,592 | 6.6× |
| Dilation ureters/urethra rs&i (74485) | $2,947 | $2,947 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $3,982 | $3,982 | 2.0× |
| Diskography lumbar (72295) | $3,403 | $3,403 | 1.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$1,281–$1,660 | $1,281–$1,660 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$2,718–$3,437 | $2,718–$3,437 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $339 | $339 | 3.2× |
| Dxa Bone Density Axial (77080) | $1,934 | $1,934 | 18.4× |
| Dxa bone density study (77085) | $1,586 | $1,586 | 15.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$696–$776 | $696–$776 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$1,756–$2,028 | $1,756–$2,028 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$3,295–$4,467 | $3,295–$4,467 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines |
$730–$2,744 | $730–$2,744 | varies |
| Echograp Trans R Pros Study (76873) | $2,701 | $2,701 | 25.7× |
| Esophagram (74220) | $3,574 | $3,574 | 20.3× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,524–$4,785 | $1,524–$4,785 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,244–$3,714 | $1,244–$3,714 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $7,254 | $7,254 | 30.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$2,153–$4,334 | $2,153–$4,334 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,495–$6,931 | $4,495–$6,931 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$227–$1,408 | $227–$1,408 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$227–$1,845 | $227–$1,845 | varies |
| Gastric emptying imaging study (78264) | $7,183 | $7,183 | 17.9× |
| Gastroesophageal Reflux Exam (78262) | $2,247 | $2,247 | 5.6× |
| Gastrointestinal Protein Loss (78282) | $2,305 | $2,305 | 5.7× |
| Gated Heart Planar Single (78472) | $6,460 | $6,460 | 16.1× |
| Gated Heart, Multiple (78473) | $14,099 | $14,099 | 35.1× |
| Hand 2 views (73120) range across 11 matching MRF lines |
$227–$1,419 | $227–$1,419 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$19,522–$19,909 | $19,522–$19,909 | varies |
| Hepatobil Syst Image W/Drug (78227) | $7,259 | $7,259 | 13.3× |
| Hepatobiliary System Imaging (78226) | $4,460 | $4,460 | 11.1× |
| Ht Musc Image Planar Mult (78454) | $11,787 | $11,787 | 9.1× |
| Ht Muscle Image Spect Sing (78451) | $19,074 | $19,074 | 14.7× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$2,459–$5,401 | $2,459–$5,401 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,363 | $2,363 | 27.0× |
| Infant hip ultrasound, limited static exam (76886) | $1,828 | $1,828 | 20.9× |
| Infusion Ivp (74410) | $5,723 | $5,723 | 32.5× |
| Interstitial radiation source applic complex (77778) | $14,230 | $14,230 | 20.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $11,291 | $11,291 | 16.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $8,171 | $8,171 | 14.7× |
| Intracavitary radiation source applic simple (77761) | $11,291 | $11,291 | 20.3× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$227–$3,729 | $227–$3,729 | varies |
| K Flow/Funct Image Multiple (78709) | $13,244 | $13,244 | 24.3× |
| K Flow/Funct Image W/Drug (78708) | $7,642 | $7,642 | 14.0× |
| K Flow/Funct Image W/O Drug (78707) | $9,095 | $9,095 | 16.7× |
| Kidney Imaging Morphol (78700) | $4,253 | $4,253 | 10.6× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$227–$1,907 | $227–$1,907 | varies |
| Liver & Spleen Imaging Static Only (78215) | $6,543 | $6,543 | 16.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,549 | $6,549 | 16.3× |
| Liver imaging static only (78201) | $3,588 | $3,588 | 6.6× |
| Liver imaging w/vascular flow (78202) | $6,863 | $6,863 | 12.6× |
| Lung Perf&Ventilat Diferentl (78598) | $13,317 | $13,317 | 24.4× |
| Lung Ventilat&Perfus Imaging (78582) | $11,863 | $11,863 | 21.7× |
| Lung Ventilation Imaging (78579) | $8,274 | $8,274 | 20.6× |
| Lymph System Imaging (78195) | $5,987 | $5,987 | 11.0× |
| Magnetic Image Jaw Joint (70336) | $12,479 | $12,479 | 52.1× |
| Mammary ductogram or galactogram multiple (77054) | $4,027 | $4,027 | 16.8× |
| Mammary ductogram or galactogram single (77053) | $1,836 | $1,836 | 7.7× |
| Meckels Divert Exam (78290) | $9,893 | $9,893 | 24.6× |
| Medical physics dose eval radiation expos w/rprt (76145) | $515 | $515 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $7,389 | $7,389 | 19.6× |
| Mra Head W/O & W/Contrast Material (70546) | $12,709 | $12,709 | 36.3× |
| MRA head w/o contrast (70544) | $11,181 | $11,181 | 46.6× |
| MRA head with contrast (70545) | $11,401 | $11,401 | 32.5× |
| MRA neck w contrast (70548) | $12,709 | $12,709 | 36.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $15,315 | $15,315 | 43.7× |
| MRA neck w/o contrast (70547) | $11,181 | $11,181 | 46.6× |
| MRI abdomen w contrast (74182) | $14,121 | $14,121 | 40.3× |
| MRI abdomen w/o contrast (74181) | $13,217 | $13,217 | 55.1× |
| MRI any jt lower extrem w/contrast material (73722) | $12,704 | $12,704 | 16.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$15,625–$23,437 | $15,625–$23,437 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,624 | $14,624 | 18.6× |
| MRI bone marrow blood supply (77084) | $8,742 | $8,742 | 36.5× |
| MRI cardiac w/o contrast (75557) | $7,102 | $7,102 | 29.6× |
| MRI cervical spine w contrast (72142) | $14,708 | $14,708 | 42.0× |
| MRI cervical spine w/o cont (72141) | $12,874 | $12,874 | 53.7× |
| MRI chest w/o contrast (71550) | $12,691 | $12,691 | 52.9× |
| MRI chest with contrast (71551) | $10,595 | $10,595 | 13.5× |
| MRI chest wo w contrast (71552) | $14,709 | $14,709 | 42.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $14,624 | $14,624 | 41.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$14,624–$21,632 | $14,624–$21,632 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$10,834–$16,247 | $10,834–$16,247 | varies |
| MRI lumbar spine w contrast (72149) | $14,581 | $14,581 | 41.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,369 | $17,369 | 49.6× |
| MRI orbit face &/neck w/o contrast (70540) | $15,428 | $15,428 | 64.4× |
| MRI orbit face neck w contrast (70542) | $12,709 | $12,709 | 36.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $15,707 | $15,707 | 44.8× |
| MRI pelvis w contrast (72196) | $14,172 | $14,172 | 40.4× |
| MRI pelvis w/o & w contrast (72197) | $16,230 | $16,230 | 46.3× |
| MRI pelvis w/o contrast (72195) | $13,529 | $13,529 | 56.4× |
| MRI spectroscopy (76390) | $9,252 | $9,252 | 105.8× |
| MRI thoracic spine w/o contrast (72146) | $12,730 | $12,730 | 53.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$14,329–$18,580 | $14,329–$18,580 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$10,834–$16,247 | $10,834–$16,247 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$10,299–$15,625 | $10,299–$15,625 | varies |
| MRI, abdomen, combo (74183) | $17,086 | $17,086 | 48.8× |
| MRI, dorsal spine combo (72157) | $17,175 | $17,175 | 49.0× |
| MRI, dorsal spine contrast (72147) | $14,581 | $14,581 | 41.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,994–$19,756 | $10,994–$19,756 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$5,048–$10,105 | $5,048–$10,105 | varies |
| MRI, lumbar spine combo (72158) | $17,222 | $17,222 | 49.1× |
| Myelogram cervical (72240) | $10,137 | $10,137 | 12.9× |
| Myelogram Lumbar (72265) | $8,922 | $8,922 | 11.3× |
| Myelography thoracic (72255) | $8,419 | $8,419 | 10.7× |
| Myelograpy 2/more regions rs&i (72270) | $10,622 | $10,622 | 13.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,972 | $6,972 | 17.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $19,894 | $19,894 | 15.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $9,606 | $9,606 | 7.4× |
| Myocardial Spect Multiple Studies (78452) | $16,870 | $16,870 | 13.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$227–$1,586 | $227–$1,586 | varies |
| Nm csf leak detection (78650) | $4,724 | $4,724 | 3.6× |
| Nm myocard infarct spect (78469) | $7,430 | $7,430 | 13.6× |
| Nm red cell survival study (78130) | $4,201 | $4,201 | 10.5× |
| Nm whole blood volume (78122) | $1,035 | $1,035 | 1.9× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,002–$3,528 | $1,002–$3,528 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $10,052 | $10,052 | 7.2× |
| Nuclear Rx Intra-Arterial (79445) | $927 | $927 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $6,214 | $6,214 | 26.5× |
| Ob us nuchal meas 1 gest (76813) | $1,425 | $1,425 | 13.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $1,841 | $1,841 | 21.1× |
| Optic foramina (70190) | $1,766 | $1,766 | 20.2× |
| Panoramic X-ray of jaws (70355) | $911 | $911 | 10.4× |
| Parathyroid Planar Imaging (78070) | $7,670 | $7,670 | 19.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,455 | $3,455 | 8.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$227–$2,415 | $227–$2,415 | varies |
| Peritoneogram Rs&I (74190) | $749 | $749 | 1.4× |
| Pet Image Skull-Thigh (78812) | $21,655 | $21,655 | 15.1× |
| Pet Image W/Ct Lmtd (78814) | $18,968 | $18,968 | 13.2× |
| PET image w/CT, full body (78816) | $21,863 | $21,863 | 15.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $22,586 | $22,586 | 15.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 4 matching MRF lines |
$19,909–$25,285 | $19,909–$25,285 | varies |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$19,522–$19,909 | $19,522–$19,909 | varies |
| PET whole body (78813) range across 11 matching MRF lines |
$8,836–$24,793 | $8,836–$24,793 | varies |
| Platelet survival study Non-Facility (78191) | $5,538 | $5,538 | 13.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,183 | $7,183 | 17.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$254–$2,844 | $254–$2,844 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$6,023–$6,528 | $6,023–$6,528 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$227–$2,203 | $227–$2,203 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$227–$2,095 | $227–$2,095 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$227–$1,987 | $227–$1,987 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$227–$3,665 | $227–$3,665 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$227–$1,847 | $227–$1,847 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$227–$2,246 | $227–$2,246 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$227–$1,986 | $227–$1,986 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 7 matching MRF lines |
$227–$1,864 | $227–$1,864 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$227–$3,387 | $227–$3,387 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$227–$2,090 | $227–$2,090 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$227–$2,090 | $227–$2,090 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$227–$2,646 | $227–$2,646 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$227–$1,073 | $227–$1,073 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $5,438 | $5,438 | 30.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$227–$1,667 | $227–$1,667 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$227–$2,394 | $227–$2,394 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$227–$2,570 | $227–$2,570 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$227–$1,686 | $227–$1,686 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$227–$1,411 | $227–$1,411 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$227–$2,138 | $227–$2,138 | varies |
| Radiation treatment delivery level 1 (77402) | $2,514 | $2,514 | 24.5× |
| Radiation treatment delivery level 2 (77407) | $3,031 | $3,031 | 7.8× |
| Radiation treatment delivery level 3 (77412) | $3,689 | $3,689 | 6.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$227–$2,394 | $227–$2,394 | varies |
| Radiologic exam colon double contrast study (74280) | $6,749 | $6,749 | 38.3× |
| Radiologic exam colon single contrast study (74270) | $5,336 | $5,336 | 30.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $3,574 | $3,574 | 20.3× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$227–$2,597 | $227–$2,597 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$227–$2,442 | $227–$2,442 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,625 | $4,625 | 26.2× |
| Radiologic exam swallow function contrast study (74230) | $1,847 | $1,847 | 10.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,574 | $3,574 | 20.3× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$937–$1,874 | $937–$1,874 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,878–$3,754 | $1,878–$3,754 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$227–$1,957 | $227–$1,957 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$254–$5,536 | $254–$5,536 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$227–$2,823 | $227–$2,823 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,116 | $2,116 | 3.9× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 2 matching MRF lines |
$2,208–$4,627 | $2,208–$4,627 | varies |
| Renal Cyst Study (74470) | $7,017 | $7,017 | 12.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$227–$3,574 | $227–$3,574 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $11,960 | $11,960 | 29.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $7,114 | $7,114 | 17.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $13,572 | $13,572 | 24.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $12,548 | $12,548 | 23.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $10,590 | $10,590 | 19.4× |
| Rp Therapy Intravenous Administration (79101) | $3,581 | $3,581 | 15.3× |
| Salivary Gland Function Study (78232) | $4,631 | $4,631 | 11.5× |
| Salivary Gland Imaging Serial Images (78231) | $3,985 | $3,985 | 9.9× |
| Scapula (73010) range across 6 matching MRF lines |
$227–$1,652 | $227–$1,652 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$227–$1,686 | $227–$1,686 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$227–$1,878 | $227–$1,878 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$1,408–$4,652 | $1,408–$4,652 | varies |
| Sialogram (70390) | $2,993 | $2,993 | 12.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$227–$2,281 | $227–$2,281 | varies |
| Special dosimetry (77331) | $1,525 | $1,525 | 11.3× |
| Special Physics Consult (77370) | $2,788 | $2,788 | 20.6× |
| Special teletherapy port plan (77321) | $3,539 | $3,539 | 9.4× |
| Special treatment procedure (77470) | $10,523 | $10,523 | 19.0× |
| Speech evaluation, complex (70371) | $1,681 | $1,681 | 7.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$227–$2,271 | $227–$2,271 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,049 | $4,049 | 10.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,998 | $2,998 | 8.0× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$2,508–$3,690 | $2,508–$3,690 | varies |
| Testicular Imaging W/Flow (78761) | $4,098 | $4,098 | 10.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $6,956 | $6,956 | 18.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $5,424 | $5,424 | 14.4× |
| Ther rad simulaj-aided field setting simple (77280) | $5,025 | $5,025 | 37.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,334 | $3,334 | 18.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$227–$2,061 | $227–$2,061 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$227–$3,249 | $227–$3,249 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$227–$2,061 | $227–$2,061 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $4,418 | $4,418 | 11.0× |
| Thyroid Imaging With Vascular Flow (78013) | $5,936 | $5,936 | 14.8× |
| Thyroid Met Imaging Body (78018) | $6,947 | $6,947 | 12.7× |
| Thyroid Uptake Measurement (78012) | $4,828 | $4,828 | 12.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,272 | $4,272 | 10.6× |
| Tx Devices Design & Construction Complex (77334) | $7,389 | $7,389 | 19.6× |
| Tx devices design & construction intermediate (77333) | $3,553 | $3,553 | 26.3× |
| Tx devices design & construction simple (77332) | $1,785 | $1,785 | 13.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,345–$2,017 | $1,345–$2,017 | varies |
| Ultrasound elastography first target lesion (76982) | $427 | $427 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $1,615 | $1,615 | 15.4× |
| Ultrasound Exam Aaa Screen (76706) | $3,183 | $3,183 | 30.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$3,236–$4,682 | $3,236–$4,682 | varies |
| Umbilical-artery Doppler (OB) (76820) | $604 | $604 | 5.8× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$227–$5,998 | $227–$5,998 | varies |
| Unlisted fluoroscopic procedure (76496) | $1,821 | $1,821 | 20.8× |
| Unlisted magnetic resonance procedure (76498) | $4,070 | $4,070 | 46.6× |
| Unlisted us procedure (76999) | $279 | $279 | 3.2× |
| Upper gi w/o kub (74240) | $2,587 | $2,587 | 14.7× |
| Ureteral Reflux Study (78740) | $3,815 | $3,815 | 9.5× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$4,026–$4,170 | $4,026–$4,170 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$7,933–$8,222 | $7,933–$8,222 | varies |
| Us bone density measurement (76977) | $589 | $589 | 5.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$2,687–$4,030 | $2,687–$4,030 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$2,360–$3,119 | $2,360–$3,119 | varies |
| Us complete joint (76881) | $2,558 | $2,558 | 24.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,862–$2,459 | $1,862–$2,459 | varies |
| Us head (76506) | $6,212 | $6,212 | 59.2× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$3,232–$3,236 | $3,232–$3,236 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,705–$1,706 | $1,705–$1,706 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,496–$2,820 | $1,496–$2,820 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$1,939–$5,628 | $1,939–$5,628 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,912–$2,610 | $1,912–$2,610 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$4,235–$5,846 | $4,235–$5,846 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$2,272–$2,905 | $2,272–$2,905 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$1,444–$2,205 | $1,444–$2,205 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$3,432–$4,957 | $3,432–$4,957 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,701–$3,183 | $2,701–$3,183 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$4,137–$4,138 | $4,137–$4,138 | varies |
| Us spinal canal and contents (76800) | $3,714 | $3,714 | 35.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$2,718–$3,638 | $2,718–$3,638 | varies |
| Us transrectal (76872) | $3,737 | $3,737 | 35.6× |
| Vascular Flow Imaging (78445) | $2,087 | $2,087 | 5.2× |
| Vasogram (74440) | $2,277 | $2,277 | 9.5× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$6,019–$6,817 | $6,019–$6,817 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,488 | $7,488 | 2.4× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$6,166–$6,473 | $6,166–$6,473 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$6,712–$7,415 | $6,712–$7,415 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$3,310–$7,451 | $3,310–$7,451 | varies |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$2,031–$6,150 | $2,031–$6,150 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$6,199–$6,967 | $6,199–$6,967 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$5,631–$5,998 | $5,631–$5,998 | varies |
| Venous thrombosis imaging (78457) | $2,473 | $2,473 | 4.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,482 | $3,482 | 8.7× |
| Vertebral fracture assessment via dxa (77086) | $1,586 | $1,586 | 18.1× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$227–$1,614 | $227–$1,614 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$227–$2,394 | $227–$2,394 | varies |
| X-ray antegrade pyelogram tube (74425) | $3,890 | $3,890 | 11.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$8,335–$8,876 | $8,335–$8,876 | varies |
| X-Ray Bend Only L-S Spine (72120) | $254 | $254 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$227–$2,186 | $227–$2,186 | varies |
| X-Ray Exam Breast Specimen (76098) | $914 | $914 | 1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,394 | $2,394 | 27.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$2,394–$3,509 | $2,394–$3,509 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $3,606 | $3,606 | 41.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $3,974 | $3,974 | 45.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $7,951 | $7,951 | 75.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$254–$4,094 | $254–$4,094 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$227–$2,232 | $227–$2,232 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$254–$3,728 | $254–$3,728 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$227–$3,926 | $227–$3,926 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,517–$2,037 | $1,517–$2,037 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$227–$2,273 | $227–$2,273 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$5,893–$18,041 | $5,893–$18,041 | varies |
| X-ray IV pyelogram+tomography (74415) | $7,907 | $7,907 | 44.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$227–$1,355 | $227–$1,355 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$227–$2,567 | $227–$2,567 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$227–$3,667 | $227–$3,667 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$227–$2,090 | $227–$2,090 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$254–$4,318 | $254–$4,318 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$227–$2,610 | $227–$2,610 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$227–$1,956 | $227–$1,956 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$227–$2,506 | $227–$2,506 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$254–$3,387 | $254–$3,387 | varies |
| X-ray thoracic spine 4 vw (72074) | $3,269 | $3,269 | 31.1× |
| X-Ray Tmj Unilat (70328) | $2,052 | $2,052 | 23.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$2,732–$2,833 | $2,732–$2,833 | varies |
| X-Rays Bone Length Studies (77073) | $3,729 | $3,729 | 35.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$254–$7,088 | $254–$7,088 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$254–$3,856 | $254–$3,856 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$227–$2,394 | $227–$2,394 | varies |
| Xr myelogram posterior fossa (70010) | $1,030 | $1,030 | 2.9× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$227–$2,394 | $227–$2,394 | varies |
| Xr Tomogram Single Plane (76100) | $4,626 | $4,626 | 44.0× |
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.