Imaging prices at Legacy Silverton Medical Center
Silverton, OR · every code in this section with a posted price and a Medicare benchmark.
320 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) | $144.30 | $222 | 1.5× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$191.10–$256.75 | $294–$395 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $627.90 | $966 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $344.50 | $530 | 0.1× |
| Ankle 2 views (73600) | $97.50 | $150 | 1.0× |
| Arthrogram ankle (73615) | $349.05 | $537 | 0.9× |
| Arthrogram hip (73525) | $462.15 | $711 | 1.2× |
| Arthrogram Wrist (73115) | $507.65 | $781 | 1.3× |
| Bone age studies (77072) | $178.10 | $274 | 1.5× |
| Bone Imaging 3 Phase (78315) | $624 | $960 | 1.4× |
| Bone Imaging Limited Area (78300) | $313.95 | $483 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $542.75 | $835 | 1.2× |
| Bone Imaging Whole Body (78306) | $542.75 | $835 | 1.2× |
| Bone marrow imaging; whole body (78104) | $879.45 | $1,353 | 2.0× |
| Bone survey infant (77076) | $178.10 | $274 | 1.5× |
| Brain Flow Imaging Only (78610) | $724.75 | $1,115 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $243.75 | $375 | 2.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,053 | $1,620 | 1.7× |
| Cerebrospinal Fluid Scan (78630) | $885.95 | $1,363 | 1.5× |
| Chest 1 view (71045) | $281.45 | $433 | 2.9× |
| Chest 2 views (71046) | $216.45 | $333 | 2.2× |
| Chest 3 views (71047) range across 3 matching MRF lines |
$187.85–$495.30 | $289–$762 | varies |
| Chest 4 or more views (71048) | $252.20 | $388 | 2.1× |
| Clavicle complete (73000) | $97.50 | $150 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $212.55 | $327 | 1.8× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$310.70–$351 | $478–$540 | varies |
| Contrast X-Ray Of Elbow (73085) | $445.25 | $685 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $306.80 | $472 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $685.10 | $1,054 | 1.7× |
| CT abdomen and pelvis without contrast (74176) | $520.65 | $801 | 1.9× |
| CT abdomen w contrast (74160) | $622.05 | $957 | 3.2× |
| CT abdomen w wo contrast (74170) | $685.10 | $1,054 | 3.5× |
| CT abdomen w/o contrast (74150) | $256.75 | $395 | 2.2× |
| CT Angio Abdomen and Pelvis (74174) | $805.35 | $1,239 | 2.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$637.65–$1,049.75 | $981–$1,615 | varies |
| CT Angio Head (70496) | $851.50 | $1,310 | 4.3× |
| CT angio hrt w/3d image (75574) | $701.35 | $1,079 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$642.20–$1,311.05 | $988–$2,017 | varies |
| CT Angio Neck (70498) | $885.30 | $1,362 | 4.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $598.65 | $921 | 3.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,130.35 | $1,739 | 5.7× |
| CT cervical spine w/ contrast (72126) | $907.40 | $1,396 | 2.3× |
| CT cervical spine w/o contrast (72125) | $336.05 | $517 | 2.9× |
| CT cervical spine w/wo cont (72127) | $1,058.85 | $1,629 | 5.4× |
| CT chest w contrast (71260) | $622.05 | $957 | 3.2× |
| CT chest w/wo contrast (71270) | $685.10 | $1,054 | 3.5× |
| CT colonography screening (74263) | $629.85 | $969 | 2.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $803.40 | $1,236 | 4.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $548.60 | $844 | 4.7× |
| CT head/brain with contrast (70460) | $622.05 | $957 | 3.2× |
| CT head/brain without and with contrast (70470) | $685.10 | $1,054 | 3.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $598.65 | $921 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $49.40 | $76 | 0.5× |
| CT hrt w/3d image congen (75573) | $988 | $1,520 | 2.5× |
| CT iac w contrast (70481) | $622.05 | $957 | 3.2× |
| CT l-spine w&w/o contrast (72133) | $1,058.85 | $1,629 | 5.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$331.50–$495.30 | $510–$762 | varies |
| CT lower extremity w/contrast material (73701) | $622.05 | $957 | 3.2× |
| CT lumbar spine w contrast (72132) | $1,123.85 | $1,729 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $332.80 | $512 | 2.8× |
| CT maxillofacial w contrast (70487) | $622.05 | $957 | 3.2× |
| CT maxillofacial wo contrast (70486) | $356.20 | $548 | 3.0× |
| CT neck tissue combo (70492) | $685.10 | $1,054 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $685.10 | $1,054 | 3.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$442–$521.95 | $680–$803 | varies |
| CT pelvis w&w/o contrast (72194) | $685.10 | $1,054 | 3.5× |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$256.75–$915.20 | $395–$1,408 | varies |
| CT scan of leg combo (73702) | $685.10 | $1,054 | 3.5× |
| CT scans face/jaw combo (70488) | $685.10 | $1,054 | 3.5× |
| CT soft tissue neck w contrast (70491) | $622.05 | $957 | 3.2× |
| CT soft tissue neck w/o contrast (70490) | $330.20 | $508 | 2.8× |
| CT thoracic spine w contrast (72129) | $622.05 | $957 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $332.80 | $512 | 2.8× |
| CT thoracic spine w/wo cont (72130) | $1,096.55 | $1,687 | 5.6× |
| CT thorax w/o contrast (71250) | $331.50 | $510 | 2.8× |
| CT unlisted procedure (76497) | $200.85 | $309 | 2.1× |
| CT upper ext wo (73200) | $330.20 | $508 | 2.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,378 | $2,120 | 7.0× |
| CT upper extremity with contrast (73201) | $622.05 | $957 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $742.30 | $1,142 | 3.8× |
| Cta Abdomen (74175) | $643.50 | $990 | 3.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,986.75 | $4,595 | 7.6× |
| CTA pelvis (72191) | $642.20 | $988 | 3.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $353.60 | $544 | 3.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$176.80–$213.20 | $272–$328 | varies |
| Dxa bone density study (77085) | $553.15 | $851 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $260 | $400 | 2.7× |
| Echo exam uterus (76831) | $412.10 | $634 | 1.5× |
| Echo Guide For Artery Repair (76936) | $1,361.75 | $2,095 | 5.6× |
| Esophagram (74220) | $253.50 | $390 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $471.25 | $725 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$474.50–$512.20 | $730–$788 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$345.80–$635.05 | $532–$977 | varies |
| Foot 2 views (73620) | $97.50 | $150 | 1.0× |
| Forearm 2 views (73090) | $97.50 | $150 | 1.0× |
| Gastric emptying imaging study (78264) | $542.75 | $835 | 1.2× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,156.35 | $1,779 | 2.6× |
| Gated Heart Planar Single (78472) | $542.75 | $835 | 1.2× |
| Gated Heart, Multiple (78473) | $1,164.15 | $1,791 | 2.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,540.50 | $2,370 | 2.5× |
| Hand 2 views (73120) | $99.45 | $153 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $969.80 | $1,492 | 1.6× |
| Hepatobiliary System Imaging (78226) | $708.50 | $1,090 | 1.6× |
| Ht Musc Image Planar Mult (78454) | $2,282.80 | $3,512 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,864.20 | $2,868 | 1.3× |
| Hysterosalpingogram (74740) | $415.35 | $639 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $513.50 | $790 | 5.3× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$259.35–$319.15 | $399–$491 | varies |
| Joint Survey Single View (77077) | $74.75 | $115 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $627.90 | $966 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $702.65 | $1,081 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $702.65 | $1,081 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $523.25 | $805 | 1.2× |
| Knee 3 Views (73562) | $92.95 | $143 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $702 | $1,080 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $939.90 | $1,446 | 2.1× |
| Liver imaging static only (78201) | $859.95 | $1,323 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $702.65 | $1,081 | 1.2× |
| Lung perfusion differential (78597) | $1,519.05 | $2,337 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $702.65 | $1,081 | 1.2× |
| Lung Ventilation Imaging (78579) | $568.75 | $875 | 1.3× |
| Lymph System Imaging (78195) | $702.65 | $1,081 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $594.10 | $914 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $355.55 | $547 | 1.3× |
| Meckels Divert Exam (78290) | $627.90 | $966 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $18.20 | $28 | 0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $67.60 | $104 | 0.6× |
| Mr safety implt pos&/immoblj (76019) | $44.20 | $68 | 0.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $178.10 | $274 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,425.45 | $2,193 | 3.6× |
| MRA head w/o contrast (70544) | $944.45 | $1,453 | 3.5× |
| MRA head with contrast (70545) | $977.60 | $1,504 | 2.5× |
| MRA neck w contrast (70548) | $1,006.85 | $1,549 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,427.40 | $2,196 | 3.6× |
| MRA neck w/o contrast (70547) | $975.65 | $1,501 | 3.6× |
| MRI abdomen w contrast (74182) | $789.75 | $1,215 | 2.0× |
| MRI abdomen w/o contrast (74181) | $642.20 | $988 | 2.4× |
| MRI any jt lower extrem w/contrast material (73722) | $804.05 | $1,237 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,237.60 | $1,904 | 3.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,141.40 | $1,756 | 1.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,276.30 | $3,502 | 8.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,566.50 | $2,410 | 5.8× |
| MRI cardiac w/o contrast (75557) | $1,016.60 | $1,564 | 3.8× |
| MRI cervical spine w contrast (72142) | $1,292.85 | $1,989 | 3.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$458.25–$729.30 | $705–$1,122 | varies |
| MRI chest w/o contrast (71550) | $816.40 | $1,256 | 3.0× |
| MRI chest wo w contrast (71552) | $1,137.50 | $1,750 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $943.15 | $1,451 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $967.85 | $1,489 | 2.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $715.65 | $1,101 | 2.7× |
| MRI lumbar spine w contrast (72149) | $1,123.85 | $1,729 | 2.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,487.20 | $2,288 | 3.8× |
| MRI orbit face &/neck w/o contrast (70540) | $806 | $1,240 | 3.0× |
| MRI orbit face neck w contrast (70542) | $1,751.10 | $2,694 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,421.55 | $2,187 | 3.6× |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$794.95–$1,440.40 | $1,223–$2,216 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$958.10–$2,759.90 | $1,474–$4,246 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$725.40–$1,440.40 | $1,116–$2,216 | varies |
| MRI thoracic spine w/o contrast (72146) | $674.70 | $1,038 | 2.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $993.20 | $1,528 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $827.45 | $1,273 | 3.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,236.30 | $1,902 | 3.2× |
| MRI, abdomen, combo (74183) | $1,236.30 | $1,902 | 3.2× |
| MRI, dorsal spine combo (72157) | $1,236.30 | $1,902 | 3.2× |
| MRI, dorsal spine contrast (72147) | $1,123.85 | $1,729 | 2.9× |
| MRI, joint upper extrem (73221) | $711.10 | $1,094 | 2.7× |
| MRI, joint upper extrem combo (73223) | $1,235 | $1,900 | 3.2× |
| MRI, lumbar spine combo (72158) | $1,236.30 | $1,902 | 3.2× |
| Myelogram cervical (72240) | $237.25 | $365 | 0.3× |
| Myelogram Lumbar (72265) | $237.25 | $365 | 0.3× |
| Myelography thoracic (72255) | $237.25 | $365 | 0.3× |
| Myelograpy 2/more regions rs&i (72270) | $352.30 | $542 | 0.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,185.95 | $3,363 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $1,864.20 | $2,868 | 1.3× |
| Neck soft tissue (70360) | $108.55 | $167 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $278.20 | $428 | 0.6× |
| Nm csf leak detection (78650) | $939.90 | $1,446 | 0.6× |
| Nm myocard infarct spect (78469) | $811.85 | $1,249 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $185.25 | $285 | 1.6× |
| Nuclear Rx Oral Admin (79005) | $475.15 | $731 | 1.8× |
| Ob us nuchal meas 1 gest (76813) | $866.45 | $1,333 | 7.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,702.35 | $2,619 | 2.8× |
| Parathyroid Planar Imaging (78070) | $542.75 | $835 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,547 | $2,380 | 3.4× |
| Pelvis 1 or 2 views (72170) | $92.95 | $143 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $542.75 | $835 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $204.75 | $315 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $400.40 | $616 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $92.95 | $143 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $97.50 | $150 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $92.30 | $142 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $178.10 | $274 | 1.5× |
| Radex fingr minimum 2 views (73140) | $80.60 | $124 | 0.8× |
| Radex foot complete minimum 3 views (73630) | $75.40 | $116 | 0.8× |
| Radex Hand Minimum 3 Views (73130) | $76.70 | $118 | 0.8× |
| Radex lower extremity infant minimum 2 views (73592) | $97.50 | $150 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $97.50 | $150 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $73.45 | $113 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) | $92.95 | $143 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $81.25 | $125 | 0.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $499.20 | $768 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $97.50 | $150 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $97.50 | $150 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $97.50 | $150 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $105.30 | $162 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $112.45 | $173 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $91 | $140 | 0.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $892.45 | $1,373 | 7.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $178.10 | $274 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $86.45 | $133 | 0.7× |
| Radiologic exam colon double contrast study (74280) | $413.40 | $636 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $299 | $460 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $102.05 | $157 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $74.75 | $115 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $204.75 | $315 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $204.75 | $315 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$253.50–$264.55 | $390–$407 | varies |
| Radiologic examination femur 1 view (73551) | $170.30 | $262 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $97.50 | $150 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $97.50 | $150 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $228.80 | $352 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $97.50 | $150 | 1.0× |
| Ribs bilateral 3 views (71110) | $92.95 | $143 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $746.85 | $1,149 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $897.65 | $1,381 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $859.95 | $1,323 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $859.95 | $1,323 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$771.55–$1,864.20 | $1,187–$2,868 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$794.95–$999.05 | $1,223–$1,537 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,051.70 | $1,618 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $930.80 | $1,432 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $417.30 | $642 | 1.6× |
| Scapula (73010) | $112.45 | $173 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $89.70 | $138 | 3.8× |
| Shoulder 1 view (73020) | $97.50 | $150 | 1.0× |
| Shoulder Arthrography (73040) | $448.50 | $690 | 1.1× |
| Skull less than 4 views (70250) | $122.20 | $188 | 1.0× |
| Sternoclavicular joints (71130) | $97.50 | $150 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $408.85 | $629 | 2.1× |
| Thoracic spine 2 views (72070) | $194.35 | $299 | 1.7× |
| Thoracic spine 3 views (72072) | $178.10 | $274 | 1.5× |
| Thoracolumbar 2 views (72080) | $97.50 | $150 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $671.45 | $1,033 | 1.5× |
| Thyroid Met Imaging Body (78018) | $982.80 | $1,512 | 1.6× |
| Thyroid Uptake Measurement (78012) | $234 | $360 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $542.75 | $835 | 1.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$414.70–$620.10 | $638–$954 | varies |
| Ultrasound elastography first target lesion (76982) | $484.90 | $746 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $484.90 | $746 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $493.35 | $759 | 4.2× |
| Ultrasound, abdomen limited (76705) | $502.45 | $773 | 4.3× |
| Umbilical-artery Doppler (OB) (76820) | $296.40 | $456 | 2.5× |
| Unlisted Dx Radiographic Procedure (76499) | $554.45 | $853 | 5.7× |
| Unlisted magnetic resonance procedure (76498) | $367.90 | $566 | 3.8× |
| Unlisted us procedure (76999) | $254.15 | $391 | 2.6× |
| Upper gi w/o kub (74240) | $253.50 | $390 | 1.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $94.25 | $145 | 8.5× |
| Urea breath test c-14 isotopic analysis (78268) | $90.35 | $139 | 1.0× |
| Urethrocystogram voiding (74455) | $333.45 | $513 | 1.2× |
| Urethrocystography retrograde (74450) | $415.35 | $639 | 1.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$438.10–$658.45 | $674–$1,013 | varies |
| Us chest (76604) | $411.45 | $633 | 3.5× |
| Us complete joint (76881) | $564.20 | $868 | 4.8× |
| Us exam, pelvic, limited (76857) | $434.20 | $668 | 3.7× |
| Us head (76506) | $502.45 | $773 | 4.3× |
| Us kidney transplant (76776) | $675.35 | $1,039 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $434.20 | $668 | 3.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$272.35–$728 | $419–$1,120 | varies |
| Us ob transvaginal (76817) | $299 | $460 | 2.5× |
| Us pelvic non ob complete (76856) | $564.20 | $868 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $520.65 | $801 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $447.20 | $688 | 3.8× |
| Us retroperitoneal complete (76770) | $522.60 | $804 | 4.5× |
| Us retroperitoneal limited (76775) | $502.45 | $773 | 4.3× |
| Us scrotum and contents (76870) | $539.50 | $830 | 4.6× |
| Us spinal canal and contents (76800) | $719.55 | $1,107 | 6.1× |
| Us thyroid (76536) | $429 | $660 | 3.7× |
| Us transrectal (76872) | $843.05 | $1,297 | 7.2× |
| Venography extremity bilateral rs&i (75822) | $1,048.45 | $1,613 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $767.65 | $1,181 | 0.4× |
| Wrist 2 views (73100) | $97.50 | $150 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $97.50 | $150 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $481.65 | $741 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $117 | $180 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $97.50 | $150 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $529.75 | $815 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $194.35 | $299 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $178.10 | $274 | 1.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $594.75 | $915 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $97.50 | $150 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $97.50 | $150 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $619.45 | $953 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $210.60 | $324 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $306.80 | $472 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $349.70 | $538 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $178.10 | $274 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $92.95 | $143 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $178.10 | $274 | 1.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $178.10 | $274 | 1.5× |
| X-ray eye for foreign body (70030) | $146.25 | $225 | 1.5× |
| X-ray humerus (73060) | $97.50 | $150 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $358.80 | $552 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $61.75 | $95 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $74.75 | $115 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $92.95 | $143 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $147.55 | $227 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $178.10 | $274 | 1.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $189.15 | $291 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $97.50 | $150 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $97.50 | $150 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $141.70 | $218 | 1.2× |
| X-Ray Stress View (77071) | $107.90 | $166 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $74.75 | $115 | 0.6× |
| X-Ray Tmj Unilat (70328) | $204.10 | $314 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $293.80 | $452 | 0.7× |
| X-Rays Bone Length Studies (77073) | $117 | $180 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $178.10 | $274 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $178.10 | $274 | 1.5× |
| Xr facial bones less than 3 views (70140) | $97.50 | $150 | 1.0× |
| Xr orbits complete 4 views (70200) | $148.20 | $228 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.