Imaging prices at Loma Linda University Medical Center-murrieta
Murrieta, CA · every code in this section with a posted price and a Medicare benchmark.
385 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) range across 2 matching MRF lines |
$228.15–$242.55 | $507–$539 | varies |
| Abdomen 2 views (74019) | $334.35 | $743 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,077.30 | $2,394 | 2.1× |
| Adrenal Cortex & Medulla Img (78075) | $1,349.10 | $2,998 | 0.8× |
| Angio internal mammary (75756) | $1,534.50 | $3,410 | 0.4× |
| Angio pulmonary bilat (75743) | $2,728.80 | $6,064 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,728.80 | $6,064 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,728.80 | $6,064 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,728.80 | $6,064 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,728.80 | $6,064 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $945 | $2,100 | 0.2× |
| Ankle 2 views (73600) | $246.15 | $547 | 2.2× |
| Aortography thoracic serialography rs&i (75605) | $4,023 | $8,940 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,281.85 | $7,293 | 0.8× |
| Artery X-Rays Abdomen (75726) | $4,093.20 | $9,096 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $2,726.10 | $6,058 | 0.7× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,728.80 | $6,064 | 0.4× |
| Artery X-Rays Spine (75705) | $3,852 | $8,560 | 0.5× |
| Arthrogram ankle (73615) | $519.75 | $1,155 | 1.2× |
| Arthrogram hip (73525) | $585.45 | $1,301 | 1.3× |
| Arthrogram Wrist (73115) | $710.10 | $1,578 | 1.6× |
| Bone age studies (77072) | $289.80 | $644 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,280.70 | $2,846 | 2.5× |
| Bone Imaging Limited Area (78300) | $741.15 | $1,647 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,153.35 | $2,563 | 2.2× |
| Bone marrow imaging limited area (78102) | $583.65 | $1,297 | 1.1× |
| Bone survey infant (77076) | $203.40 | $452 | 1.5× |
| Brain Flow Imaging Only (78610) | $677.25 | $1,505 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $849.15 | $1,887 | 1.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $566.55 | $1,259 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,173.85 | $7,053 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$2,555.55–$2,584.35 | $5,679–$5,743 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$2,770.65–$7,168.50 | $6,157–$15,930 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$399.60–$850.05 | $888–$1,889 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $710.10 | $1,578 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $1,170.45 | $2,601 | 1.7× |
| Chest 1 view (71045) | $342 | $760 | 3.1× |
| Chest 2 views (71046) | $374.85 | $833 | 3.3× |
| Chest 3 views (71047) | $414.90 | $922 | 3.7× |
| Chest 4 or more views (71048) | $450.90 | $1,002 | 3.4× |
| Cholecystography Oral Contrast (74290) | $223.65 | $497 | 1.0× |
| Clavicle complete (73000) | $249.30 | $554 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $108.45 | $241 | 0.8× |
| Continuing medical physics consltj pr wk (77336) | $592.20 | $1,316 | 3.4× |
| Contrast Exam Abdominl Aorta (75625) | $2,682.45 | $5,961 | 0.7× |
| Contrast X-Ray Bladder (74430) | $625.05 | $1,389 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $327.60 | $728 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $790.65 | $1,757 | 1.8× |
| Corpora cavernosography (74445) | $773.55 | $1,719 | 5.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,672.65–$1,937.70 | $3,717–$4,306 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,193.40–$1,611.45 | $2,652–$3,581 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$962.55–$1,348.20 | $2,139–$2,996 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,102.95–$1,577.25 | $2,451–$3,505 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$809.10–$1,199.25 | $1,798–$2,665 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,302.30–$1,710.90 | $2,894–$3,802 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,189.35–$1,646.10 | $2,643–$3,658 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,446.75–$1,928.25 | $3,215–$4,285 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$733.50–$1,448.10 | $1,630–$3,218 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,553.40–$1,928.25 | $3,452–$4,285 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $255.15 | $567 | 1.1× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,300.05–$1,582.20 | $2,889–$3,516 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,207.80–$1,483.20 | $2,684–$3,296 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,358.10–$1,630.80 | $3,018–$3,624 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,193.40–$1,473.30 | $2,652–$3,274 | varies |
| CT colonography screening (74263) range across 4 matching MRF lines |
$527.40–$939.60 | $1,172–$2,088 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$1,567.80–$2,525.85 | $3,484–$5,613 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$541.80–$1,417.95 | $1,204–$3,151 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,234.35–$1,333.80 | $2,743–$2,964 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,379.25–$1,493.55 | $3,065–$3,319 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$541.80–$1,062 | $1,204–$2,360 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$243–$541.80 | $540–$1,204 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,062–$1,840.50 | $2,360–$4,090 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,307.25–$1,351.80 | $2,905–$3,004 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,221.30–$1,231.20 | $2,714–$2,736 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,124.55–$1,147.50 | $2,499–$2,550 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,094.85–$1,136.70 | $2,433–$2,526 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$955.80–$963 | $2,124–$2,140 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,347.75–$1,469.70 | $2,995–$3,266 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,116–$1,358.10 | $2,480–$3,018 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$939.60–$1,143.45 | $2,088–$2,541 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,181.25–$1,513.35 | $2,625–$3,363 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,217.25–$1,233 | $2,705–$2,740 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,094.85–$1,130.40 | $2,433–$2,512 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,135.35–$1,221.75 | $2,523–$2,715 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,108.35–$1,147.50 | $2,463–$2,550 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,246.50–$1,351.80 | $2,770–$3,004 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,011.60–$1,044 | $2,248–$2,320 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,302.30–$1,939.50 | $2,894–$4,310 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,212.30–$1,750.50 | $2,694–$3,890 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $507.60 | $1,128 | 1.1× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,212.30–$1,393.65 | $2,694–$3,097 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $374.85 | $833 | 1.2× |
| Dilation ureters/urethra rs&i (74485) | $5,331.15 | $11,847 | 2.0× |
| Discography Cerv/Thor Spine (72285) | $2,670.75 | $5,935 | 1.1× |
| Diskography lumbar (72295) | $2,670.75 | $5,935 | 1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $798.30 | $1,774 | 5.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,016.10 | $2,258 | 7.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $432 | $960 | 3.2× |
| Echo exam of fetal heart (76825) | $1,553.85 | $3,453 | 2.2× |
| Echo exam uterus (76831) | $447.75 | $995 | 1.5× |
| Echo Guide For Artery Repair (76936) | $738.90 | $1,642 | 2.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $882.90 | $1,962 | 2.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$259.65–$442.80 | $577–$984 | varies |
| Fetal Biophys Profile W/Nst (76818) | $712.80 | $1,584 | 5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $335.70 | $746 | 2.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $697.95 | $1,551 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $251.10 | $558 | 0.8× |
| Follow-Up Angiography (75898) | $814.95 | $1,811 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$229.05–$323.10 | $509–$718 | varies |
| Forearm 2 views (73090) | $264.15 | $587 | 2.4× |
| Gastric emptying imaging study (78264) | $1,036.35 | $2,303 | 2.0× |
| Gastroesophageal Reflux Exam (78262) | $698.40 | $1,552 | 1.4× |
| Gastrointestinal Protein Loss (78282) | $554.85 | $1,233 | 1.1× |
| Gated Heart Planar Single (78472) | $1,165.50 | $2,590 | 2.3× |
| GI Endoscopic US S&I (76975) | $609.75 | $1,355 | 2.0× |
| Hand 2 views (73120) | $203.85 | $453 | 1.5× |
| Heart first pass single,planar (78481) | $583.65 | $1,297 | 0.8× |
| Heart Image (Pet) Multiple (78492) | $2,372.85 | $5,273 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,281.85 | $7,293 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,770.65 | $6,157 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $429.75 | $955 | 0.6× |
| Hepatobiliary System Imaging (78226) | $1,068.75 | $2,375 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $958.95 | $2,131 | 0.6× |
| Ht Muscle Image Spect Sing (78451) | $958.95 | $2,131 | 0.6× |
| Hysterosalpingogram (74740) | $880.65 | $1,957 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $1,327.05 | $2,949 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,314.45 | $2,921 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,208.70 | $2,686 | 1.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $630.90 | $1,402 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $897.30 | $1,994 | 1.7× |
| Knee 3 Views (73562) | $455.85 | $1,013 | 4.1× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $669.60 | $1,488 | 1.3× |
| Leveen/Shunt Patency Exam (78291) | $500.85 | $1,113 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $732.15 | $1,627 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $967.50 | $2,150 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,827 | $4,060 | 2.6× |
| Lung perfusion differential (78597) | $1,303.20 | $2,896 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,069.20 | $2,376 | 1.5× |
| Lung Ventilation Imaging (78579) | $657.90 | $1,462 | 1.3× |
| Lymph System Imaging (78195) | $1,082.25 | $2,405 | 1.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,091.70 | $2,426 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $773.55 | $1,719 | 1.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,162.35 | $2,583 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $774.90 | $1,722 | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,543.85–$2,604.15 | $5,653–$5,787 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $1,831.50 | $4,070 | 8.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,584.45 | $3,521 | 2.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $1,831.50 | $4,070 | 8.1× |
| Magnetic Resonance Elastography (76391) | $751.95 | $1,671 | 2.5× |
| Mammary ductogram or galactogram multiple (77054) | $510.30 | $1,134 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $465.30 | $1,034 | 1.5× |
| Meckels Divert Exam (78290) | $883.80 | $1,964 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $38.70 | $86 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,821.50–$3,852.90 | $6,270–$8,562 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$2,351.70–$4,597.20 | $5,226–$10,216 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,633.85–$3,297.60 | $5,853–$7,328 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,633.85–$3,595.50 | $5,853–$7,990 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,912.40–$3,791.70 | $6,472–$8,426 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$2,542.95–$4,387.05 | $5,651–$9,749 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,925.55–$2,418.75 | $4,279–$5,375 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,738.80–$2,109.15 | $3,864–$4,687 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,667.70–$1,698.75 | $3,706–$3,775 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$769.50–$2,682.90 | $1,710–$5,962 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$736.20–$2,891.25 | $1,636–$6,425 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,904.40–$2,183.85 | $4,232–$4,853 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,939.50–$1,981.80 | $4,310–$4,404 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$2,358.90–$4,883.85 | $5,242–$10,853 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,154.15–$5,493.60 | $4,787–$12,208 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,573.65–$1,998.90 | $3,497–$4,442 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,234.25–$2,333.70 | $4,965–$5,186 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,510.10–$2,766.15 | $5,578–$6,147 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,974.60–$2,255.40 | $4,388–$5,012 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,642.50–$1,802.25 | $3,650–$4,005 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,245.50–$2,317.50 | $4,990–$5,150 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,667.25–$2,317.50 | $3,705–$5,150 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,523.15–$2,781 | $5,607–$6,180 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,667.25–$2,109.15 | $3,705–$4,687 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,563.30–$1,879.65 | $3,474–$4,177 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,566–$1,733.40 | $3,480–$3,852 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,039.85–$2,127.15 | $4,533–$4,727 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,781–$3,128.85 | $6,180–$6,953 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,550.15–$2,730.15 | $5,667–$6,067 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,550.15–$2,723.40 | $5,667–$6,052 | varies |
| Myelogram cervical (72240) | $1,100.70 | $2,446 | 1.1× |
| Myelogram Lumbar (72265) | $639 | $1,420 | 0.6× |
| Myelography thoracic (72255) | $951.75 | $2,115 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $861.75 | $1,915 | 0.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $583.65 | $1,297 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,283.85 | $2,853 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,523.70 | $3,386 | 0.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,370.70 | $3,046 | 0.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,370.70 | $3,046 | 0.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,137.95 | $4,751 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,613.15 | $5,807 | 0.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,042.65 | $2,317 | 0.9× |
| Neck soft tissue (70360) | $203.40 | $452 | 1.8× |
| Nm csf leak detection (78650) | $715.50 | $1,590 | 0.4× |
| Nm red cell survival study (78130) | $611.10 | $1,358 | 1.2× |
| Nm whole blood volume (78122) | $810.90 | $1,802 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $917.10 | $2,038 | 6.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,577.25 | $3,505 | 5.3× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$373.50–$392.40 | $830–$872 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $211.05 | $469 | 1.6× |
| Optic foramina (70190) | $257.40 | $572 | 2.3× |
| Panoramic X-ray of jaws (70355) | $229.05 | $509 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $586.35 | $1,303 | 0.8× |
| Pelvis 1 or 2 views (72170) | $282.60 | $628 | 2.1× |
| Peritoneogram Rs&I (74190) | $1,352.25 | $3,005 | 1.9× |
| Pet Image Skull-Thigh (78812) | $3,411.45 | $7,581 | 1.9× |
| Pet Image W/Ct Lmtd (78814) | $3,315.15 | $7,367 | 1.8× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,906.45–$4,741.65 | $8,681–$10,537 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,815.10 | $8,478 | 2.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,437.10 | $7,638 | 2.1× |
| Pet Myocardial Sngl Study (78491) | $2,060.55 | $4,579 | 1.1× |
| PET whole body (78813) | $4,547.25 | $10,105 | 2.5× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $589.95 | $1,311 | 0.4× |
| Platelet survival study Non-Facility (78191) | $344.70 | $766 | 0.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,281.85 | $7,293 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $866.25 | $1,925 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $461.25 | $1,025 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $811.35 | $1,803 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $331.65 | $737 | 3.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $200.25 | $445 | 1.8× |
| Radex elbow complete minimum 3 views (73080) | $331.65 | $737 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $488.70 | $1,086 | 3.6× |
| Radex fingr minimum 2 views (73140) | $238.05 | $529 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $310.50 | $690 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $294.75 | $655 | 2.6× |
| Radex lower extremity infant minimum 2 views (73592) | $295.65 | $657 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $311.40 | $692 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $325.35 | $723 | 2.9× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $295.20 | $656 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $329.85 | $733 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $518.85 | $1,153 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $260.10 | $578 | 2.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $515.25 | $1,145 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $253.35 | $563 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $262.80 | $584 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $469.80 | $1,044 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $220.50 | $490 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $300.60 | $668 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $307.35 | $683 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $821.25 | $1,825 | 6.1× |
| Radiation treatment delivery level 1 (77402) | $423 | $940 | 3.2× |
| Radiation treatment delivery level 2 (77407) | $380.25 | $845 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $948.60 | $2,108 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $439.65 | $977 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $431.10 | $958 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $741.15 | $1,647 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $575.55 | $1,279 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $259.65 | $577 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $431.55 | $959 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $455.85 | $1,013 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $585.45 | $1,301 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $593.55 | $1,319 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$259.65–$504.45 | $577–$1,121 | varies |
| Radiologic examination femur 1 view (73551) | $198.90 | $442 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $294.75 | $655 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $266.85 | $593 | 2.4× |
| Radiologic Examination Salivary Gland Calculus (70380) | $117.90 | $262 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $271.80 | $604 | 2.4× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $190.35 | $423 | 0.3× |
| Radiopharm Dacryocystography (78660) | $416.70 | $926 | 0.8× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $475.65 | $1,057 | 1.6× |
| Renal Cyst Study (74470) | $789.30 | $1,754 | 1.1× |
| Ribs bilateral 3 views (71110) | $411.30 | $914 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $635.85 | $1,413 | 1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $406.80 | $904 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,439.55 | $3,199 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,814.40 | $4,032 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,359 | $3,020 | 1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,370.70 | $3,046 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,208.70 | $2,686 | 0.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,890.70 | $8,646 | 13.0× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$359.55–$1,124.55 | $799–$2,499 | varies |
| Salivary Gland Imaging (78230) | $500.85 | $1,113 | 1.0× |
| Scapula (73010) | $271.80 | $604 | 2.0× |
| Sella turcica (70240) | $145.80 | $324 | 1.3× |
| Shoulder 1 view (73020) | $258.75 | $575 | 2.3× |
| Shoulder Arthrography (73040) | $597.60 | $1,328 | 1.3× |
| Sialogram (70390) | $373.50 | $830 | 1.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$302.85–$527.85 | $673–$1,173 | varies |
| Special dosimetry (77331) | $790.20 | $1,756 | 4.6× |
| Special treatment procedure (77470) | $1,984.05 | $4,409 | 2.8× |
| Speech evaluation, complex (70371) | $387.45 | $861 | 1.3× |
| Sternoclavicular joints (71130) | $277.65 | $617 | 2.5× |
| Superior sagittal sinus venogram (75870) | $1,399.05 | $3,109 | 0.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $517.05 | $1,149 | 1.7× |
| Testicular Imaging W/Flow (78761) | $475.65 | $1,057 | 0.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $401.40 | $892 | 1.8× |
| Thoracic spine 2 views (72070) | $262.80 | $584 | 2.0× |
| Thoracic spine 3 views (72072) | $331.65 | $737 | 2.5× |
| Thoracolumbar 2 views (72080) | $300.60 | $668 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $517.95 | $1,151 | 1.0× |
| Thyroid Met Imaging Body (78018) | $1,357.20 | $3,016 | 1.9× |
| Thyroid Uptake Measurement (78012) | $346.05 | $769 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $853.20 | $1,896 | 1.7× |
| Ultrasound elastography first target lesion (76982) | $435.60 | $968 | 3.2× |
| Ultrasound Elastography Parenchyma (76981) | $435.60 | $968 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $184.05 | $409 | 1.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $293.40 | $652 | 0.7× |
| Ultrasound, abdomen limited (76705) | $877.95 | $1,951 | 6.5× |
| Umbilical-artery Doppler (OB) (76820) | $197.55 | $439 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$306.90–$534.15 | $682–$1,187 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,202.40–$1,423.80 | $2,672–$3,164 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$259.65–$455.40 | $577–$1,012 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $191.70 | $426 | 17.3× |
| Urea breath test c-14 isotopic analysis (78268) | $204.30 | $454 | 2.2× |
| Ureteral Reflux Study (78740) | $726.30 | $1,614 | 1.4× |
| Urethrocystogram voiding (74455) | $621.45 | $1,381 | 2.0× |
| Urethrocystography retrograde (74450) | $568.80 | $1,264 | 1.9× |
| Us chest (76604) | $572.85 | $1,273 | 4.3× |
| Us complete joint (76881) | $641.25 | $1,425 | 4.8× |
| Us exam, pelvic, limited (76857) | $526.50 | $1,170 | 3.9× |
| Us head (76506) | $487.80 | $1,084 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $641.25 | $1,425 | 4.8× |
| Us ob detailed single fetus (76811) | $719.55 | $1,599 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $464.40 | $1,032 | 3.5× |
| Us ob transvaginal (76817) | $333.90 | $742 | 2.5× |
| Us pelvic non ob complete (76856) | $830.70 | $1,846 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $847.35 | $1,883 | 6.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $926.55 | $2,059 | 6.9× |
| Us retroperitoneal complete (76770) | $1,015.20 | $2,256 | 7.6× |
| Us retroperitoneal limited (76775) | $554.85 | $1,233 | 4.1× |
| Us scrotum and contents (76870) | $720.45 | $1,601 | 5.4× |
| Us spinal canal and contents (76800) | $504 | $1,120 | 3.7× |
| Us thyroid (76536) | $636.30 | $1,414 | 4.7× |
| Us transrectal (76872) | $828.45 | $1,841 | 6.2× |
| Vascular Flow Imaging (78445) | $467.10 | $1,038 | 0.9× |
| Vein X-Ray Chest (75827) | $1,718.55 | $3,819 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,563.30 | $3,474 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $1,399.05 | $3,109 | 1.7× |
| Venogram Sinus/Jugular (75860) | $916.65 | $2,037 | 0.2× |
| Venography Adrenal Unilateral (75840) | $3,281.85 | $7,293 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,726.10 | $6,058 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $815.40 | $1,812 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $820.80 | $1,824 | 0.4× |
| Venography Orbital Rs&I (75880) | $2,034.45 | $4,521 | 2.5× |
| Venography Renal Bilateral (75833) | $384.75 | $855 | 0.1× |
| Venography Renal Unilateral (75831) | $2,568.15 | $5,707 | 0.6× |
| Venous sampling by catheter (75893) | $4,089.15 | $9,087 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $522 | $1,160 | 1.0× |
| Wrist 2 views (73100) | $261 | $580 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $277.65 | $617 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $1,001.70 | $2,226 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,682.45 | $5,961 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $474.75 | $1,055 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $258.75 | $575 | 2.3× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$697.50–$740.70 | $1,550–$1,646 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $287.10 | $638 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $405 | $900 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $659.25 | $1,465 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $284.85 | $633 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $398.25 | $885 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $614.25 | $1,365 | 4.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $440.10 | $978 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $650.70 | $1,446 | 4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $683.55 | $1,519 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) | $688.50 | $1,530 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $358.65 | $797 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $585.90 | $1,302 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $166.95 | $371 | 1.2× |
| X-ray eye for foreign body (70030) | $331.20 | $736 | 3.0× |
| X-ray humerus (73060) | $247.05 | $549 | 2.2× |
| X-ray IV pyelogram (ivp) (74400) | $761.85 | $1,693 | 3.4× |
| X-ray IV pyelogram+tomography (74415) | $682.20 | $1,516 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.85 | $553 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $207.45 | $461 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$108.45–$546.30 | $241–$1,214 | varies |
| X-ray nose-rectum child f.b. (76010) | $216 | $480 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $166.95 | $371 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $287.10 | $638 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $305.10 | $678 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $387 | $860 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $324.90 | $722 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $355.05 | $789 | 2.6× |
| X-Ray Tmj Unilat (70328) | $231.75 | $515 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $755.10 | $1,678 | 1.7× |
| X-Rays Bone Length Studies (77073) | $310.95 | $691 | 2.3× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$917.10–$971.10 | $2,038–$2,158 | varies |
| Xr c-spine 4 or 5 views (72050) | $583.65 | $1,297 | 4.3× |
| Xr facial bones less than 3 views (70140) | $271.80 | $604 | 2.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $209.25 | $465 | 1.6× |
| Xr orbits complete 4 views (70200) | $338.85 | $753 | 2.5× |
| Xr Tomogram Single Plane (76100) | $389.25 | $865 | 2.9× |
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.