Imaging prices at Los Alamos Medical Center
Los Alamos, NM · every code in this section with a posted price and a Medicare benchmark.
204 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 |
$407.17–$443.82 | $678.62–$739.70 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$517.85–$564.46 | $863.08–$940.76 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,333.25–$1,453.24 | $2,222.08–$2,422.07 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$362.26–$437.39 | $603.76–$728.98 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,210–$1,318.90 | $2,016.66–$2,198.16 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$492.79–$537.14 | $821.31–$895.23 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,130.37–$2,322.11 | $3,550.62–$3,870.18 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,975.50–$2,153.30 | $3,292.50–$3,588.83 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,665.96–$2,905.89 | $4,443.26–$4,843.15 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$508.67–$554.45 | $847.78–$924.08 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$375.25–$409.02 | $625.41–$681.70 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$499.75–$544.72 | $832.91–$907.87 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$639.91–$697.51 | $1,066.52–$1,162.51 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$781.19–$851.50 | $1,301.98–$1,419.16 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$460.31–$501.77 | $767.19–$836.29 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$492.69–$537.03 | $821.15–$895.05 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$857.45–$934.63 | $1,429.09–$1,557.71 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,357.87–$6,930.08 | $10,596.45–$11,550.13 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,724.01–$5,149.17 | $7,873.35–$8,581.95 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,601.61–$3,925.75 | $6,002.68–$6,542.92 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,238.92–$4,620.43 | $7,064.87–$7,700.71 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,149–$3,432.41 | $5,248.34–$5,720.69 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,348.97–$3,451.57 | $5,581.62–$5,752.61 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,304.26–$3,601.64 | $5,507.10–$6,002.74 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,857.33–$4,204.49 | $6,428.89–$7,007.49 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$2,126.63–$2,318.02 | $3,544.38–$3,863.37 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,572.17–$3,893.67 | $5,953.62–$6,489.45 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$4,054.06–$4,418.92 | $6,756.76–$7,364.87 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,395.59–$3,701.20 | $5,659.32–$6,168.66 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,606.69–$3,931.29 | $6,011.15–$6,552.15 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$4,274.45–$4,659.16 | $7,124.09–$7,765.26 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,725.63–$2,970.93 | $4,542.71–$4,951.55 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,752.87–$4,090.63 | $6,254.78–$6,817.71 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$407.17–$443.82 | $678.62–$739.70 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,808.58–$4,151.35 | $6,347.63–$6,918.92 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,739.02–$2,985.53 | $4,565.04–$4,975.89 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,278.91–$3,574.01 | $5,464.85–$5,956.69 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$4,053.35–$4,418.15 | $6,755.59–$7,363.59 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,395.60–$3,701.20 | $5,659.33–$6,168.67 | varies |
| CT maxillofacial w contrast (70487) | $853.87 | $1,423.11 | 4.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,635.88–$1,783.11 | $2,726.47–$2,971.85 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,959.90–$4,316.29 | $6,599.83–$7,193.81 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$4,064.70–$4,430.53 | $6,774.50–$7,384.21 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,217.95–$3,507.56 | $5,363.25–$5,845.94 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$4,523.92–$4,931.08 | $7,539.87–$8,218.46 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,149.02–$3,432.43 | $5,248.36–$5,720.71 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$4,210.91–$4,589.90 | $7,018.19–$7,649.83 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,316.44–$3,614.92 | $5,527.40–$6,024.87 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,720.81–$2,965.69 | $4,534.69–$4,942.81 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,395.64–$3,701.25 | $5,659.40–$6,168.75 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,992.70–$3,262.04 | $4,987.83–$5,436.73 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$3,122.60–$3,403.64 | $5,204.34–$5,672.73 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$3,674.80–$4,005.53 | $6,124.67–$6,675.89 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,857.65–$4,204.84 | $6,429.42–$7,008.07 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,000.38–$4,360.42 | $6,667.30–$7,267.36 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$492.68–$537.02 | $821.13–$895.03 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$923.84–$1,006.99 | $1,539.73–$1,678.31 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,214.75–$1,324.08 | $2,024.59–$2,206.80 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$957.11–$1,043.26 | $1,595.19–$1,738.76 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$346.87–$417.59 | $578.11–$695.99 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$409.21–$645.41 | $682.02–$1,075.69 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,797.73–$3,049.52 | $4,662.88–$5,082.54 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$3,054.22–$3,329.09 | $5,090.36–$5,548.49 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$506.20–$563.18 | $843.67–$938.64 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$4,036.73–$4,400.03 | $6,727.88–$7,333.39 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$4,037–$4,400.33 | $6,728.34–$7,333.89 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,738.79–$1,895.29 | $2,897.99–$3,158.81 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,925.32–$3,188.60 | $4,875.54–$5,314.34 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,303.43–$2,510.74 | $3,839.05–$4,184.56 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$555.76–$605.79 | $926.27–$1,009.65 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$2,251.68–$2,454.33 | $3,752.80–$4,090.55 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$716.98–$781.51 | $1,194.96–$1,302.51 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$2,332.91–$2,542.87 | $3,888.18–$4,238.12 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,185.62–$2,382.32 | $3,642.70–$3,970.54 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,497.87–$1,632.68 | $2,496.45–$2,721.13 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,024.23–$2,206.40 | $3,373.71–$3,677.34 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,419.88–$1,547.67 | $2,366.47–$2,579.45 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$5,090.39–$5,548.52 | $8,483.98–$9,247.54 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,239.26–$4,620.80 | $7,065.44–$7,701.33 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$5,090.33–$5,548.46 | $8,483.89–$9,247.44 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$4,523.92–$4,931.08 | $7,539.87–$8,218.46 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$4,553.48–$5,367.11 | $7,589.14–$8,945.18 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,484.93–$4,888.58 | $7,474.89–$8,147.63 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$5,517.08–$6,013.62 | $9,195.14–$10,022.70 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$5,174.84–$5,640.58 | $8,624.74–$9,400.97 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$6,122.50–$6,673.52 | $10,204.16–$11,122.53 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$5,275.56–$5,750.36 | $8,792.60–$9,583.93 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$4,908.41–$5,350.16 | $8,180.68–$8,916.94 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$4,155.70–$4,529.71 | $6,926.16–$7,549.51 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$5,254.98–$5,727.93 | $8,758.30–$9,546.55 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,254.98–$5,727.93 | $8,758.30–$9,546.55 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,793.05–$5,224.43 | $7,988.42–$8,707.38 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,769.80–$5,199.08 | $7,949.66–$8,665.13 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,793.05–$5,224.42 | $7,988.41–$8,707.37 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$4,908.41–$5,350.16 | $8,180.68–$8,916.94 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$5,090.54–$5,548.69 | $8,484.24–$9,247.82 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$4,238.96–$4,620.46 | $7,064.93–$7,700.77 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$5,322.13–$5,801.12 | $8,870.21–$9,668.53 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$5,090.31–$5,548.44 | $8,483.85–$9,247.40 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$5,090.36–$5,548.49 | $8,483.94–$9,247.49 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,878.63–$4,227.70 | $6,464.38–$7,046.17 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$4,238.86–$4,620.35 | $7,064.76–$7,700.59 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$4,439.59–$5,164.81 | $7,399.32–$8,608.01 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$5,090.54–$5,548.69 | $8,484.24–$9,247.82 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$5,090.35–$5,548.69 | $8,483.91–$9,247.82 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$5,090.54–$5,548.69 | $8,484.24–$9,247.82 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,224.71–$4,604.94 | $7,041.19–$7,674.90 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$5,470.52–$5,962.87 | $9,117.53–$9,938.11 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$5,090.39–$5,548.52 | $8,483.98–$9,247.54 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$7,558.39–$8,238.65 | $12,597.32–$13,731.08 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$407.22–$443.87 | $678.70–$739.78 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,101.47–$1,200.60 | $1,835.78–$2,001 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,717.92–$1,872.53 | $2,863.20–$3,120.89 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$425.94–$464.27 | $709.90–$773.79 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$646.80–$705.01 | $1,078–$1,175.02 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$453.79–$500.41 | $756.31–$834.01 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$351.92–$394.87 | $586.53–$658.11 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$469.42–$511.66 | $782.36–$852.77 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$752.29–$819.99 | $1,253.81–$1,366.65 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$422.24–$460.25 | $703.74–$767.08 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$459.09–$548.60 | $765.15–$914.34 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$412.10–$469.34 | $686.84–$782.23 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$481.03–$524.32 | $801.72–$873.87 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$575.42–$627.21 | $959.04–$1,045.35 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$625.50–$681.80 | $1,042.50–$1,136.33 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$456.02–$497.06 | $760.03–$828.43 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$366.19–$399.15 | $610.32–$665.25 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$614.10–$669.37 | $1,023.50–$1,115.62 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$351.39–$383.02 | $585.65–$638.36 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$254.69–$277.61 | $424.49–$462.69 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$353.67–$385.50 | $589.45–$642.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$500.41–$718.84 | $834.01–$1,198.06 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$646.73–$704.94 | $1,077.89–$1,174.90 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$646.80–$705.01 | $1,078–$1,175.02 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,620.50–$1,766.35 | $2,700.84–$2,943.92 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,265.70–$1,379.62 | $2,109.50–$2,299.36 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$620.31–$676.15 | $1,033.85–$1,126.92 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$802.47–$874.69 | $1,337.45–$1,457.82 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$716.93–$781.46 | $1,194.89–$1,302.43 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,121.01–$1,221.90 | $1,868.35–$2,036.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$265.86–$542.77 | $443.10–$904.61 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$407.18–$443.83 | $678.63–$739.71 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$432.52–$478.19 | $720.87–$796.99 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$1,178.15–$1,284.19 | $1,963.59–$2,140.31 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,165.04–$2,359.90 | $3,608.40–$3,933.16 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,920.64–$3,273.61 | $4,867.73–$5,456.01 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$452.62–$493.35 | $754.36–$822.25 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$76.03–$82.87 | $126.72–$138.12 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$342.05–$372.84 | $570.09–$621.40 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,144.04–$1,247 | $1,906.73–$2,078.34 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$535.91–$584.15 | $893.19–$973.58 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$553.79–$603.63 | $922.98–$1,006.05 | varies |
| Tbs technical calculation only (77091) | $172.26 | $287.10 | 1.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$669.19–$729.42 | $1,115.32–$1,215.70 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$731.06–$796.86 | $1,218.44–$1,328.10 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$1,710.05–$1,863.95 | $2,850.08–$3,106.59 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$843.85–$919.79 | $1,406.41–$1,532.99 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$492.65–$536.99 | $821.08–$894.98 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$492.68–$537.02 | $821.13–$895.03 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$941.61–$1,026.35 | $1,569.35–$1,710.59 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$722.84–$1,003.28 | $1,204.74–$1,672.14 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$908.21–$989.95 | $1,513.69–$1,649.92 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$987.41–$1,076.27 | $1,645.68–$1,793.79 | varies |
| Us head (76506) range across 2 matching MRF lines |
$623.84–$679.99 | $1,039.73–$1,133.31 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,364.65–$1,487.47 | $2,274.42–$2,479.12 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$533.80–$620.96 | $889.67–$1,034.94 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,128.55–$1,230.12 | $1,880.92–$2,050.20 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$636.31–$693.58 | $1,060.51–$1,155.96 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,047.31–$1,141.57 | $1,745.52–$1,902.62 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,128.47–$1,230.04 | $1,880.79–$2,050.06 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,040.16–$1,133.77 | $1,733.60–$1,889.62 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,006.16–$1,096.71 | $1,676.93–$1,827.85 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$934.65–$1,080.70 | $1,557.75–$1,801.16 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$877.27–$956.23 | $1,462.12–$1,593.71 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$794.60–$866.12 | $1,324.34–$1,443.53 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$128.50–$140.07 | $214.17–$233.45 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$989.46–$1,078.51 | $1,649.10–$1,797.52 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$260–$283.40 | $433.33–$472.33 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$351.92–$394.87 | $586.53–$658.11 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$353.01–$384.78 | $588.35–$641.30 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$406.94–$443.99 | $678.23–$739.98 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$476.33–$734.09 | $793.89–$1,223.48 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$668.13–$1,776.70 | $1,113.55–$2,961.16 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$478.66–$537.02 | $797.76–$895.04 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$265.86–$646.93 | $443.10–$1,078.21 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$650–$708.50 | $1,083.34–$1,180.84 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$337.05–$507.95 | $561.75–$846.58 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$992.03–$1,081.31 | $1,653.38–$1,802.18 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$669.19–$729.42 | $1,115.32–$1,215.70 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,086.86–$1,184.68 | $1,811.43–$1,974.46 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$638.26–$695.71 | $1,063.77–$1,159.51 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$452.84–$493.63 | $754.73–$822.72 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,249.79–$1,362.27 | $2,082.98–$2,270.45 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,753.57–$1,911.40 | $2,922.62–$3,185.66 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$436.70–$476.01 | $727.84–$793.35 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$639.35–$696.89 | $1,065.58–$1,161.48 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$693.73–$756.16 | $1,156.21–$1,260.27 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$593.97–$647.43 | $989.95–$1,079.05 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$468.89–$511.09 | $781.48–$851.81 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$752.69–$820.43 | $1,254.48–$1,367.38 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,072.44–$1,168.96 | $1,787.40–$1,948.27 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,173.25–$1,278.84 | $1,955.41–$2,131.40 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,002.70–$1,092.95 | $1,671.17–$1,821.58 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$616.16–$671.61 | $1,026.93–$1,119.35 | varies |
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.