Imaging prices at Madera Community Hospital
Madera, CA · every code in this section with a posted price and a Medicare benchmark.
301 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) | $102.55 | $170.91 | 0.9× |
| Abdomen 2 views (74019) | $102.55 | $170.91 | 0.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,124.80 | $5,208 | 6.1× |
| Adrenal Cortex & Medulla Img (78075) | $2,293.12 | $3,821.87 | 1.4× |
| Angio pulmonary bilat (75743) | $4,594.80 | $7,658 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $6,324 | $10,540 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,973.40 | $8,289 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,786.60 | $6,311 | 0.9× |
| Ankle 2 views (73600) | $426 | $710 | 3.8× |
| Aortography thoracic serialography rs&i (75605) | $6,800.40 | $11,334 | 1.0× |
| Artery X-Rays Abdomen (75726) | $7,052.40 | $11,754 | 1.0× |
| Arthrogram ankle (73615) | $531.68 | $886.14 | 1.2× |
| Arthrogram hip (73525) | $1,267.80 | $2,113 | 2.8× |
| Arthrogram Wrist (73115) | $831 | $1,385 | 1.9× |
| Bone age studies (77072) | $458.40 | $764 | 3.4× |
| Bone Imaging 3 Phase (78315) | $1,900.80 | $3,168 | 3.7× |
| Bone Imaging Limited Area (78300) | $944.40 | $1,574 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $1,960.80 | $3,268 | 3.8× |
| Bone Imaging Whole Body (78306) | $1,936.80 | $3,228 | 3.8× |
| Bone marrow imaging; multiple areas (78103) | $584.96 | $974.94 | 1.1× |
| Bone marrow imaging; whole body (78104) | $1,150.80 | $1,918 | 2.2× |
| Bone survey infant (77076) | $158.25 | $263.75 | 1.2× |
| Brain Flow Imaging Only (78610) | $1,313.56 | $2,189.27 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,414.80 | $2,358 | 2.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $595.01 | $991.68 | 0.9× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $723.81 | $1,206.35 | 1.0× |
| Cardiac Shunt Detection (78428) | $1,804.80 | $3,008 | 3.5× |
| Cat Scan Follow-Up Study (76380) | $1,116 | $1,860 | 10.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,818 | $3,030 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $927 | $1,545 | 1.3× |
| Chest 1 view (71045) | $102.55 | $170.91 | 0.9× |
| Chest 2 views (71046) | $102.55 | $170.91 | 0.9× |
| Chest 3 views (71047) | $102.55 | $170.91 | 0.9× |
| Chest 4 or more views (71048) | $102.55 | $170.91 | 0.8× |
| Clavicle complete (73000) | $530.40 | $884 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $150 | $250 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $6,199.80 | $10,333 | 1.5× |
| Contrast X-Ray Bladder (74430) | $642 | $1,070 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $595.94 | $993.24 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $618.60 | $1,031 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $184.82 | $308.04 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,359.20 | $8,932 | 11.9× |
| CT abdomen and pelvis without contrast (74176) | $3,979.80 | $6,633 | 13.0× |
| CT abdomen w contrast (74160) | $3,355.80 | $5,593 | 14.9× |
| CT abdomen w wo contrast (74170) | $3,881.40 | $6,469 | 17.2× |
| CT abdomen w/o contrast (74150) | $3,047.40 | $5,079 | 22.7× |
| CT Angio Chest (71275) | $3,355.80 | $5,593 | 14.9× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$900–$3,246 | $1,500–$5,410 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$900–$3,281.40 | $1,500–$5,469 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$493.55–$2,744.40 | $822.58–$4,574 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,006 | $5,010 | 13.3× |
| CT cervical spine w/ contrast (72126) | $2,638.80 | $4,398 | 5.9× |
| CT cervical spine w/o contrast (72125) | $3,354 | $5,590 | 24.9× |
| CT cervical spine w/wo cont (72127) | $3,018.60 | $5,031 | 13.4× |
| CT chest w contrast (71260) | $4,252.80 | $7,088 | 18.9× |
| CT chest w/wo contrast (71270) | $2,678.40 | $4,464 | 11.9× |
| CT head/brain with contrast (70460) | $2,692.80 | $4,488 | 11.9× |
| CT head/brain without and with contrast (70470) | $3,517.80 | $5,863 | 15.6× |
| CT iac w contrast (70481) | $3,204 | $5,340 | 14.2× |
| CT lower ext w/o (73700) | $2,328 | $3,880 | 17.3× |
| CT lower extremity w/contrast material (73701) | $3,379.20 | $5,632 | 15.0× |
| CT lumbar spine w contrast (72132) | $3,378.60 | $5,631 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $2,882.40 | $4,804 | 21.4× |
| CT maxillofacial w contrast (70487) | $2,985 | $4,975 | 13.2× |
| CT maxillofacial wo contrast (70486) | $2,473.20 | $4,122 | 18.4× |
| CT neck tissue combo (70492) | $2,464.20 | $4,107 | 10.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,231.60 | $5,386 | 14.3× |
| CT orbits w/o contrast (70480) | $2,626.20 | $4,377 | 19.5× |
| CT pelvis w&w/o contrast (72194) | $2,676.60 | $4,461 | 11.9× |
| CT pelvis w/o contrast (72192) | $2,940 | $4,900 | 21.9× |
| CT scans face/jaw combo (70488) | $2,319.60 | $3,866 | 10.3× |
| CT soft tissue neck w contrast (70491) | $3,960.60 | $6,601 | 17.6× |
| CT soft tissue neck w/o contrast (70490) | $3,090.60 | $5,151 | 23.0× |
| CT thoracic spine w contrast (72129) | $3,902.40 | $6,504 | 17.3× |
| CT thoracic spine w/o contrast (72128) | $3,208.20 | $5,347 | 23.9× |
| CT thoracic spine w/wo cont (72130) | $3,080.40 | $5,134 | 13.7× |
| CT thorax w/o contrast (71250) | $2,892.60 | $4,821 | 21.5× |
| CT upper ext wo (73200) | $2,116.20 | $3,527 | 15.7× |
| CT upper extremity with contrast (73201) | $2,406 | $4,010 | 5.4× |
| Cta Abdomen (74175) | $3,481.20 | $5,802 | 15.4× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$900–$2,131.80 | $1,500–$3,553 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $836.22 | $1,393.70 | 2.7× |
| Esophagram (74220) | $713.40 | $1,189 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $838.80 | $1,398 | 6.2× |
| Fluoroscopy up to 1 hr (76000) | $815.40 | $1,359 | 2.7× |
| Foot 2 views (73620) | $441 | $735 | 3.9× |
| Forearm 2 views (73090) | $540 | $900 | 4.8× |
| Gastric emptying imaging study (78264) | $2,143.80 | $3,573 | 4.2× |
| Gastric Mucosa Imaging (78261) | $564.39 | $940.65 | 1.1× |
| Gastroesophageal Reflux Exam (78262) | $564.39 | $940.65 | 1.1× |
| Gastrointestinal Protein Loss (78282) | $564.39 | $940.65 | 1.1× |
| Gated Heart Planar Single (78472) | $1,695.60 | $2,826 | 3.3× |
| Gated Heart, Multiple (78473) | $2,074.80 | $3,458 | 4.0× |
| Hand 2 views (73120) | $406.20 | $677 | 3.0× |
| Heart first pass single,planar (78481) | $956.40 | $1,594 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,601.60 | $4,336 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,864.80 | $3,108 | 3.6× |
| Ht Musc Image Planar Mult (78454) | $3,483 | $5,805 | 2.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,142.80–$3,395.40 | $5,238–$5,659 | varies |
| Hysterosalpingogram (74740) | $1,392.05 | $2,320.09 | 4.5× |
| K Flow/Funct Image Multiple (78709) | $636 | $1,060 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $1,551 | $2,585 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,222.20 | $2,037 | 1.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $952.20 | $1,587 | 1.9× |
| Kidney Imaging Morphol (78700) | $756.63 | $1,261.05 | 1.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,276.80 | $2,128 | 2.5× |
| Knee 3 Views (73562) | $555 | $925 | 5.0× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $847.39 | $1,412.32 | 1.6× |
| Leveen/Shunt Patency Exam (78291) | $2,390.40 | $3,984 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,865.40 | $3,109 | 3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,058.60 | $3,431 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $810 | $1,350 | 1.2× |
| Lung Ventilation Imaging (78579) | $1,644.60 | $2,741 | 3.2× |
| Lymph System Imaging (78195) | $1,912.80 | $3,188 | 2.7× |
| Mammary ductogram or galactogram multiple (77054) | $442.27 | $737.12 | 1.4× |
| Mammary ductogram or galactogram single (77053) | $772.20 | $1,287 | 2.5× |
| Meckels Divert Exam (78290) | $2,685.60 | $4,476 | 5.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,683.40 | $6,139 | 8.2× |
| MRA head w/o contrast (70544) | $3,109.20 | $5,182 | 10.1× |
| MRA neck w contrast (70548) | $4,617.60 | $7,696 | 10.3× |
| MRA neck w/o contrast (70547) | $3,308.40 | $5,514 | 10.8× |
| MRI abdomen w/o contrast (74181) | $3,454.80 | $5,758 | 11.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,008.60 | $6,681 | 8.9× |
| MRI brain functional w/o physician admnistration (70554) | $2,964.60 | $4,941 | 9.7× |
| MRI cervical spine w contrast (72142) | $4,351.20 | $7,252 | 9.7× |
| MRI cervical spine w/o cont (72141) | $3,240 | $5,400 | 10.6× |
| MRI chest w/o contrast (71550) | $1,473 | $2,455 | 4.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$600–$3,148.20 | $1,000–$5,247 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,188.60 | $6,981 | 9.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,861 | $6,435 | 8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,708.40 | $4,514 | 8.8× |
| MRI lumbar spine w contrast (72149) | $3,589.80 | $5,983 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,103.60 | $8,506 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,749.20 | $4,582 | 9.0× |
| MRI orbit face neck w contrast (70542) | $4,972.20 | $8,287 | 11.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,089.20 | $8,482 | 11.3× |
| MRI pelvis w contrast (72196) | $3,318.60 | $5,531 | 7.4× |
| MRI pelvis w/o & w contrast (72197) | $4,492.20 | $7,487 | 10.0× |
| MRI pelvis w/o contrast (72195) | $360 | $600 | 1.2× |
| MRI thoracic spine w/o contrast (72146) | $2,892 | $4,820 | 9.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,047.80 | $3,413 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,583 | $4,305 | 8.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,858.60 | $6,431 | 8.6× |
| MRI, abdomen, combo (74183) | $4,305 | $7,175 | 9.6× |
| MRI, dorsal spine combo (72157) | $5,649.60 | $9,416 | 12.6× |
| MRI, dorsal spine contrast (72147) | $4,829.40 | $8,049 | 10.8× |
| MRI, joint upper extrem (73221) | $2,619.60 | $4,366 | 8.5× |
| MRI, joint upper extrem combo (73223) | $4,279.80 | $7,133 | 9.5× |
| MRI, lumbar spine combo (72158) | $4,743 | $7,905 | 10.6× |
| Myelogram cervical (72240) | $1,061.62 | $1,769.37 | 1.1× |
| Myelogram Lumbar (72265) | $1,061.62 | $1,769.37 | 1.1× |
| Myelography thoracic (72255) | $1,125.32 | $1,875.53 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $2,638.80 | $4,398 | 2.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,813.80 | $3,023 | 3.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,142.80 | $5,238 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,993.60 | $6,656 | 2.4× |
| Neck soft tissue (70360) | $453 | $755 | 4.0× |
| Nm csf leak detection (78650) | $4,775.40 | $7,959 | 2.9× |
| Nm myocard infarct spect (78469) | $3,441 | $5,735 | 4.9× |
| Nm red cell survival study (78130) | $847.39 | $1,412.32 | 1.6× |
| Nuclear Rx Oral Admin (79005) | $1,020 | $1,700 | 3.4× |
| Parathyroid Planar Imaging (78070) | $1,293 | $2,155 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $636 | $1,060 | 1.2× |
| Pelvis 1 or 2 views (72170) | $480.60 | $801 | 3.6× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $847.39 | $1,412.32 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,352.40 | $2,254 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $906 | $1,510 | 6.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $608.40 | $1,014 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $554.40 | $924 | 5.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $417.60 | $696 | 3.7× |
| Radex elbow complete minimum 3 views (73080) | $537.60 | $896 | 4.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $712.20 | $1,187 | 5.3× |
| Radex fingr minimum 2 views (73140) | $435 | $725 | 3.9× |
| Radex foot complete minimum 3 views (73630) | $582.60 | $971 | 5.2× |
| Radex Hand Minimum 3 Views (73130) | $570 | $950 | 5.1× |
| Radex lower extremity infant minimum 2 views (73592) | $89.96 | $149.93 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $401.35 | $668.91 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $458.40 | $764 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $521.40 | $869 | 4.7× |
| Radex shoulder complete minimum 2 views (73030) | $574.80 | $958 | 5.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $400.80 | $668 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $445.20 | $742 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $419.40 | $699 | 3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $493.80 | $823 | 4.4× |
| Radex Toe Minimum 2 Views (73660) | $393.60 | $656 | 3.5× |
| Radex upper extremity infant minimum 2 views (73092) | $89.96 | $149.93 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $557.40 | $929 | 5.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $345.55 | $575.91 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $102.55 | $170.91 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $826.80 | $1,378 | 3.7× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$120–$890.40 | $200–$1,484 | varies |
| Radiologic exam knee complete 4/more views (73564) | $520.20 | $867 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $463.20 | $772 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,098 | $1,830 | 4.9× |
| Radiologic exam swallow function contrast study (74230) | $842.40 | $1,404 | 3.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $216.24 | $360.40 | 1.0× |
| Radiologic examination femur 1 view (73551) | $109.44 | $182.40 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $109.44 | $182.40 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $418.20 | $697 | 3.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $684 | $1,140 | 5.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $108.68 | $181.14 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $460.20 | $767 | 4.1× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $847.39 | $1,412.32 | 1.6× |
| Renal Cyst Study (74470) | $652.20 | $1,087 | 0.9× |
| Ribs bilateral 3 views (71110) | $540.60 | $901 | 4.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $856.80 | $1,428 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$808.80–$1,253.15 | $1,348–$2,088.58 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,253.15 | $2,088.58 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,376 | $3,960 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$566.31–$2,097.60 | $943.85–$3,496 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,253.15 | $2,088.58 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $856.20 | $1,427 | 2.9× |
| Salivary Gland Imaging (78230) | $564.39 | $940.65 | 1.1× |
| Salivary Gland Imaging Serial Images (78231) | $564.39 | $940.65 | 1.1× |
| Scapula (73010) | $490.80 | $818 | 3.7× |
| Sella turcica (70240) | $108.68 | $181.14 | 1.0× |
| Shoulder 1 view (73020) | $448.80 | $748 | 4.0× |
| Shoulder Arthrography (73040) | $921.60 | $1,536 | 2.1× |
| Sialogram (70390) | $442.27 | $737.12 | 1.4× |
| Skull less than 4 views (70250) | $422.40 | $704 | 3.1× |
| Sternoclavicular joints (71130) | $373.20 | $622 | 3.3× |
| Testicular Imaging W/Flow (78761) | $756.63 | $1,261.05 | 1.5× |
| Thoracic spine 2 views (72070) | $489 | $815 | 3.6× |
| Thoracic spine 3 views (72072) | $685.80 | $1,143 | 5.1× |
| Thoracolumbar 2 views (72080) | $564.60 | $941 | 5.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,460.40 | $2,434 | 2.8× |
| Thyroid Met Imaging Body (78018) | $2,086.80 | $3,478 | 3.0× |
| Thyroid Uptake Measurement (78012) | $521.40 | $869 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,189.20 | $1,982 | 2.3× |
| Ultrasound Breast Limited (76642) | $429 | $715 | 3.8× |
| Ultrasound, abdomen limited (76705) | $1,349.40 | $2,249 | 10.0× |
| Unlisted Dx Radiographic Procedure (76499) | $60 | $100 | 0.5× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $756.63 | $1,261.05 | 1.5× |
| Unlisted magnetic resonance procedure (76498) | $3,852 | $6,420 | 34.4× |
| Unlisted us procedure (76999) | $1,023 | $1,705 | 9.1× |
| Upper gi w/o kub (74240) | $216.24 | $360.40 | 1.0× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $561 | $935 | 50.7× |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$201–$636 | $335–$1,060 | varies |
| Ureteral Reflux Study (78740) | $756.63 | $1,261.05 | 1.5× |
| Urethrocystogram voiding (74455) | $768 | $1,280 | 2.5× |
| Urethrocystography retrograde (74450) | $745.80 | $1,243 | 2.4× |
| Us breast unilateral complete (76641) | $624 | $1,040 | 4.6× |
| Us chest (76604) | $740.40 | $1,234 | 5.5× |
| Us complete joint (76881) | $583.80 | $973 | 4.3× |
| Us exam, pelvic, limited (76857) | $612.60 | $1,021 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$479.40–$740.88 | $799–$1,234.80 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,077.60 | $1,796 | 8.0× |
| Us ob transvaginal (76817) | $925.20 | $1,542 | 6.9× |
| Us pelvic non ob complete (76856) | $1,160.40 | $1,934 | 8.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$180–$1,050.60 | $300–$1,751 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $386.40 | $644 | 2.9× |
| Us retroperitoneal complete (76770) | $1,048.20 | $1,747 | 7.8× |
| Us retroperitoneal limited (76775) | $745.20 | $1,242 | 5.5× |
| Us scrotum and contents (76870) | $1,108.20 | $1,847 | 8.2× |
| Us thyroid (76536) | $950.40 | $1,584 | 7.1× |
| Vascular Flow Imaging (78445) | $467.96 | $779.93 | 0.9× |
| Vein X-Ray Chest (75827) | $2,154 | $3,590 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $4,952.40 | $8,254 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $3,547.80 | $5,913 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $1,999.20 | $3,332 | 1.0× |
| Venous thrombosis imaging (78457) | $467.96 | $779.93 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $467.96 | $779.93 | 0.9× |
| Wrist 2 views (73100) | $433.20 | $722 | 3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $397.80 | $663 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $2,415.35 | $4,025.59 | 5.4× |
| X-Ray Aorta Leg Arteries (75630) | $7,048.20 | $11,747 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $420.60 | $701 | 3.8× |
| X-Ray Exam Breast Specimen (76098) | $977.40 | $1,629 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $109.44 | $182.40 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $181.24 | $302.07 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $345.55 | $575.91 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $109.44 | $182.40 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $109.44 | $182.40 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $181.24 | $302.07 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $181.20 | $302 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $181.20 | $302 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $345.60 | $576 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $462 | $770 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $725.40 | $1,209 | 5.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $734.40 | $1,224 | 5.5× |
| X-ray eye for foreign body (70030) | $408 | $680 | 3.6× |
| X-ray humerus (73060) | $570 | $950 | 5.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,081.80 | $1,803 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $408.32 | $680.54 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $487.20 | $812 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $529.20 | $882 | 3.9× |
| X-ray nose-rectum child f.b. (76010) | $442.27 | $737.12 | 4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $856.80 | $1,428 | 6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $476.40 | $794 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $616.80 | $1,028 | 5.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $456.60 | $761 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $597 | $995 | 4.4× |
| X-Ray Stress View (77071) | $344.40 | $574 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $595.80 | $993 | 4.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $733.20 | $1,222 | 1.6× |
| X-Rays Bone Length Studies (77073) | $544.20 | $907 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $994.80 | $1,658 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $834 | $1,390 | 6.2× |
| Xr facial bones less than 3 views (70140) | $383.40 | $639 | 3.4× |
| Xr orbits complete 4 views (70200) | $300 | $500 | 2.2× |
| Xr Tomogram Single Plane (76100) | $170.62 | $284.36 | 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.