Imaging prices at Marian Regional Medical Center
Santa Maria, CA · every code in this section with a posted price and a Medicare benchmark.
275 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,005.85 | $7,023 | 1.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$322.29–$374.93 | $753–$876 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$404.89–$468.24 | $946–$1,094 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,319.96 | $3,084 | 2.6× |
| Adrenal Cortex & Medulla Img (78075) | $4,876.64 | $11,394 | 2.9× |
| Angio internal mammary (75756) | $5,143.71 | $12,018 | 1.3× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$5,143.71–$7,790.03 | $12,018–$18,201 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$5,143.71–$7,418.96 | $12,018–$17,334 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,893.09–$4,899.75 | $9,096–$11,448 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,143.71 | $12,018 | 1.3× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,916.01–$5,143.71 | $11,486–$12,018 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $4,761.50 | $11,125 | 1.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$3,970.56–$6,108.42 | $9,277–$14,272 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,886.91–$7,379.15 | $11,418–$17,241 | varies |
| Artery X-Rays Spine (75705) | $6,431.56 | $15,027 | 0.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$285.05–$312.87 | $666–$731 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$387.34–$425.86 | $905–$995 | varies |
| Bone Imaging 3 Phase (78315) | $2,126.31 | $4,968 | 4.1× |
| Bone Imaging Limited Area (78300) | $1,771.92 | $4,140 | 3.4× |
| Bone Imaging Whole Body (78306) | $1,926.86 | $4,502 | 3.7× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$384.35–$425.44 | $898–$994 | varies |
| Brain Flow Imaging Only (78610) | $1,462.91 | $3,418 | 2.1× |
| Brain Image W/Flow < 4 Views (78601) | $948.45 | $2,216 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,941.41 | $4,536 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,082.93 | $11,876 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,011.18 | $4,699 | 4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,462.91 | $3,418 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,941.41 | $4,536 | 2.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$303.46–$374.93 | $709–$876 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$505.90–$580.80 | $1,182–$1,357 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$652.28–$716.05 | $1,524–$1,673 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$772.12–$895.81 | $1,804–$2,093 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $91.60 | $214 | 0.7× |
| Continuing medical physics consltj pr wk (77336) | $312.87 | $731 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,687.65–$4,641.66 | $8,616–$10,845 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$848.73–$885.54 | $1,983–$2,069 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,500.19–$4,038.61 | $8,178–$9,436 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,231.40–$3,366.22 | $7,550–$7,865 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,178.95–$2,498.24 | $5,091–$5,837 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,205.49–$2,312.06 | $5,153–$5,402 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,073.24–$2,365.13 | $4,844–$5,526 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$2,951.92–$3,379.06 | $6,897–$7,895 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,430.62–$2,787.14 | $5,679–$6,512 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$1,916.59–$2,183.66 | $4,478–$5,102 | varies |
| CT angio hrt w/3d image (75574) | $1,002.38 | $2,342 | 2.2× |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,879.78–$2,165.68 | $4,392–$5,060 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$387.77–$403.61 | $906–$943 | varies |
| CT cervical spine w/ contrast (72126) | $2,720.37 | $6,356 | 6.1× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$2,521.35–$2,886.01 | $5,891–$6,743 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$3,417.16–$3,914.92 | $7,984–$9,147 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,319.76–$2,655.32 | $5,420–$6,204 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,594.97–$2,991.72 | $6,063–$6,990 | varies |
| CT colonography screening (74263) | $505.90 | $1,182 | 1.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $448.55 | $1,048 | 2.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $212.72 | $497 | 1.6× |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$2,046.27–$2,338.17 | $4,781–$5,463 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,226.89–$2,560.73 | $5,203–$5,983 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,002.38 | $2,342 | 2.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$245.25–$266.65 | $573–$623 | varies |
| CT hrt w/3d image congen (75573) | $1,002.38 | $2,342 | 2.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,070.24–$2,369.84 | $4,837–$5,537 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$3,172.77–$3,630.73 | $7,413–$8,483 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,584.27–$2,944.22 | $6,038–$6,879 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$2,486.26–$2,845.78 | $5,809–$6,649 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,607.38–$2,989.58 | $6,092–$6,985 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,708.15–$1,955.54 | $3,991–$4,569 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,594.97–$2,991.72 | $6,063–$6,990 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$997.67–$1,147.47 | $2,331–$2,681 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,072.57–$1,222.37 | $2,506–$2,856 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$2,611.23–$2,963.90 | $6,101–$6,925 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,763.79–$2,022.73 | $4,121–$4,726 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$3,664.11–$4,203.39 | $8,561–$9,821 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,319.76–$2,380.97 | $5,420–$5,563 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,648.23–$1,892.62 | $3,851–$4,422 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,378.40–$2,709.24 | $5,557–$6,330 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,288.09–$2,618.94 | $5,346–$6,119 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$3,161.21–$3,462.10 | $7,386–$8,089 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,648.23–$2,777.72 | $3,851–$6,490 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,223.23–$1,402.56 | $2,858–$3,277 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,493.72–$1,707.30 | $3,490–$3,989 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$1,662.78–$1,735.97 | $3,885–$4,056 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,239.11 | $7,568 | 1.2× |
| Discography Cerv/Thor Spine (72285) | $3,076.47 | $7,188 | 1.2× |
| Diskography lumbar (72295) | $3,076.47 | $7,188 | 1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $469.52 | $1,097 | 3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $533.29 | $1,246 | 4.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $148.52 | $347 | 1.1× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$274.35–$469.09 | $641–$1,096 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$128.83–$315.01 | $301–$736 | varies |
| Echo exam of fetal heart (76825) | $1,236.92 | $2,890 | 1.8× |
| Echo exam uterus (76831) | $403.61 | $943 | 1.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $977.13 | $2,283 | 3.2× |
| Esophagram (74220) range across 3 matching MRF lines |
$514.89–$565.82 | $1,203–$1,322 | varies |
| Fetal Biophys Profile W/Nst (76818) | $669.82 | $1,565 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $669.82 | $1,565 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$741.73–$889.82 | $1,733–$2,079 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,938.65–$2,964.33 | $6,866–$6,926 | varies |
| Gastric emptying imaging study (78264) | $1,575.47 | $3,681 | 3.1× |
| Gated Heart, Multiple (78473) | $1,795.89 | $4,196 | 3.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$5,143.71–$7,790.03 | $12,018–$18,201 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,143.71 | $12,018 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,326.80 | $3,100 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,326.80 | $3,100 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $4,217.94 | $9,855 | 2.5× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $1,729.55 | $4,041 | 1.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,486.02–$1,545.51 | $3,472–$3,611 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$458.82–$480.65 | $1,072–$1,123 | varies |
| Infusion Ivp (74410) | $796.94 | $1,862 | 3.5× |
| K Flow/Funct Image Multiple (78709) | $2,510.22 | $5,865 | 3.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,087.79 | $4,878 | 3.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,558.78 | $3,642 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,462.91 | $3,418 | 2.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,462.91 | $3,418 | 2.8× |
| Lung perfusion differential (78597) | $1,512.56 | $3,534 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,685.90 | $3,939 | 2.4× |
| Lymph System Imaging (78195) | $1,392.29 | $3,253 | 2.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,964.33 | $6,926 | 1.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,942.27–$2,039.42 | $4,538–$4,765 | varies |
| Meckels Divert Exam (78290) | $1,475.32 | $3,447 | 2.9× |
| Mlc imrt design & construction per imrt plan (77338) | $663.83 | $1,551 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $39.81 | $93 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,116.27–$3,572.95 | $7,281–$8,348 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,508.70–$1,726.56 | $3,525–$4,034 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,143.86–$2,481.12 | $5,009–$5,797 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,825.85–$2,086.93 | $4,266–$4,876 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$2,365.13–$2,704.54 | $5,526–$6,319 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,313.11–$1,504 | $3,068–$3,514 | varies |
| MRI abdomen w contrast (74182) | $2,319.34 | $5,419 | 5.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,095.92–$2,403.22 | $4,897–$5,615 | varies |
| MRI bone marrow blood supply (77084) | $1,866.51 | $4,361 | 6.1× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,438.94–$1,498.86 | $3,362–$3,502 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,313.77–$2,627.07 | $5,406–$6,138 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,831.84–$2,096.78 | $4,280–$4,899 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,566.06–$1,635.82 | $3,659–$3,822 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,098.92–$2,184.94 | $4,904–$5,105 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,549.17–$2,653.60 | $5,956–$6,200 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$2,410.50–$2,765.74 | $5,632–$6,462 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$2,820.10–$3,206.15 | $6,589–$7,491 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,438.08–$1,664.92 | $3,360–$3,890 | varies |
| MRI orbit face neck w contrast (70542) | $2,186.23 | $5,108 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,876.16–$3,292.18 | $6,720–$7,692 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,083.08–$2,288.95 | $4,867–$5,348 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,245.29–$2,564.58 | $5,246–$5,992 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,537.38–$1,761.65 | $3,592–$4,116 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,840.40–$2,092.92 | $4,300–$4,890 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$2,906.12–$3,325.56 | $6,790–$7,770 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,995.15–$3,428.28 | $6,998–$8,010 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,309.49–$2,634.34 | $5,396–$6,155 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,892.43–$3,298.60 | $6,758–$7,707 | varies |
| Myelogram Lumbar (72265) | $2,938.65 | $6,866 | 2.9× |
| Myelography thoracic (72255) | $2,798.70 | $6,539 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $4,217.94 | $9,855 | 2.5× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$298.32–$343.26 | $697–$802 | varies |
| Nm csf leak detection (78650) | $4,644.23 | $10,851 | 2.8× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$425.86–$447.26 | $995–$1,045 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$934.33–$2,459.29 | $2,183–$5,746 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$1,099.54–$1,108.52 | $2,569–$2,590 | varies |
| Nuclear Rx Oral Admin (79005) | $1,374.74 | $3,212 | 4.6× |
| Ob us nuchal meas 1 gest (76813) | $227.27 | $531 | 1.7× |
| Parathyroid Planar Imaging (78070) | $1,265.60 | $2,957 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $645.43 | $1,508 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$369.37–$447.26 | $863–$1,045 | varies |
| Peritoneogram Rs&I (74190) | $1,499.29 | $3,503 | 2.1× |
| Proton tx delivery simple w/o compensation (77520) | $1,416.26 | $3,309 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,143.71 | $12,018 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,264.32 | $2,954 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$565.82–$648 | $1,322–$1,514 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,560.92 | $3,647 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$347.11–$384.78 | $811–$899 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$281.20–$312.02 | $657–$729 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$244.82–$281.20 | $572–$657 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$231.12–$253.38 | $540–$592 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$243.11–$272.64 | $568–$637 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$244.82–$267.50 | $572–$625 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,913.86 | $32,509 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $566.25 | $1,323 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$403.18–$447.26 | $942–$1,045 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$505.90–$588.08 | $1,182–$1,374 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$851.30–$930.90 | $1,989–$2,175 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$444.27–$491.35 | $1,038–$1,148 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$231.12–$243.11 | $540–$568 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$388.63–$447.26 | $908–$1,045 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$527.30–$603.48 | $1,232–$1,410 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$425.86–$466.95 | $995–$1,091 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$505.90–$556.83 | $1,182–$1,301 | varies |
| Renal Cyst Study (74470) | $1,560.92 | $3,647 | 2.2× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$425.86–$491.78 | $995–$1,149 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,474.89 | $3,446 | 2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,196.07 | $5,131 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$4,863.37–$4,926.28 | $11,363–$11,510 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,981.02 | $6,965 | 4.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,266.69 | $5,296 | 7.6× |
| Rp Therapy Intravenous Administration (79101) | $1,154.32 | $2,697 | 3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$65.92–$77.04 | $154–$180 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$366.80–$406.18 | $857–$949 | varies |
| Special dosimetry (77331) | $243.11 | $568 | 1.4× |
| Special Physics Consult (77370) | $312.87 | $731 | 1.8× |
| Special teletherapy port plan (77321) | $663.83 | $1,551 | 1.4× |
| Special treatment procedure (77470) | $1,081.13 | $2,526 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $3,488.20 | $8,150 | 1.5× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$233.69–$263.65 | $546–$616 | varies |
| Superior sagittal sinus venogram (75870) | $5,143.71 | $12,018 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $811.49 | $1,896 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) | $308.16 | $720 | 1.8× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$404.46–$488.78 | $945–$1,142 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$467.38–$537.57 | $1,092–$1,256 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$379.64–$421.16 | $887–$984 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,322.52 | $3,090 | 2.6× |
| Thyroid Met Imaging Body (78018) | $1,318.24 | $3,080 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,198.40 | $2,800 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $811.49 | $1,896 | 1.7× |
| Tx devices design & construction intermediate (77333) | $405.75 | $948 | 2.3× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$308.16–$551.70 | $720–$1,289 | varies |
| Ultrasound Elastography Parenchyma (76981) | $284.20 | $664 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$239.68–$303.03 | $560–$708 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$780.68–$817.91 | $1,824–$1,911 | varies |
| Umbilical-artery Doppler (OB) (76820) | $120.27 | $281 | 0.9× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$130.97–$267.93 | $306–$626 | varies |
| Unlisted fluoroscopic procedure (76496) | $145.95 | $341 | 1.3× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$512.32–$567.96 | $1,197–$1,327 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$1,342.64–$1,536.95 | $3,137–$3,591 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$744.30–$808.92 | $1,739–$1,890 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$406.60–$512.75 | $950–$1,198 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$485.36–$512.75 | $1,134–$1,198 | varies |
| Us head (76506) | $493.06 | $1,152 | 3.7× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$471.23–$521.31 | $1,101–$1,218 | varies |
| Us ob detailed single fetus (76811) | $1,201.40 | $2,807 | 3.9× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$538–$558.12 | $1,257–$1,304 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$609.90–$730.17 | $1,425–$1,706 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$760.56–$842.74 | $1,777–$1,969 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$737.88–$844.88 | $1,724–$1,974 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$361.24–$401.47 | $844–$938 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$638.15–$675.82 | $1,491–$1,579 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$463.53–$546.99 | $1,083–$1,278 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$756.71–$865.85 | $1,768–$2,023 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$451.54–$514.89 | $1,055–$1,203 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$614.18–$644.14 | $1,435–$1,505 | varies |
| Vein X-Ray Chest (75827) | $2,964.33 | $6,926 | 1.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,085.46 | $7,209 | 0.8× |
| Vein X-Ray Spleen/Liver (75810) | $5,143.71 | $12,018 | 1.3× |
| Venogram Sinus/Jugular (75860) | $5,143.71 | $12,018 | 1.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,916.01–$5,143.71 | $11,486–$12,018 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,284–$4,226.93 | $3,000–$9,876 | varies |
| Venography Renal Bilateral (75833) | $5,143.71 | $12,018 | 1.3× |
| Venous sampling by catheter (75893) | $5,143.71 | $12,018 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$255.52–$281.20 | $597–$657 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,687.65–$4,641.66 | $8,616–$10,845 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$234.98–$254.66 | $549–$595 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,212.53–$1,344.35 | $2,833–$3,141 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$221.28–$243.11 | $517–$568 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$367.23–$402.32 | $858–$940 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $402.32 | $940 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$640.72–$733.60 | $1,497–$1,714 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$513.18–$587.65 | $1,199–$1,373 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$403.61–$447.69 | $943–$1,046 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$647.14–$715.19 | $1,512–$1,671 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$899.66–$900.09 | $2,102–$2,103 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$243.11–$267.50 | $568–$625 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$353.96–$384.35 | $827–$898 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$283.34–$443.41 | $662–$1,036 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$736.16–$809.78 | $1,720–$1,892 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$609.90–$701.50 | $1,425–$1,639 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$388.63–$447.26 | $908–$1,045 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$388.63–$447.26 | $908–$1,045 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$354.39–$407.89 | $828–$953 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$244.82–$281.20 | $572–$657 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$366.80–$406.18 | $857–$949 | varies |
| X-Ray Stress View (77071) | $267.93 | $626 | 2.4× |
| X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines |
$564.11–$645 | $1,318–$1,507 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$1,357.62–$1,549.36 | $3,172–$3,620 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$257.23–$311.59 | $601–$728 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$535.86–$617.61 | $1,252–$1,443 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$578.66–$637.30 | $1,352–$1,489 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$213.15–$233.69 | $498–$546 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$547.84–$600.06 | $1,280–$1,402 | 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.