Imaging prices at Marinhealth Medical Center
Greenbrae, CA · every code in this section with a posted price and a Medicare benchmark.
338 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) range across 3 matching MRF lines |
$8,496–$16,992 | $14,160–$28,320 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$489.60–$518.98 | $816–$864.96 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$549–$581.94 | $915–$969.90 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,562.15 | $5,936.92 | 6.3× |
| Angio internal mammary (75756) | $5,115.80 | $8,526.34 | 1.1× |
| Angio pulmonary bilat (75743) | $9,467.76 | $15,779.60 | 2.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,425.81 | $14,043.02 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $8,155.20 | $13,592 | 1.8× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$6,113.40–$12,226.80 | $10,189–$20,378 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,420 | $10,700 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,205.19 | $13,675.31 | 1.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$543–$1,086 | $905–$1,810 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,794.80–$9,058.64 | $14,658–$15,097.74 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$11,692.20–$23,384.40 | $19,487–$38,974 | varies |
| Artery X-Rays Adrenal Gland (75731) | $7,647.13 | $12,745.22 | 1.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$13,510.80–$27,021.60 | $22,518–$45,036 | varies |
| Artery X-Rays Spine (75705) | $7,997.22 | $13,328.70 | 1.0× |
| Arthrogram ankle (73615) | $1,976.98 | $3,294.97 | 4.0× |
| Arthrogram hip (73525) | $1,473.60 | $2,456 | 3.0× |
| Arthrogram Wrist (73115) | $1,662.60 | $2,771 | 3.4× |
| Basic radiation dosimetry calculation (77300) range across 5 matching MRF lines |
$1,530–$16,830 | $2,550–$28,050 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$660–$693 | $1,100–$1,155 | varies |
| Bone Imaging 3 Phase (78315) | $3,944.40 | $6,574 | 7.0× |
| Bone Imaging Limited Area (78300) | $1,467 | $2,445 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $2,451 | $4,085 | 4.3× |
| Bone Imaging Whole Body (78306) | $3,790.20 | $6,317 | 6.7× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$931.80–$959.75 | $1,553–$1,599.59 | varies |
| Brachytx isodose complex (77318) | $5,088.60 | $8,481 | 9.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $5,579.28 | $9,298.80 | 7.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,430.60 | $9,051 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$2,452.20–$2,697.42 | $4,087–$4,495.70 | varies |
| Cardiac Shunt Detection (78428) | $1,775.51 | $2,959.19 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $1,549.80 | $2,583 | 12.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$806.40–$830.59 | $1,344–$1,384.32 | varies |
| Cerebrospinal Fluid Scan (78630) | $3,741.99 | $6,236.65 | 4.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$403.80–$807.60 | $673–$1,346 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$501.60–$531.70 | $836–$886.16 | varies |
| Chest 3 views (71047) | $672 | $1,120 | 5.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$914.40–$960.12 | $1,524–$1,600.20 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$575.40–$1,150.80 | $959–$1,918 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,852.80 | $3,088 | 9.7× |
| Contrast Exam Abdominl Aorta (75625) | $7,327.80 | $12,213 | 1.6× |
| Contrast X-Ray Bladder (74430) | $1,147.20 | $1,912 | 2.3× |
| Contrast X-Ray Of Elbow (73085) | $1,976.98 | $3,294.97 | 4.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$922.54–$1,014.79 | $1,537.56–$1,691.32 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $6,058.80 | $10,098 | 12.2× |
| CT abdomen and pelvis without contrast (74176) | $5,324.40 | $8,874 | 15.7× |
| CT abdomen w contrast (74160) | $3,669 | $6,115 | 14.7× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,485.60–$6,429 | $7,476–$10,715 | varies |
| CT abdomen w/o contrast (74150) | $3,219 | $5,365 | 21.7× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$6,058.80–$6,083.28 | $10,098–$10,138.80 | varies |
| CT Angio Chest (71275) | $5,626.20 | $9,377 | 22.6× |
| CT Angio Head (70496) | $5,973 | $9,955 | 24.0× |
| CT angio hrt w/3d image (75574) | $3,036 | $5,060 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$3,635.40–$7,997.88 | $6,059–$13,329.80 | varies |
| CT Angio Neck (70498) | $5,672.40 | $9,454 | 22.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,957.60–$7,915.20 | $6,596–$13,192 | varies |
| CT cervical spine w/ contrast (72126) | $4,449 | $7,415 | 9.0× |
| CT cervical spine w/o contrast (72125) | $4,278 | $7,130 | 28.8× |
| CT cervical spine w/wo cont (72127) | $4,603.20 | $7,672 | 18.5× |
| CT chest w contrast (71260) | $4,097.40 | $6,829 | 16.5× |
| CT chest w/wo contrast (71270) | $4,192.20 | $6,987 | 16.9× |
| CT head/brain with contrast (70460) | $4,039.20 | $6,732 | 16.2× |
| CT head/brain without and with contrast (70470) | $4,253.40 | $7,089 | 17.1× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$3,878.40–$7,756.80 | $6,464–$12,928 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$340.20–$361.46 | $567–$602.44 | varies |
| CT iac w contrast (70481) | $3,733.80 | $6,223 | 15.0× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$459.86–$505.85 | $766.44–$843.08 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$3,270.60–$6,541.80 | $5,451–$10,903 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$4,864.20–$9,729 | $8,107–$16,215 | varies |
| CT lumbar spine w contrast (72132) | $4,490.40 | $7,484 | 9.1× |
| CT lumbar spine w/o contrast (72131) | $3,803.40 | $6,339 | 25.6× |
| CT maxillofacial w contrast (70487) | $3,718.80 | $6,198 | 14.9× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,101.60–$3,379.07 | $1,836–$5,631.78 | varies |
| CT neck tissue combo (70492) | $3,549.60 | $5,916 | 14.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,691.80 | $6,153 | 14.8× |
| CT orbits w/o contrast (70480) | $3,411.60 | $5,686 | 23.0× |
| CT pelvis w&w/o contrast (72194) | $3,549.60 | $5,916 | 14.3× |
| CT pelvis w/o contrast (72192) | $3,747.60 | $6,246 | 25.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,080.19–$3,782.16 | $3,466.98–$6,303.60 | varies |
| CT scans face/jaw combo (70488) | $3,733.80 | $6,223 | 15.0× |
| CT soft tissue neck w contrast (70491) | $3,618 | $6,030 | 14.5× |
| CT soft tissue neck w/o contrast (70490) | $3,347.40 | $5,579 | 22.6× |
| CT thoracic spine w contrast (72129) | $4,129.20 | $6,882 | 16.6× |
| CT thoracic spine w/o contrast (72128) | $3,806.40 | $6,344 | 25.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,347.40–$3,548.24 | $5,579–$5,913.74 | varies |
| CT unlisted procedure (76497) | $3,904.80 | $6,508 | 31.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$3,219–$6,438 | $5,365–$10,730 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,999.85 | $3,333.08 | 8.0× |
| CT upper extremity with contrast (73201) | $3,540.60 | $5,901 | 7.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,742.60 | $9,571 | 23.1× |
| Cta Abdomen (74175) | $6,471 | $10,785 | 26.0× |
| CTA pelvis (72191) | $4,590 | $7,650 | 18.4× |
| Diskography lumbar (72295) | $2,547.40 | $4,245.66 | 0.9× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$2,016–$2,076.48 | $3,360–$3,460.80 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$598.80–$636.23 | $998–$1,060.38 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$354.60–$366.19 | $591–$610.31 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$778.20–$817.11 | $1,297–$1,361.85 | varies |
| Echograp Trans R Pros Study (76873) | $826.20 | $1,377 | 5.6× |
| Esophagram (74220) | $1,195.80 | $1,993 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$877.20–$903.52 | $1,462–$1,505.86 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$595.20–$654.72 | $992–$1,091.20 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$904.80–$995.28 | $1,508–$1,658.80 | varies |
| Follow-Up Angiography (75898) | $1,424.94 | $2,374.90 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$614.40–$1,228.80 | $1,024–$2,048 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$636.60–$1,273.20 | $1,061–$2,122 | varies |
| Gastric emptying imaging study (78264) | $3,510 | $5,850 | 6.2× |
| Gated Heart Planar Single (78472) | $3,452.40 | $5,754 | 6.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$559.80–$1,119.60 | $933–$1,866 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,606.34 | $4,343.90 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,037.86 | $10,063.10 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $2,816.40 | $4,694 | 3.7× |
| Hepatobiliary System Imaging (78226) | $3,428.40 | $5,714 | 6.0× |
| Ht Muscle Image Spect Sing (78451) | $5,356.80 | $8,928 | 2.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,622.40–$1,703.52 | $2,704–$2,839.20 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$3,262.80–$3,425.94 | $5,438–$5,709.90 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$5,689.80–$6,258.78 | $9,483–$10,431.30 | varies |
| K Flow/Funct Image W/Drug (78708) | $2,934.60 | $4,891 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $3,144.60 | $5,241 | 4.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$647.40–$1,294.80 | $1,079–$2,158 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,712.48 | $2,854.13 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $2,460.26 | $4,100.43 | 4.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,398.80 | $3,998 | 4.2× |
| Liver imaging static only (78201) | $3,442.20 | $5,737 | 4.5× |
| Liver imaging w/vascular flow (78202) | $2,374.97 | $3,958.29 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,720.20–$1,771.81 | $2,867–$2,953.01 | varies |
| Lung perfusion differential (78597) | $1,246.20 | $2,077 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,982.60 | $4,971 | 3.9× |
| Lung Ventilation Imaging (78579) | $1,461.57 | $2,435.95 | 2.6× |
| Lymph System Imaging (78195) | $3,587.40 | $5,979 | 4.7× |
| Magnetic Image Jaw Joint (70336) | $4,406.40 | $7,344 | 13.0× |
| Meckels Divert Exam (78290) | $4,206.11 | $7,010.18 | 7.4× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$2,356.20–$2,591.82 | $3,927–$4,319.70 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$5,118.60–$5,438.47 | $8,531–$9,064.12 | varies |
| MRA head w/o contrast (70544) | $4,960.20 | $8,267 | 14.7× |
| MRA head with contrast (70545) | $1,011.95 | $1,686.58 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,590.80 | $9,318 | 11.3× |
| MRA neck w/o contrast (70547) | $4,459.20 | $7,432 | 13.2× |
| MRI abdomen w contrast (74182) | $4,922.40 | $8,204 | 9.9× |
| MRI abdomen w/o contrast (74181) | $3,869.40 | $6,449 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,463.40–$4,597.30 | $7,439–$7,662.17 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,789.20 | $7,982 | 9.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,612.80 | $7,688 | 4.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,720.60 | $6,201 | 11.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,611.67 | $4,352.78 | 7.7× |
| MRI cardiac w/o contrast (75557) | $1,696.20 | $2,827 | 5.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$5,272.20–$5,683.23 | $8,787–$9,472.05 | varies |
| MRI cervical spine w/o cont (72141) | $4,900.80 | $8,168 | 14.5× |
| MRI chest w/o contrast (71550) | $3,720.60 | $6,201 | 11.0× |
| MRI chest with contrast (71551) | $4,362.46 | $7,270.77 | 3.9× |
| MRI chest wo w contrast (71552) | $6,079.80 | $10,133 | 12.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,141.40 | $8,569 | 10.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,836.60 | $8,061 | 9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,092 | $6,820 | 12.1× |
| MRI lumbar spine w contrast (72149) | $5,482.80 | $9,138 | 11.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,643.60 | $9,406 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,024.80 | $6,708 | 11.9× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$5,483.40–$5,647.90 | $9,139–$9,413.17 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,884.80 | $9,808 | 11.9× |
| MRI pelvis w contrast (72196) | $4,883.76 | $8,139.60 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $5,857.80 | $9,763 | 11.8× |
| MRI pelvis w/o contrast (72195) | $3,720.60 | $6,201 | 11.0× |
| MRI thoracic spine w/o contrast (72146) | $4,900.80 | $8,168 | 14.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,758.52 | $9,597.54 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,092 | $6,820 | 12.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,836.60 | $8,061 | 9.8× |
| MRI, abdomen, combo (74183) | $6,429 | $10,715 | 13.0× |
| MRI, dorsal spine combo (72157) | $5,643.60 | $9,406 | 11.4× |
| MRI, dorsal spine contrast (72147) | $5,272.20 | $8,787 | 10.7× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$4,315.80–$4,574.75 | $7,193–$7,624.58 | varies |
| MRI, joint upper extrem combo (73223) | $5,320.20 | $8,867 | 10.8× |
| MRI, lumbar spine combo (72158) | $5,643.60 | $9,406 | 11.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,654.39 | $2,757.31 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $7,383.60 | $12,306 | 4.0× |
| N-invas est c ffr sw aly CTA (75580) | $2,959.91 | $4,933.19 | 2.4× |
| Neck soft tissue (70360) | $602.40 | $1,004 | 4.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $17,715 | $29,525 | 9.0× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$1,119–$1,230.90 | $1,865–$2,051.50 | varies |
| Nuclear Rx Oral Admin (79005) | $2,563.80 | $4,273 | 7.7× |
| Optic foramina (70190) | $591.43 | $985.71 | 4.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,390.46–$1,529.51 | $2,317.44–$2,549.18 | varies |
| Parathyroid Planar Imaging (78070) | $2,514 | $4,190 | 4.4× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$528.60–$1,057.20 | $881–$1,762 | varies |
| PET image w/CT, full body (78816) | $8,176.80 | $13,628 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,862.40 | $13,104 | 3.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,211 | $18,685 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,239.20 | $3,732 | 3.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,375.28 | $3,958.80 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,267.80–$1,343.87 | $2,113–$2,239.78 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,687.80 | $2,813 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$636–$1,272 | $1,060–$2,120 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$604.20–$1,208.40 | $1,007–$2,014 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$658.20–$1,316.40 | $1,097–$2,194 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,106.40 | $1,844 | 7.5× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$476.40–$1,905.60 | $794–$3,176 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$609–$1,218 | $1,015–$2,030 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$639–$1,278 | $1,065–$2,130 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$1,010.40–$2,020.80 | $1,684–$3,368 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $729 | $1,215 | 5.9× |
| Radex Ribs Unilateral 2 Views (71100) | $666.60 | $1,111 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$677.40–$1,354.80 | $1,129–$2,258 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $486 | $810 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $496.20 | $827 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $1,230.60 | $2,051 | 10.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $636 | $1,060 | 5.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$511.80–$1,023.60 | $853–$1,706 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$597–$614.91 | $995–$1,024.85 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$675–$1,350 | $1,125–$2,250 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,222.20 | $2,037 | 8.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $40,492.20 | $67,487 | 3.9× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$1,670.45–$4,084.20 | $2,784.09–$6,807 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$2,014.80–$11,959.80 | $3,358–$19,933 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,958.40–$13,936.20 | $3,264–$23,227 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $890.40 | $1,484 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $3,153 | $5,255 | 12.7× |
| Radiologic exam colon single contrast study (74270) | $2,211.60 | $3,686 | 8.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,798.20 | $2,997 | 7.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$763.20–$1,617.98 | $1,272–$2,696.64 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $583.80 | $973 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,542 | $2,570 | 6.2× |
| Radiologic exam swallow function contrast study (74230) | $1,160.40 | $1,934 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,336.80 | $2,228 | 5.4× |
| Radiologic examination femur 1 view (73551) | $930.60 | $1,551 | 7.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$832.20–$1,664.40 | $1,387–$2,774 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$576.60–$1,153.20 | $961–$1,922 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $931.80 | $1,553 | 6.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $683.51 | $1,139.18 | 5.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$603–$1,206 | $1,005–$2,010 | varies |
| Ribs bilateral 3 views (71110) | $816 | $1,360 | 5.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,845.60 | $3,076 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,945.80–$2,004.17 | $3,243–$3,340.29 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,390.27 | $7,317.12 | 5.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,982.80 | $6,638 | 5.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,561.80 | $7,603 | 5.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,144.64 | $6,907.73 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,627.58 | $6,045.96 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $834.90 | $1,391.50 | 2.5× |
| Salivary Gland Imaging Serial Images (78231) | $2,091.93 | $3,486.55 | 3.7× |
| Scapula (73010) | $660 | $1,100 | 4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$113.40–$120.20 | $189–$200.34 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$655.80–$1,311.60 | $1,093–$2,186 | varies |
| Shoulder Arthrography (73040) | $1,326 | $2,210 | 2.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$600.60–$614.25 | $1,001–$1,023.75 | varies |
| Special dosimetry (77331) | $1,016.61 | $1,694.35 | 5.3× |
| Special Physics Consult (77370) | $1,797.60 | $2,996 | 9.4× |
| Special teletherapy port plan (77321) | $1,562.71 | $2,604.52 | 2.9× |
| Special treatment procedure (77470) | $3,897 | $6,495 | 5.0× |
| Stereotactic Body Radiation Delivery (77373) | $13,888.20 | $23,147 | 5.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$757.20–$795.06 | $1,262–$1,325.10 | varies |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $1,618.20 | $2,697 | 11.2× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $12,268.80 | $20,448 | 231.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,110.80 | $8,518 | 9.6× |
| Testicular Imaging W/Flow (78761) | $2,101.82 | $3,503.03 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,952 | $9,920 | 11.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $4,363.08 | $7,271.80 | 8.2× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$2,014.80–$2,216.28 | $3,358–$3,693.80 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$715.20–$758.11 | $1,192–$1,263.52 | varies |
| Thoracic spine 3 views (72072) | $841.20 | $1,402 | 5.7× |
| Thoracolumbar 2 views (72080) | $696.60 | $1,161 | 5.6× |
| Thyroid Imaging With Vascular Flow (78013) | $719.35 | $1,198.92 | 1.3× |
| Thyroid Met Imaging Body (78018) | $3,664.80 | $6,108 | 4.8× |
| Thyroid Uptake Measurement (78012) | $592.66 | $987.77 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,674.60 | $2,791 | 3.0× |
| Tx Devices Design & Construction Complex (77334) range across 5 matching MRF lines |
$2,528.40–$22,755.60 | $4,214–$37,926 | varies |
| Tx devices design & construction intermediate (77333) | $1,240.80 | $2,068 | 6.5× |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$1,068.60–$3,205.80 | $1,781–$5,343 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,088.40–$2,176.80 | $1,814–$3,628 | varies |
| Ultrasound elastography first target lesion (76982) | $893.01 | $1,488.35 | 6.0× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$274.70–$291.86 | $457.83–$486.44 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,196.40 | $1,994 | 8.1× |
| Ultrasound, abdomen limited (76705) | $1,197 | $1,995 | 8.1× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$1,167–$1,202.01 | $1,945–$2,003.35 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$1,061.40–$2,122.80 | $1,769–$3,538 | varies |
| Urethrocystogram voiding (74455) | $1,342.20 | $2,237 | 4.0× |
| Urethrocystography retrograde (74450) | $1,307.40 | $2,179 | 3.9× |
| Us chest (76604) | $876.60 | $1,461 | 5.9× |
| Us complete joint (76881) | $877.80 | $1,463 | 5.9× |
| Us exam, pelvic, limited (76857) | $760.20 | $1,267 | 5.1× |
| Us head (76506) range across 2 matching MRF lines |
$879–$931.74 | $1,465–$1,552.90 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$672–$1,344 | $1,120–$2,240 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,035.60–$1,097.74 | $1,726–$1,829.56 | varies |
| Us ob transvaginal (76817) | $996.60 | $1,661 | 6.7× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,224.60–$1,298.08 | $2,041–$2,163.46 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,324.20 | $2,207 | 8.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$541.80–$595.98 | $903–$993.30 | varies |
| Us retroperitoneal complete (76770) | $1,411.20 | $2,352 | 9.5× |
| Us retroperitoneal limited (76775) | $811.80 | $1,353 | 5.5× |
| Us scrotum and contents (76870) | $1,213.20 | $2,022 | 8.2× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$2,129.40–$2,235.87 | $3,549–$3,726.45 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,297.20–$1,375.03 | $2,162–$2,291.72 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$591.60–$628.58 | $986–$1,047.63 | varies |
| Vein X-Ray Chest (75827) | $6,403.80 | $10,673 | 2.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,831.37 | $11,385.62 | 1.5× |
| Venogram Sinus/Jugular (75860) | $1,312.74 | $2,187.90 | 0.3× |
| Venography Adrenal Unilateral (75840) | $2,105.53 | $3,509.21 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $7,053 | $11,755 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $3,138 | $5,230 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $3,317.40 | $5,529 | 1.5× |
| Venography Renal Bilateral (75833) | $8,753.35 | $14,588.92 | 2.0× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$11,209.80–$11,770.29 | $18,683–$19,617.15 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$506.40–$1,012.80 | $844–$1,688 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$684.60–$718.83 | $1,141–$1,198.05 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,464.66 | $2,441.10 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,103.80–$9,376.91 | $15,173–$15,628.19 | varies |
| X-Ray Bend Only L-S Spine (72120) | $805.20 | $1,342 | 5.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$652.80–$1,305.60 | $1,088–$2,176 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,459.20 | $2,432 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $654.60 | $1,091 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $872.40 | $1,454 | 5.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,066.80 | $1,778 | 7.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$1,278.60–$2,557.20 | $2,131–$4,262 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$1,296–$2,592 | $2,160–$4,320 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,591.80 | $2,653 | 10.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,030.20 | $1,717 | 6.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,158.60 | $1,931 | 7.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,288.20 | $2,147 | 8.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,084.20 | $1,807 | 7.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$711–$753.66 | $1,185–$1,256.10 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,056.60 | $1,761 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$834.60–$884.68 | $1,391–$1,474.46 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$504–$546.60 | $840–$911 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$652.20–$1,304.40 | $1,087–$2,174 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $499.20 | $832 | 4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $451.80 | $753 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$738.60–$782.92 | $1,231–$1,304.86 | varies |
| X-ray nose-rectum child f.b. (76010) | $798.46 | $1,330.76 | 6.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $996.60 | $1,661 | 6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $638.40 | $1,064 | 4.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $10,999.20 | $18,332 | 74.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $706.80 | $1,178 | 5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $883.20 | $1,472 | 7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $774.60 | $1,291 | 5.2× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$757.80–$815.85 | $1,263–$1,359.75 | varies |
| X-Rays Bone Length Studies (77073) | $511.80 | $853 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $948 | $1,580 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $804 | $1,340 | 5.4× |
| Xr facial bones less than 3 views (70140) | $756 | $1,260 | 6.1× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$459–$467.06 | $765–$778.44 | 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.