Imaging prices at McKenzie-willamette Medical Center
Springfield, OR · every code in this section with a posted price and a Medicare benchmark.
292 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) | $445.01 | $741.69 | 4.6× |
| Abdomen 2 views (74019) | $677.69 | $1,129.49 | 5.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,778.16 | $2,963.60 | 4.0× |
| Angio internal mammary (75756) | $2,929.09 | $4,881.82 | 0.8× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$7,541.72–$7,919 | $12,569.54–$13,198.34 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,919 | $13,198.34 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $8,385.43 | $13,975.71 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $8,385.43 | $13,975.71 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$7,918.82–$7,919 | $13,198.03–$13,198.34 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,766.61 | $4,611.01 | 0.8× |
| Ankle 2 views (73600) | $445.01 | $741.69 | 4.6× |
| Aortography thoracic serialography rs&i (75605) | $7,919 | $13,198.34 | 1.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,919 | $13,198.34 | 2.2× |
| Artery X-Rays Abdomen (75726) | $13,564.16 | $22,606.94 | 2.2× |
| Artery X-Rays Adrenal Gland (75731) | $7,919 | $13,198.34 | 2.2× |
| Artery X-Rays Pelvis (75736) | $7,919 | $13,198.34 | 1.3× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$7,919–$11,072.71 | $13,198.34–$18,454.52 | varies |
| Arthrogram ankle (73615) | $2,638.85 | $4,398.09 | 6.8× |
| Arthrogram hip (73525) | $2,638.85 | $4,398.09 | 6.8× |
| Arthrogram Wrist (73115) | $2,638.85 | $4,398.09 | 6.8× |
| Bone age studies (77072) | $445.01 | $741.69 | 3.8× |
| Bone Imaging 3 Phase (78315) | $1,797.08 | $2,995.14 | 4.0× |
| Bone Imaging Limited Area (78300) | $1,797.08 | $2,995.14 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,797.08 | $2,995.14 | 4.0× |
| Bone marrow imaging limited area (78102) | $1,920.23 | $3,200.39 | 4.3× |
| Bone marrow imaging; multiple areas (78103) | $1,920.23 | $3,200.39 | 4.3× |
| Bone marrow imaging; whole body (78104) | $875.29 | $1,458.82 | 2.0× |
| Bone survey infant (77076) | $740.52 | $1,234.20 | 6.3× |
| Brain Flow Imaging Only (78610) | $1,136.05 | $1,893.41 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $1,120.62 | $1,867.70 | 11.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,363.54 | $2,272.56 | 2.3× |
| Cerebrospinal Fluid Scan (78630) | $4,011.86 | $6,686.44 | 6.6× |
| Chest 1 view (71045) | $445.01 | $741.69 | 4.6× |
| Chest 2 views (71046) | $677.69 | $1,129.49 | 7.0× |
| Chest 3 views (71047) | $910.74 | $1,517.90 | 9.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$445.01–$1,143.07 | $741.69–$1,905.12 | varies |
| Clavicle complete (73000) | $445.01 | $741.69 | 4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $296.64 | $494.40 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $8,385.43 | $13,975.71 | 2.4× |
| Contrast X-Ray Bladder (74430) | $1,730.22 | $2,883.70 | 4.4× |
| Contrast X-Ray Of Elbow (73085) | $2,638.85 | $4,398.09 | 6.8× |
| Contrast X-Ray Of Knee Joint (73580) | $2,638.85 | $4,398.09 | 6.8× |
| Corpora cavernosography (74445) | $705.77 | $1,176.29 | 6.1× |
| CT abdomen and pelvis without and with contrast (74178) | $7,291.25 | $12,152.09 | 18.7× |
| CT abdomen and pelvis without contrast (74176) | $4,157.11 | $6,928.51 | 15.6× |
| CT abdomen w contrast (74160) | $3,290.75 | $5,484.59 | 16.8× |
| CT abdomen w wo contrast (74170) | $3,638.62 | $6,064.36 | 18.6× |
| CT abdomen w/o contrast (74150) | $2,075.42 | $3,459.03 | 17.8× |
| CT Angio Abdomen and Pelvis (74174) | $7,511.24 | $12,518.73 | 19.3× |
| CT Angio Chest (71275) | $3,762.07 | $6,270.11 | 19.2× |
| CT Angio Head (70496) | $3,755.43 | $6,259.05 | 19.2× |
| CT angio hrt w/3d image (75574) | $696.48 | $1,160.80 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,755.43 | $6,259.05 | 19.2× |
| CT Angio Neck (70498) | $3,755.43 | $6,259.05 | 19.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,755.43–$7,511.24 | $6,259.05–$12,518.73 | varies |
| CT cervical spine w/ contrast (72126) | $3,285.97 | $5,476.61 | 8.4× |
| CT cervical spine w/o contrast (72125) | $2,075.42 | $3,459.03 | 17.8× |
| CT cervical spine w/wo cont (72127) | $3,638.62 | $6,064.36 | 18.6× |
| CT chest w contrast (71260) | $3,290.75 | $5,484.59 | 16.8× |
| CT chest w/wo contrast (71270) | $3,638.62 | $6,064.36 | 18.6× |
| CT head/brain with contrast (70460) | $3,285.97 | $5,476.61 | 16.8× |
| CT head/brain without and with contrast (70470) | $3,638.62 | $6,064.36 | 18.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $696.48 | $1,160.80 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $91.73 | $152.88 | 0.9× |
| CT hrt w/3d image congen (75573) | $696.48 | $1,160.80 | 1.8× |
| CT iac w contrast (70481) | $3,285.97 | $5,476.61 | 16.8× |
| CT l-spine w&w/o contrast (72133) | $3,638.62 | $6,064.36 | 18.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,075.42–$4,149.74 | $3,459.03–$6,916.23 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,285.97–$6,571.19 | $5,476.61–$10,951.98 | varies |
| CT lumbar spine w contrast (72132) | $3,285.97 | $5,476.61 | 8.4× |
| CT lumbar spine w/o contrast (72131) | $2,075.42 | $3,459.03 | 17.8× |
| CT maxillofacial w contrast (70487) | $3,285.97 | $5,476.61 | 16.8× |
| CT maxillofacial wo contrast (70486) | $2,075.42 | $3,459.03 | 17.8× |
| CT neck tissue combo (70492) | $3,638.62 | $6,064.36 | 18.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,638.62 | $6,064.36 | 18.6× |
| CT orbits w/o contrast (70480) | $2,075.42 | $3,459.03 | 17.8× |
| CT pelvis w&w/o contrast (72194) | $3,638.62 | $6,064.36 | 18.6× |
| CT pelvis w/o contrast (72192) | $2,075.42 | $3,459.03 | 17.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,638.62–$7,279.09 | $6,064.36–$12,131.81 | varies |
| CT scans face/jaw combo (70488) | $3,638.62 | $6,064.36 | 18.6× |
| CT soft tissue neck w contrast (70491) | $3,285.97 | $5,476.61 | 16.8× |
| CT soft tissue neck w/o contrast (70490) | $2,075.42 | $3,459.03 | 17.8× |
| CT thoracic spine w contrast (72129) | $3,285.97 | $5,476.61 | 16.8× |
| CT thoracic spine w/o contrast (72128) | $2,075.42 | $3,459.03 | 17.8× |
| CT thoracic spine w/wo cont (72130) | $3,638.62 | $6,064.36 | 18.6× |
| CT thorax w/o contrast (71250) | $2,075.42 | $3,459.03 | 17.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,075.42–$4,149.74 | $3,459.03–$6,916.23 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,638.62 | $6,064.36 | 18.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,285.97–$6,571.19 | $5,476.61–$10,951.98 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,755.43 | $6,259.05 | 19.2× |
| Cta Abdomen (74175) | $3,755.43 | $6,259.05 | 19.2× |
| CTA pelvis (72191) | $3,755.43 | $6,259.05 | 19.2× |
| Dilation ureters/urethra rs&i (74485) | $3,713.13 | $6,188.55 | 1.6× |
| Discography Cerv/Thor Spine (72285) | $6,095.79 | $10,159.65 | 2.8× |
| Esophagram (74220) | $872.83 | $1,454.72 | 4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,066.08 | $1,776.80 | 9.1× |
| Fluoroscopy up to 1 hr (76000) | $828.26 | $1,380.43 | 3.1× |
| Follow-Up Angiography (75898) | $1,085.87 | $1,809.78 | 0.3× |
| Foot 2 views (73620) | $445.01 | $741.69 | 4.6× |
| Forearm 2 views (73090) | $445.01 | $741.69 | 4.6× |
| Gastric emptying imaging study (78264) | $1,778.16 | $2,963.60 | 4.0× |
| Gated Heart Planar Single (78472) | $2,284.66 | $3,807.77 | 5.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,778.16 | $2,963.60 | 2.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$445.01–$888.62 | $741.69–$1,481.04 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,919 | $13,198.34 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,919 | $13,198.34 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,011.73 | $3,352.88 | 3.3× |
| Hepatobiliary System Imaging (78226) | $2,011.73 | $3,352.88 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $5,660.71 | $9,434.51 | 3.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $680.99 | $1,134.99 | 7.0× |
| K Flow/Funct Image Multiple (78709) | $2,406.28 | $4,010.46 | 4.0× |
| Knee 3 Views (73562) | $445.01 | $741.69 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) | $2,011.73 | $3,352.88 | 4.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,374.22 | $3,957.04 | 3.9× |
| Lung Ventilation Imaging (78579) | $1,547.69 | $2,579.49 | 3.5× |
| Lymph System Imaging (78195) | $1,920.23 | $3,200.39 | 3.2× |
| Meckels Divert Exam (78290) | $1,778.16 | $2,963.60 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,977.12 | $6,628.53 | 10.2× |
| MRA head w/o contrast (70544) | $2,569.19 | $4,281.98 | 9.7× |
| MRA head with contrast (70545) | $3,154.82 | $5,258.04 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,977.12 | $6,628.53 | 10.2× |
| MRA neck w/o contrast (70547) | $2,569.19 | $4,281.98 | 9.7× |
| MRI abdomen w contrast (74182) | $3,154.82 | $5,258.04 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,569.19 | $4,281.98 | 9.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,154.82–$6,311.20 | $5,258.04–$10,518.66 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,977.12–$7,954.25 | $6,628.53–$13,257.08 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,154.82–$6,311.20 | $5,258.04–$10,518.66 | varies |
| MRI bone marrow blood supply (77084) | $1,862.71 | $3,104.51 | 7.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,532.51 | $4,220.85 | 9.5× |
| MRI cervical spine w contrast (72142) | $3,154.82 | $5,258.04 | 8.1× |
| MRI cervical spine w/o cont (72141) | $2,569.19 | $4,281.98 | 9.7× |
| MRI chest w/o contrast (71550) | $1,872.74 | $3,121.24 | 7.0× |
| MRI chest with contrast (71551) | $2,412.45 | $4,020.75 | 2.8× |
| MRI chest wo w contrast (71552) | $2,953.69 | $4,922.82 | 7.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,154.82 | $5,258.04 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,977.12–$7,954.25 | $6,628.53–$13,257.08 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,574.97–$5,139.91 | $4,291.62–$8,566.52 | varies |
| MRI lumbar spine w contrast (72149) | $3,154.82 | $5,258.04 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,977.12 | $6,628.53 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,569.19 | $4,281.98 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,977.12 | $6,628.53 | 10.2× |
| MRI pelvis w/o & w contrast (72197) | $3,977.12 | $6,628.53 | 10.2× |
| MRI pelvis w/o contrast (72195) | $2,569.19 | $4,281.98 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $2,569.19 | $4,281.98 | 9.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,154.82–$6,311.20 | $5,258.04–$10,518.66 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,569.19–$5,139.91 | $4,281.98–$8,566.52 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,977.12–$7,954.25 | $6,628.53–$13,257.08 | varies |
| MRI, abdomen, combo (74183) | $3,977.12 | $6,628.53 | 10.2× |
| MRI, dorsal spine combo (72157) | $3,977.12 | $6,628.53 | 10.2× |
| MRI, dorsal spine contrast (72147) | $3,154.82 | $5,258.04 | 8.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,569.19–$5,139.91 | $4,281.98–$8,566.52 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,977.12–$7,954.25 | $6,628.53–$13,257.08 | varies |
| MRI, lumbar spine combo (72158) | $3,977.12 | $6,628.53 | 10.2× |
| Myocardial Spect Multiple Studies (78452) | $5,671.89 | $9,453.15 | 3.9× |
| Neck soft tissue (70360) | $445.01 | $741.69 | 4.6× |
| Nm csf leak detection (78650) | $4,011.86 | $6,686.44 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $301.12 | $501.87 | 2.6× |
| Nuclear medicine study of endocrine organs (78099) | $762.84 | $1,271.40 | 1.7× |
| Panoramic X-ray of jaws (70355) | $445.01 | $741.69 | 4.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,239.50 | $3,732.50 | 3.7× |
| Parathyroid Planar Imaging (78070) | $1,622.58 | $2,704.30 | 3.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,442.17 | $4,070.29 | 5.5× |
| Pelvis 1 or 2 views (72170) | $445.01 | $741.69 | 3.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,919 | $13,198.34 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,547.69 | $2,579.49 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $740.52 | $1,234.20 | 6.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $955.66 | $1,592.76 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $445.01 | $741.69 | 4.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $445.01 | $741.69 | 4.6× |
| Radex elbow complete minimum 3 views (73080) | $445.01 | $741.69 | 4.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $445.01 | $741.69 | 3.8× |
| Radex fingr minimum 2 views (73140) | $445.01 | $741.69 | 4.6× |
| Radex foot complete minimum 3 views (73630) | $445.01 | $741.69 | 4.6× |
| Radex Hand Minimum 3 Views (73130) | $445.01 | $741.69 | 4.6× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$445.01–$888.62 | $741.69–$1,481.04 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $445.01 | $741.69 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $445.01 | $741.69 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) | $445.01 | $741.69 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $445.01 | $741.69 | 4.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,419.97 | $2,366.62 | 7.3× |
| Radex Spine 1 View Specify Level (72020) | $445.01 | $741.69 | 4.6× |
| Radex Sternum Minimum 2 Views (71120) | $445.01 | $741.69 | 4.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $445.01 | $741.69 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $445.01 | $741.69 | 4.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$445.01–$888.62 | $741.69–$1,481.04 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $445.01 | $741.69 | 4.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $554.86 | $924.77 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $445.01 | $741.69 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$445.01–$910.74 | $741.69–$1,517.90 | varies |
| Radiologic exam colon double contrast study (74280) | $1,419.97 | $2,366.62 | 7.3× |
| Radiologic exam colon single contrast study (74270) | $872.83 | $1,454.72 | 4.5× |
| Radiologic exam knee complete 4/more views (73564) | $445.01 | $741.69 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $445.01 | $741.69 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $872.83 | $1,454.72 | 4.5× |
| Radiologic exam swallow function contrast study (74230) | $827.21 | $1,378.69 | 4.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $872.83 | $1,454.72 | 4.5× |
| Radiologic examination femur 1 view (73551) | $425.71 | $709.52 | 4.4× |
| Radiologic examination femur minimum 2 views (73552) | $445.01 | $741.69 | 4.6× |
| Radiologic examination knee 1/2 views (73560) | $445.01 | $741.69 | 4.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $445.01 | $741.69 | 4.6× |
| Renal Cyst Study (74470) | $838.09 | $1,396.81 | 1.4× |
| Ribs bilateral 3 views (71110) | $445.01 | $741.69 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,124.98 | $6,874.96 | 9.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $4,124.98 | $6,874.96 | 9.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $11,065.45 | $18,442.41 | 18.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,124.98 | $6,874.96 | 6.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $7,341.19 | $12,235.32 | 5.1× |
| Scapula (73010) | $445.01 | $741.69 | 3.8× |
| Sella turcica (70240) | $740.52 | $1,234.20 | 7.6× |
| Shoulder 1 view (73020) | $445.01 | $741.69 | 4.6× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,638.85 | $4,398.08–$4,398.09 | 6.8× |
| Sialogram (70390) | $838.09 | $1,396.81 | 3.1× |
| Skull less than 4 views (70250) | $445.01 | $741.69 | 3.8× |
| Speech evaluation, complex (70371) | $872.83 | $1,454.72 | 3.3× |
| Sternoclavicular joints (71130) | $445.01 | $741.69 | 4.6× |
| Superior sagittal sinus venogram (75870) | $2,766.61 | $4,611.01 | 0.8× |
| Thoracic spine 2 views (72070) | $445.01 | $741.69 | 3.8× |
| Thoracic spine 3 views (72072) | $445.01 | $741.69 | 3.8× |
| Thoracolumbar 2 views (72080) | $445.01 | $741.69 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $996.79 | $1,661.32 | 2.2× |
| Thyroid Uptake Measurement (78012) | $1,623.35 | $2,705.59 | 3.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,622.58 | $2,704.30 | 3.6× |
| Ultrasound Breast Limited (76642) | $591.44 | $985.73 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) | $542.07 | $903.45 | 4.6× |
| Ultrasound, abdomen limited (76705) | $1,068.67 | $1,781.11 | 9.2× |
| Unlisted fluoroscopic procedure (76496) | $375.17 | $625.29 | 3.9× |
| Upper gi w/o kub (74240) | $872.83 | $1,454.72 | 4.5× |
| Ureteral Reflux Study (78740) | $2,406.28 | $4,010.46 | 5.4× |
| Urethrocystogram voiding (74455) | $1,730.57 | $2,884.28 | 6.5× |
| Urethrocystography retrograde (74450) | $1,730.22 | $2,883.70 | 6.5× |
| Us breast unilateral complete (76641) | $591.44 | $985.73 | 5.1× |
| Us chest (76604) | $680.99 | $1,134.99 | 5.8× |
| Us complete joint (76881) | $1,066.08 | $1,776.80 | 9.1× |
| Us exam, pelvic, limited (76857) | $680.99 | $1,134.99 | 5.8× |
| Us head (76506) | $401.29 | $668.82 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $532.86 | $888.10 | 4.6× |
| Us ob detailed single fetus (76811) | $1,668.95 | $2,781.59 | 6.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$554.40–$680.99 | $924–$1,134.99 | varies |
| Us ob transvaginal (76817) | $680.99 | $1,134.99 | 5.8× |
| Us pelvic non ob complete (76856) | $1,068.67 | $1,781.11 | 9.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,066.08 | $1,776.80 | 9.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $304.75 | $507.92 | 2.6× |
| Us retroperitoneal complete (76770) | $1,066.08 | $1,776.80 | 9.1× |
| Us retroperitoneal limited (76775) | $1,066.08 | $1,776.80 | 9.1× |
| Us scrotum and contents (76870) | $1,066.08 | $1,776.80 | 9.1× |
| Us spinal canal and contents (76800) | $542.07 | $903.45 | 4.6× |
| Us thyroid (76536) | $1,066.08 | $1,776.80 | 9.1× |
| Vein X-Ray Chest (75827) | $2,766.61 | $4,611.01 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,766.61 | $4,611.01 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,766.61 | $4,611.01 | 0.8× |
| Venography Adrenal Unilateral (75840) | $7,919 | $13,198.34 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $8,385.43 | $13,975.71 | 2.4× |
| Venography extremity bilateral rs&i (75822) | $2,766.61 | $4,611.01 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $2,929.09 | $4,881.82 | 1.7× |
| Venography Renal Bilateral (75833) | $7,919 | $13,198.34 | 2.2× |
| Venography Renal Unilateral (75831) | $7,919 | $13,198.34 | 2.2× |
| Venous sampling by catheter (75893) | $7,919 | $13,198.34 | 1.3× |
| Wrist 2 views (73100) | $445.01 | $741.69 | 4.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $445.01 | $741.69 | 4.6× |
| X-ray antegrade pyelogram tube (74425) | $1,730.22 | $2,883.70 | 4.4× |
| X-Ray Aorta Leg Arteries (75630) | $8,825.88 | $14,709.80 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $445.01 | $741.69 | 4.6× |
| X-Ray Exam Breast Specimen (76098) | $3,352.34 | $5,587.24 | 5.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $290.94 | $484.90 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $554.86 | $924.77 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $445.01 | $741.69 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $425.01 | $708.35 | 4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $638.39 | $1,063.99 | 5.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $708.23 | $1,180.38 | 6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $708.23 | $1,180.38 | 6.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,415.41 | $2,359.02 | 12.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $445.01 | $741.69 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $740.52 | $1,234.20 | 6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $445.01 | $741.69 | 3.8× |
| X-ray humerus (73060) | $445.01 | $741.69 | 4.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,730.22 | $2,883.70 | 8.8× |
| X-ray IV pyelogram+tomography (74415) | $1,730.22 | $2,883.70 | 8.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $445.01 | $741.69 | 4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $427.12 | $711.86 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $445.01 | $741.69 | 3.8× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$157.80–$328.15 | $263–$546.92 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $740.52 | $1,234.20 | 6.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $445.01 | $741.69 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $445.01 | $741.69 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $445.01 | $741.69 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $740.52 | $1,234.20 | 6.3× |
| X-Ray Tmj Unilat (70328) | $445.01 | $741.69 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,730.22 | $2,883.70 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $740.52 | $1,234.20 | 6.3× |
| Xr c-spine 4 or 5 views (72050) | $740.52 | $1,234.20 | 6.3× |
| Xr facial bones less than 3 views (70140) | $445.01 | $741.69 | 4.6× |
| Xr orbits complete 4 views (70200) | $445.01 | $741.69 | 3.8× |
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.