Imaging prices at Medical Center of the Rockies

Loveland, CO · every code in this section with a posted price and a Medicare benchmark.

375 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $8,677.90 $12,397 5.9×
Abdomen 1 View (74018) $389.90 $557 4.2×
Abdomen 2 views (74019) $401.10 $573 3.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,740.90 $2,487 4.1×
Adrenal Cortex & Medulla Img (78075) $1,887.90 $2,697 1.4×
Angio internal mammary (75756) $3,840.20 $5,486 1.2×
Angio pulmonary bilat (75743) $7,097.30 $10,139 2.1×
Angiography extremity bilateral rs&i (75716) $6,154.40 $8,792 1.8×
Angiography extremity unilateral rs&i (75710) $3,686.20 $5,266 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $4,416.30 $6,309 1.3×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $5,838.70 $8,341 1.8×
Ankle 2 views (73600) $249.90 $357 2.7×
Aortography thoracic serialography rs&i (75605) $4,507.30 $6,439 0.8×
Artery X-Rays Abdomen (75726) $6,594 $9,420 1.1×
Artery X-Rays Adrenal Gland (75731) $5,694.50 $8,135 1.7×
Artery X-Rays Pelvis (75736) $6,594.70 $9,421 1.1×
Artery X-Rays Spine (75705) $4,507.30 $6,439 0.8×
Arthrogram hip (73525) $996.10 $1,423 2.7×
Arthrogram Wrist (73115) $996.10 $1,423 2.7×
Basic radiation dosimetry calculation (77300) $595.70 $851 4.2×
Bone age studies (77072) $207.20 $296 1.9×
Bone Imaging 3 Phase (78315) $2,110.50 $3,015 5.0×
Bone Imaging Limited Area (78300) $1,330 $1,900 3.2×
Bone Imaging Multiple Areas (78305) $1,834 $2,620 4.3×
Bone Imaging Whole Body (78306) $2,018.80 $2,884 4.8×
Bone survey infant (77076) $609 $870 5.5×
Brachytx isodose complex (77318) $1,760.50 $2,515 4.5×
Brachytx Isodose Plan Simple (77316) $1,084.30 $1,549 2.7×
Brain Flow Imaging Only (78610) $1,708 $2,440 3.0×
Brain Imaging Pet Metabolic Evaluation (78608) $5,310.20 $7,586 3.5×
Cardiac MRI w/w/o contrast & further seq (75561) $2,070.60 $2,958 5.6×
Cardiac MRI w/w/o contrast w/stress (75563) $2,408.70 $3,441 2.9×
Cardiac Shunt Detection (78428) $786.10 $1,123 1.9×
Cat Scan Follow-Up Study (76380) $996.10 $1,423 10.9×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,395.10 $1,993 2.4×
Cerebrospinal Fluid Scan (78630) $1,807.40 $2,582 3.2×
Chest 1 view (71045) $378.70 $541 4.1×
Chest 2 views (71046) $403.90 $577 4.4×
Chest 3 views (71047) $442.40 $632 4.8×
Chest 4 or more views (71048) $461.30 $659 4.2×
Clavicle complete (73000) $308 $440 3.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,225.70 $1,751 11.1×
Continuing medical physics consltj pr wk (77336) $1,106.70 $1,581 7.8×
Contrast Exam Abdominl Aorta (75625) $2,893.80 $4,134 0.9×
Contrast X-Ray Bladder (74430) $1,433.60 $2,048 3.9×
Contrast X-Ray Of Elbow (73085) $996.10 $1,423 2.7×
Contrast X-Ray Of Knee Joint (73580) $996.10 $1,423 2.7×
CT abdomen and pelvis without and with contrast (74178) $4,942 $7,060 13.4×
CT abdomen and pelvis without contrast (74176) $3,175.20 $4,536 12.6×
CT abdomen w contrast (74160) $1,852.90 $2,647 10.0×
CT abdomen w wo contrast (74170) $2,221.10 $3,173 12.0×
CT abdomen w/o contrast (74150) $1,599.50 $2,285 14.5×
CT Angio Abdomen and Pelvis (74174) $5,189.10 $7,413 14.1×
CT Angio Chest (71275) $3,142.30 $4,489 17.0×
CT Angio Head (70496) $2,151.10 $3,073 11.6×
CT angio hrt w/3d image (75574) $1,420.30 $2,029 3.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,139.90 $3,057 11.6×
CT Angio Neck (70498) $2,151.10 $3,073 11.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,072 $2,960 11.2×
CT bone density (77078) $934.50 $1,335 10.2×
CT cervical spine w/ contrast (72126) $2,333.10 $3,333 6.3×
CT cervical spine w/o contrast (72125) $1,746.50 $2,495 15.8×
CT cervical spine w/wo cont (72127) $2,615.20 $3,736 14.1×
CT chest w contrast (71260) $2,152.50 $3,075 11.6×
CT chest w/wo contrast (71270) $2,634.10 $3,763 14.2×
CT head/brain with contrast (70460) $2,283.40 $3,262 12.3×
CT head/brain without and with contrast (70470) $2,685.90 $3,837 14.5×
CT heart contrast eval cardiac structure&morph (75572) $1,136.80 $1,624 3.1×
CT heart no contrast quant eval coronry calcium (75571) $208.60 $298 2.3×
CT hrt w/3d image congen (75573) $1,343.30 $1,919 3.7×
CT iac w contrast (70481) $2,763.60 $3,948 14.9×
CT l-spine w&w/o contrast (72133) $2,050.30 $2,929 11.1×
CT lower ext w/o (73700) $1,225.70 $1,751 11.1×
CT lower extremity w/contrast material (73701) $1,653.40 $2,362 8.9×
CT lumbar spine w contrast (72132) $1,709.40 $2,442 4.6×
CT lumbar spine w/o contrast (72131) $1,579.90 $2,257 14.3×
CT maxillofacial w contrast (70487) $1,733.20 $2,476 9.4×
CT maxillofacial wo contrast (70486) $1,225 $1,750 11.1×
CT neck tissue combo (70492) $1,941.10 $2,773 10.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,178 $4,540 17.2×
CT orbits w/o contrast (70480) $2,380 $3,400 21.6×
CT pelvis w&w/o contrast (72194) $1,896.30 $2,709 10.2×
CT pelvis w/o contrast (72192) $1,664.60 $2,378 15.1×
CT scan of leg combo (73702) $2,037.70 $2,911 11.0×
CT scans face/jaw combo (70488) $2,177.70 $3,111 11.8×
CT soft tissue neck w contrast (70491) $1,644.30 $2,349 8.9×
CT soft tissue neck w/o contrast (70490) $1,579.90 $2,257 14.3×
CT thoracic spine w contrast (72129) $1,866.90 $2,667 10.1×
CT thoracic spine w/o contrast (72128) $1,614.90 $2,307 14.6×
CT thoracic spine w/wo cont (72130) $2,190.30 $3,129 11.8×
CT thorax w/o contrast (71250) $1,228.50 $1,755 11.1×
CT upper ext wo (73200) $1,430.80 $2,044 13.0×
CT upper extremity w/o & w/contrast material (73202) $1,745.80 $2,494 9.4×
CT upper extremity with contrast (73201) $1,644.30 $2,349 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,775.90 $2,537 9.6×
Cta Abdomen (74175) $2,332.40 $3,332 12.6×
CTA pelvis (72191) $2,821.70 $4,031 15.2×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $842.80 $1,204 3.3×
Dilation ureters/urethra rs&i (74485) $2,697.10 $3,853 1.2×
Discography Cerv/Thor Spine (72285) $4,176.90 $5,967 2.0×
Diskography lumbar (72295) $3,903.20 $5,576 1.9×
Doppler Echo Fetal Spectral Display Complete (76827) $667.10 $953 6.0×
Doppler Fetal Mid Cerebral Artery (76821) $864.50 $1,235 7.8×
Dxa Bone Density Axial (77080) $607.60 $868 5.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $303.80 $434 3.3×
Echo exam of fetal heart (76825) $995.40 $1,422 1.7×
Echo exam uterus (76831) $714.70 $1,021 2.8×
Echo Guide For Artery Repair (76936) $1,679.30 $2,399 7.4×
Echograp Trans R Pros Study (76873) $1,067.50 $1,525 9.7×
Esophagram (74220) $611.10 $873 3.3×
Fetal Biophys Profile W/Nst (76818) $714.70 $1,021 6.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $536.20 $766 4.9×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $3,609.20 $5,156 14.3×
Fluoroscopy up to 1 hr (76000) $702.10 $1,003 2.8×
Follow-Up Angiography (75898) $2,685.90 $3,837 0.8×
Foot 2 views (73620) $251.30 $359 2.7×
Forearm 2 views (73090) $254.10 $363 2.8×
Gastric emptying imaging study (78264) $2,358.30 $3,369 5.6×
Gated Heart Planar Single (78472) $3,384.50 $4,835 8.0×
Hand 2 views (73120) $336 $480 3.0×
Heart Image (Pet) Multiple (78492) $6,349.70 $9,071 4.2×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $4,286.80 $6,124 1.3×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,813.60 $5,448 1.1×
Hepatobil Syst Image W/Drug (78227) $2,358.30 $3,369 4.1×
Hepatobiliary System Imaging (78226) $2,303.70 $3,291 5.5×
Ht Muscle Image Spect Sing (78451) $4,037.60 $5,768 3.0×
Hysterosalpingogram (74740) $1,494.50 $2,135 5.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $714.70 $1,021 7.8×
Infant hip ultrasound, limited static exam (76886) $379.40 $542 4.1×
Joint Survey Single View (77077) $351.40 $502 3.2×
K Flow/Funct Image W/Drug (78708) $2,368.10 $3,383 4.1×
K Flow/Funct Image W/O Drug (78707) $2,368.10 $3,383 4.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,724.10 $2,463 4.1×
Knee 3 Views (73562) $322.70 $461 3.5×
Leveen/Shunt Patency Exam (78291) $837.90 $1,197 2.0×
Liver & Spleen Imaging Static Only (78215) $1,491.70 $2,131 3.5×
Liver imaging static only (78201) $1,383.90 $1,977 2.4×
Lung Perf&Ventilat Diferentl (78598) $2,616.60 $3,738 4.6×
Lung Ventilat&Perfus Imaging (78582) $2,805.60 $4,008 4.9×
Lymph System Imaging (78195) $1,602.30 $2,289 2.8×
Lymphangiography, pelvic/abdominal, unilateral (75805) $2,685.90 $3,837 0.8×
Magnetic Image Jaw Joint (70336) $2,077.60 $2,968 8.3×
Mammary ductogram or galactogram single (77053) $722.40 $1,032 2.9×
Meckels Divert Exam (78290) $1,740.90 $2,487 4.1×
Medical physics dose eval radiation expos w/rprt (76145) $506.10 $723 1.3×
Mlc imrt design & construction per imrt plan (77338) $1,712.20 $2,446 4.3×
Mra Head W/O & W/Contrast Material (70546) $3,491.60 $4,988 9.5×
MRA head w/o contrast (70544) $3,109.40 $4,442 12.4×
MRA head with contrast (70545) $3,249.40 $4,642 8.8×
MRA neck w contrast (70548) $3,491.60 $4,988 9.5×
Mra Neck W/O &W/Contrast Material (70549) $4,029.20 $5,756 10.9×
MRA neck w/o contrast (70547) $3,109.40 $4,442 12.4×
MRI abdomen w contrast (74182) $2,774.10 $3,963 7.5×
MRI abdomen w/o contrast (74181) $2,154.60 $3,078 8.6×
MRI any jt lower extrem w/contrast material (73722) $1,924.30 $2,749 2.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,599.10 $3,713 7.1×
MRI any jt upper extremity w/contrast matrl (73222) $2,353.40 $3,362 2.8×
MRI bone marrow blood supply (77084) $2,522.10 $3,603 10.0×
MRI Breast W/O Contrast Bilateral (77047) $1,390.20 $1,986 5.5×
MRI Breast Without Contrast Material Unilateral (77046) $515.20 $736 2.0×
MRI cardiac w/o contrast (75557) $1,353.10 $1,933 5.4×
MRI cervical spine w contrast (72142) $2,741.20 $3,916 7.4×
MRI cervical spine w/o cont (72141) $2,109.80 $3,014 8.4×
MRI chest w/o contrast (71550) $2,297.40 $3,282 9.1×
MRI chest wo w contrast (71552) $3,290.70 $4,701 8.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,496.20 $3,566 6.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,843.40 $4,062 7.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,606.50 $2,295 6.4×
MRI lumbar spine w contrast (72149) $2,741.20 $3,916 7.4×
Mri Neck Spine W/O & W/Dye (72156) $2,878.40 $4,112 7.8×
MRI orbit face &/neck w/o contrast (70540) $2,297.40 $3,282 9.1×
MRI orbit face neck w contrast (70542) $2,698.50 $3,855 7.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,970.80 $4,244 8.1×
MRI pelvis w contrast (72196) $2,869.30 $4,099 7.8×
MRI pelvis w/o & w contrast (72197) $3,271.80 $4,674 8.9×
MRI pelvis w/o contrast (72195) $2,439.50 $3,485 9.7×
MRI spectroscopy (76390) $1,096.20 $1,566 11.9×
MRI thoracic spine w/o contrast (72146) $2,231.60 $3,188 8.9×
MRI upper extremity oth than jt w/contr matrl (73219) $1,676.50 $2,395 4.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,568 $2,240 6.2×
Mri Uppr Extremity W/O&W/Dye (73220) $3,083.50 $4,405 8.4×
MRI, abdomen, combo (74183) $2,942.10 $4,203 8.0×
MRI, dorsal spine combo (72157) $2,878.40 $4,112 7.8×
MRI, dorsal spine contrast (72147) $2,741.20 $3,916 7.4×
MRI, joint upper extrem (73221) $1,836.80 $2,624 7.3×
MRI, joint upper extrem combo (73223) $2,843.40 $4,062 7.7×
MRI, lumbar spine combo (72158) $2,878.40 $4,112 7.8×
Myelogram cervical (72240) $1,685.60 $2,408 2.0×
Myelogram Lumbar (72265) $1,694 $2,420 2.0×
Myelography thoracic (72255) $1,570.10 $2,243 1.9×
Myelograpy 2/more regions rs&i (72270) $2,139.90 $3,057 2.6×
Myocardial Spect Multiple Studies (78452) $5,352.20 $7,646 3.9×
N-invas est c ffr sw aly CTA (75580) $2,240.70 $3,201 2.5×
Neck soft tissue (70360) $256.20 $366 2.8×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $906.50 $1,295 2.1×
Nonvascular Shunt X-Ray (75809) $1,087.10 $1,553 9.9×
Ntsty modul radthx pln dose-vol histos (77301) $10,122.70 $14,461 6.9×
Nuclear medicine study of endocrine organs (78099) $822.82 $1,175.45 2.0×
Nuclear Rx Intra-Arterial (79445) $805 $1,150 3.3×
Nuclear Rx Oral Admin (79005) $2,275 $3,250 9.2×
Ob us nuchal meas 1 gest (76813) $761.60 $1,088 6.9×
Ophthalmic Ultrasonic Foreign Body Localization (76529) $177.10 $253 1.9×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $295.40 $422 2.7×
Panoramic X-ray of jaws (70355) $228.20 $326 2.5×
Parathyroid Planar Imaging (78070) $1,095.50 $1,565 2.6×
Parathyroid planar imaging w/wo subtraction (78071) $1,098.30 $1,569 2.6×
Pelvis 1 or 2 views (72170) $338.80 $484 3.1×
Peritoneogram Rs&I (74190) $1,666 $2,380 2.9×
Pet Image W/Ct Lmtd (78814) $5,040.70 $7,201 3.3×
PET image w/CT, full body (78816) $5,841.50 $8,345 3.9×
PET imaging CT attenuation skull base mid-thigh (78815) $5,310.20 $7,586 3.5×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,286.80 $6,124 1.3×
Pulmonary Perfusion Imaging Particulate (78580) $1,400 $2,000 3.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $499.10 $713 4.5×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines		 $1,796.90–$1,803.20 $2,567–$2,576 varies
Radex Ankle Complete Minimum 3 Views (73610) $304.50 $435 3.3×
Radex Calcaneus Minimum 2 Views (73650) $263.20 $376 2.9×
Radex elbow complete minimum 3 views (73080) $310.80 $444 3.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $282.80 $404 2.6×
Radex fingr minimum 2 views (73140) $351.40 $502 3.8×
Radex foot complete minimum 3 views (73630) $322.70 $461 3.5×
Radex Hand Minimum 3 Views (73130) $403.90 $577 4.4×
Radex lower extremity infant minimum 2 views (73592) $396.20 $566 4.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $435.40 $622 3.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $351.40 $502 3.8×
Radex Ribs Unilateral 2 Views (71100) $351.40 $502 3.8×
Radex shoulder complete minimum 2 views (73030) $254.10 $363 2.8×
Radex Sinuses Paransl < 3 Views (70210) $354.90 $507 3.9×
Radex Spine 1 View Specify Level (72020) $291.90 $417 3.2×
Radex Sternum Minimum 2 Views (71120) $351.40 $502 3.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $500.50 $715 5.5×
Radex Toe Minimum 2 Views (73660) $288.40 $412 3.1×
Radex upper extremity infant minimum 2 views (73092) $351.40 $502 3.2×
Radex Wrist Complete Minimum 3 Views (73110) $310.80 $444 3.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $277.90 $397 2.5×
Radiation Delivery Stereotactic Cranial Linear (77372) $16,931.60 $24,188 2.2×
Radiation treatment delivery level 1 (77402) $433.30 $619 4.0×
Radiation treatment delivery level 2 (77407) $442.40 $632 1.1×
Radiation treatment delivery level 3 (77412) $1,311.10 $1,873 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $400.40 $572 3.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $435.40 $622 3.9×
Radiologic exam colon double contrast study (74280) $1,076.60 $1,538 5.8×
Radiologic exam colon single contrast study (74270) $903 $1,290 4.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $785.40 $1,122 4.2×
Radiologic exam knee complete 4/more views (73564) $403.90 $577 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $349.30 $499 3.2×
Radiologic Exam Small Int Single Contrast Study (74250) $785.40 $1,122 4.2×
Radiologic exam swallow function contrast study (74230) $510.30 $729 2.8×
Radiologic exam upr gi trc double contrast study (74246) $903 $1,290 4.9×
Radiologic examination femur 1 view (73551) $228.90 $327 2.5×
Radiologic examination femur minimum 2 views (73552) $284.90 $407 3.1×
Radiologic examination knee 1/2 views (73560) $275.80 $394 3.0×
Radiologic Examination Osseous Survey Limited (77074) $317.10 $453 2.9×
Radiologic examination tibia & fibula 2 views (73590) $254.10 $363 2.8×
Ribs bilateral 3 views (71110) $430.50 $615 3.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $828.80 $1,184 2.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,821.40 $2,602 4.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,042.50 $5,775 7.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,981.70 $2,831 3.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,868.90 $5,527 6.8×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,922.10 $5,603 2.9×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,578.80 $3,684 1.9×
Rp Therapy Intravenous Administration (79101) $4,967.20 $7,096 20.2×
Scapula (73010) $351.40 $502 3.2×
Screening Digital Breast Tomosynthesis Bi (77063) $59.50 $85 2.5×
Sella turcica (70240) $133 $190 1.4×
Shoulder 1 view (73020) $249.20 $356 2.7×
Shoulder Arthrography (73040) $996.10 $1,423 2.7×
Sialogram (70390) $1,201.90 $1,717 4.8×
Skull less than 4 views (70250) $351.40 $502 3.2×
Special dosimetry (77331) $1,224.30 $1,749 8.6×
Special Physics Consult (77370) $522.90 $747 3.7×
Special teletherapy port plan (77321) $1,472.80 $2,104 3.7×
Special treatment procedure (77470) $2,056.60 $2,938 3.5×
Stereotactic Body Radiation Delivery (77373) $11,090.10 $15,843 5.9×
Sternoclavicular joints (71130) $403.90 $577 4.4×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,507.10 $2,153 3.8×
Telethx isodose pln smpl w/dosimetry calculation (77306) $802.90 $1,147 2.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,957.20 $2,796 5.0×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,305.50 $1,865 3.3×
Ther rad simulaj-aided field setting simple (77280) $1,035.30 $1,479 7.3×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $785.40 $1,122 4.2×
Thoracic spine 2 views (72070) $361.90 $517 3.3×
Thoracic spine 3 views (72072) $401.10 $573 3.6×
Thoracolumbar 2 views (72080) $335.30 $479 3.7×
Thyroid Met Imaging Body (78018) $2,278.50 $3,255 4.0×
Thyroid Uptake Measurement (78012) $781.20 $1,116 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,460.20 $2,086 3.5×
Tx Devices Design & Construction Complex (77334) $1,712.20 $2,446 4.3×
Tx devices design & construction intermediate (77333) $1,208.90 $1,727 8.5×
Tx devices design & construction simple (77332) $958.30 $1,369 6.8×
Ultrasound Breast Limited (76642) $454.30 $649 4.9×
Ultrasound elastography first target lesion (76982) $238 $340 2.2×
Ultrasound Elastography Parenchyma (76981) $256.20 $366 2.3×
Ultrasound Exam Aaa Screen (76706) $735 $1,050 6.7×
Ultrasound, abdomen limited (76705) $616.70 $881 5.6×
Umbilical-artery Doppler (OB) (76820) $864.50 $1,235 7.8×
Unlisted Dx Radiographic Procedure (76499) $1,425.21 $2,036.01 15.5×
Unlisted fluoroscopic procedure (76496) $560 $800 6.1×
Unlisted magnetic resonance procedure (76498)
range across 5 matching MRF lines		 $2,522.31–$3,566.20 $3,603.30–$5,094.56 varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $754.58 $1,077.96 1.8×
Unlisted us procedure (76999) $206.72 $295.31 2.3×
Upper gi w/o kub (74240) $678.30 $969 3.7×
Urethrocystogram voiding (74455) $1,246.70 $1,781 5.0×
Urethrocystography retrograde (74450) $1,246.70 $1,781 5.0×
Us breast unilateral complete (76641) $501.90 $717 4.6×
Us chest (76604) $822.50 $1,175 7.5×
Us complete joint (76881) $822.50 $1,175 7.5×
Us exam, pelvic, limited (76857) $529.20 $756 4.8×
Us head (76506) $714.70 $1,021 6.5×
Us kidney transplant (76776) $822.50 $1,175 7.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $642.60 $918 5.8×
Us ob detailed single fetus (76811) $1,246.70 $1,781 5.0×
Us ob limited 1 or more fetuses (76815) $415.80 $594 3.8×
Us ob transvaginal (76817) $822.50 $1,175 7.5×
Us pelvic non ob complete (76856) $714.70 $1,021 6.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $822.50 $1,175 7.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $529.20 $756 4.8×
Us retroperitoneal complete (76770) $697.20 $996 6.3×
Us retroperitoneal limited (76775) $619.50 $885 5.6×
Us scrotum and contents (76870) $822.50 $1,175 7.5×
Us spinal canal and contents (76800) $714.70 $1,021 6.5×
Us thyroid (76536) $834.40 $1,192 7.6×
Vein X-Ray Chest (75827) $3,517.50 $5,025 2.1×
Vein X-Ray Liver W/O Hemodyn (75887) $3,686.20 $5,266 1.1×
Vein X-Ray Spleen/Liver (75810) $3,845.10 $5,493 1.2×
Venogram Sinus/Jugular (75860) $3,813.60 $5,448 1.1×
Venography Adrenal Unilateral (75840) $3,686.20 $5,266 1.1×
Venography caval inferior serialography rs&i (75825) $3,318 $4,740 1.0×
Venography extremity bilateral rs&i (75822) $2,268.70 $3,241 1.4×
Venography extremity unilateral rs&i (75820) $1,881.60 $2,688 1.1×
Venography Renal Bilateral (75833) $4,416.30 $6,309 1.3×
Venography Renal Unilateral (75831) $4,109.70 $5,871 1.2×
Venous sampling by catheter (75893) $4,507.30 $6,439 0.8×
Wrist 2 views (73100) $242.20 $346 2.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $403.90 $577 4.4×
X-ray antegrade pyelogram tube (74425) $810.60 $1,158 2.2×
X-Ray Aorta Leg Arteries (75630) $3,776.50 $5,395 1.1×
X-Ray Bend Only L-S Spine (72120) $403.90 $577 3.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $242.20 $346 2.6×
X-Ray Exam Breast Specimen (76098) $452.90 $647 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $204.40 $292 2.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $233.10 $333 2.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $265.30 $379 2.4×
X-Ray Exam Hip Uni 1 View (73501) $308 $440 3.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $468.30 $669 5.1×
X-Ray Exam Hip Uni 4/> Views (73503) $599.20 $856 5.4×
X-Ray Exam Hips Bi 2 Views (73521) $388.50 $555 3.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $506.10 $723 4.6×
X-Ray Exam Hips Bi 5/> Views (73523) $595 $850 5.4×
X-Ray Exam L-S Spine Bending (72114) $700.70 $1,001 6.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $403.90 $577 4.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $700.70 $1,001 6.4×
X-Ray Exam Unilat Ribs/Chest (71101) $401.10 $573 3.6×
X-ray eye for foreign body (70030) $392 $560 4.3×
X-ray humerus (73060) $254.10 $363 2.8×
X-ray IV pyelogram (ivp) (74400) $810.60 $1,158 4.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $379.40 $542 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $172.90 $247 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $375.20 $536 3.4×
X-ray nose-rectum child f.b. (76010) $338.80 $484 3.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $609 $870 5.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $403.90 $577 3.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $284.90 $407 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $261.10 $373 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $403.90 $577 4.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $537.60 $768 4.9×
X-ray thoracic spine 4 vw (72074) $574 $820 5.2×
X-Ray Tmj Unilat (70328) $434.70 $621 4.7×
X-Rays Bone Length Studies (77073) $403.90 $577 3.7×
X-Rays Bone Survey Complete (77075) $579.60 $828 5.3×
Xr c-spine 4 or 5 views (72050) $613.90 $877 5.6×
Xr facial bones less than 3 views (70140) $271.60 $388 3.0×
Xr orbits complete 4 views (70200) $403.90 $577 3.7×
Xr Tomogram Single Plane (76100) $609 $870 5.5×

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.