Imaging prices at Memorial Hospital of Gardena
Gardena, CA · every code in this section with a posted price and a Medicare benchmark.
422 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) | $394.80 | $394.80 | 3.5× |
| Abdomen 2 views (74019) | $572.25 | $572.25 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,095.80 | $2,095.80 | 4.1× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $6,577.20 | $6,577.20 | 3.9× |
| Adrenal Cortex & Medulla Img (78075) | $3,324.30 | $3,324.30 | 2.0× |
| Angio internal mammary (75756) | $3,184.65 | $3,184.65 | 0.8× |
| Angio pulmonary bilat (75743) | $6,937.35 | $6,937.35 | 1.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,369.55 | $8,369.55 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $6,014.40 | $6,014.40 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $5,867.40 | $5,867.40 | 1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,486.65 | $4,486.65 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,184.65 | $3,184.65 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$366.45–$550.20 | $366.45–$550.20 | varies |
| Aortography thoracic serialography rs&i (75605) | $22,663.20 | $22,663.20 | 3.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,165.85 | $8,165.85 | 2.0× |
| Artery X-Rays Abdomen (75726) | $11,331.60 | $11,331.60 | 1.6× |
| Artery X-Rays Adrenal Gland (75731) | $8,165.85 | $8,165.85 | 2.0× |
| Artery X-Rays Pelvis (75736) | $11,331.60 | $11,331.60 | 1.6× |
| Artery X-Rays Spine (75705) | $8,982.75 | $8,982.75 | 1.3× |
| Arthrogram ankle (73615) | $1,108.80 | $1,108.80 | 2.5× |
| Arthrogram hip (73525) | $1,162.35 | $1,162.35 | 2.6× |
| Arthrogram Wrist (73115) | $1,036.35 | $1,036.35 | 2.3× |
| Bone age studies (77072) | $277.20 | $277.20 | 2.1× |
| Bone Imaging 3 Phase (78315) | $2,796.15 | $2,796.15 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,440.60 | $1,440.60 | 2.8× |
| Bone Imaging Multiple Areas (78305) | $2,265.90 | $2,265.90 | 4.4× |
| Bone Imaging Whole Body (78306) | $2,556.75 | $2,556.75 | 5.0× |
| Bone marrow imaging limited area (78102) | $1,672.65 | $1,672.65 | 3.3× |
| Bone marrow imaging; multiple areas (78103) | $2,265.90 | $2,265.90 | 4.4× |
| Bone marrow imaging; whole body (78104) | $2,536.80 | $2,536.80 | 4.9× |
| Bone survey infant (77076) | $1,360.80 | $1,360.80 | 10.1× |
| Brain Flow Imaging Only (78610) | $1,429.05 | $1,429.05 | 2.0× |
| Brain Image W/Flow < 4 Views (78601) | $2,401.35 | $2,401.35 | 4.7× |
| Brain imaging < 4 static views (78600) | $966 | $966 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,222.85 | $2,222.85 | 3.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,332.45 | $1,332.45 | 1.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,794.05 | $2,794.05 | 5.4× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,351.35 | $1,351.35 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,607.65 | $6,607.65 | 14.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,818.30 | $7,818.30 | 7.8× |
| Cardiac Shunt Detection (78428) | $1,173.90 | $1,173.90 | 2.3× |
| Cardiovasc nucl exam unlisted (78499) | $1,173.90 | $1,173.90 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $1,222.20 | $1,222.20 | 10.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,449.65 | $2,449.65 | 3.5× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $2,401.35 | $2,401.35 | 3.4× |
| Cerebrospinal Fluid Scan (78630) | $2,198.70 | $2,198.70 | 3.1× |
| Chest 1 view (71045) | $394.80 | $394.80 | 3.5× |
| Chest 2 views (71046) | $592.20 | $592.20 | 5.3× |
| Chest 3 views (71047) | $717.15 | $717.15 | 6.4× |
| Chest 4 or more views (71048) | $766.50 | $766.50 | 5.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $771.75 | $771.75 | 5.7× |
| Cisternography Positive Contrast Rs&I (70015) | $2,010.75 | $2,010.75 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$529.20–$793.80 | $529.20–$793.80 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $234.15 | $234.15 | 1.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,592.05 | $3,592.05 | 0.9× |
| Contrast X-Ray Bladder (74430) | $925.05 | $925.05 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,108.80 | $1,108.80 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,162.35 | $1,162.35 | 2.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $343.35 | $343.35 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $8,859.90 | $8,859.90 | 19.7× |
| CT abdomen and pelvis without contrast (74176) | $3,246.60 | $3,246.60 | 10.6× |
| CT abdomen w contrast (74160) | $3,467.10 | $3,467.10 | 15.4× |
| CT abdomen w wo contrast (74170) | $3,904.95 | $3,904.95 | 17.3× |
| CT abdomen w/o contrast (74150) | $2,296.35 | $2,296.35 | 17.1× |
| CT Angio Abdomen and Pelvis (74174) | $9,215.85 | $9,215.85 | 20.5× |
| CT Angio Chest (71275) | $6,222.30 | $6,222.30 | 27.6× |
| CT Angio Head (70496) | $5,801.25 | $5,801.25 | 25.7× |
| CT angio hrt w/3d image (75574) | $1,193.85 | $1,193.85 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,853.50 | $3,853.50 | 17.1× |
| CT Angio Neck (70498) | $5,054.70 | $5,054.70 | 22.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,304.60 | $5,304.60 | 23.5× |
| CT bone density (77078) | $305.55 | $305.55 | 2.7× |
| CT cervical spine w/ contrast (72126) | $5,402.25 | $5,402.25 | 12.0× |
| CT cervical spine w/o contrast (72125) | $4,710.30 | $4,710.30 | 35.0× |
| CT cervical spine w/wo cont (72127) | $5,537.70 | $5,537.70 | 24.5× |
| CT chest w contrast (71260) | $5,387.55 | $5,387.55 | 23.9× |
| CT chest w/wo contrast (71270) | $5,926.20 | $5,926.20 | 26.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,222.20 | $1,222.20 | 5.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $857.85 | $857.85 | 6.4× |
| CT head/brain with contrast (70460) | $4,852.05 | $4,852.05 | 21.5× |
| CT head/brain without and with contrast (70470) | $5,659.50 | $5,659.50 | 25.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,034.25 | $1,034.25 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $239.40 | $239.40 | 2.1× |
| CT hrt w/3d image congen (75573) | $1,137.15 | $1,137.15 | 2.5× |
| CT iac w contrast (70481) | $4,680.90 | $4,680.90 | 20.7× |
| CT l-spine w&w/o contrast (72133) | $5,881.05 | $5,881.05 | 26.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,639.70–$3,959.55 | $2,639.70–$3,959.55 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,999.85–$4,500.30 | $2,999.85–$4,500.30 | varies |
| CT lumbar spine w contrast (72132) | $5,600.70 | $5,600.70 | 12.5× |
| CT lumbar spine w/o contrast (72131) | $4,972.80 | $4,972.80 | 37.0× |
| CT maxillofacial w contrast (70487) | $4,319.70 | $4,319.70 | 19.1× |
| CT maxillofacial wo contrast (70486) | $4,127.55 | $4,127.55 | 30.7× |
| CT neck tissue combo (70492) | $4,931.85 | $4,931.85 | 21.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,896.15 | $4,896.15 | 21.7× |
| CT orbits w/o contrast (70480) | $3,299.10 | $3,299.10 | 24.5× |
| CT pelvis w&w/o contrast (72194) | $3,799.95 | $3,799.95 | 16.8× |
| CT pelvis w/o contrast (72192) | $2,756.25 | $2,756.25 | 20.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,672.90–$5,509.35 | $3,672.90–$5,509.35 | varies |
| CT scans face/jaw combo (70488) | $4,788 | $4,788 | 21.2× |
| CT soft tissue neck w contrast (70491) | $4,696.65 | $4,696.65 | 20.8× |
| CT soft tissue neck w/o contrast (70490) | $2,996.70 | $2,996.70 | 22.3× |
| CT thoracic spine w contrast (72129) | $5,527.20 | $5,527.20 | 24.5× |
| CT thoracic spine w/o contrast (72128) | $5,322.45 | $5,322.45 | 39.6× |
| CT thoracic spine w/wo cont (72130) | $5,745.60 | $5,745.60 | 25.5× |
| CT thorax w/o contrast (71250) | $4,435.20 | $4,435.20 | 33.0× |
| CT unlisted procedure (76497) | $457.80 | $457.80 | 4.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,829.75–$4,245.15 | $2,829.75–$4,245.15 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$5,133.45–$7,700.70 | $5,133.45–$7,700.70 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,900.10–$4,350.15 | $2,900.10–$4,350.15 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,479.70 | $3,479.70 | 15.4× |
| Cta Abdomen (74175) | $4,044.60 | $4,044.60 | 17.9× |
| CTA pelvis (72191) | $3,990 | $3,990 | 17.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $927.15 | $927.15 | 3.0× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $1,228.50 | $1,228.50 | 1.8× |
| Dilation ureters/urethra rs&i (74485) | $2,244.90 | $2,244.90 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $4,326 | $4,326 | 1.7× |
| Diskography lumbar (72295) | $4,386.90 | $4,386.90 | 1.7× |
| Echo exam uterus (76831) | $615.30 | $615.30 | 2.0× |
| Echo Guide For Artery Repair (76936) | $643.65 | $643.65 | 2.3× |
| Esophageal Motility Study (78258) | $962.85 | $962.85 | 1.9× |
| Esophagram (74220) | $827.40 | $827.40 | 3.7× |
| Fetal Biophys Profile W/Nst (76818) | $1,221.15 | $1,221.15 | 9.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,014.30 | $1,014.30 | 7.5× |
| Fluoroscopy up to 1 hr (76000) | $770.70 | $770.70 | 2.5× |
| Follow-Up Angiography (75898) | $4,345.95 | $4,345.95 | 1.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$405.30–$607.95 | $405.30–$607.95 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$542.85–$814.80 | $542.85–$814.80 | varies |
| Gastric emptying imaging study (78264) | $2,698.50 | $2,698.50 | 5.2× |
| Gastric Mucosa Imaging (78261) | $962.85 | $962.85 | 1.9× |
| Gastroesophageal Reflux Exam (78262) | $962.85 | $962.85 | 1.9× |
| Gastrointestinal Protein Loss (78282) | $962.85 | $962.85 | 1.9× |
| Gated Heart Planar Single (78472) | $2,539.95 | $2,539.95 | 4.9× |
| Gated Heart, Multiple (78473) | $2,794.05 | $2,794.05 | 5.4× |
| GI Endoscopic US S&I (76975) | $615.30 | $615.30 | 2.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$443.10–$664.65 | $443.10–$664.65 | varies |
| Heart first pass single,planar (78481) | $1,228.50 | $1,228.50 | 1.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $13,632.15 | $13,632.15 | 3.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $13,632.15 | $13,632.15 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,591.80 | $1,591.80 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,516.20 | $1,516.20 | 2.9× |
| Ht Musc Image Planar Mult (78454) | $3,288.60 | $3,288.60 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,653.35 | $2,653.35 | 1.6× |
| Hysterosalpingogram (74740) | $1,162.35 | $1,162.35 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $329.70 | $329.70 | 2.9× |
| Infant hip ultrasound, limited static exam (76886) | $250.95 | $250.95 | 2.2× |
| Infusion Ivp (74410) | $1,048.95 | $1,048.95 | 4.6× |
| Joint Survey Single View (77077) | $200.55 | $200.55 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $2,789.85 | $2,789.85 | 4.0× |
| K Flow/Funct Image W/Drug (78708) | $2,359.35 | $2,359.35 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $2,032.80 | $2,032.80 | 2.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,095.15 | $1,095.15 | 2.1× |
| Kidney Imaging Morphol (78700) | $1,095.15 | $1,095.15 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,152.50 | $2,152.50 | 4.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$540.75–$811.65 | $540.75–$811.65 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,259.60 | $2,259.60 | 4.4× |
| Leveen/Shunt Patency Exam (78291) | $2,112.60 | $2,112.60 | 4.1× |
| Liver & Spleen Imaging Static Only (78215) | $3,343.20 | $3,343.20 | 6.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,071.65 | $2,071.65 | 4.0× |
| Liver imaging static only (78201) | $3,288.60 | $3,288.60 | 4.7× |
| Liver imaging w/vascular flow (78202) | $3,623.55 | $3,623.55 | 5.2× |
| Lung Ventilat&Perfus Imaging (78582) | $3,956.40 | $3,956.40 | 5.7× |
| Lung Ventilation Imaging (78579) | $873.60 | $873.60 | 1.7× |
| Lymph System Imaging (78195) | $1,842.75 | $1,842.75 | 2.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,802.85 | $1,802.85 | 0.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,639.05 | $1,639.05 | 2.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $13,632.15 | $13,632.15 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $4,609.50 | $4,609.50 | 15.0× |
| Mammary ductogram or galactogram multiple (77054) | $927.15 | $927.15 | 3.0× |
| Mammary ductogram or galactogram single (77053) | $672 | $672 | 2.2× |
| Meckels Divert Exam (78290) | $1,587.60 | $1,587.60 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $8,568 | $8,568 | 19.1× |
| MRA head w/o contrast (70544) | $6,839.70 | $6,839.70 | 22.3× |
| MRA head with contrast (70545) | $8,159.55 | $8,159.55 | 18.2× |
| MRA neck w contrast (70548) | $5,884.20 | $5,884.20 | 13.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,178.20 | $6,178.20 | 13.8× |
| MRA neck w/o contrast (70547) | $5,603.85 | $5,603.85 | 18.3× |
| MRI abdomen w contrast (74182) | $5,960.85 | $5,960.85 | 13.3× |
| MRI abdomen w/o contrast (74181) | $5,815.95 | $5,815.95 | 19.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$6,736.80–$10,105.20 | $6,736.80–$10,105.20 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,317.45–$10,976.70 | $7,317.45–$10,976.70 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$5,975.55–$8,963.85 | $5,975.55–$8,963.85 | varies |
| MRI bone marrow blood supply (77084) | $1,380.75 | $1,380.75 | 4.5× |
| MRI brain functional w/o physician admnistration (70554) | $4,000.50 | $4,000.50 | 13.0× |
| MRI brain functional w/physician admnistration (70555) | $4,400.55 | $4,400.55 | 14.3× |
| MRI cardiac w/o contrast (75557) | $4,609.50 | $4,609.50 | 15.0× |
| MRI cervical spine w contrast (72142) | $4,202.10 | $4,202.10 | 9.4× |
| MRI cervical spine w/o cont (72141) | $3,341.10 | $3,341.10 | 10.9× |
| MRI chest w/o contrast (71550) | $4,609.50 | $4,609.50 | 15.0× |
| MRI chest with contrast (71551) | $5,011.65 | $5,011.65 | 5.0× |
| MRI chest wo w contrast (71552) | $6,280.05 | $6,280.05 | 14.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,368.40–$5,052.60 | $3,368.40–$5,052.60 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,659.25–$5,489.40 | $3,659.25–$5,489.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,762.55–$4,144.35 | $2,762.55–$4,144.35 | varies |
| MRI lumbar spine w contrast (72149) | $5,395.95 | $5,395.95 | 12.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,412.10 | $4,412.10 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,754.80 | $3,754.80 | 12.2× |
| MRI orbit face neck w contrast (70542) | $6,006 | $6,006 | 13.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,306.30 | $6,306.30 | 14.1× |
| MRI pelvis w contrast (72196) | $3,415.65 | $3,415.65 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $3,659.25 | $3,659.25 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,758.35 | $2,758.35 | 9.0× |
| MRI spectroscopy (76390) | $4,480.35 | $4,480.35 | 40.0× |
| MRI thoracic spine w/o contrast (72146) | $3,743.25 | $3,743.25 | 12.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$6,736.80–$10,105.20 | $6,736.80–$10,105.20 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,048.15–$4,572.75 | $3,048.15–$4,572.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$7,317.45–$10,976.70 | $7,317.45–$10,976.70 | varies |
| MRI, abdomen, combo (74183) | $6,109.95 | $6,109.95 | 13.6× |
| MRI, dorsal spine combo (72157) | $4,164.30 | $4,164.30 | 9.3× |
| MRI, dorsal spine contrast (72147) | $3,965.85 | $3,965.85 | 8.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,902.20–$4,353.30 | $2,902.20–$4,353.30 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$6,124.65–$9,187.50 | $6,124.65–$9,187.50 | varies |
| MRI, lumbar spine combo (72158) | $5,665.80 | $5,665.80 | 12.6× |
| Musculoskeletal Nuclear Exam (78399) | $988.05 | $988.05 | 1.9× |
| Myelogram cervical (72240) | $1,752.45 | $1,752.45 | 1.7× |
| Myelogram Lumbar (72265) | $1,752.45 | $1,752.45 | 1.7× |
| Myelography thoracic (72255) | $1,202.25 | $1,202.25 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $3,035.55 | $3,035.55 | 3.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,992.90 | $1,992.90 | 3.9× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,092.65 | $2,092.65 | 3.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,387.70 | $2,387.70 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $4,271.40 | $4,271.40 | 2.6× |
| Neck soft tissue (70360) | $382.20 | $382.20 | 3.4× |
| Nervous system nuclear exam (78699) | $966 | $966 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $771.75 | $771.75 | 1.5× |
| Nm csf leak detection (78650) | $2,640.75 | $2,640.75 | 1.6× |
| Nm myocard infarct spect (78469) | $3,288.60 | $3,288.60 | 4.7× |
| Nm red cell survival study (78130) | $1,685.25 | $1,685.25 | 3.3× |
| Nm unlisted gi procedure (78299) | $962.85 | $962.85 | 1.9× |
| Nm whole blood volume (78122) | $1,857.45 | $1,857.45 | 2.7× |
| Nonvascular Shunt X-Ray (75809) | $1,439.55 | $1,439.55 | 10.7× |
| Nuclear medicine study of endocrine organs (78099) | $389.55 | $389.55 | 0.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,544.55 | $1,544.55 | 5.1× |
| Nuclear Rx Oral Admin (79005) | $1,951.95 | $1,951.95 | 6.5× |
| Ob us nuchal meas 1 gest (76813) | $509.25 | $509.25 | 3.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $425.25 | $425.25 | 3.2× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $708.75 | $708.75 | 4.1× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $250.95 | $250.95 | 2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $313.95 | $313.95 | 2.3× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $75.60 | $75.60 | 2.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $386.40 | $386.40 | 2.9× |
| Optic foramina (70190) | $444.15 | $444.15 | 4.0× |
| Parathyroid Planar Imaging (78070) | $947.10 | $947.10 | 1.8× |
| Pelvis 1 or 2 views (72170) | $525 | $525 | 3.9× |
| Peritoneogram Rs&I (74190) | $781.20 | $781.20 | 1.1× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $1,946.70 | $1,946.70 | 1.2× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $1,854.30 | $1,854.30 | 1.1× |
| Platelet survival study Non-Facility (78191) | $771.75 | $771.75 | 1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,165.85 | $8,165.85 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,705.85 | $2,705.85 | 5.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,080.45 | $1,080.45 | 8.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,014.30 | $1,014.30 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$659.40–$989.10 | $659.40–$989.10 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$352.80–$529.20 | $352.80–$529.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$472.50–$708.75 | $472.50–$708.75 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $824.25 | $824.25 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$389.55–$584.85 | $389.55–$584.85 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$514.50–$771.75 | $514.50–$771.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$683.55–$1,025.85 | $683.55–$1,025.85 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$438.90–$658.35 | $438.90–$658.35 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $932.40 | $932.40 | 6.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $559.65 | $559.65 | 5.0× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $336 | $336 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $800.10 | $800.10 | 7.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$732.90–$1,099.35 | $732.90–$1,099.35 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $422.10 | $422.10 | 3.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,099.35 | $1,099.35 | 4.9× |
| Radex Spine 1 View Specify Level (72020) | $342.30 | $342.30 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $489.30 | $489.30 | 4.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $602.70 | $602.70 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$390.60–$585.90 | $390.60–$585.90 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$400.05–$600.60 | $400.05–$600.60 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$502.95–$754.95 | $502.95–$754.95 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $983.85 | $983.85 | 7.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $586.95 | $586.95 | 4.4× |
| Radiologic exam colon double contrast study (74280) | $1,357.65 | $1,357.65 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $1,119.30 | $1,119.30 | 5.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$666.75–$1,000.65 | $666.75–$1,000.65 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,001.70 | $1,001.70 | 7.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,072.05 | $1,072.05 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $1,399.65 | $1,399.65 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $910.35 | $910.35 | 4.0× |
| Radiologic examination femur minimum 2 views (73552) | $429.45 | $429.45 | 3.8× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$455.70–$683.55 | $455.70–$683.55 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $748.65 | $748.65 | 5.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $390.60 | $390.60 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$432.60–$648.90 | $432.60–$648.90 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $904.05 | $904.05 | 1.3× |
| Radiopharm Dacryocystography (78660) | $966 | $966 | 1.9× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $2,443.35 | $2,443.35 | 8.1× |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) | $1,564.50 | $1,564.50 | 5.2× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $2,068.50 | $2,068.50 | 6.9× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,685.25 | $1,685.25 | 3.3× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,769.25 | $1,769.25 | 2.5× |
| Renal Cyst Study (74470) | $1,967.70 | $1,967.70 | 2.8× |
| Ribs bilateral 3 views (71110) | $942.90 | $942.90 | 7.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,430.10 | $1,430.10 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,053.80 | $2,053.80 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,657.15 | $3,657.15 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,825.55 | $2,825.55 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,311.70 | $3,311.70 | 4.7× |
| Rp Therapy Intravenous Administration (79101) | $2,029.65 | $2,029.65 | 6.8× |
| Rp Therapy Unlisted Procedure (79999) | $901.95 | $901.95 | 3.0× |
| Salivary Gland Function Study (78232) | $962.85 | $962.85 | 1.9× |
| Salivary Gland Imaging (78230) | $962.85 | $962.85 | 1.9× |
| Salivary Gland Imaging Serial Images (78231) | $1,059.45 | $1,059.45 | 2.1× |
| Scapula (73010) range across 3 matching MRF lines |
$474.60–$711.90 | $474.60–$711.90 | varies |
| Sella turcica (70240) | $444.15 | $444.15 | 4.0× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$361.20–$541.80 | $361.20–$541.80 | varies |
| Shoulder Arthrography (73040) | $1,277.85 | $1,277.85 | 2.8× |
| Sialogram (70390) | $1,093.05 | $1,093.05 | 3.6× |
| Skull less than 4 views (70250) | $604.80 | $604.80 | 4.5× |
| Speech evaluation, complex (70371) | $369.60 | $369.60 | 1.2× |
| Spleen Imaging (78185) | $1,034.25 | $1,034.25 | 2.0× |
| Sternoclavicular joints (71130) | $801.15 | $801.15 | 7.2× |
| Superior sagittal sinus venogram (75870) | $3,184.65 | $3,184.65 | 0.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,108.80 | $1,108.80 | 3.6× |
| Testicular Imaging W/Flow (78761) | $1,843.80 | $1,843.80 | 3.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $385.35 | $385.35 | 1.7× |
| Thoracic spine 2 views (72070) | $729.75 | $729.75 | 5.4× |
| Thoracic spine 3 views (72072) | $865.20 | $865.20 | 6.4× |
| Thoracolumbar 2 views (72080) | $488.25 | $488.25 | 4.4× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,169.70 | $1,169.70 | 2.3× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $947.10 | $947.10 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $994.35 | $994.35 | 1.9× |
| Thyroid Met Imaging Body (78018) | $2,304.75 | $2,304.75 | 3.3× |
| Thyroid Uptake Measurement (78012) | $947.10 | $947.10 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,080.45 | $1,080.45 | 2.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$620.55–$1,241.10 | $620.55–$1,241.10 | varies |
| Ultrasound Exam Aaa Screen (76706) | $651 | $651 | 4.8× |
| Ultrasound, abdomen limited (76705) | $1,032.15 | $1,032.15 | 7.7× |
| Umbilical-artery Doppler (OB) (76820) | $274.05 | $274.05 | 2.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$345.45–$927.15 | $345.45–$927.15 | varies |
| Unlisted fluoroscopic procedure (76496) | $336 | $336 | 3.0× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,295.70 | $1,295.70 | 2.5× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $1,034.25 | $1,034.25 | 2.0× |
| Unlisted magnetic resonance procedure (76498) | $5,479.95 | $5,479.95 | 49.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $666.75 | $666.75 | 1.3× |
| Unlisted respiratory px dx nuclear medicine (78599) | $794.85 | $794.85 | 1.5× |
| Unlisted us procedure (76999) | $1,317.75 | $1,317.75 | 11.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$397.95–$1,484.70 | $397.95–$1,484.70 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $38.85 | $38.85 | 3.5× |
| Urea breath test c-14 isotopic analysis (78268) | $340.20 | $340.20 | 3.6× |
| Ureteral Reflux Study (78740) | $1,295.70 | $1,295.70 | 2.5× |
| Urethrocystogram voiding (74455) | $802.20 | $802.20 | 2.6× |
| Urethrocystography retrograde (74450) | $931.35 | $931.35 | 3.0× |
| Us bone density measurement (76977) | $274.05 | $274.05 | 2.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$1,292.55–$2,585.10 | $1,292.55–$2,585.10 | varies |
| Us chest (76604) | $830.55 | $830.55 | 6.2× |
| Us complete joint (76881) | $637.35 | $637.35 | 4.7× |
| Us exam, pelvic, limited (76857) | $1,125.60 | $1,125.60 | 8.4× |
| Us head (76506) | $1,270.50 | $1,270.50 | 9.4× |
| Us kidney transplant (76776) | $579.60 | $579.60 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $544.95 | $544.95 | 4.1× |
| Us ob detailed single fetus (76811) | $1,075.20 | $1,075.20 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $873.60 | $873.60 | 6.5× |
| Us ob transvaginal (76817) | $591.15 | $591.15 | 4.4× |
| Us pelvic non ob complete (76856) | $1,206.45 | $1,206.45 | 9.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,019.55 | $1,019.55 | 7.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,182.30 | $1,182.30 | 8.8× |
| Us retroperitoneal complete (76770) | $1,641.15 | $1,641.15 | 12.2× |
| Us retroperitoneal limited (76775) | $1,525.65 | $1,525.65 | 11.3× |
| Us scrotum and contents (76870) | $1,202.25 | $1,202.25 | 8.9× |
| Us spinal canal and contents (76800) | $386.40 | $386.40 | 2.9× |
| Us thyroid (76536) | $1,971.90 | $1,971.90 | 14.7× |
| Us transrectal (76872) | $1,101.45 | $1,101.45 | 8.2× |
| Vascular Flow Imaging (78445) | $889.35 | $889.35 | 1.7× |
| Vein X-Ray Chest (75827) | $5,379.15 | $5,379.15 | 2.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,184.65 | $3,184.65 | 0.8× |
| Venogram Sinus/Jugular (75860) | $3,184.65 | $3,184.65 | 0.8× |
| Venography Adrenal Unilateral (75840) | $8,165.85 | $8,165.85 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $5,247.90 | $5,247.90 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $2,774.10 | $2,774.10 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $2,706.90 | $2,706.90 | 1.3× |
| Venography Orbital Rs&I (75880) | $4,072.95 | $4,072.95 | 5.0× |
| Venography Renal Bilateral (75833) | $4,687.20 | $4,687.20 | 1.2× |
| Venography Renal Unilateral (75831) | $3,713.85 | $3,713.85 | 0.9× |
| Venous sampling by catheter (75893) | $8,982.75 | $8,982.75 | 1.3× |
| Venous thrombosis imaging (78457) | $1,397.55 | $1,397.55 | 2.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,449.65 | $2,449.65 | 4.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$531.30–$796.95 | $531.30–$796.95 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $444.15 | $444.15 | 4.0× |
| X-ray antegrade pyelogram tube (74425) | $925.05 | $925.05 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $5,469.45 | $5,469.45 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $548.10 | $548.10 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$378–$567 | $378–$567 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,298.85 | $1,298.85 | 1.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $594.30 | $594.30 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $842.10 | $842.10 | 6.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $353.85 | $353.85 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $543.90 | $543.90 | 4.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $431.55 | $431.55 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $474.60 | $474.60 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,376.55 | $1,376.55 | 10.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $720.30 | $720.30 | 6.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,232.70 | $1,232.70 | 9.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $907.20 | $907.20 | 6.7× |
| X-ray eye for foreign body (70030) | $333.90 | $333.90 | 3.0× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$427.35–$666.75 | $427.35–$666.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,023.75 | $1,023.75 | 4.5× |
| X-ray IV pyelogram+tomography (74415) | $1,401.75 | $1,401.75 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $434.70 | $434.70 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $374.85 | $374.85 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $878.85 | $878.85 | 6.5× |
| X-ray nose-rectum child f.b. (76010) | $226.80 | $226.80 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,383.90 | $1,383.90 | 10.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $532.35 | $532.35 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $200.55 | $200.55 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $526.05 | $526.05 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $758.10 | $758.10 | 6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $719.25 | $719.25 | 5.3× |
| X-Ray Stress View (77071) | $200.55 | $200.55 | 1.8× |
| X-ray thoracic spine 4 vw (72074) | $887.25 | $887.25 | 6.6× |
| X-Ray Tmj Unilat (70328) | $200.55 | $200.55 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,382.85 | $1,382.85 | 3.1× |
| X-Rays Bone Length Studies (77073) | $658.35 | $658.35 | 4.9× |
| X-Rays Bone Survey Complete (77075) | $786.45 | $786.45 | 5.8× |
| Xr c-spine 4 or 5 views (72050) | $1,136.10 | $1,136.10 | 8.4× |
| Xr facial bones less than 3 views (70140) | $505.05 | $505.05 | 4.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $727.65 | $727.65 | 5.4× |
| Xr myelogram posterior fossa (70010) | $2,010.75 | $2,010.75 | 4.5× |
| Xr orbits complete 4 views (70200) | $549.15 | $549.15 | 4.1× |
| Xr Tomogram Single Plane (76100) | $809.55 | $809.55 | 6.0× |
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.