Imaging prices at Mercy Hospital

Bakersfield, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $205.17 $553 1.8×
Abdomen 2 views (74019) $340.21 $917 2.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,078.50 $2,907 2.1×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $741.63 $1,999 0.4×
Adrenal Cortex & Medulla Img (78075) $1,248.05 $3,364 0.7×
Angio internal mammary (75756) $3,022.54 $8,147 0.7×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$2,791.04–$3,101.19 $7,523–$8,359 varies
Angiography Adrenal Bilateral Slctv Rs&I (75733)
range across 2 matching MRF lines
$3,450.30–$5,176.20 $9,300–$13,952 varies
Angiography extremity bilateral rs&i (75716) $2,753.94 $7,423 0.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,223.93 $3,299 0.3×
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure
$3,450.30 $9,300 0.5×
Aortography thoracic w/o serialography rs&i (75600) $2,875.63 $7,751 0.7×
Artery X-Rays Abdomen (75726) $3,889.20 $10,483 0.5×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure
$3,450.30 $9,300 0.5×
Artery X-Rays Spine (75705) $3,613.92 $9,741 0.5×
Basic radiation dosimetry calculation (77300) $73.09 $197 0.4×
Bone age studies (77072) $146.92 $396 1.1×
Bone Imaging 3 Phase (78315) $1,017.29 $2,742 2.0×
Bone Imaging Limited Area (78300) $526.82 $1,420 1.0×
Bone Imaging Multiple Areas (78305) $673.37 $1,815 1.3×
Bone Imaging Whole Body (78306) $731.99 $1,973 1.4×
Bone marrow imaging limited area (78102) $705.28 $1,901 1.4×
Bone marrow imaging; whole body (78104) $705.28 $1,901 1.4×
Bone survey infant (77076) $359.87 $970 2.7×
Brain Flow Imaging Only (78610) $663.35 $1,788 0.9×
Brain Image W/Flow < 4 Views (78601) $365.44 $985 0.7×
Brain imaging < 4 static views (78600) $663.35 $1,788 1.3×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $470.06 $1,267 0.7×
Brain Imaging Minimum 4 Static Views (78605) $470.06 $1,267 0.7×
Brain Imaging Pet Metabolic Evaluation (78608) $1,448.39 $3,904 0.8×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $364.70 $983 0.7×
Cardiac MRI w/w/o contrast & further seq (75561) $467.46 $1,260 1.0×
Cardiac Shunt Detection (78428) $364.70 $983 0.7×
Cat Scan Follow-Up Study (76380) $429.25 $1,157 3.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $663.35 $1,788 0.9×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $845.88 $2,280 1.2×
Cerebrospinal Fluid Scan (78630) $1,691.02 $4,558 2.4×
Chest 1 view (71045) $245.98 $663 2.2×
Chest 2 views (71046) $319.81 $862 2.9×
Chest 3 views (71047) $344.29 $928 3.1×
Chest 4 or more views (71048)
range across 2 matching MRF lines
$415.90–$489.72 $1,121–$1,320 varies
Cholecystography Oral Contrast (74290) $124.29 $335 0.6×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $123.55 $333 0.9×
Cisternography Positive Contrast Rs&I (70015) $1,362.69 $3,673 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$268.98–$284.19 $725–$766 varies
Contrast Exam Abdominl Aorta (75625) $2,386.28 $6,432 0.6×
Contrast X-Ray Bladder (74430) $507.53 $1,368 1.1×
Contrast Xray Throat/Cerv Esopha (74210) $720.86 $1,943 3.2×
CT abdomen and pelvis without and with contrast (74178) $3,783.46 $10,198 8.4×
CT abdomen and pelvis without contrast (74176) $2,166.64 $5,840 7.1×
CT abdomen w contrast (74160) $2,071.30 $5,583 9.2×
CT abdomen w wo contrast (74170) $2,402.60 $6,476 10.7×
CT abdomen w/o contrast (74150) $1,346.36 $3,629 10.0×
CT Angio Abdomen and Pelvis (74174) $1,319.65 $3,557 2.9×
CT Angio Chest (71275) $1,924.38 $5,187 8.5×
CT Angio Head (70496) $2,225.63 $5,999 9.9×
CT angio hrt w/3d image (75574) $290.50 $783 0.6×
CT Angio Neck (70498) $2,093.19 $5,642 9.3×
CT cervical spine w/ contrast (72126) $3,536.75 $9,533 7.9×
CT cervical spine w/o contrast (72125) $1,795.27 $4,839 13.4×
CT cervical spine w/wo cont (72127) $3,985.66 $10,743 17.7×
CT chest w contrast (71260) $1,494.76 $4,029 6.6×
CT chest w/wo contrast (71270) $1,689.17 $4,553 7.5×
CT head/brain with contrast (70460) $2,183.34 $5,885 9.7×
CT head/brain without and with contrast (70470) $2,613.33 $7,044 11.6×
CT heart contrast eval cardiac structure&morph (75572) $290.50 $783 0.6×
CT heart no contrast quant eval coronry calcium (75571) $66.41 $179 0.6×
CT iac w contrast (70481) $1,321.14 $3,561 5.9×
CT l-spine w&w/o contrast (72133) $3,985.66 $10,743 17.7×
CT lumbar spine w contrast (72132) $3,536.75 $9,533 7.9×
CT lumbar spine w/o contrast (72131) $1,795.27 $4,839 13.4×
CT maxillofacial w contrast (70487) $1,669.13 $4,499 7.4×
CT maxillofacial wo contrast (70486) $1,379.38 $3,718 10.3×
CT neck tissue combo (70492) $1,967.42 $5,303 8.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,456.55 $3,926 6.5×
CT orbits w/o contrast (70480) $1,129.33 $3,044 8.4×
CT pelvis w&w/o contrast (72194) $2,689.01 $7,248 11.9×
CT pelvis w/o contrast (72192) $1,211.32 $3,265 9.0×
CT scans face/jaw combo (70488) $2,000.07 $5,391 8.9×
CT soft tissue neck w contrast (70491) $1,653.18 $4,456 7.3×
CT soft tissue neck w/o contrast (70490) $1,372.33 $3,699 10.2×
CT thoracic spine w contrast (72129) $3,309.32 $8,920 14.7×
CT thoracic spine w/o contrast (72128) $1,679.89 $4,528 12.5×
CT thoracic spine w/wo cont (72130) $3,729.30 $10,052 16.5×
CT thorax w/o contrast (71250) $762.41 $2,055 5.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,934.40 $5,214 8.6×
Cta Abdomen (74175) $937.15 $2,526 4.2×
CTA pelvis (72191) $1,865.02 $5,027 8.3×
Dilation ureters/urethra rs&i (74485) $2,023.44 $5,454 0.8×
Discography Cerv/Thor Spine (72285) $2,644.12 $7,127 1.1×
Diskography lumbar (72295) $2,644.12 $7,127 1.1×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $344.29 $928 2.6×
Doppler Echo Fetal Spectral Display Complete (76827) $652.96 $1,760 4.9×
Doppler Fetal Mid Cerebral Artery (76821) $133.56 $360 1.0×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$115.76–$156.20 $312–$421 varies
Dxa bone density study (77085) $115.76 $312 0.9×
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines
$69.01–$115.76 $186–$312 varies
Echo exam of fetal heart (76825) $591.38 $1,594 0.8×
Echo exam uterus (76831) $670.40 $1,807 2.2×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $295.69 $797 1.0×
Esophageal Motility Study (78258) $364.70 $983 0.7×
Esophagram (74220)
range across 2 matching MRF lines
$201.83–$224.09 $544–$604 varies
Fetal Biophys Profile W/Nst (76818) $1,525.93 $4,113 11.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $549.08 $1,480 4.1×
Fluoroscopy up to 1 hr (76000) $165.84 $447 0.5×
Follow-Up Angiography (75898) $468.95 $1,264 0.1×
Gastric emptying imaging study (78264) $575.80 $1,552 1.1×
Gastroesophageal Reflux Exam (78262) $349.86 $943 0.7×
Gated Heart Planar Single (78472) $819.91 $2,210 1.6×
Gated Heart, Multiple (78473) $364.70 $983 0.7×
Heart first pass single,planar (78481) $470.06 $1,267 0.7×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,107.50 $8,376 0.8×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891)
range across 2 matching MRF lines
$3,450.30–$3,709.26 $9,300–$9,998 varies
Hepatobil Syst Image W/Drug (78227) $621.06 $1,674 0.9×
Hepatobiliary System Imaging (78226) $453.37 $1,222 0.9×
Ht Musc Image Planar Mult (78454) $1,306.30 $3,521 0.8×
Ht Muscle Image Spect Sing (78451) $2,464.19 $6,642 1.5×
Hysterosalpingogram (74740) $651.85 $1,757 2.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $173.63 $468 1.6×
Infusion Ivp (74410) $1,354.15 $3,650 6.0×
Intraop radiaj tx deliver xray single tx session (77424) $9,161.85 $24,695 1.0×
Joint Survey Single View (77077) $156.20 $421 1.2×
K Flow/Funct Image Multiple (78709) $1,251.76 $3,374 1.8×
K Flow/Funct Image W/Drug (78708) $584.70 $1,576 0.8×
K Flow/Funct Image W/O Drug (78707) $789.49 $2,128 1.1×
Kidney Imaging Morphol (78700) $327.60 $883 0.6×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $724.94 $1,954 1.4×
Leveen/Shunt Patency Exam (78291) $364.70 $983 0.7×
Liver & Spleen Imaging Static Only (78215) $808.41 $2,179 1.6×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,704.01 $4,593 3.3×
Liver imaging static only (78201) $1,248.05 $3,364 1.8×
Liver imaging w/vascular flow (78202) $1,419.82 $3,827 2.0×
Lung Perf&Ventilat Diferentl (78598) $457.82 $1,234 0.7×
Lung perfusion differential (78597) $279 $752 0.5×
Lung Ventilat&Perfus Imaging (78582) $562.07 $1,515 0.8×
Lung Ventilation Imaging (78579) $314.98 $849 0.6×
Lymph System Imaging (78195) $812.49 $2,190 1.2×
Lymphangiography Extremity Only Bilateral Rs&I (75803)
range across 2 matching MRF lines
$848.48–$1,453.95 $2,287–$3,919 varies
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $2,729.45 $7,357 0.7×
Magnetic Image Jaw Joint (70336) $1,300.36 $3,505 4.2×
Meckels Divert Exam (78290) $751.28 $2,025 1.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $30.43 $82 0.8×
Mr safety implt electronics prepj supvj phys/qhp (76018) $113.90 $307 0.9×
Mra Head W/O & W/Contrast Material (70546) $2,943.89 $7,935 6.6×
MRA head w/o contrast (70544) $1,763 $4,752 5.7×
MRA head with contrast (70545) $2,556.19 $6,890 5.7×
MRA neck w contrast (70548) $2,820.35 $7,602 6.3×
Mra Neck W/O &W/Contrast Material (70549) $3,248.48 $8,756 7.2×
MRA neck w/o contrast (70547) $1,945.16 $5,243 6.3×
MRI abdomen w contrast (74182) $2,110.62 $5,689 4.7×
MRI abdomen w/o contrast (74181) $1,455.81 $3,924 4.7×
MRI cardiac w/o contrast (75557) $247.83 $668 0.8×
MRI cervical spine w contrast (72142) $2,321.72 $6,258 5.2×
MRI cervical spine w/o cont (72141) $1,601.24 $4,316 5.2×
MRI chest w/o contrast (71550) $1,431.32 $3,858 4.7×
MRI chest with contrast (71551) $1,200.93 $3,237 1.2×
MRI chest wo w contrast (71552) $1,472.13 $3,968 3.3×
MRI lumbar spine w contrast (72149) $2,469.01 $6,655 5.5×
Mri Neck Spine W/O & W/Dye (72156) $2,674.17 $7,208 6.0×
MRI orbit face &/neck w/o contrast (70540) $908.21 $2,448 3.0×
MRI orbit face neck w contrast (70542) $1,316.68 $3,549 2.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,513.68 $4,080 3.4×
MRI pelvis w contrast (72196) $1,451.36 $3,912 3.2×
MRI pelvis w/o & w contrast (72197) $1,668.02 $4,496 3.7×
MRI pelvis w/o contrast (72195) $1,000.59 $2,697 3.3×
MRI thoracic spine w/o contrast (72146) $1,583.43 $4,268 5.2×
MRI, abdomen, combo (74183) $2,431.17 $6,553 5.4×
MRI, dorsal spine combo (72157) $2,638.93 $7,113 5.9×
MRI, dorsal spine contrast (72147) $2,295.75 $6,188 5.1×
MRI, lumbar spine combo (72158) $2,843.72 $7,665 6.3×
Myelogram cervical (72240) $1,362.69 $3,673 1.4×
Myelogram Lumbar (72265) $1,362.69 $3,673 1.4×
Myelography thoracic (72255) $1,362.69 $3,673 1.4×
Myelograpy 2/more regions rs&i (72270) $1,362.69 $3,673 1.4×
Myocardial Imaging Pet Metabolic Evaluation (78459) $1,248.05 $3,364 0.7×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $470.06 $1,267 0.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,306.30 $3,521 0.8×
Myocardial Spect Multiple Studies (78452) $2,968.75 $8,002 1.8×
Neck soft tissue (70360) $166.95 $450 1.5×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $224.09 $604 0.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $364.70 $983 0.7×
Nm csf leak detection (78650) $1,248.05 $3,364 0.7×
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines
$130.23–$142.10 $351–$383 varies
Nuclear Rx Intra-Arterial (79445) $380.65 $1,026 1.3×
Nuclear Rx Oral Admin (79005) $634.41 $1,710 2.1×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $126.14 $340 0.9×
Optic foramina (70190) $66.41 $179 0.6×
Parathyroid Planar Imaging (78070) $548.34 $1,478 1.1×
Parathyroid planar imaging w/wo subtraction (78071) $375.46 $1,012 0.7×
Pelvis 1 or 2 views (72170) $161.39 $435 1.2×
Peritoneogram Rs&I (74190) $561.33 $1,513 0.8×
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) $1,248.05 $3,364 0.7×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $3,450.30 $9,300 0.8×
Pulmonary Perfusion Imaging Particulate (78580) $398.83 $1,075 0.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $410.33 $1,106 3.1×
Radex abscess/fistula/sinus tract rs&i (76080) $526.08 $1,418 0.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $281.22 $758 2.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $246.35 $664 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $152.11 $410 1.4×
Radex Sinuses Paransl < 3 Views (70210) $166.58 $449 1.5×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,404.98 $3,787 6.2×
Radex Spine 1 View Specify Level (72020) $121.32 $327 1.1×
Radex Sternum Minimum 2 Views (71120) $191.07 $515 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$205.54–$215.93 $554–$582 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $262.67 $708 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $234.48 $632 1.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $477.85 $1,288 3.6×
Radiologic exam colon double contrast study (74280)
range across 2 matching MRF lines
$387.70–$429.99 $1,045–$1,159 varies
Radiologic exam colon single contrast study (74270)
range across 3 matching MRF lines
$277.14–$307.56 $747–$829 varies
Radiologic Exam Esophagus Double Contrast Study (74221) $183.28 $494 0.8×
Radiologic exam pelvis compl minimum 3 views (72190) $240.41 $648 1.8×
Radiologic Exam Small Int Single Contrast Study (74250) $366.92 $989 1.6×
Radiologic exam swallow function contrast study (74230) $365.81 $986 1.6×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$188.10–$386.22 $507–$1,041 varies
Radiologic Examination Osseous Survey Limited (77074) $142.47 $384 1.1×
Radiologic Examination Salivary Gland Calculus (70380) $69.38 $187 0.6×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $260.08 $701 0.4×
Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) $237.82 $641 0.8×
Renal Cyst Study (74470) $443.35 $1,195 0.6×
Ribs bilateral 3 views (71110) $347.26 $936 2.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $487.13 $1,313 0.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,381.82 $6,420 4.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,413.27 $14,591 7.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $812.12 $2,189 1.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $866.29 $2,335 1.2×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $974.25 $2,626 0.6×
Rp Therapy Intravenous Administration (79101) $237.82 $641 0.8×
Salivary Gland Function Study (78232) $364.70 $983 0.7×
Salivary Gland Imaging Serial Images (78231) $364.70 $983 0.7×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
$103.51–$113.16 $279–$305 varies
Sella turcica (70240) $69.38 $187 0.6×
Skull less than 4 views (70250) $210.36 $567 1.6×
Special Physics Consult (77370) $146.18 $394 0.8×
Speech evaluation, complex (70371) $243.01 $655 0.8×
Sternoclavicular joints (71130) $143.21 $386 1.3×
Superior sagittal sinus venogram (75870) $1,412.77 $3,808 0.3×
Testicular Imaging W/Flow (78761) $878.53 $2,368 1.7×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $293.09 $790 1.3×
Thoracic spine 2 views (72070) $241.90 $652 1.8×
Thoracic spine 3 views (72072) $272.32 $734 2.0×
Thoracolumbar 2 views (72080) $186.25 $502 1.7×
Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) $772.06 $2,081 1.5×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $364.70 $983 0.7×
Thyroid Imaging With Vascular Flow (78013) $204.05 $550 0.4×
Thyroid Met Imaging Body (78018) $772.06 $2,081 1.1×
Thyroid Uptake Measurement (78012) $186.62 $503 0.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $317.21 $855 0.6×
Ultrasound Elastography Parenchyma (76981) $156.20 $421 1.2×
Ultrasound Exam Aaa Screen (76706) $302 $814 2.2×
Ultrasound, abdomen limited (76705) $403.65 $1,088 3.0×
Umbilical-artery Doppler (OB) (76820) $173.63 $468 1.3×
Unlisted fluoroscopic procedure (76496) $66.41 $179 0.6×
Upper gi w/o kub (74240) $245.61 $662 1.1×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $1,022.48 $2,756 92.4×
Urea breath test c-14 isotopic analysis (78268) $230.40 $621 2.4×
Ureteral Reflux Study (78740) $364.70 $983 0.7×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$411.44–$457.08 $1,109–$1,232 varies
Urethrocystography retrograde (74450) $411.44 $1,109 1.3×
Us chest (76604) $310.53 $837 2.3×
Us exam, pelvic, limited (76857) $315.73 $851 2.3×
Us head (76506) $297.18 $801 2.2×
Us kidney transplant (76776) $592.12 $1,596 4.4×
Us ob detailed single fetus (76811) $130.60 $352 0.4×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$239.67–$255.99 $646–$690 varies
Us ob transvaginal (76817) $269.35 $726 2.0×
Us pelvic non ob complete (76856) $584.70 $1,576 4.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $516.44 $1,392 3.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,451.73 $3,913 10.8×
Us retroperitoneal complete (76770) $480.08 $1,294 3.6×
Us retroperitoneal limited (76775) $316.84 $854 2.4×
Us scrotum and contents (76870) $666.69 $1,797 5.0×
Us spinal canal and contents (76800) $700.82 $1,889 5.2×
Us thyroid (76536) $442.98 $1,194 3.3×
Us transrectal (76872) $530.16 $1,429 3.9×
Vascular Flow Imaging (78445) $586.56 $1,581 1.1×
Vasogram (74440) $373.23 $1,006 1.2×
Vein X-Ray Chest (75827) $856.64 $2,309 0.4×
Vein X-Ray Liver W/O Hemodyn (75887) $908.95 $2,450 0.2×
Vein X-Ray Skull Epidural (75872) $749.42 $2,020 0.9×
Vein X-Ray Spleen/Liver (75810) $3,450.30 $9,300 0.8×
Venogram Sinus/Jugular (75860) $1,521.85 $4,102 0.4×
Venography caval inferior serialography rs&i (75825) $2,954.28 $7,963 0.7×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$992.80–$1,580.09 $2,676–$4,259 varies
Venography Orbital Rs&I (75880) $3,450.30 $9,300 4.3×
Venography Renal Bilateral (75833) $3,450.30 $9,300 0.8×
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure
$3,450.30 $9,300 0.5×
Venous Thrombosis Imaging Venogram Bilateral (78458) $364.70 $983 0.7×
Vertebral fracture assessment via dxa (77086)
range across 2 matching MRF lines
$63.07–$69.01 $170–$186 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $296.43 $799 2.6×
X-Ray Aorta Leg Arteries (75630) $2,863.38 $7,718 0.7×
X-Ray Bend Only L-S Spine (72120) $402.91 $1,086 3.0×
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$327.97–$367.67 $884–$991 varies
X-Ray Exam Entire Spi 1 Vw (72081) $486.01 $1,310 4.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $486.01 $1,310 3.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $486.01 $1,310 3.6×
X-Ray Exam Hips Bi 2 Views (73521) $221.86 $598 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $221.86 $598 1.7×
X-Ray Exam L-S Spine Bending (72114) $637.75 $1,719 4.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $321.29 $866 2.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $555.39 $1,497 4.1×
X-ray IV pyelogram (ivp) (74400) $1,146.77 $3,091 5.1×
X-ray IV pyelogram+tomography (74415) $261.56 $705 1.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $204.05 $550 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $261.19 $704 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $356.16 $960 2.6×
X-ray nose-rectum child f.b. (76010) $165.84 $447 1.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $455.22 $1,227 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $292.35 $788 2.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $225.57 $608 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $221.12 $596 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $211.10 $569 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $266.75 $719 2.0×
X-ray thoracic spine 4 vw (72074) $321.29 $866 2.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $573.57 $1,546 1.3×
X-Rays Bone Length Studies (77073) $246.35 $664 1.8×
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$99.80–$356.16 $269–$960 varies
Xr c-spine 4 or 5 views (72050) $433.33 $1,168 3.2×
Xr facial bones less than 3 views (70140) $196.63 $530 1.8×
XR Mastoids < 3 Views Bilateral (70120) $134.31 $362 1.0×
Xr myelogram posterior fossa (70010) $1,362.69 $3,673 3.0×
Xr orbits complete 4 views (70200) $246.35 $664 1.8×
Xr Tomogram Single Plane (76100) $123.55 $333 0.9×

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.