Imaging prices at Mercy Medical Center
Merced, CA · every code in this section with a posted price and a Medicare benchmark.
347 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,255.84 | $14,089 | 4.1× |
| Abdomen 1 View (74018) | $137.51 | $267 | 1.2× |
| Abdomen 2 views (74019) | $217.85 | $423 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $594.31 | $1,154 | 1.2× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $509.85 | $990 | 0.3× |
| Adrenal Cortex & Medulla Img (78075) | $896.62 | $1,741 | 0.5× |
| Angio internal mammary (75756) | $4,057.17 | $7,878 | 1.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,077.51–$4,527.88 | $4,034–$8,792 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $7,468.53 | $14,502 | 1.8× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,641.82–$1,857.61 | $3,188–$3,607 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,196.48 | $4,265 | 0.5× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,804.56 | $3,504 | 0.3× |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$1,804.56–$1,858.64 | $3,504–$3,609 | varies |
| Artery X-Rays Abdomen (75726) | $4,773.54 | $9,269 | 0.7× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,487.97 | $4,831 | 0.3× |
| Artery X-Rays Spine (75705) | $5,393.08 | $10,472 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $369.77 | $718 | 2.1× |
| Bone age studies (77072) | $154.50 | $300 | 1.1× |
| Bone Imaging 3 Phase (78315) | $1,139.70 | $2,213 | 2.2× |
| Bone Imaging Limited Area (78300) | $569.59 | $1,106 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $569.59 | $1,106 | 1.1× |
| Bone Imaging Whole Body (78306) | $788.47 | $1,531 | 1.5× |
| Bone marrow imaging limited area (78102) | $484.62 | $941 | 0.9× |
| Bone marrow imaging; whole body (78104) | $484.62 | $941 | 0.9× |
| Bone survey infant (77076) | $269.86 | $524 | 2.0× |
| Brachytx Isodose Plan Simple (77316) | $594.31 | $1,154 | 1.2× |
| Brain Flow Imaging Only (78610) | $456.29 | $886 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $263.17 | $511 | 0.5× |
| Brain imaging < 4 static views (78600) | $456.29 | $886 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $337.84 | $656 | 0.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $337.84 | $656 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,039.79–$1,040.30 | $2,019–$2,020 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $263.17 | $511 | 0.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $336.30 | $653 | 0.7× |
| Cardiac Shunt Detection (78428) | $263.17 | $511 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $383.16 | $744 | 3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $642.72 | $1,248 | 0.9× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 2 matching MRF lines |
$337.84–$1,220.55 | $656–$2,370 | varies |
| Cerebrospinal Fluid Scan (78630) | $662.29 | $1,286 | 0.9× |
| Chest 1 view (71045) | $145.23 | $282 | 1.3× |
| Chest 2 views (71046) | $193.64 | $376 | 1.7× |
| Chest 3 views (71047) | $234.33 | $455 | 2.1× |
| Chest 4 or more views (71048) | $597.40 | $1,160 | 4.4× |
| Cholecystography Oral Contrast (74290) | $89.61 | $174 | 0.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $45.32 | $88 | 0.3× |
| Cisternography Positive Contrast Rs&I (70015) | $354.32 | $688 | 0.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $199.31 | $387 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $369.77 | $718 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,696.93–$3,562.77 | $3,295–$6,918 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$151.41–$218.36 | $294–$424 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $281.19 | $546 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $502.13 | $975 | 1.1× |
| CT abdomen and pelvis without contrast (74176) | $270.38 | $525 | 0.9× |
| CT abdomen w contrast (74160) | $329.09 | $639 | 1.5× |
| CT abdomen w wo contrast (74170) | $387.28 | $752 | 1.7× |
| CT abdomen w/o contrast (74150) | $213.21 | $414 | 1.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,786.02 | $3,468 | 4.0× |
| CT Angio Chest (71275) | $1,236 | $2,400 | 5.5× |
| CT Angio Head (70496) | $1,110.34 | $2,156 | 4.9× |
| CT angio hrt w/3d image (75574) | $209.09 | $406 | 0.5× |
| CT Angio Neck (70498) | $1,222.61 | $2,374 | 5.4× |
| CT cervical spine w/ contrast (72126) | $2,657.40 | $5,160 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,300.38 | $2,525 | 9.7× |
| CT cervical spine w/wo cont (72127) | $2,261.37 | $4,391 | 10.0× |
| CT chest w contrast (71260) | $1,196.35 | $2,323 | 5.3× |
| CT chest w/wo contrast (71270) | $1,296.26 | $2,517 | 5.7× |
| CT head/brain with contrast (70460) | $1,400.80 | $2,720 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,619.68 | $3,145 | 7.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $209.09 | $406 | 0.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $82.40 | $160 | 0.7× |
| CT iac w contrast (70481) | $1,061.42 | $2,061 | 4.7× |
| CT l-spine w&w/o contrast (72133) | $2,183.09 | $4,239 | 9.7× |
| CT lumbar spine w contrast (72132) | $2,430.80 | $4,720 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,289.56 | $2,504 | 9.6× |
| CT maxillofacial w contrast (70487) | $953.27 | $1,851 | 4.2× |
| CT maxillofacial wo contrast (70486) | $746.24 | $1,449 | 5.5× |
| CT neck tissue combo (70492) | $1,261.24 | $2,449 | 5.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,103.65 | $2,143 | 4.9× |
| CT orbits w/o contrast (70480) | $849.24 | $1,649 | 6.3× |
| CT pelvis w&w/o contrast (72194) | $2,053.31 | $3,987 | 9.1× |
| CT pelvis w/o contrast (72192) | $920.31 | $1,787 | 6.8× |
| CT scans face/jaw combo (70488) | $1,077.90 | $2,093 | 4.8× |
| CT soft tissue neck w contrast (70491) | $1,021.25 | $1,983 | 4.5× |
| CT soft tissue neck w/o contrast (70490) | $841 | $1,633 | 6.3× |
| CT thoracic spine w contrast (72129) | $2,546.68 | $4,945 | 11.3× |
| CT thoracic spine w/o contrast (72128) | $1,351.36 | $2,624 | 10.1× |
| CT thoracic spine w/wo cont (72130) | $260.08 | $505 | 1.2× |
| CT thorax w/o contrast (71250) | $597.92 | $1,161 | 4.4× |
| CT unlisted procedure (76497) | $58.71 | $114 | 0.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,577.45 | $3,063 | 7.0× |
| Cta Abdomen (74175) | $1,217.46 | $2,364 | 5.4× |
| CTA pelvis (72191) | $1,297.29 | $2,519 | 5.8× |
| Dilation ureters/urethra rs&i (74485) | $2,433.38 | $4,725 | 0.9× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$1,817.44–$3,814.61 | $3,529–$7,407 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$1,817.44–$3,814.61 | $3,529–$7,407 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$219.91–$492.86 | $427–$957 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$330.63–$933.18 | $642–$1,812 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $202.91 | $394 | 1.5× |
| Dxa Bone Density Axial (77080) | $82.92 | $161 | 0.6× |
| Dxa bone density study (77085) | $94.25 | $183 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $49.96 | $97 | 0.4× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$878.59–$3,911.94 | $1,706–$7,596 | varies |
| Echo exam uterus (76831) | $228.66 | $444 | 0.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $439.81 | $854 | 1.4× |
| Esophageal Motility Study (78258) | $263.17 | $511 | 0.5× |
| Esophagram (74220) | $271.41 | $527 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $390.89 | $759 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$328.57–$781.77 | $638–$1,518 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$115.88–$241.54 | $225–$469 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$45.84–$716.37 | $89–$1,391 | varies |
| Gastric emptying imaging study (78264) | $508.82 | $988 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $240.51 | $467 | 0.5× |
| Gated Heart Planar Single (78472) | $750.36 | $1,457 | 1.5× |
| Gated Heart, Multiple (78473) | $263.17 | $511 | 0.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,269.48 | $2,465 | 1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,269.48 | $2,465 | 1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,269.48 | $2,465 | 1.4× |
| Heart first pass single,planar (78481) | $337.84 | $656 | 0.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,057.17 | $7,878 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,148.33 | $8,055 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,518.74 | $2,949 | 2.2× |
| Hepatobiliary System Imaging (78226) | $578.35 | $1,123 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $951.72 | $1,848 | 0.6× |
| Ht Muscle Image Spect Sing (78451) | $999.62 | $1,941 | 0.6× |
| Hysterosalpingogram (74740) | $214.76 | $417 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $356.90 | $693 | 3.2× |
| Infusion Ivp (74410) | $367.71 | $714 | 1.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $13,769.04 | $26,736 | 1.5× |
| Joint Survey Single View (77077) | $89.61 | $174 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $1,079.44 | $2,096 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $425.39 | $826 | 0.6× |
| K Flow/Funct Image W/O Drug (78707) | $654.05 | $1,270 | 0.9× |
| Kidney Imaging Morphol (78700) | $261.62 | $508 | 0.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $523.24 | $1,016 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $263.17 | $511 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $450.11 | $874 | 0.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,170.60 | $2,273 | 2.3× |
| Liver imaging static only (78201) | $896.62 | $1,741 | 1.3× |
| Liver imaging w/vascular flow (78202) | $554.14 | $1,076 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $315.18 | $612 | 0.5× |
| Lung perfusion differential (78597) | $191.07 | $371 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $439.81 | $854 | 0.6× |
| Lung Ventilation Imaging (78579) | $247.72 | $481 | 0.5× |
| Lymph System Imaging (78195) | $476.38 | $925 | 0.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $559.81 | $1,087 | 0.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,858.64 | $3,609 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $1,077.38 | $2,092 | 3.5× |
| Meckels Divert Exam (78290) | $441.87 | $858 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $1,387.93 | $2,695 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,483.85 | $4,823 | 5.5× |
| MRA head w/o contrast (70544) | $1,444.06 | $2,804 | 4.7× |
| MRA head with contrast (70545) | $1,444.06 | $2,804 | 3.2× |
| MRA neck w contrast (70548) | $1,774.69 | $3,446 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,774.69 | $3,446 | 4.0× |
| MRA neck w/o contrast (70547) | $1,277.72 | $2,481 | 4.2× |
| MRI abdomen w contrast (74182) | $765.81 | $1,487 | 1.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,340.03–$1,403.89 | $2,602–$2,726 | varies |
| MRI cardiac w/o contrast (75557) | $177.68 | $345 | 0.6× |
| MRI cervical spine w contrast (72142) | $2,569.85 | $4,990 | 5.7× |
| MRI cervical spine w/o cont (72141) | $1,032.58 | $2,005 | 3.4× |
| MRI chest w/o contrast (71550) | $983.14 | $1,909 | 3.2× |
| MRI chest with contrast (71551) | $825.03 | $1,602 | 0.8× |
| MRI chest wo w contrast (71552) | $1,012.49 | $1,966 | 2.3× |
| MRI lumbar spine w contrast (72149) | $2,502.39 | $4,859 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,766.45 | $3,430 | 3.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,148.97 | $2,231 | 3.7× |
| MRI orbit face neck w contrast (70542) | $1,761.82 | $3,421 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,915.29 | $3,719 | 4.3× |
| MRI pelvis w contrast (72196) | $1,895.72 | $3,681 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $2,106.35 | $4,090 | 4.7× |
| MRI pelvis w/o contrast (72195) | $736.97 | $1,431 | 2.4× |
| MRI thoracic spine w/o contrast (72146) | $1,065.02 | $2,068 | 3.5× |
| MRI, abdomen, combo (74183) | $1,212.31 | $2,354 | 2.7× |
| MRI, dorsal spine combo (72157) | $2,484.36 | $4,824 | 5.5× |
| MRI, dorsal spine contrast (72147) | $2,200.60 | $4,273 | 4.9× |
| MRI, lumbar spine combo (72158) | $1,986.36 | $3,857 | 4.4× |
| Myelogram cervical (72240) | $408.91 | $794 | 0.4× |
| Myelogram Lumbar (72265) | $393.46 | $764 | 0.4× |
| Myelography thoracic (72255) | $408.91 | $794 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $936.27 | $1,818 | 0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $896.62 | $1,741 | 0.5× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $337.84 | $656 | 0.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $951.72 | $1,848 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $1,190.17 | $2,311 | 0.7× |
| Neck soft tissue (70360) | $131.84 | $256 | 1.2× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $161.71 | $314 | 0.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $263.17 | $511 | 0.5× |
| Nm csf leak detection (78650) | $896.62 | $1,741 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $89.61 | $174 | 0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,975.68 | $13,545 | 3.9× |
| Nuclear Rx Oral Admin (79005) | $582.98 | $1,132 | 1.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$86.01–$180.77 | $167–$351 | varies |
| Optic foramina (70190) | $25.75 | $50 | 0.2× |
| Parathyroid Planar Imaging (78070) | $568.05 | $1,103 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $259.05 | $503 | 0.5× |
| Pelvis 1 or 2 views (72170) | $156.05 | $303 | 1.2× |
| Peritoneogram Rs&I (74190) | $401.70 | $780 | 0.6× |
| Pet Image Skull-Thigh (78812) | $1,228.79 | $2,386 | 0.7× |
| PET image w/CT, full body (78816) | $2,771.22 | $5,381 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,771.22 | $5,381 | 1.5× |
| PET whole body (78813) | $1,228.79 | $2,386 | 0.7× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $896.62 | $1,741 | 0.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,979.02 | $9,668 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $295.61 | $574 | 0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $251.84 | $489 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$251.84–$368.23 | $489–$715 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $211.67 | $411 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $783.32 | $1,521 | 5.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.15 | $410 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $211.67 | $411 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $977.99 | $1,899 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $404.28 | $785 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $206 | $400 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $251.84 | $489 | 2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $88.07 | $171 | 0.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,550.04 | $32,136 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $504.19 | $979 | 3.8× |
| Radiation treatment delivery level 2 (77407) | $608.22 | $1,181 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $846.15 | $1,643 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $269.86 | $524 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $555.69 | $1,079 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $590.19 | $1,146 | 2.6× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$207.03–$398.61 | $402–$774 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $151.93 | $295 | 0.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $243.60 | $473 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $277.07 | $538 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $296.13 | $575 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $102.49 | $199 | 0.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $175.62 | $341 | 1.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $89.61 | $174 | 0.8× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $443.42 | $861 | 0.6× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $373.38 | $725 | 1.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $351.75 | $683 | 0.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $351.75 | $683 | 0.7× |
| Renal Cyst Study (74470) | $640.66 | $1,244 | 0.9× |
| Ribs bilateral 3 views (71110) | $275.53 | $535 | 2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $353.81 | $687 | 0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,105.71 | $2,147 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $294.58 | $572 | 0.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,473.93 | $2,862 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,488.87 | $2,891 | 2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $884.26 | $1,717 | 0.5× |
| Rp Therapy Intravenous Administration (79101) | $373.38 | $725 | 1.2× |
| Salivary Gland Function Study (78232) | $263.17 | $511 | 0.5× |
| Salivary Gland Imaging Serial Images (78231) | $263.17 | $511 | 0.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $161.20 | $313 | 6.9× |
| Sella turcica (70240) | $45.32 | $88 | 0.4× |
| Skull less than 4 views (70250) | $246.69 | $479 | 1.8× |
| Special dosimetry (77331) | $218.36 | $424 | 1.3× |
| Special Physics Consult (77370) | $565.99 | $1,099 | 3.3× |
| Special teletherapy port plan (77321) | $1,164.93 | $2,262 | 2.4× |
| Special treatment procedure (77470) | $1,481.14 | $2,876 | 2.1× |
| Speech evaluation, complex (70371) | $166.86 | $324 | 0.5× |
| Stereotactic Body Radiation Delivery (77373) | $6,164.04 | $11,969 | 2.7× |
| Sternoclavicular joints (71130) | $133.90 | $260 | 1.2× |
| Superior sagittal sinus venogram (75870) | $2,037.34 | $3,956 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $594.31 | $1,154 | 1.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $594.31 | $1,154 | 1.2× |
| Testicular Imaging W/Flow (78761) | $604.61 | $1,174 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,285.57 | $4,438 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,285.57 | $4,438 | 4.7× |
| Ther rad simulaj-aided field setting simple (77280) | $845.63 | $1,642 | 4.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $202.91 | $394 | 0.9× |
| Thoracic spine 2 views (72070) | $155.02 | $301 | 1.2× |
| Thoracic spine 3 views (72072) | $251.84 | $489 | 1.9× |
| Thoracolumbar 2 views (72080) | $203.43 | $395 | 1.8× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $530.45 | $1,030 | 1.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $263.17 | $511 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $385.74 | $749 | 0.8× |
| Thyroid Met Imaging Body (78018) | $530.45 | $1,030 | 0.8× |
| Thyroid Uptake Measurement (78012) | $227.63 | $442 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $602.04 | $1,169 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $795.68 | $1,545 | 1.7× |
| Tx devices design & construction intermediate (77333) | $278.62 | $541 | 1.6× |
| Tx devices design & construction simple (77332) | $421.79 | $819 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $115.36 | $224 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$100.94–$224.54 | $196–$436 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$376.98–$1,713.92 | $732–$3,328 | varies |
| Umbilical-artery Doppler (OB) (76820) | $202.91 | $394 | 1.5× |
| Upper gi w/o kub (74240) | $93.22 | $181 | 0.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $458.35 | $890 | 41.4× |
| Urea breath test c-14 isotopic analysis (78268) | $164.80 | $320 | 1.7× |
| Ureteral Reflux Study (78740) | $263.17 | $511 | 0.5× |
| Urethrocystogram voiding (74455) | $201.88 | $392 | 0.7× |
| Urethrocystography retrograde (74450) | $210.64 | $409 | 0.7× |
| Us chest (76604) range across 2 matching MRF lines |
$86.52–$330.12 | $168–$641 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$148.32–$642.21 | $288–$1,247 | varies |
| Us head (76506) | $268.32 | $521 | 2.0× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$85.49–$491.83 | $166–$955 | varies |
| Us ob detailed single fetus (76811) | $89.61 | $174 | 0.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$184.89–$313.12 | $359–$608 | varies |
| Us ob transvaginal (76817) | $213.21 | $414 | 1.6× |
| Us pelvic non ob complete (76856) | $329.60 | $640 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $398.10 | $773 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $255.96 | $497 | 1.9× |
| Us retroperitoneal complete (76770) | $373.89 | $726 | 2.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$172.53–$704.01 | $335–$1,367 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$350.20–$1,698.47 | $680–$3,298 | varies |
| Us spinal canal and contents (76800) | $233.81 | $454 | 1.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$357.41–$1,333.85 | $694–$2,590 | varies |
| Us transrectal (76872) | $364.62 | $708 | 2.7× |
| Vascular Flow Imaging (78445) | $403.25 | $783 | 0.8× |
| Vasogram (74440) range across 2 matching MRF lines |
$246.17–$538.18 | $478–$1,045 | varies |
| Vein X-Ray Chest (75827) | $1,112.40 | $2,160 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,273.60 | $2,473 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $4,979.02 | $9,668 | 1.2× |
| Venogram Sinus/Jugular (75860) | $2,196.48 | $4,265 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,118.07–$3,475.22 | $2,171–$6,748 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,183.99–$1,873.57 | $2,299–$3,638 | varies |
| Venography Renal Bilateral (75833) | $4,148.33 | $8,055 | 1.0× |
| Venous sampling by catheter (75893) | $4,979.02 | $9,668 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $263.17 | $511 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $45.32 | $88 | 0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $177.68 | $345 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,035.80–$4,275.02 | $3,953–$8,301 | varies |
| X-Ray Bend Only L-S Spine (72120) | $254.93 | $495 | 1.9× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$208.06–$372.86 | $404–$724 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $211.15 | $410 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $466.08 | $905 | 3.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $88.07 | $171 | 0.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $143.69 | $279 | 1.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $197.76 | $384 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $401.70 | $780 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $228.66 | $444 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $391.92 | $761 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $751.39 | $1,459 | 3.3× |
| X-ray IV pyelogram+tomography (74415) | $169.95 | $330 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $145.23 | $282 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $170.47 | $331 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234.84 | $456 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $189.01 | $367 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $367.71 | $714 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.01 | $534 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $156.05 | $303 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $238.45 | $463 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $264.71 | $514 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $300.76 | $584 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $436.21 | $847 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $471.74 | $916 | 1.1× |
| X-Rays Bone Length Studies (77073) | $169.44 | $329 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $175.62 | $341 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $294.07 | $571 | 2.2× |
| Xr facial bones less than 3 views (70140) | $141.11 | $274 | 1.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $93.22 | $181 | 0.7× |
| Xr myelogram posterior fossa (70010) | $942.97 | $1,831 | 2.1× |
| Xr orbits complete 4 views (70200) | $128.75 | $250 | 1.0× |
| Xr Tomogram Single Plane (76100) | $89.61 | $174 | 0.7× |
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.