Imaging prices at Mimbres Valley Medical Center
Deming, NM · every code in this section with a posted price and a Medicare benchmark.
283 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) | $178.69 | $357.38 | 2.1× |
| Abdomen 2 views (74019) | $257.70 | $515.39 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,571.67 | $5,143.33 | 6.5× |
| Angio pulmonary bilat (75743) | $2,480.09 | $4,960.18 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,707.26 | $5,414.51 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,707.26 | $5,414.51 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,707.26 | $5,414.51 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,707.26 | $5,414.51 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,480.09 | $4,960.18 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$237.96–$335.55 | $475.91–$671.10 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,700.98 | $5,401.95 | 0.5× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,707.26 | $5,414.51 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $2,707.26 | $5,414.51 | 0.9× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,700.98 | $5,401.95 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,707.26 | $5,414.51 | 0.5× |
| Arthrogram hip (73525) | $1,192.46 | $2,384.91 | 3.5× |
| Arthrogram Wrist (73115) | $1,012.86 | $2,025.71 | 2.9× |
| Bone age studies (77072) | $327.74 | $655.48 | 3.2× |
| Bone Imaging 3 Phase (78315) | $2,946.10 | $5,892.20 | 7.4× |
| Bone Imaging Limited Area (78300) | $1,587.53 | $3,175.06 | 4.0× |
| Bone Imaging Whole Body (78306) | $2,557.31 | $5,114.61 | 6.5× |
| Bone marrow imaging limited area (78102) | $1,341.52 | $2,683.04 | 3.4× |
| Bone marrow imaging; whole body (78104) | $2,223.27 | $4,446.53 | 5.6× |
| Bone survey infant (77076) | $296.33 | $592.65 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,134.37 | $4,268.74 | 4.0× |
| Cardiac Shunt Detection (78428) | $577.38 | $1,154.75 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $553.12 | $1,106.24 | 6.4× |
| Cerebrospinal Fluid Scan (78630) | $1,849.75 | $3,699.49 | 3.4× |
| Chest 1 view (71045) | $281.96 | $563.91 | 3.3× |
| Chest 2 views (71046) | $326.85 | $653.70 | 3.8× |
| Chest 3 views (71047) | $515.41 | $1,030.82 | 6.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$292.73–$438.19 | $585.45–$876.38 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,707.26 | $5,414.51 | 0.9× |
| Contrast X-Ray Bladder (74430) | $696.80 | $1,393.60 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,841.65 | $3,683.30 | 5.3× |
| CT abdomen and pelvis without and with contrast (74178) | $6,205.85 | $12,411.69 | 18.0× |
| CT abdomen and pelvis without contrast (74176) | $5,343.59 | $10,687.17 | 22.6× |
| CT abdomen w contrast (74160) | $2,843.66 | $5,687.31 | 16.4× |
| CT abdomen w wo contrast (74170) | $2,989.84 | $5,979.67 | 17.2× |
| CT abdomen w/o contrast (74150) | $2,878.22 | $5,756.43 | 27.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,069.53 | $12,139.06 | 17.6× |
| CT Angio Chest (71275) | $3,105.40 | $6,210.79 | 17.9× |
| CT Angio Head (70496) | $2,732.04 | $5,464.08 | 15.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,091 | $4,181.99 | 12.0× |
| CT Angio Neck (70498) | $2,732.04 | $5,464.08 | 15.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,771.56–$2,976.99 | $5,543.12–$5,953.98 | varies |
| CT cervical spine w/ contrast (72126) | $3,302.94 | $6,605.88 | 9.6× |
| CT cervical spine w/o contrast (72125) | $3,307.87 | $6,615.74 | 32.0× |
| CT cervical spine w/wo cont (72127) | $2,381.40 | $4,762.80 | 13.7× |
| CT chest w contrast (71260) | $2,679.68 | $5,359.35 | 15.4× |
| CT chest w/wo contrast (71270) | $3,686.16 | $7,372.32 | 21.2× |
| CT head/brain with contrast (70460) | $2,611.53 | $5,223.05 | 15.0× |
| CT head/brain without and with contrast (70470) | $2,839.70 | $5,679.39 | 16.4× |
| CT iac w contrast (70481) | $2,929.59 | $5,859.17 | 16.9× |
| CT l-spine w&w/o contrast (72133) | $2,386.33 | $4,772.65 | 13.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,563.57–$1,657.88 | $3,127.14–$3,315.75 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,602.08–$2,268.80 | $3,204.16–$4,537.59 | varies |
| CT lumbar spine w contrast (72132) | $3,102.44 | $6,204.88 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,846.61 | $5,693.22 | 27.5× |
| CT maxillofacial w contrast (70487) | $1,525.05 | $3,050.10 | 8.8× |
| CT maxillofacial wo contrast (70486) | $1,135.88 | $2,271.76 | 11.0× |
| CT neck tissue combo (70492) | $2,914.77 | $5,829.54 | 16.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,908.28 | $3,816.55 | 11.0× |
| CT orbits w/o contrast (70480) | $2,929.59 | $5,859.17 | 28.3× |
| CT pelvis w&w/o contrast (72194) | $2,976.99 | $5,953.98 | 17.1× |
| CT pelvis w/o contrast (72192) | $2,259.91 | $4,519.81 | 21.8× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,003.09–$2,268.80 | $4,006.17–$4,537.59 | varies |
| CT scans face/jaw combo (70488) | $1,918.16 | $3,836.32 | 11.0× |
| CT soft tissue neck w contrast (70491) | $2,679.68 | $5,359.35 | 15.4× |
| CT soft tissue neck w/o contrast (70490) | $2,679.68 | $5,359.35 | 25.9× |
| CT thoracic spine w contrast (72129) | $2,722.16 | $5,444.31 | 15.7× |
| CT thoracic spine w/o contrast (72128) | $2,721.18 | $5,442.36 | 26.3× |
| CT thoracic spine w/wo cont (72130) | $2,386.33 | $4,772.65 | 13.7× |
| CT thorax w/o contrast (71250) | $2,253.99 | $4,507.98 | 21.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,299.84–$1,607.03 | $2,599.68–$3,214.05 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,268.80 | $4,537.59 | 13.1× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,593.19–$2,126.55 | $3,186.38–$4,253.10 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,969.66 | $7,939.32 | 22.9× |
| Cta Abdomen (74175) | $3,031.33 | $6,062.65 | 17.5× |
| CTA pelvis (72191) | $3,038.22 | $6,076.44 | 17.5× |
| Dxa Bone Density Axial (77080) | $163.37 | $326.73 | 1.6× |
| Esophagram (74220) | $605.20 | $1,210.40 | 3.5× |
| Fetal Biophys Profile W/Nst (76818) | $899.74 | $1,799.47 | 8.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $814.42 | $1,628.83 | 7.9× |
| Fluoroscopy up to 1 hr (76000) | $294.18 | $588.36 | 1.2× |
| Follow-Up Angiography (75898) | $210.12 | $420.23 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$277.47–$295.36 | $554.93–$590.72 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$300.82–$449.86 | $601.64–$899.72 | varies |
| Gastric emptying imaging study (78264) | $3,030.52 | $6,061.03 | 7.7× |
| Gastroesophageal Reflux Exam (78262) | $2,188.26 | $4,376.52 | 5.5× |
| Gated Heart Planar Single (78472) | $2,850.93 | $5,701.85 | 7.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$257.70–$385.22 | $515.39–$770.43 | varies |
| Heart first pass single,planar (78481) | $2,729.71 | $5,459.41 | 5.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,480.09 | $4,960.18 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,480.09 | $4,960.18 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $2,363.34 | $4,726.68 | 4.4× |
| Hepatobiliary System Imaging (78226) | $2,363.34 | $4,726.68 | 6.0× |
| Ht Muscle Image Spect Sing (78451) | $2,289.74 | $4,579.47 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $519.02 | $1,038.03 | 6.0× |
| K Flow/Funct Image Multiple (78709) | $1,412.44 | $2,824.88 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,284.05 | $2,568.09 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $2,282.54 | $4,565.07 | 4.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$357.39–$714.75 | $714.77–$1,429.50 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $997.60 | $1,995.20 | 2.5× |
| Leveen/Shunt Patency Exam (78291) | $769.52 | $1,539.03 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,562.40 | $3,124.80 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,702.56 | $5,405.12 | 5.0× |
| Lung Ventilation Imaging (78579) | $1,106.25 | $2,212.50 | 2.8× |
| Lymph System Imaging (78195) | $1,116.13 | $2,232.26 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $2,378.50 | $4,756.99 | 10.1× |
| Mammary ductogram or galactogram single (77053) | $663.57 | $1,327.14 | 2.8× |
| Meckels Divert Exam (78290) | $1,773.41 | $3,546.81 | 4.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,463.24 | $4,926.48 | 7.1× |
| MRA head w/o contrast (70544) | $1,711.04 | $3,422.08 | 7.2× |
| MRA head with contrast (70545) | $1,846.91 | $3,693.82 | 5.3× |
| MRA neck w contrast (70548) | $2,101.15 | $4,202.30 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,463.24 | $4,926.48 | 7.1× |
| MRA neck w/o contrast (70547) | $2,101.15 | $4,202.30 | 8.9× |
| MRI abdomen w contrast (74182) | $1,977.19 | $3,954.37 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,884.04 | $3,768.07 | 8.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,782.56 | $3,565.12 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,707.54 | $3,415.08 | 2.2× |
| MRI bone marrow blood supply (77084) | $1,381.16 | $2,762.32 | 5.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,711.04 | $3,422.08 | 7.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,661.32 | $3,322.63 | 7.0× |
| MRI cardiac w/o contrast (75557) | $2,378.50 | $4,756.99 | 10.1× |
| MRI cervical spine w contrast (72142) | $2,452.75 | $4,905.50 | 7.1× |
| MRI cervical spine w/o cont (72141) | $2,085.74 | $4,171.47 | 8.8× |
| MRI chest w/o contrast (71550) | $2,096.25 | $4,192.50 | 8.9× |
| MRI chest with contrast (71551) | $2,692.97 | $5,385.94 | 3.5× |
| MRI chest wo w contrast (71552) | $3,622.39 | $7,244.77 | 10.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,705.58 | $5,411.16 | 7.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,145.13 | $2,290.26 | 4.8× |
| MRI lumbar spine w contrast (72149) | $2,337.18 | $4,674.36 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,452.75 | $4,905.50 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,653.76 | $5,307.51 | 11.2× |
| MRI orbit face neck w contrast (70542) | $3,216.86 | $6,433.72 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,498.42 | $6,996.84 | 10.1× |
| MRI pelvis w contrast (72196) | $3,337.32 | $6,674.63 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $3,618.88 | $7,237.76 | 10.5× |
| MRI pelvis w/o contrast (72195) | $1,648.71 | $3,297.41 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $3,103.40 | $6,206.80 | 13.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,707.54 | $3,415.08 | 4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,270.51 | $2,541.02 | 5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,889.08 | $5,778.16 | 8.4× |
| MRI, abdomen, combo (74183) | $3,197.26 | $6,394.51 | 9.3× |
| MRI, dorsal spine combo (72157) | $3,775.76 | $7,551.52 | 10.9× |
| MRI, dorsal spine contrast (72147) | $3,775.76 | $7,551.52 | 10.9× |
| MRI, joint upper extrem (73221) | $1,640 | $3,279.99 | 6.9× |
| MRI, joint upper extrem combo (73223) | $2,842.20 | $5,684.40 | 8.2× |
| MRI, lumbar spine combo (72158) | $2,477.27 | $4,954.54 | 7.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,599.22 | $3,198.43 | 4.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,523.78 | $3,047.56 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $3,142.75 | $6,285.49 | 2.5× |
| Neck soft tissue (70360) | $300.82 | $601.64 | 3.5× |
| Nuclear Rx Oral Admin (79005) | $1,319.96 | $2,639.91 | 5.7× |
| Parathyroid Planar Imaging (78070) | $1,453.41 | $2,906.81 | 3.7× |
| Pelvis 1 or 2 views (72170) | $346.61 | $693.21 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,948.51 | $3,897.01 | 4.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $487.57 | $975.14 | 4.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $724.64 | $1,449.28 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$346.61–$518.11 | $693.21–$1,036.22 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $251.44 | $502.87 | 2.9× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$361.87–$533.37 | $723.73–$1,066.74 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $512.72 | $1,025.44 | 5.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$282.84–$422.93 | $565.68–$845.85 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$300.82–$449.86 | $601.64–$899.72 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$300.82–$449.86 | $601.64–$899.72 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$218.21–$404.97 | $436.41–$809.93 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $540.57 | $1,081.14 | 5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $343.91 | $687.81 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $201.14 | $402.28 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $343.02 | $686.04 | 4.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $333.14 | $666.28 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $264.01 | $528.01 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $309.79 | $619.58 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $413.95 | $827.89 | 4.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$281.96–$389.70 | $563.91–$779.40 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $240.65 | $481.30 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$332.24–$496.55 | $664.48–$993.10 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,058.05 | $2,116.09 | 10.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $392.40 | $784.79 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $282.84 | $565.68 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $1,205.04 | $2,410.07 | 6.9× |
| Radiologic exam colon single contrast study (74270) | $806.36 | $1,612.71 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$531.58–$796.47 | $1,063.16–$1,592.93 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $300.82 | $601.64 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $620.48 | $1,240.96 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $1,000.34 | $2,000.68 | 5.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$309.79–$463.33 | $619.58–$926.66 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$307.11–$459.74 | $614.22–$919.47 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $431.90 | $863.79 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$346.61–$518.11 | $693.21–$1,036.22 | varies |
| Radiopharm Dacryocystography (78660) | $535.16 | $1,070.32 | 1.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,247.23 | $2,494.45 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,303.49 | $6,606.98 | 6.1× |
| Scapula (73010) | $309.79 | $619.58 | 3.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$208.33–$310.69 | $416.66–$621.37 | varies |
| Shoulder Arthrography (73040) | $1,374.74 | $2,749.48 | 4.0× |
| Skull less than 4 views (70250) | $420.24 | $840.47 | 4.1× |
| Speech evaluation, complex (70371) | $534.28 | $1,068.55 | 2.3× |
| Sternoclavicular joints (71130) | $300.82 | $601.64 | 3.5× |
| Superior sagittal sinus venogram (75870) | $2,480.09 | $4,960.18 | 0.8× |
| Testicular Imaging W/Flow (78761) | $1,546.24 | $3,092.48 | 3.9× |
| Thoracic spine 2 views (72070) | $424.72 | $849.43 | 4.1× |
| Thoracic spine 3 views (72072) | $337.61 | $675.22 | 3.3× |
| Thoracolumbar 2 views (72080) | $303.51 | $607.01 | 3.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $642.92 | $1,285.83 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $764.15 | $1,528.29 | 1.9× |
| Thyroid Met Imaging Body (78018) | $1,843.45 | $3,686.89 | 3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $992.21 | $1,984.42 | 2.5× |
| Ultrasound Breast Limited (76642) | $496.80 | $993.59 | 5.8× |
| Ultrasound, abdomen limited (76705) | $754.26 | $1,508.51 | 7.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $644.89 | $1,289.78 | 58.3× |
| Ureteral Reflux Study (78740) | $1,373.84 | $2,747.68 | 3.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$511.47–$992.32 | $1,022.94–$1,984.63 | varies |
| Us chest (76604) | $551.34 | $1,102.68 | 5.3× |
| Us complete joint (76881) | $1,349.59 | $2,699.17 | 13.0× |
| Us exam, pelvic, limited (76857) | $790.18 | $1,580.36 | 7.6× |
| Us head (76506) | $582.71 | $1,165.42 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $675.25 | $1,350.49 | 6.5× |
| Us ob limited 1 or more fetuses (76815) | $934.74 | $1,869.48 | 9.0× |
| Us ob transvaginal (76817) | $367.26 | $734.52 | 3.5× |
| Us pelvic non ob complete (76856) | $1,008.38 | $2,016.76 | 9.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,131.40 | $2,262.79 | 10.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $770.43 | $1,540.85 | 7.4× |
| Us retroperitoneal complete (76770) | $1,297.51 | $2,595.01 | 12.5× |
| Us retroperitoneal limited (76775) | $990.42 | $1,980.84 | 9.6× |
| Us scrotum and contents (76870) | $1,011.97 | $2,023.93 | 9.8× |
| Us thyroid (76536) | $551.34 | $1,102.68 | 5.3× |
| Us transrectal (76872) | $1,027.23 | $2,054.46 | 9.9× |
| Vascular Flow Imaging (78445) | $1,258 | $2,515.99 | 3.2× |
| Vein X-Ray Chest (75827) | $2,480.09 | $4,960.18 | 1.6× |
| Vein X-Ray Skull Epidural (75872) | $2,480.09 | $4,960.18 | 4.0× |
| Venogram Sinus/Jugular (75860) | $2,480.09 | $4,960.18 | 0.8× |
| Venography Adrenal Unilateral (75840) | $2,480.09 | $4,960.18 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,480.09 | $4,960.18 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $2,150.55 | $4,301.09 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,473.49 | $2,946.98 | 0.9× |
| Venography Orbital Rs&I (75880) | $188.57 | $377.14 | 0.3× |
| Venography Renal Bilateral (75833) | $2,480.09 | $4,960.18 | 0.8× |
| Venography Renal Unilateral (75831) | $2,480.09 | $4,960.18 | 0.8× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,480.09 | $4,960.18 | 0.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$287.34–$430.12 | $574.67–$860.24 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $390.61 | $781.22 | 4.5× |
| X-Ray Aorta Leg Arteries (75630) | $2,586.93 | $5,173.86 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $370.86 | $741.71 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$300.82–$449.86 | $601.64–$899.72 | varies |
| X-Ray Exam Breast Specimen (76098) | $235.27 | $470.53 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $529.02 | $1,058.03 | 6.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $529.02 | $1,058.03 | 5.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,058.05 | $2,116.09 | 10.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $373.54 | $747.08 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $361.19 | $722.38 | 4.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $541.78 | $1,083.56 | 5.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$156.23–$355.44 | $312.45–$710.88 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $355.44 | $710.88 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $710.89 | $1,421.78 | 6.9× |
| X-Ray Exam L-S Spine Bending (72114) | $705.79 | $1,411.58 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $346.61 | $693.21 | 4.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $659.08 | $1,318.16 | 6.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $327.74 | $655.48 | 3.2× |
| X-ray eye for foreign body (70030) | $184.08 | $368.15 | 2.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$300.82–$449.86 | $601.64–$899.72 | varies |
| X-ray IV pyelogram (ivp) (74400) | $978.76 | $1,957.52 | 5.6× |
| X-ray IV pyelogram+tomography (74415) | $1,036.22 | $2,072.43 | 6.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $198.44 | $396.88 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $309.79 | $619.58 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $434.60 | $869.19 | 4.2× |
| X-ray nose-rectum child f.b. (76010) | $274.78 | $549.55 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $552.23 | $1,104.46 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $324.16 | $648.31 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $315.19 | $630.37 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $424.72 | $849.43 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $721.94 | $1,443.87 | 7.0× |
| X-Ray Tmj Unilat (70328) | $158.95 | $317.89 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $969.77 | $1,939.53 | 2.8× |
| X-Rays Bone Length Studies (77073) | $328.65 | $657.30 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $1,078.42 | $2,156.84 | 10.4× |
| Xr c-spine 4 or 5 views (72050) | $553.14 | $1,106.27 | 5.3× |
| Xr facial bones less than 3 views (70140) | $461.54 | $923.07 | 5.4× |
| Xr orbits complete 4 views (70200) | $527.98 | $1,055.96 | 5.1× |
| Xr Tomogram Single Plane (76100) | $675.25 | $1,350.49 | 6.5× |
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.