Imaging prices at Monterey Park Hospital
Monterey Park, CA · every code in this section with a posted price and a Medicare benchmark.
287 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) range across 7 matching MRF lines |
$174–$635 | $174–$635 | varies |
| Abdomen 2 views (74019) | $932 | $932 | 6.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,476–$2,543 | $1,476–$2,543 | varies |
| Angio pulmonary bilat (75743) | $4,693 | $4,693 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $6,236 | $6,236 | 1.5× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,042–$4,251 | $1,042–$4,251 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,519 | $3,519 | 0.9× |
| Ankle 2 views (73600) | $504 | $504 | 4.5× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,932 | $2,932 | 0.4× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,540–$2,932 | $2,540–$2,932 | varies |
| Arthrogram ankle (73615) | $1,393 | $1,393 | 3.1× |
| Arthrogram hip (73525) | $1,395 | $1,395 | 3.1× |
| Arthrogram Wrist (73115) | $1,395 | $1,395 | 3.1× |
| Bone age studies (77072) | $460 | $460 | 3.4× |
| Bone Imaging 3 Phase (78315) | $5,504 | $5,504 | 10.7× |
| Bone Imaging Limited Area (78300) | $2,987 | $2,987 | 5.8× |
| Bone Imaging Multiple Areas (78305) | $3,002 | $3,002 | 5.8× |
| Bone Imaging Whole Body (78306) | $3,409 | $3,409 | 6.6× |
| Bone marrow imaging limited area (78102) | $2,121 | $2,121 | 4.1× |
| Bone survey infant (77076) | $666 | $666 | 5.0× |
| Brain Flow Imaging Only (78610) | $1,424 | $1,424 | 2.0× |
| Brain Image W/Flow < 4 Views (78601) | $1,993 | $1,993 | 3.9× |
| Brain imaging < 4 static views (78600) | $1,424 | $1,424 | 2.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,420 | $2,420 | 3.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,137 | $2,137 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $1,636 | $1,636 | 14.6× |
| Cerebrospinal Fluid Scan (78630) | $3,484 | $3,484 | 5.0× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$451–$607 | $451–$607 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$837–$895 | $837–$895 | varies |
| Chest 3 views (71047) | $825 | $825 | 7.4× |
| Chest 4 or more views (71048) | $825 | $825 | 6.1× |
| Cholecystography Oral Contrast (74290) | $1,001 | $1,001 | 4.4× |
| Clavicle complete (73000) | $542 | $542 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,859 | $1,859 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,080–$1,363 | $1,080–$1,363 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,154 | $1,154 | 2.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,389 | $1,389 | 3.1× |
| Corpora cavernosography (74445) | $747 | $747 | 5.6× |
| CT abdomen and pelvis without and with contrast (74178) | $9,971 | $9,971 | 22.2× |
| CT abdomen and pelvis without contrast (74176) | $9,124 | $9,124 | 29.7× |
| CT abdomen w contrast (74160) | $5,659 | $5,659 | 25.1× |
| CT abdomen w wo contrast (74170) | $6,101 | $6,101 | 27.0× |
| CT abdomen w/o contrast (74150) | $4,376 | $4,376 | 32.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,439 | $2,439 | 5.4× |
| CT Angio Chest (71275) | $4,705 | $4,705 | 20.9× |
| CT Angio Head (70496) | $3,977 | $3,977 | 17.6× |
| CT angio hrt w/3d image (75574) | $6,178 | $6,178 | 13.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,977 | $3,977 | 17.6× |
| CT Angio Neck (70498) | $4,420 | $4,420 | 19.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,977 | $3,977 | 17.6× |
| CT bone density (77078) | $557 | $557 | 5.0× |
| CT cervical spine w/ contrast (72126) | $2,874 | $2,874 | 6.4× |
| CT cervical spine w/o contrast (72125) | $3,675 | $3,675 | 27.3× |
| CT cervical spine w/wo cont (72127) | $3,442 | $3,442 | 15.3× |
| CT chest w contrast (71260) | $4,187 | $4,187 | 18.6× |
| CT chest w/wo contrast (71270) | $3,510 | $3,510 | 15.6× |
| CT head/brain with contrast (70460) | $4,664 | $4,664 | 20.7× |
| CT head/brain without and with contrast (70470) | $5,976 | $5,976 | 26.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,448 | $1,448 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,448 | $1,448 | 12.9× |
| CT hrt w/3d image congen (75573) | $1,948 | $1,948 | 4.3× |
| CT iac w contrast (70481) | $3,081 | $3,081 | 13.7× |
| CT l-spine w&w/o contrast (72133) | $4,739 | $4,739 | 21.0× |
| CT lower ext w/o (73700) | $4,176 | $4,176 | 31.1× |
| CT lower extremity w/contrast material (73701) | $3,428 | $3,428 | 15.2× |
| CT lumbar spine w contrast (72132) | $3,950 | $3,950 | 8.8× |
| CT lumbar spine w/o contrast (72131) | $6,189 | $6,189 | 46.0× |
| CT maxillofacial w contrast (70487) | $3,672 | $3,672 | 16.3× |
| CT maxillofacial wo contrast (70486) | $4,023 | $4,023 | 29.9× |
| CT neck tissue combo (70492) | $4,235 | $4,235 | 18.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,392 | $3,392 | 15.0× |
| CT orbits w/o contrast (70480) | $4,187 | $4,187 | 31.1× |
| CT pelvis w&w/o contrast (72194) | $4,974 | $4,974 | 22.0× |
| CT pelvis w/o contrast (72192) | $5,742 | $5,742 | 42.7× |
| CT scan of leg combo (73702) | $4,099 | $4,099 | 18.2× |
| CT scans face/jaw combo (70488) | $4,504 | $4,504 | 20.0× |
| CT soft tissue neck w contrast (70491) | $4,241 | $4,241 | 18.8× |
| CT soft tissue neck w/o contrast (70490) | $3,638 | $3,638 | 27.1× |
| CT thoracic spine w contrast (72129) | $2,874 | $2,874 | 12.7× |
| CT thoracic spine w/o contrast (72128) | $4,042 | $4,042 | 30.1× |
| CT thoracic spine w/wo cont (72130) | $3,442 | $3,442 | 15.3× |
| CT thorax w/o contrast (71250) | $3,230 | $3,230 | 24.0× |
| CT unlisted procedure (76497) | $164 | $164 | 1.5× |
| CT upper ext wo (73200) | $2,179 | $2,179 | 16.2× |
| CT upper extremity w/o & w/contrast material (73202) | $3,170 | $3,170 | 14.1× |
| CT upper extremity with contrast (73201) | $2,482 | $2,482 | 5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,530 | $7,530 | 33.4× |
| Cta Abdomen (74175) | $4,826 | $4,826 | 21.4× |
| CTA pelvis (72191) | $3,962 | $3,962 | 17.6× |
| Dilation ureters/urethra rs&i (74485) | $4,458 | $4,458 | 1.7× |
| Echo exam of fetal heart (76825) | $881 | $881 | 1.3× |
| Esophagram (74220) | $1,373 | $1,373 | 6.1× |
| Fetal Biophys Profile W/Nst (76818) | $1,692 | $1,692 | 12.6× |
| Fluoroscopy up to 1 hr (76000) | $1,500 | $1,500 | 4.9× |
| Foot 2 views (73620) | $504 | $504 | 4.5× |
| Forearm 2 views (73090) | $443 | $443 | 4.0× |
| Gastric emptying imaging study (78264) | $2,928 | $2,928 | 5.7× |
| Gastric Mucosa Imaging (78261) | $2,260 | $2,260 | 4.4× |
| Gastroesophageal Reflux Exam (78262) | $2,316 | $2,316 | 4.5× |
| Gated Heart, Multiple (78473) | $242 | $242 | 0.5× |
| Hand 2 views (73120) | $504 | $504 | 3.7× |
| Heart first pass single,planar (78481) | $242 | $242 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $3,847 | $3,847 | 5.5× |
| Hepatobiliary System Imaging (78226) | $4,452 | $4,452 | 8.7× |
| Ht Musc Image Planar Mult (78454) | $2,789 | $2,789 | 1.7× |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$242–$2,789 | $242–$2,789 | varies |
| Hysterosalpingogram (74740) | $1,679 | $1,679 | 5.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,762 | $1,762 | 15.7× |
| Interstitial radiation source applic complex (77778) | $4,840 | $4,840 | 5.4× |
| K Flow/Funct Image W/Drug (78708) | $3,404 | $3,404 | 4.9× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,679–$3,472 | $2,679–$3,472 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $2,497 | $2,497 | 4.9× |
| Kidney Imaging Morphol (78700) | $2,497 | $2,497 | 4.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,087 | $2,087 | 4.1× |
| Knee 3 Views (73562) | $667 | $667 | 6.0× |
| Leveen/Shunt Patency Exam (78291) | $2,232 | $2,232 | 4.3× |
| Liver & Spleen Imaging Static Only (78215) | $2,591 | $2,591 | 5.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,083 | $1,083 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,329 | $1,329 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,927 | $1,927 | 2.8× |
| Lung Ventilation Imaging (78579) | $851 | $851 | 1.7× |
| Lymph System Imaging (78195) | $1,612 | $1,612 | 2.3× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,271 | $3,271 | 1.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,019 | $2,019 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $7,020 | $7,020 | 22.9× |
| Mammary ductogram or galactogram single (77053) | $564 | $564 | 1.8× |
| Meckels Divert Exam (78290) | $2,154 | $2,154 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) | $7,357 | $7,357 | 16.4× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,107–$4,237 | $4,107–$4,237 | varies |
| MRA head with contrast (70545) | $5,731 | $5,731 | 12.8× |
| MRA neck w contrast (70548) | $5,731 | $5,731 | 12.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,357 | $7,357 | 16.4× |
| MRA neck w/o contrast (70547) | $4,107 | $4,107 | 13.4× |
| MRI abdomen w contrast (74182) | $3,931 | $3,931 | 8.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,420–$5,366 | $4,420–$5,366 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $7,082 | $7,082 | 7.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,082 | $7,082 | 15.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,020 | $7,020 | 7.0× |
| MRI cervical spine w contrast (72142) | $7,071 | $7,071 | 15.8× |
| MRI cervical spine w/o cont (72141) | $6,389 | $6,389 | 20.8× |
| MRI chest w/o contrast (71550) | $5,683 | $5,683 | 18.5× |
| MRI chest with contrast (71551) | $5,381 | $5,381 | 5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,581 | $6,581 | 14.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,082 | $7,082 | 15.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,082 | $7,082 | 23.1× |
| MRI lumbar spine w contrast (72149) | $7,664 | $7,664 | 17.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,173 | $8,173 | 18.2× |
| MRI orbit face &/neck w/o contrast (70540) | $6,156 | $6,156 | 20.1× |
| MRI orbit face neck w contrast (70542) | $6,873 | $6,873 | 15.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$6,156–$8,919 | $6,156–$8,919 | varies |
| MRI pelvis w contrast (72196) | $6,801 | $6,801 | 15.2× |
| MRI pelvis w/o & w contrast (72197) | $6,331 | $6,331 | 14.1× |
| MRI pelvis w/o contrast (72195) | $7,319 | $7,319 | 23.8× |
| MRI thoracic spine w/o contrast (72146) | $4,181 | $4,181 | 13.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$6,523–$7,082 | $6,523–$7,082 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$6,523–$7,082 | $6,523–$7,082 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$6,523–$7,082 | $6,523–$7,082 | varies |
| MRI, abdomen, combo (74183) | $6,197 | $6,197 | 13.8× |
| MRI, dorsal spine combo (72157) | $8,796 | $8,796 | 19.6× |
| MRI, dorsal spine contrast (72147) | $4,837 | $4,837 | 10.8× |
| MRI, joint upper extrem (73221) | $7,020 | $7,020 | 22.9× |
| MRI, joint upper extrem combo (73223) | $7,020 | $7,020 | 15.6× |
| MRI, lumbar spine combo (72158) | $8,796 | $8,796 | 19.6× |
| Myelogram cervical (72240) | $2,477 | $2,477 | 2.5× |
| Myelogram Lumbar (72265) | $2,906 | $2,906 | 2.9× |
| Myelography thoracic (72255) | $2,906 | $2,906 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,583 | $3,583 | 3.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,558 | $1,558 | 3.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,553–$4,064 | $2,553–$4,064 | varies |
| Neck soft tissue (70360) | $468 | $468 | 4.2× |
| Nm unlisted gi procedure (78299) | $1,370 | $1,370 | 2.7× |
| Nm whole blood volume (78122) | $2,080 | $2,080 | 3.0× |
| Nuclear medicine study of endocrine organs (78099) | $291 | $291 | 0.6× |
| Optic foramina (70190) | $770 | $770 | 6.9× |
| Parathyroid Planar Imaging (78070) | $4,449 | $4,449 | 8.7× |
| Pelvis 1 or 2 views (72170) | $1,140 | $1,140 | 8.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,777 | $2,777 | 5.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $932 | $932 | 6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $979 | $979 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $703 | $703 | 6.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $495 | $495 | 4.4× |
| Radex elbow complete minimum 3 views (73080) | $458 | $458 | 4.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,105 | $1,105 | 8.2× |
| Radex fingr minimum 2 views (73140) | $485 | $485 | 4.3× |
| Radex foot complete minimum 3 views (73630) | $638 | $638 | 5.7× |
| Radex Hand Minimum 3 Views (73130) | $711 | $711 | 6.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $779 | $779 | 5.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $690 | $690 | 6.2× |
| Radex Ribs Unilateral 2 Views (71100) | $661 | $661 | 5.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$705–$800 | $705–$800 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$223–$445 | $223–$445 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,726 | $1,726 | 7.7× |
| Radex Spine 1 View Specify Level (72020) | $535 | $535 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $628 | $628 | 5.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $722 | $722 | 6.5× |
| Radex Toe Minimum 2 Views (73660) | $511 | $511 | 4.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $638 | $638 | 5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $837 | $837 | 6.2× |
| Radiologic exam colon double contrast study (74280) | $2,156 | $2,156 | 9.6× |
| Radiologic exam colon single contrast study (74270) | $1,414 | $1,414 | 6.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,432 | $1,432 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $1,574 | $1,574 | 7.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,510 | $1,510 | 6.7× |
| Radiologic examination femur minimum 2 views (73552) | $717 | $717 | 6.4× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$448–$573 | $448–$573 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$1,682–$2,309 | $1,682–$2,309 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $698 | $698 | 6.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $562 | $562 | 5.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $691 | $691 | 1.0× |
| Renal Cyst Study (74470) | $3,271 | $3,271 | 4.7× |
| Ribs bilateral 3 views (71110) | $986 | $986 | 7.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,440 | $6,440 | 9.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,603 | $3,603 | 5.2× |
| Scapula (73010) | $541 | $541 | 4.0× |
| Sella turcica (70240) | $600 | $600 | 5.4× |
| Shoulder 1 view (73020) | $593 | $593 | 5.3× |
| Shoulder Arthrography (73040) | $1,395 | $1,395 | 3.1× |
| Sialogram (70390) | $1,254 | $1,254 | 4.1× |
| Skull less than 4 views (70250) | $685 | $685 | 5.1× |
| Sternoclavicular joints (71130) | $499 | $499 | 4.5× |
| Temporomandble Jt Arthrography Rs&I (70332) | $861 | $861 | 2.8× |
| Testicular Imaging W/Flow (78761) | $1,904 | $1,904 | 3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,563 | $1,563 | 6.9× |
| Thoracic spine 2 views (72070) | $859 | $859 | 6.4× |
| Thoracolumbar 2 views (72080) | $600 | $600 | 5.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,101 | $1,101 | 2.1× |
| Thyroid Met Imaging Body (78018) | $3,019 | $3,019 | 4.3× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$763–$1,714 | $763–$1,714 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,703–$2,824 | $2,703–$2,824 | varies |
| Tx devices design & construction simple (77332) | $951 | $951 | 5.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$801–$1,710 | $801–$1,710 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$1,089–$1,282 | $1,089–$1,282 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$358–$1,192 | $358–$1,192 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $266 | $266 | 0.5× |
| Unlisted us procedure (76999) | $141 | $141 | 1.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,632–$1,932 | $1,632–$1,932 | varies |
| Urethrocystogram voiding (74455) | $1,305 | $1,305 | 4.3× |
| Urethrocystography retrograde (74450) | $963 | $963 | 3.1× |
| Us breast unilateral complete (76641) | $1,222 | $1,222 | 9.1× |
| Us chest (76604) | $794 | $794 | 5.9× |
| Us complete joint (76881) | $1,306 | $1,306 | 9.7× |
| Us exam, pelvic, limited (76857) | $1,335 | $1,335 | 9.9× |
| Us head (76506) | $1,119 | $1,119 | 8.3× |
| Us kidney transplant (76776) | $2,013 | $2,013 | 15.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,119–$1,538 | $1,119–$1,538 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$615–$1,037 | $615–$1,037 | varies |
| Us ob transvaginal (76817) | $474 | $474 | 3.5× |
| Us pelvic non ob complete (76856) | $1,808 | $1,808 | 13.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,003 | $1,003 | 7.5× |
| Us retroperitoneal complete (76770) | $2,013 | $2,013 | 15.0× |
| Us retroperitoneal limited (76775) | $1,042 | $1,042 | 7.7× |
| Us scrotum and contents (76870) | $2,032 | $2,032 | 15.1× |
| Us spinal canal and contents (76800) | $450 | $450 | 3.3× |
| Us thyroid (76536) | $2,132 | $2,132 | 15.9× |
| Vascular Flow Imaging (78445) | $1,233 | $1,233 | 2.4× |
| Vein X-Ray Chest (75827) | $3,519 | $3,519 | 1.7× |
| Venography extremity bilateral rs&i (75822) | $2,527 | $2,527 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,636 | $1,636 | 0.8× |
| Venous sampling by catheter (75893) | $10,016 | $10,016 | 1.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,387 | $2,387 | 4.6× |
| Wrist 2 views (73100) | $646 | $646 | 5.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $760 | $760 | 6.8× |
| X-ray antegrade pyelogram tube (74425) | $907 | $907 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,859–$4,693 | $1,859–$4,693 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $386 | $386 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $550 | $550 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $480 | $480 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$537–$878 | $537–$878 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,062 | $1,062 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,443 | $1,443 | 10.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $723 | $723 | 6.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,727 | $1,727 | 12.8× |
| X-ray humerus (73060) | $458 | $458 | 4.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,478 | $1,478 | 6.6× |
| X-ray IV pyelogram+tomography (74415) | $1,875 | $1,875 | 8.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $635 | $635 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $749 | $749 | 6.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $600 | $600 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$678–$825 | $678–$825 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$661–$1,089 | $661–$1,089 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,373 | $1,373 | 10.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,561–$2,103 | $1,561–$2,103 | varies |
| X-Rays Bone Length Studies (77073) | $746 | $746 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $1,243 | $1,243 | 9.2× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$559–$770 | $559–$770 | varies |
| Xr orbits complete 4 views (70200) | $1,269 | $1,269 | 9.4× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$994–$1,370 | $994–$1,370 | varies |
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.