Imaging prices at Mountain View Regional Medical Center
Las Cruces, NM · every code in this section with a posted price and a Medicare benchmark.
278 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 4 matching MRF lines |
$69.39–$239.76 | $257–$888 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $730.35 | $2,705 | 1.8× |
| Angio pulmonary bilat (75743) | $3,680.91 | $13,633 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $219.78 | $814 | 0.1× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,823.39–$3,649.32 | $10,457–$13,516 | varies |
| Angiography extremity unilateral rs&i (75710) | $2,823.39 | $10,457 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,649.32 | $13,516 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,475.44 | $12,872 | 1.1× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,342.25–$6,243.48 | $8,675–$23,124 | varies |
| Artery X-Rays Abdomen (75726) | $6,243.48 | $23,124 | 1.1× |
| Artery X-Rays Adrenal Gland (75731) | $195.75 | $725 | 0.1× |
| Artery X-Rays Pelvis (75736) | $6,243.48 | $23,124 | 1.1× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$324.54 | $1,202 | 0.1× |
| Arthrogram hip (73525) | $162.54 | $602 | 0.5× |
| Arthrogram Wrist (73115) | $169.83 | $629 | 0.5× |
| Bone age studies (77072) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Bone Imaging 3 Phase (78315) | $730.35 | $2,705 | 1.8× |
| Bone Imaging Whole Body (78306) | $730.35 | $2,705 | 1.8× |
| Bone marrow imaging; whole body (78104) | $805.41 | $2,983 | 2.0× |
| Bone survey infant (77076) range across 3 matching MRF lines |
$389.07–$446.58 | $1,441–$1,654 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $631.80 | $2,340 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $475.20 | $1,760 | 1.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $553.50 | $2,050 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $1,933.47 | $7,161 | 3.6× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$69.39–$300.24 | $257–$1,112 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$233.82–$793.26 | $866–$2,938 | varies |
| Chest 4 or more views (71048) | $524.61 | $1,943 | 5.1× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$69.39–$260.28 | $257–$964 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $212.49 | $787 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,917.62 | $10,806 | 0.9× |
| Contrast X-Ray Bladder (74430) | $951.21 | $3,523 | 2.8× |
| Contrast X-Ray Of Elbow (73085) | $126.63 | $469 | 0.4× |
| Contrast X-Ray Of Knee Joint (73580) | $140.13 | $519 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,937.14 | $14,582 | 11.4× |
| CT abdomen and pelvis without contrast (74176) | $3,600.18 | $13,334 | 15.2× |
| CT abdomen w contrast (74160) | $2,008.53 | $7,439 | 11.6× |
| CT abdomen w wo contrast (74170) | $2,008.53 | $7,439 | 11.6× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$943.92–$1,307.34 | $3,496–$4,842 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,704.24 | $6,312 | 4.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,192.59–$2,008.53 | $4,417–$7,439 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,302.75–$2,008.53 | $4,825–$7,439 | varies |
| CT angio hrt w/3d image (75574) | $775.44 | $2,872 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,038.15–$3,013.20 | $3,845–$11,160 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,302.75–$2,008.53 | $4,825–$7,439 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,038.15–$2,008.53 | $3,845–$7,439 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,925.91–$3,626.64 | $7,133–$13,432 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$378.54–$1,558.17 | $1,402–$5,771 | varies |
| CT cervical spine w/wo cont (72127) | $2,020.68 | $7,484 | 11.6× |
| CT chest w contrast (71260) | $2,008.53 | $7,439 | 11.6× |
| CT chest w/wo contrast (71270) | $2,008.53 | $7,439 | 11.6× |
| CT head/brain with contrast (70460) | $2,008.53 | $7,439 | 11.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,008.53–$2,356.83 | $7,439–$8,729 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,008.53 | $7,439 | 5.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $493.83 | $1,829 | 5.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,482.84–$2,008.53 | $5,492–$7,439 | varies |
| CT l-spine w&w/o contrast (72133) | $2,008.53 | $7,439 | 11.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,673.46–$2,085.75 | $6,198–$7,725 | varies |
| CT lower extremity w/contrast material (73701) | $2,008.53 | $7,439 | 11.6× |
| CT lumbar spine w contrast (72132) | $3,626.64 | $13,432 | 10.5× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$943.92–$1,307.34 | $3,496–$4,842 | varies |
| CT maxillofacial w contrast (70487) | $2,008.53 | $7,439 | 11.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$943.92–$1,248.48 | $3,496–$4,624 | varies |
| CT neck tissue combo (70492) | $2,008.53 | $7,439 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,482.84–$1,494.99 | $5,492–$5,537 | varies |
| CT orbits w/o contrast (70480) | $943.92 | $3,496 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $2,008.53 | $7,439 | 11.6× |
| CT pelvis w/o contrast (72192) | $1,662.66 | $6,158 | 16.1× |
| CT scan of leg combo (73702) | $2,008.53 | $7,439 | 11.6× |
| CT scans face/jaw combo (70488) | $2,008.53 | $7,439 | 11.6× |
| CT soft tissue neck w contrast (70491) | $2,008.53 | $7,439 | 11.6× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$943.92–$1,715.04 | $3,496–$6,352 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,765.80–$2,008.53 | $6,540–$7,439 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$943.92–$1,307.34 | $3,496–$4,842 | varies |
| CT thoracic spine w/wo cont (72130) | $1,789.83 | $6,629 | 10.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$943.92–$1,558.17 | $3,496–$5,771 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$943.92–$1,415.34 | $3,496–$5,242 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,008.53 | $7,439 | 11.6× |
| CT upper extremity with contrast (73201) | $2,008.53 | $7,439 | 5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,008.53 | $7,439 | 11.6× |
| Cta Abdomen (74175) | $2,008.53 | $7,439 | 11.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,302.75 | $4,825 | 3.8× |
| CTA pelvis (72191) | $2,008.53 | $7,439 | 11.6× |
| Diskography lumbar (72295) | $6,062.31 | $22,453 | 3.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $509.49 | $1,887 | 4.9× |
| Dxa Bone Density Axial (77080) | $128.52 | $476 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $141.21 | $523 | 1.6× |
| Echo Guide For Artery Repair (76936) | $1,067.04 | $3,952 | 5.0× |
| Esophagram (74220) | $951.21 | $3,523 | 5.5× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$610.74–$641.79 | $2,262–$2,377 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $509.49 | $1,887 | 4.9× |
| Fluoroscopy up to 1 hr (76000) | $460.62 | $1,706 | 2.0× |
| Follow-Up Angiography (75898) | $1,439.10 | $5,330 | 0.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Gastric emptying imaging study (78264) | $730.35 | $2,705 | 1.8× |
| Gated Heart Planar Single (78472) | $730.35 | $2,705 | 1.8× |
| Gated Heart, Multiple (78473) | $1,124.28 | $4,164 | 2.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,649.32 | $13,516 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $501.93 | $1,859 | 0.9× |
| Hepatobiliary System Imaging (78226) | $730.35 | $2,705 | 1.8× |
| Hysterosalpingogram (74740) | $923.40 | $3,420 | 3.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$177.93–$265.95 | $659–$985 | varies |
| K Flow/Funct Image W/Drug (78708) | $947.70 | $3,510 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $947.70 | $3,510 | 1.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$69.39–$301.59 | $257–$1,117 | varies |
| Leveen/Shunt Patency Exam (78291) | $517.05 | $1,915 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $730.35 | $2,705 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $947.70 | $3,510 | 1.8× |
| Lymph System Imaging (78195) | $947.70 | $3,510 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $343.71 | $1,273 | 1.5× |
| Meckels Divert Exam (78290) | $730.35 | $2,705 | 1.8× |
| MRA head w/o contrast (70544) | $2,231.01 | $8,263 | 9.4× |
| MRA neck w contrast (70548) | $1,797.12 | $6,656 | 5.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,862.81 | $10,603 | 8.3× |
| MRA neck w/o contrast (70547) | $1,538.73 | $5,699 | 6.5× |
| MRI abdomen w contrast (74182) | $2,835 | $10,500 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,528.01 | $9,363 | 10.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,016.09 | $7,467 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,862.81–$4,224.96 | $10,603–$15,648 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,277.88 | $15,844 | 5.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $331.29 | $1,227 | 1.4× |
| MRI cardiac w/o contrast (75557) | $365.31 | $1,353 | 1.5× |
| MRI cervical spine w contrast (72142) | $2,862.81 | $10,603 | 8.3× |
| MRI cervical spine w/o cont (72141) | $1,743.93 | $6,459 | 7.4× |
| MRI chest w/o contrast (71550) | $1,743.93 | $6,459 | 7.4× |
| MRI chest wo w contrast (71552) | $2,862.81 | $10,603 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,797.12 | $6,656 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,862.81 | $10,603 | 8.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,743.93 | $6,459 | 7.4× |
| MRI lumbar spine w contrast (72149) | $2,862.81 | $10,603 | 8.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,862.81 | $10,603 | 8.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,538.73 | $5,699 | 6.5× |
| MRI orbit face neck w contrast (70542) | $2,862.81 | $10,603 | 8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,862.81 | $10,603 | 8.3× |
| MRI pelvis w contrast (72196) | $2,515.59 | $9,317 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $2,862.81 | $10,603 | 8.3× |
| MRI pelvis w/o contrast (72195) | $1,538.73 | $5,699 | 6.5× |
| MRI thoracic spine w/o contrast (72146) | $2,760.75 | $10,225 | 11.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,016.09 | $7,467 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,538.73 | $5,699 | 6.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,862.81 | $10,603 | 8.3× |
| MRI, abdomen, combo (74183) | $2,862.81 | $10,603 | 8.3× |
| MRI, dorsal spine combo (72157) | $2,862.81 | $10,603 | 8.3× |
| MRI, dorsal spine contrast (72147) | $4,150.98 | $15,374 | 12.0× |
| MRI, joint upper extrem (73221) | $1,538.73 | $5,699 | 6.5× |
| MRI, joint upper extrem combo (73223) | $2,862.81 | $10,603 | 8.3× |
| MRI, lumbar spine combo (72158) | $2,862.81 | $10,603 | 8.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,515.05 | $9,315 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $2,389.50 | $8,850 | 1.9× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Nonvascular Shunt X-Ray (75809) | $43.20 | $160 | 0.4× |
| Nuclear Rx Oral Admin (79005) | $498.96 | $1,848 | 2.2× |
| Parathyroid Planar Imaging (78070) | $730.35 | $2,705 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $402.84 | $1,492 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Pet Image Skull-Thigh (78812) | $1,870.29 | $6,927 | 1.3× |
| PET image w/CT, full body (78816) | $1,870.29 | $6,927 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,870.29 | $6,927 | 1.3× |
| PET whole body (78813) | $1,870.29 | $6,927 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,159.19 | $7,997 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $730.35 | $2,705 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 5 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $451.17 | $1,671 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$69.39–$262.17 | $257–$971 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$69.39–$247.59 | $257–$917 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$69.39–$255.69 | $257–$947 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$106.65–$446.58 | $395–$1,654 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$69.39–$427.68 | $257–$1,584 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$69.39–$260.28 | $257–$964 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $446.58 | $1,654 | 4.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$69.39–$406.35 | $257–$1,505 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$69.39–$355.86 | $257–$1,318 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$233.82–$263.52 | $866–$976 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$106.65–$260.28 | $395–$964 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$69.39–$281.07 | $257–$1,041 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,295.73 | $4,799 | 12.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$106.65–$446.58 | $395–$1,654 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Radiologic exam colon double contrast study (74280) | $951.21 | $3,523 | 5.5× |
| Radiologic exam colon single contrast study (74270) | $951.21 | $3,523 | 5.5× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$69.39–$465.75 | $257–$1,725 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $446.58 | $1,654 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $399.33 | $1,479 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$69.39–$306.45 | $257–$1,135 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$69.39–$259.20 | $257–$960 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$69.39–$257.31 | $257–$953 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$106.65–$446.58 | $395–$1,654 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $687.15 | $2,545 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,515.05 | $9,315 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,515.05 | $9,315 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $947.70 | $3,510 | 1.8× |
| Scapula (73010) range across 4 matching MRF lines |
$69.39–$617.49 | $257–$2,287 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60.48 | $224 | 2.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$233.82–$615.06 | $866–$2,278 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$165.78–$1,718.01 | $614–$6,363 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$106.65–$446.58 | $395–$1,654 | varies |
| Speech evaluation, complex (70371) | $923.40 | $3,420 | 3.9× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$233.82–$260.28 | $866–$964 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$106.65–$456.57 | $395–$1,691 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $730.35 | $2,705 | 1.8× |
| Thyroid Met Imaging Body (78018) | $947.70 | $3,510 | 1.8× |
| Thyroid Uptake Measurement (78012) | $730.35 | $2,705 | 1.8× |
| Ultrasound Breast Limited (76642) | $265.95 | $985 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $134.19 | $497 | 1.3× |
| Ultrasound, abdomen limited (76705) | $509.49 | $1,887 | 4.9× |
| Upper gi w/o kub (74240) | $808.11 | $2,993 | 4.7× |
| Urethrocystography retrograde (74450) | $923.40 | $3,420 | 3.9× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$316.44–$509.49 | $1,172–$1,887 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$260.28–$509.49 | $964–$1,887 | varies |
| Us complete joint (76881) | $509.49 | $1,887 | 4.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$430.11–$509.49 | $1,593–$1,887 | varies |
| Us head (76506) range across 2 matching MRF lines |
$509.49–$599.40 | $1,887–$2,220 | varies |
| Us kidney transplant (76776) | $509.49 | $1,887 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$270.27–$763.83 | $1,001–$2,829 | varies |
| Us ob detailed single fetus (76811) | $509.49 | $1,887 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $509.49 | $1,887 | 4.9× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$99.09–$509.49 | $367–$1,887 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$509.49–$636.12 | $1,887–$2,356 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $509.49 | $1,887 | 4.9× |
| Us retroperitoneal complete (76770) | $509.49 | $1,887 | 4.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$509.49–$563.22 | $1,887–$2,086 | varies |
| Us scrotum and contents (76870) | $509.49 | $1,887 | 4.9× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$509.49–$692.82 | $1,887–$2,566 | varies |
| Us thyroid (76536) | $509.49 | $1,887 | 4.9× |
| Vein X-Ray Chest (75827) | $896.40 | $3,320 | 0.6× |
| Venogram Sinus/Jugular (75860) | $2,252.07 | $8,341 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $3,649.32 | $13,516 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,009.26 | $3,738 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$896.40–$1,568.70 | $3,320–$5,810 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$233.82–$385.02 | $866–$1,426 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,764.61 | $13,943 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $568.08 | $2,104 | 5.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| X-Ray Exam Breast Specimen (76098) | $706.05 | $2,615 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$50.49–$648.27 | $187–$2,401 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$446.58–$648.27 | $1,654–$2,401 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$446.58–$1,295.73 | $1,654–$4,799 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$69.39–$279.72 | $257–$1,036 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$419.85–$446.58 | $1,555–$1,654 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$106.65–$465.21 | $395–$1,723 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$106.65–$465.21 | $395–$1,723 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$213.30–$929.61 | $790–$3,443 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$106.65–$501.93 | $395–$1,859 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$69.39–$391.50 | $257–$1,450 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$446.58–$601.29 | $1,654–$2,227 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $69.39 | $257 | 0.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $69.39 | $257 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| X-ray nose-rectum child f.b. (76010) | $109.08 | $404 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$106.65–$537.84 | $395–$1,992 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $446.58 | $1,654 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$69.39–$446.58 | $257–$1,654 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$69.39–$389.61 | $257–$1,443 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$69.39–$496.53 | $257–$1,839 | varies |
| X-Ray Tmj Unilat (70328) | $69.39 | $257 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,718.01 | $6,363 | 5.0× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$177.66–$446.58 | $658–$1,654 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$360.72–$446.58 | $1,336–$1,654 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$106.65–$706.05 | $395–$2,615 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$69.39–$233.82 | $257–$866 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $209.52 | $776 | 2.0× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$106.65–$446.58 | $395–$1,654 | 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.