Imaging prices at MultiCare Deaconess Hospital

Spokane, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,672.40 $9,181 2.4×
Abdomen 1 View (74018) $222 $555 2.3×
Abdomen 2 views (74019) $424.80 $1,062 3.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,250.40 $3,126 2.8×
Angio internal mammary (75756) $4,999.20 $12,498 1.4×
Angio pulmonary bilat (75743) $7,064.80 $17,662 2.0×
Angiography extremity bilateral rs&i (75716) $5,378.80 $13,447 1.5×
Angiography extremity unilateral rs&i (75710) $4,999.20 $12,498 1.4×
Angiography pulmonary unilateral slctv rs&i (75741) $7,064.80 $17,662 2.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,380.80 $5,952 0.7×
Ankle 2 views (73600) $222 $555 2.3×
Aortography thoracic serialography rs&i (75605) $15,108 $37,770 2.4×
Aortography thoracic w/o serialography rs&i (75600) $4,999.20 $12,498 1.4×
Artery X-Rays Abdomen (75726) $12,086 $30,215 1.9×
Artery X-Rays Adrenal Gland (75731) $3,874.40 $9,686 1.1×
Artery X-Rays Pelvis (75736) $12,086 $30,215 1.9×
Artery X-Rays Spine (75705) $8,291.20 $20,728 1.3×
Arthrogram hip (73525) $1,616.40 $4,041 4.2×
Arthrogram Wrist (73115) $959.20 $2,398 2.5×
Basic radiation dosimetry calculation (77300) $193.60 $484 1.3×
Bone age studies (77072) $424.80 $1,062 3.6×
Bone Imaging 3 Phase (78315) $1,985.60 $4,964 4.5×
Bone Imaging Limited Area (78300) $1,439.60 $3,599 3.2×
Bone Imaging Multiple Areas (78305) $2,195.20 $5,488 4.9×
Bone Imaging Whole Body (78306) $1,952.40 $4,881 4.4×
Bone marrow imaging limited area (78102) $766.80 $1,917 1.7×
Bone survey infant (77076) $424.80 $1,062 3.6×
Brain Flow Imaging Only (78610) $1,622 $4,055 2.7×
Brain Imaging Pet Metabolic Evaluation (78608) $2,349.60 $5,874 1.5×
Cardiac MRI w/w/o contrast & further seq (75561) $2,425.20 $6,063 6.2×
Cardiac MRI w/w/o contrast w/stress (75563) $2,415.60 $6,039 2.8×
Cat Scan Follow-Up Study (76380) $330.40 $826 3.4×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,622 $4,055 2.7×
Cerebrospinal Fluid Scan (78630) $1,622 $4,055 2.7×
Chest 1 view (71045) $219.60 $549 2.3×
Chest 2 views (71046) $219.60 $549 2.3×
Chest 3 views (71047) $219.60 $549 2.3×
Chest 4 or more views (71048) $420.80 $1,052 3.6×
Clavicle complete (73000) $222 $555 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $130.80 $327 1.1×
Continuing medical physics consltj pr wk (77336) $244.40 $611 1.6×
Contrast Exam Abdominl Aorta (75625) $4,999.20 $12,498 1.4×
Contrast X-Ray Bladder (74430) $904.40 $2,261 2.3×
Contrast X-Ray Of Knee Joint (73580) $1,616.40 $4,041 4.2×
CT abdomen and pelvis without and with contrast (74178) $1,342.80 $3,357 3.5×
CT abdomen and pelvis without contrast (74176) $1,302.80 $3,257 4.9×
CT abdomen w contrast (74160) $1,342.80 $3,357 6.9×
CT abdomen w wo contrast (74170) $1,342.80 $3,357 6.9×
CT abdomen w/o contrast (74150) $630.80 $1,577 5.4×
CT Angio Abdomen and Pelvis (74174) $1,342.80 $3,357 3.5×
CT Angio Chest (71275) $1,342.80 $3,357 6.9×
CT Angio Head (70496) $1,342.80 $3,357 6.9×
CT angio hrt w/3d image (75574) $1,342.80 $3,357 3.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,342.80 $3,357 6.9×
CT Angio Neck (70498) $1,342.80 $3,357 6.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,342.80 $3,357 6.9×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $1,714 $4,285 8.8×
CT cervical spine w/ contrast (72126) $2,425.20 $6,063 6.2×
CT cervical spine w/o contrast (72125) $630.80 $1,577 5.4×
CT cervical spine w/wo cont (72127) $1,342.80 $3,357 6.9×
CT chest w contrast (71260) $1,342.80 $3,357 6.9×
CT chest w/wo contrast (71270) $1,342.80 $3,357 6.9×
CT head/brain with contrast (70460) $1,342.80 $3,357 6.9×
CT head/brain without and with contrast (70470) $1,342.80 $3,357 6.9×
CT heart contrast eval cardiac structure&morph (75572) $1,342.80 $3,357 3.5×
CT heart no contrast quant eval coronry calcium (75571) $44.40 $111 0.5×
CT iac w contrast (70481) $1,342.80 $3,357 6.9×
CT l-spine w&w/o contrast (72133) $1,342.80 $3,357 6.9×
CT lower ext w/o (73700) $630.80 $1,577 5.4×
CT lower extremity w/contrast material (73701) $1,342.80 $3,357 6.9×
CT lumbar spine w contrast (72132) $2,425.20 $6,063 6.2×
CT lumbar spine w/o contrast (72131) $630.80 $1,577 5.4×
CT maxillofacial w contrast (70487) $1,342.80 $3,357 6.9×
CT maxillofacial wo contrast (70486) $630.80 $1,577 5.4×
CT neck tissue combo (70492) $1,342.80 $3,357 6.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,342.80 $3,357 6.9×
CT orbits w/o contrast (70480) $630.80 $1,577 5.4×
CT pelvis w&w/o contrast (72194) $1,342.80 $3,357 6.9×
CT pelvis w/o contrast (72192) $630.80 $1,577 5.4×
CT scan of leg combo (73702) $1,342.80 $3,357 6.9×
CT scans face/jaw combo (70488) $1,342.80 $3,357 6.9×
CT soft tissue neck w contrast (70491) $1,342.80 $3,357 6.9×
CT soft tissue neck w/o contrast (70490) $630.80 $1,577 5.4×
CT thoracic spine w contrast (72129) $1,342.80 $3,357 6.9×
CT thoracic spine w/o contrast (72128) $630.80 $1,577 5.4×
CT thorax w/o contrast (71250) $630.80 $1,577 5.4×
CT upper ext wo (73200) $630.80 $1,577 5.4×
CT upper extremity w/o & w/contrast material (73202) $1,342.80 $3,357 6.9×
CT upper extremity with contrast (73201) $1,342.80 $3,357 3.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,342.80 $3,357 6.9×
Cta Abdomen (74175) $1,342.80 $3,357 6.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,685.60 $6,714 6.9×
CTA pelvis (72191) $1,342.80 $3,357 6.9×
Dilation ureters/urethra rs&i (74485) $3,250.40 $8,126 1.4×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $259.20 $648 2.2×
Doppler Echo Fetal Spectral Display Complete (76827) $520 $1,300 4.5×
Doppler Fetal Mid Cerebral Artery (76821) $425.60 $1,064 3.7×
Dxa Bone Density Axial (77080) $272.80 $682 2.3×
Echo exam of fetal heart (76825) $1,844 $4,610 3.0×
Echo exam uterus (76831) $868.40 $2,171 3.3×
Echo Guide For Artery Repair (76936) $456.80 $1,142 1.9×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $520 $1,300 2.0×
Esophagram (74220) $904.40 $2,261 4.6×
Fetal Biophys Profile W/Nst (76818) $420.80 $1,052 3.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $420.80 $1,052 3.6×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,048.80 $2,622 3.9×
Fluoroscopy up to 1 hr (76000) $455.20 $1,138 1.7×
Follow-Up Angiography (75898) $4,262.80 $10,657 1.2×
Foot 2 views (73620) $222 $555 2.3×
Forearm 2 views (73090) $222 $555 2.3×
Gastric emptying imaging study (78264) $1,250.40 $3,126 2.8×
Gastroesophageal Reflux Exam (78262) $1,250.40 $3,126 2.8×
Gated Heart Planar Single (78472) $1,250.40 $3,126 2.8×
Hand 2 views (73120) $424.80 $1,062 3.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,049.60 $12,624 1.4×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $5,049.60 $12,624 1.4×
Hepatobil Syst Image W/Drug (78227) $1,622 $4,055 2.7×
Hepatobiliary System Imaging (78226) $671.20 $1,678 1.5×
Ht Muscle Image Spect Sing (78451) $2,318.40 $5,796 1.6×
Hysterosalpingogram (74740) $876.80 $2,192 3.3×
Image fusion (77399) $244.40 $611 1.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $219.60 $549 2.3×
Infant hip ultrasound, limited static exam (76886) $219.60 $549 2.3×
Interstitial radiation source applic complex (77778) $2,555.60 $6,389 3.3×
K Flow/Funct Image Multiple (78709) $858.80 $2,147 1.4×
K Flow/Funct Image W/Drug (78708) $1,622 $4,055 2.7×
K Flow/Funct Image W/O Drug (78707) $1,622 $4,055 2.7×
Knee 3 Views (73562) $222 $555 2.3×
Liver & Spleen Imaging Static Only (78215) $1,250.40 $3,126 2.8×
Lung Perf&Ventilat Diferentl (78598) $1,622 $4,055 2.7×
Lung Ventilat&Perfus Imaging (78582) $1,622 $4,055 2.7×
Lung Ventilation Imaging (78579) $1,250.40 $3,126 2.8×
Lymph System Imaging (78195) $1,622 $4,055 2.7×
Lymphangiography extremity only unilateral rs&i (75801) $1,185.20 $2,963 1.7×
Lymphangiography, pelvic/abdominal, unilateral (75805) $4,338.40 $10,846 1.2×
Magnetic Image Jaw Joint (70336) $1,302.80 $3,257 4.9×
Magnetic Resonance Elastography (76391) $446 $1,115 1.7×
Mammary ductogram or galactogram single (77053) $876.80 $2,192 3.3×
Meckels Divert Exam (78290) $1,250.40 $3,126 2.8×
Mlc imrt design & construction per imrt plan (77338) $648 $1,620 1.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $60.80 $152 1.9×
Mra Head W/O & W/Contrast Material (70546) $2,425.20 $6,063 6.2×
MRA head w/o contrast (70544) $1,302.80 $3,257 4.9×
MRA head with contrast (70545) $1,342.80 $3,357 3.5×
MRA neck w contrast (70548) $1,342.80 $3,357 3.5×
Mra Neck W/O &W/Contrast Material (70549) $2,425.20 $6,063 6.2×
MRA neck w/o contrast (70547) $1,302.80 $3,257 4.9×
MRI abdomen w contrast (74182) $2,425.20 $6,063 6.2×
MRI abdomen w/o contrast (74181) $1,302.80 $3,257 4.9×
MRI any jt lower extrem w/contrast material (73722) $3,623.20 $9,058 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,425.20 $6,063 6.2×
MRI any jt upper extremity w/contrast matrl (73222) $3,623.20 $9,058 4.1×
MRI bone marrow blood supply (77084) $1,302.80 $3,257 4.9×
MRI cardiac w/o cont stress (75559) $1,302.80 $3,257 2.1×
MRI cardiac w/o contrast (75557) $1,302.80 $3,257 4.9×
MRI cervical spine w contrast (72142) $2,425.20 $6,063 6.2×
MRI cervical spine w/o cont (72141) $1,302.80 $3,257 4.9×
MRI chest w/o contrast (71550) $1,302.80 $3,257 4.9×
MRI chest with contrast (71551) $3,623.20 $9,058 4.1×
MRI chest wo w contrast (71552) $2,425.20 $6,063 6.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,342.80 $3,357 3.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,425.20 $6,063 6.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,302.80 $3,257 4.9×
MRI lumbar spine w contrast (72149) $2,425.20 $6,063 6.2×
Mri Neck Spine W/O & W/Dye (72156) $2,425.20 $6,063 6.2×
MRI orbit face &/neck w/o contrast (70540) $1,302.80 $3,257 4.9×
MRI orbit face neck w contrast (70542) $2,425.20 $6,063 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,425.20 $6,063 6.2×
MRI pelvis w contrast (72196) $2,425.20 $6,063 6.2×
MRI pelvis w/o & w contrast (72197) $2,425.20 $6,063 6.2×
MRI pelvis w/o contrast (72195) $1,302.80 $3,257 4.9×
MRI spectroscopy (76390) $937.60 $2,344 9.7×
MRI thoracic spine w/o contrast (72146) $1,302.80 $3,257 4.9×
MRI upper extremity oth than jt w/contr matrl (73219) $2,425.20 $6,063 6.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,302.80 $3,257 4.9×
Mri Uppr Extremity W/O&W/Dye (73220) $2,425.20 $6,063 6.2×
MRI, abdomen, combo (74183) $2,425.20 $6,063 6.2×
MRI, dorsal spine combo (72157) $2,425.20 $6,063 6.2×
MRI, dorsal spine contrast (72147) $2,425.20 $6,063 6.2×
MRI, joint upper extrem (73221) $1,302.80 $3,257 4.9×
MRI, joint upper extrem combo (73223) $2,425.20 $6,063 6.2×
MRI, lumbar spine combo (72158) $2,425.20 $6,063 6.2×
Myelogram cervical (72240) $2,440 $6,100 2.8×
Myelogram Lumbar (72265) $2,440 $6,100 2.8×
Myelography thoracic (72255) $2,440 $6,100 2.8×
Myelograpy 2/more regions rs&i (72270) $2,440 $6,100 2.8×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,342.80 $5,857 1.6×
Myocardial Spect Multiple Studies (78452) $4,303.60 $10,759 3.0×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $5,128 $12,820 2.1×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $5,950.40 $14,876 2.4×
N-invas est c ffr sw aly CTA (75580) $2,438 $6,095 2.5×
Neck soft tissue (70360) $222 $555 2.3×
Nonvascular Shunt X-Ray (75809) $227.60 $569 2.0×
Ntsty modul radthx pln dose-vol histos (77301) $4,566.80 $11,417 3.0×
Nuclear Rx Intra-Arterial (79445) $547.60 $1,369 2.1×
Nuclear Rx Oral Admin (79005) $853.20 $2,133 3.3×
Ob us nuchal meas 1 gest (76813) $256.80 $642 2.2×
Parathyroid Planar Imaging (78070) $1,250.40 $3,126 2.8×
Parathyroid planar imaging w/wo subtraction (78071) $1,337.60 $3,344 3.0×
Pelvis 1 or 2 views (72170) $424.80 $1,062 3.6×
PET image w/CT, full body (78816) $2,349.60 $5,874 1.5×
PET imaging CT attenuation skull base mid-thigh (78815) $4,878 $12,195 3.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $5,049.60 $12,624 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,250.40 $3,126 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $424.80 $1,062 3.6×
Radex abscess/fistula/sinus tract rs&i (76080) $939.60 $2,349 1.5×
Radex Ankle Complete Minimum 3 Views (73610) $222 $555 2.3×
Radex Calcaneus Minimum 2 Views (73650) $222 $555 2.3×
Radex elbow complete minimum 3 views (73080) $222 $555 2.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $424.80 $1,062 3.6×
Radex fingr minimum 2 views (73140) $222 $555 2.3×
Radex foot complete minimum 3 views (73630) $222 $555 2.3×
Radex Hand Minimum 3 Views (73130) $222 $555 2.3×
Radex lower extremity infant minimum 2 views (73592) $222 $555 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $222 $555 2.3×
Radex Ribs Unilateral 2 Views (71100) $222 $555 2.3×
Radex shoulder complete minimum 2 views (73030) $222 $555 2.3×
Radex Sinuses Paransl < 3 Views (70210) $222 $555 2.3×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $424.80 $1,062 2.2×
Radex Spine 1 View Specify Level (72020) $222 $555 2.3×
Radex Sternum Minimum 2 Views (71120) $222 $555 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $222 $555 2.3×
Radex Toe Minimum 2 Views (73660) $222 $555 2.3×
Radex upper extremity infant minimum 2 views (73092) $424.80 $1,062 3.6×
Radex Wrist Complete Minimum 3 Views (73110) $222 $555 2.3×
Radiation Delivery Stereotactic Cranial Linear (77372) $16,382.80 $40,957 2.0×
Radiation treatment delivery level 1 (77402) $359.60 $899 3.2×
Radiation treatment delivery level 2 (77407) $896 $2,240 2.1×
Radiation treatment delivery level 3 (77412) $1,131.20 $2,828 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $424.80 $1,062 3.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $165.60 $414 1.4×
Radiologic exam colon double contrast study (74280) $904.40 $2,261 4.6×
Radiologic exam colon single contrast study (74270) $904.40 $2,261 4.6×
Radiologic exam knee complete 4/more views (73564) $424.80 $1,062 3.6×
Radiologic exam pelvis compl minimum 3 views (72190) $424.80 $1,062 3.6×
Radiologic Exam Small Int Single Contrast Study (74250) $424.80 $1,062 2.2×
Radiologic exam swallow function contrast study (74230) $424.80 $1,062 2.2×
Radiologic exam upr gi trc double contrast study (74246) $904.40 $2,261 4.6×
Radiologic examination femur minimum 2 views (73552) $222 $555 2.3×
Radiologic examination knee 1/2 views (73560) $222 $555 2.3×
Radiologic Examination Osseous Survey Limited (77074) $424.80 $1,062 3.6×
Radiologic examination tibia & fibula 2 views (73590) $222 $555 2.3×
Ribs bilateral 3 views (71110) $424.80 $1,062 3.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,250.40 $3,126 2.8×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $762.80 $1,907 1.7×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,698.40 $11,746 7.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $4,303.60 $10,759 7.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,684.40 $6,711 4.4×
Rp Therapy Intravenous Administration (79101) $853.20 $2,133 3.3×
Scapula (73010) $424.80 $1,062 3.6×
Shoulder 1 view (73020) $222 $555 2.3×
Shoulder Arthrography (73040) $1,616.40 $4,041 4.2×
Skull less than 4 views (70250) $424.80 $1,062 3.6×
Special dosimetry (77331) $244.40 $611 1.6×
Special Physics Consult (77370) $174.40 $436 1.2×
Special teletherapy port plan (77321) $648 $1,620 1.6×
Special treatment procedure (77470) $1,976 $4,940 3.2×
Srs Multisource (77371)
range across 3 matching MRF lines		 $36,870–$50,198.40 $92,175–$125,496 varies
Stereotactic Body Radiation Delivery (77373) $2,672.80 $6,682 1.3×
Sternoclavicular joints (71130) $222 $555 2.3×
Surface Applic Low Dose Rate Radionuclide Source (77789) $237.20 $593 2.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $648 $1,620 1.6×
Telethx isodose pln smpl w/dosimetry calculation (77306) $648 $1,620 1.6×
Testicular Imaging W/Flow (78761) $1,250.40 $3,126 2.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $557.20 $1,393 1.3×
Ther rad simulaj-aided field setting simple (77280) $244.40 $611 1.6×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $904.40 $2,261 4.6×
Thoracic spine 2 views (72070) $424.80 $1,062 3.6×
Thoracic spine 3 views (72072) $424.80 $1,062 3.6×
Thoracolumbar 2 views (72080) $222 $555 2.3×
Thyroid Met Imaging Body (78018) $1,622 $4,055 2.7×
Thyroid Uptake Measurement (78012) $1,250.40 $3,126 2.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,250.40 $3,126 2.8×
Tx Devices Design & Construction Complex (77334) $786.80 $1,967 1.9×
Tx devices design & construction intermediate (77333) $324.40 $811 2.2×
Tx devices design & construction simple (77332) $244.40 $611 1.6×
Ultrasound Breast Limited (76642) $219.60 $549 2.3×
Ultrasound elastography first target lesion (76982) $200.40 $501 1.7×
Ultrasound Elastography Parenchyma (76981) $214.40 $536 1.8×
Ultrasound Exam Aaa Screen (76706) $225.60 $564 1.9×
Ultrasound, abdomen limited (76705) $420.80 $1,052 3.6×
Umbilical-artery Doppler (OB) (76820) $420.80 $1,052 3.6×
Unlisted fluoroscopic procedure (76496) $220 $550 2.3×
Upper gi w/o kub (74240) $834 $2,085 4.3×
Urethrocystogram voiding (74455) $876.80 $2,192 3.3×
Urethrocystography retrograde (74450) $876.80 $2,192 3.3×
Us breast unilateral complete (76641) $420.80 $1,052 3.6×
Us chest (76604) $420.80 $1,052 3.6×
Us complete joint (76881) $420.80 $1,052 3.6×
Us exam, pelvic, limited (76857) $420.80 $1,052 3.6×
Us head (76506) $420.80 $1,052 3.6×
Us kidney transplant (76776) $420.80 $1,052 3.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $420.80 $1,052 3.6×
Us ob detailed single fetus (76811) $420.80 $1,052 1.6×
Us ob limited 1 or more fetuses (76815) $420.80 $1,052 3.6×
Us ob transvaginal (76817) $420.80 $1,052 3.6×
Us pelvic non ob complete (76856) $420.80 $1,052 3.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $420.80 $1,052 3.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $420.80 $1,052 3.6×
Us retroperitoneal complete (76770) $420.80 $1,052 3.6×
Us retroperitoneal limited (76775) $420.80 $1,052 3.6×
Us scrotum and contents (76870) $420.80 $1,052 3.6×
Us spinal canal and contents (76800) $420.80 $1,052 3.6×
Us thyroid (76536) $420.80 $1,052 3.6×
Us transrectal (76872) $420.80 $1,052 3.6×
Vein X-Ray Chest (75827) $2,348.40 $5,871 1.3×
Vein X-Ray Liver W/O Hemodyn (75887) $2,380.80 $5,952 0.7×
Venogram Sinus/Jugular (75860) $4,999.20 $12,498 1.4×
Venography caval inferior serialography rs&i (75825) $7,136 $17,840 2.0×
Venography extremity bilateral rs&i (75822) $2,287.20 $5,718 1.3×
Venography extremity unilateral rs&i (75820) $1,426 $3,565 0.8×
Venography Renal Bilateral (75833) $5,049.60 $12,624 1.4×
Venography Renal Unilateral (75831) $7,136 $17,840 2.0×
Venous sampling by catheter (75893) $8,375.20 $20,938 1.4×
Wrist 2 views (73100) $222 $555 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $222 $555 2.3×
X-ray antegrade pyelogram tube (74425) $969.20 $2,423 2.5×
X-Ray Aorta Leg Arteries (75630) $8,830 $22,075 2.5×
X-Ray Bend Only L-S Spine (72120) $424.80 $1,062 3.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $222 $555 2.3×
X-Ray Exam Breast Specimen (76098) $1,741.20 $4,353 2.9×
X-Ray Exam Entire Spi 1 Vw (72081) $142 $355 1.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $424.80 $1,062 3.6×
X-Ray Exam Hip Uni 1 View (73501) $222 $555 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $222 $555 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $424.80 $1,062 3.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $165.60 $414 1.4×
X-Ray Exam Hips Bi 5/> Views (73523) $455.20 $1,138 3.9×
X-Ray Exam L-S Spine Bending (72114) $424.80 $1,062 3.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $222 $555 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $424.80 $1,062 3.6×
X-Ray Exam Unilat Ribs/Chest (71101) $424.80 $1,062 3.6×
X-ray eye for foreign body (70030) $222 $555 2.3×
X-ray humerus (73060) $222 $555 2.3×
X-ray IV pyelogram (ivp) (74400) $904.40 $2,261 4.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $222 $555 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $46.40 $116 0.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $433.60 $1,084 3.7×
X-ray nose-rectum child f.b. (76010) $191.20 $478 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $424.80 $1,062 3.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $424.80 $1,062 3.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $424.80 $1,062 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $222 $555 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $222 $555 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $424.80 $1,062 3.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,632.80 $4,082 4.2×
X-Rays Bone Length Studies (77073) $424.80 $1,062 3.6×
X-Rays Bone Survey Complete (77075) $424.80 $1,062 3.6×
Xr c-spine 4 or 5 views (72050) $424.80 $1,062 3.6×
Xr facial bones less than 3 views (70140) $222 $555 2.3×
Xr orbits complete 4 views (70200) $424.80 $1,062 3.6×
Xr Tomogram Single Plane (76100) $424.80 $1,062 3.6×

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.