Imaging prices at Natividad Medical Center
Salinas, CA · every code in this section with a posted price and a Medicare benchmark.
340 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 2 matching MRF lines |
$110–$686 | $110–$686 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$124–$955 | $124–$955 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$152–$3,500 | $152–$3,500 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$116–$4,553 | $116–$4,553 | varies |
| Angio internal mammary (75756) | $3,687 | $3,687 | 0.8× |
| Angio pulmonary bilat (75743) | $11,490 | $11,490 | 2.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $11,490 | $11,490 | 2.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$295–$11,490 | $295–$11,490 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$262–$11,490 | $262–$11,490 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$179–$11,490 | $179–$11,490 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$167–$3,687 | $167–$3,687 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$110–$671 | $110–$671 | varies |
| Aortography thoracic serialography rs&i (75605) | $11,490 | $11,490 | 1.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $11,490 | $11,490 | 2.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$574–$20,126 | $574–$20,126 | varies |
| Artery X-Rays Adrenal Gland (75731) | $11,490 | $11,490 | 2.6× |
| Artery X-Rays Pelvis (75736) | $11,490 | $11,490 | 1.5× |
| Artery X-Rays Spine (75705) | $20,126 | $20,126 | 2.5× |
| Arthrogram ankle (73615) | $1,514 | $1,514 | 3.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$456–$1,322 | $456–$1,322 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$83–$1,245 | $83–$1,245 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$87–$741 | $87–$741 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$155–$4,054 | $155–$4,054 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$97–$2,563 | $97–$2,563 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$127–$4,434 | $127–$4,434 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$130–$3,766 | $130–$3,766 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$109–$1,343 | $109–$1,343 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$46–$2,267 | $46–$2,267 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$78–$2,891 | $78–$2,891 | varies |
| Brain imaging < 4 static views (78600) range across 2 matching MRF lines |
$69–$2,317 | $69–$2,317 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$98–$2,317 | $98–$2,317 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$82–$2,248 | $82–$2,248 | varies |
| Cat Scan Follow-Up Study (76380) | $141 | $141 | 1.1× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$69–$4,667 | $69–$4,667 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$86–$656 | $86–$656 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$115–$766 | $115–$766 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$143–$712 | $143–$712 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$48–$712 | $48–$712 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$111–$723 | $111–$723 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$170–$364 | $170–$364 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$201–$11,490 | $201–$11,490 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$137–$1,429 | $137–$1,429 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,514 | $1,514 | 3.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$421–$496 | $421–$496 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$312–$3,205 | $312–$3,205 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$271–$2,147 | $271–$2,147 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$199–$5,574 | $199–$5,574 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$218–$6,513 | $218–$6,513 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$186–$4,742 | $186–$4,742 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$339–$1,740 | $339–$1,740 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,020–$6,613 | $1,020–$6,613 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$272–$6,177 | $272–$6,177 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$370–$804 | $370–$804 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$292–$6,769 | $292–$6,769 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$272–$6,102 | $272–$6,102 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$278–$5,762 | $278–$5,762 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$148–$767 | $148–$767 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$190–$5,645 | $190–$5,645 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$472–$5,133 | $472–$5,133 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$198–$5,009 | $198–$5,009 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$610–$5,410 | $610–$5,410 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$196–$6,319 | $196–$6,319 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$176–$4,943 | $176–$4,943 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$199–$5,821 | $199–$5,821 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $804 | $804 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$90–$364 | $90–$364 | varies |
| CT hrt w/3d image congen (75573) | $804 | $804 | 1.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$175–$4,996 | $175–$4,996 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$198–$6,333 | $198–$6,333 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$156–$4,380 | $156–$4,380 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$181–$4,267 | $181–$4,267 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$190–$5,818 | $190–$5,818 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$156–$5,194 | $156–$5,194 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$554–$4,869 | $554–$4,869 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$465–$4,169 | $465–$4,169 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$252–$5,731 | $252–$5,731 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$198–$4,783 | $198–$4,783 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$200–$4,454 | $200–$4,454 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$190–$6,082 | $190–$6,082 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$169–$4,502 | $169–$4,502 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$190–$5,434 | $190–$5,434 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$680–$5,032 | $680–$5,032 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$675–$5,163 | $675–$5,163 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$543–$4,408 | $543–$4,408 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$191–$4,527 | $191–$4,527 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$156–$4,988 | $156–$4,988 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$198–$5,073 | $198–$5,073 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$168–$4,636 | $168–$4,636 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$156–$4,219 | $156–$4,219 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$190–$5,009 | $190–$5,009 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$180–$4,657 | $180–$4,657 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$367–$7,587 | $367–$7,587 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$281–$6,620 | $281–$6,620 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$370–$1,526 | $370–$1,526 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$279–$6,538 | $279–$6,538 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$403–$5,763 | $403–$5,763 | varies |
| Discography Cerv/Thor Spine (72285) | $12,312 | $12,312 | 4.4× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$312–$12,312 | $312–$12,312 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $511 | $511 | 3.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$95–$1,024 | $95–$1,024 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$128–$1,093 | $128–$1,093 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$340–$2,040 | $340–$2,040 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,024 | $1,024 | 3.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$94–$1,457 | $94–$1,457 | varies |
| Fetal Biophys Profile W/Nst (76818) | $799 | $799 | 5.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$122–$1,396 | $122–$1,396 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$26–$1,441 | $26–$1,441 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$265–$3,687 | $265–$3,687 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$96–$672 | $96–$672 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$30–$719 | $30–$719 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$121–$3,419 | $121–$3,419 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$107–$2,790 | $107–$2,790 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$151–$3,873 | $151–$3,873 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$105–$696 | $105–$696 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$163–$11,490 | $163–$11,490 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$168–$11,490 | $168–$11,490 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$138–$3,717 | $138–$3,717 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$114–$1,698 | $114–$1,698 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$211–$2,022 | $211–$2,022 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$332–$1,684 | $332–$1,684 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$116–$744 | $116–$744 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$97–$595 | $97–$595 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$157–$325 | $157–$325 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$575–$3,739 | $575–$3,739 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$144–$4,633 | $144–$4,633 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$69–$2,399 | $69–$2,399 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$76–$2,985 | $76–$2,985 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$111–$850 | $111–$850 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$75–$2,270 | $75–$2,270 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$110–$4,058 | $110–$4,058 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$163–$4,206 | $163–$4,206 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$182–$3,493 | $182–$3,493 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,295 | $3,295 | 0.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$230–$2,792 | $230–$2,792 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$242–$1,774 | $242–$1,774 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$186–$1,347 | $186–$1,347 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$103–$2,801 | $103–$2,801 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$231–$6,142 | $231–$6,142 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$188–$4,925 | $188–$4,925 | varies |
| MRA head with contrast (70545) | $187 | $187 | 0.4× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$234–$5,516 | $234–$5,516 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$281–$6,142 | $281–$6,142 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$187–$4,925 | $187–$4,925 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$270–$4,807 | $270–$4,807 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$228–$4,925 | $228–$4,925 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$255–$4,807 | $255–$4,807 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$334–$7,220 | $334–$7,220 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$255–$4,807 | $255–$4,807 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$279–$4,807 | $279–$4,807 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$232–$4,382 | $232–$4,382 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$228–$5,396 | $228–$5,396 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$270–$5,947 | $270–$5,947 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$351–$8,559 | $351–$8,559 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$253–$5,874 | $253–$5,874 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$334–$6,142 | $334–$6,142 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$210–$4,925 | $210–$4,925 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$279–$4,807 | $279–$4,807 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,210–$7,368 | $1,210–$7,368 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$210–$4,925 | $210–$4,925 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$252–$4,807 | $252–$4,807 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$334–$7,220 | $334–$7,220 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$270–$2,885 | $270–$2,885 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$342–$4,739 | $342–$4,739 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$229–$2,633 | $229–$2,633 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$231–$4,382 | $231–$4,382 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$254–$6,142 | $254–$6,142 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$212–$4,925 | $212–$4,925 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$335–$6,142 | $335–$6,142 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$341–$7,235 | $341–$7,235 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$356–$7,368 | $356–$7,368 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$278–$4,807 | $278–$4,807 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$213–$4,382 | $213–$4,382 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$335–$7,220 | $335–$7,220 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$356–$7,368 | $356–$7,368 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$144–$2,664 | $144–$2,664 | varies |
| Myelogram Lumbar (72265) | $2,664 | $2,664 | 2.4× |
| Myelography thoracic (72255) | $2,664 | $2,664 | 2.4× |
| Myelograpy 2/more regions rs&i (72270) | $2,664 | $2,664 | 2.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$110–$2,235 | $110–$2,235 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$249–$2,022 | $249–$2,022 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$2,920–$4,346 | $2,920–$4,346 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$106–$682 | $106–$682 | varies |
| Nm whole blood volume (78122) | $67 | $67 | 0.1× |
| Nonvascular Shunt X-Ray (75809) | $406 | $406 | 2.7× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$186–$533 | $186–$533 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $225 | $225 | 1.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $234 | $234 | 0.3× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$121–$3,038 | $121–$3,038 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $183 | $183 | 0.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$93–$706 | $93–$706 | varies |
| Peritoneogram Rs&I (74190) | $3,295 | $3,295 | 4.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$196–$11,490 | $196–$11,490 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$114–$2,936 | $114–$2,936 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$167–$1,239 | $167–$1,239 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$202–$1,462 | $202–$1,462 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$30–$805 | $30–$805 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$98–$661 | $98–$661 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$108–$815 | $108–$815 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$159.24–$1,131 | $159.24–$1,131 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$25–$601 | $25–$601 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$115–$793 | $115–$793 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$122–$808 | $122–$808 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$106–$609 | $106–$609 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$53–$845 | $53–$845 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$128–$809 | $128–$809 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$330–$978 | $330–$978 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$123–$829 | $123–$829 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$115–$860 | $115–$860 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$109–$684 | $109–$684 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$82–$678 | $82–$678 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$113–$827 | $113–$827 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$181–$645 | $181–$645 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$98–$587 | $98–$587 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$106–$356 | $106–$356 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$136–$796 | $136–$796 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$330–$1,551 | $330–$1,551 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$146–$1,102 | $146–$1,102 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$779–$2,230 | $779–$2,230 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$537–$1,768 | $537–$1,768 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $109 | $109 | 0.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$155–$1,033 | $155–$1,033 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$141–$959 | $141–$959 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$424–$1,589 | $424–$1,589 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$453–$1,457 | $453–$1,457 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$486–$2,157 | $486–$2,157 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$99–$823 | $99–$823 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$119–$823 | $119–$823 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$115–$732 | $115–$732 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$219–$1,516 | $219–$1,516 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$106–$771 | $106–$771 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $799 | $799 | 1.0× |
| Renal Cyst Study (74470) | $3,295 | $3,295 | 4.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$147–$1,113 | $147–$1,113 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$100–$3,038 | $100–$3,038 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$110–$3,166 | $110–$3,166 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$154–$6,319 | $154–$6,319 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$121–$4,741 | $121–$4,741 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$163–$6,038 | $163–$6,038 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $268 | $268 | 0.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $215 | $215 | 0.1× |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$70–$1,797 | $70–$1,797 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$69–$2,743 | $69–$2,743 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$80–$758 | $80–$758 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$93–$181 | $93–$181 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$72–$646 | $72–$646 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$445–$1,322 | $445–$1,322 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$120–$816 | $120–$816 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$53–$2,616 | $53–$2,616 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$140–$310 | $140–$310 | varies |
| Superior sagittal sinus venogram (75870) | $1,418 | $1,418 | 0.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$109–$889 | $109–$889 | varies |
| Thoracic spine 3 views (72072) | $36 | $36 | 0.2× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$116–$914 | $116–$914 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$57–$1,935 | $57–$1,935 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$129–$5,423 | $129–$5,423 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$30–$628 | $30–$628 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$76–$1,280 | $76–$1,280 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$106–$1,183 | $106–$1,183 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$86–$518 | $86–$518 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$95–$1,576 | $95–$1,576 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$79–$896 | $79–$896 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $394 | $394 | 3.2× |
| Unlisted us procedure (76999) | $1,096 | $1,096 | 8.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$423–$1,908 | $423–$1,908 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$85–$1,994 | $85–$1,994 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$360–$1,668 | $360–$1,668 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$51.27–$1,659 | $51.27–$1,659 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$114–$1,183 | $114–$1,183 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$90–$1,352 | $90–$1,352 | varies |
| Us complete joint (76881) | $99 | $99 | 0.7× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$76–$1,199 | $76–$1,199 | varies |
| Us head (76506) range across 2 matching MRF lines |
$89–$907 | $89–$907 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$118–$1,205 | $118–$1,205 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$75–$1,392 | $75–$1,392 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$588–$3,237 | $588–$3,237 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$101–$1,173 | $101–$1,173 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$123–$1,388 | $123–$1,388 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$368–$1,792 | $368–$1,792 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$397–$1,602 | $397–$1,602 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,102–$1,269 | $1,102–$1,269 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$115–$1,798 | $115–$1,798 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$90–$1,476 | $90–$1,476 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$100–$1,651 | $100–$1,651 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$188–$1,433 | $188–$1,433 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$89–$1,507 | $89–$1,507 | varies |
| Us transrectal (76872) | $107 | $107 | 0.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$160–$3,687 | $160–$3,687 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,687 | $3,687 | 0.8× |
| Vein X-Ray Skull Epidural (75872) | $3,687 | $3,687 | 4.1× |
| Venogram Sinus/Jugular (75860) | $3,687 | $3,687 | 0.8× |
| Venography Adrenal Unilateral (75840) | $11,490 | $11,490 | 2.6× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$164–$11,490 | $164–$11,490 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$214–$3,295 | $214–$3,295 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$155–$3,687 | $155–$3,687 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$204–$11,490 | $204–$11,490 | varies |
| Venography Renal Unilateral (75831) | $11,490 | $11,490 | 2.6× |
| Venous sampling by catheter (75893) | $11,490 | $11,490 | 1.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$114–$655 | $114–$655 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$95–$803 | $95–$803 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$473–$1,070 | $473–$1,070 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$280–$11,490 | $280–$11,490 | varies |
| X-Ray Bend Only L-S Spine (72120) | $35 | $35 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$30–$670 | $30–$670 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$140–$605 | $140–$605 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$142–$1,132 | $142–$1,132 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$236–$1,551 | $236–$1,551 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$268–$1,551 | $268–$1,551 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$108–$632 | $108–$632 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$160–$820 | $160–$820 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$200–$820 | $200–$820 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$140–$1,140 | $140–$1,140 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$180–$1,140 | $180–$1,140 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$207–$1,140 | $207–$1,140 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$210–$1,535 | $210–$1,535 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$133–$879 | $133–$879 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$210–$1,441 | $210–$1,441 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $42 | $42 | 0.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$109–$445 | $109–$445 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$108–$752 | $108–$752 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$463–$2,187 | $463–$2,187 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$129–$310 | $129–$310 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$138–$719 | $138–$719 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$134–$955 | $134–$955 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$100–$324 | $100–$324 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $50 | $50 | 0.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$131–$866 | $131–$866 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$26–$562 | $26–$562 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$108–$849 | $108–$849 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$127–$1,091 | $127–$1,091 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$151–$1,282 | $151–$1,282 | varies |
| X-Ray Stress View (77071) | $182 | $182 | 1.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$150–$1,340 | $150–$1,340 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$116–$682 | $116–$682 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$258–$841 | $258–$841 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$152–$875 | $152–$875 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$333–$1,385 | $333–$1,385 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$178–$1,281 | $178–$1,281 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$108–$857 | $108–$857 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $472 | $472 | 3.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$163–$681 | $163–$681 | 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.