Imaging prices at Northbay Medical Center
Fairfield, CA · every code in this section with a posted price and a Medicare benchmark.
357 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$1,543.35–$6,936 | $1,543.35–$6,936 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$131.84–$692 | $131.84–$692 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$103–$842 | $103–$842 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,861 | $1,861 | 3.2× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$517.60–$6,708 | $517.60–$6,708 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$449.60–$4,170 | $449.60–$4,170 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$4,440–$4,795 | $4,440–$4,795 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$533.64–$9,670 | $533.64–$9,670 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$499.68–$7,176 | $499.68–$7,176 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$400.60–$2,523 | $400.60–$2,523 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$6,037–$6,708 | $6,037–$6,708 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$63.86–$692 | $63.86–$692 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$407.21–$5,120 | $407.21–$5,120 | varies |
| Artery X-Rays Abdomen (75726) | $9,464 | $9,464 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$3,861–$4,170 | $3,861–$4,170 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$475.65–$4,585 | $475.65–$4,585 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$415.28–$2,720 | $415.28–$2,720 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$398.56–$1,376 | $398.56–$1,376 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$410.76–$1,775 | $410.76–$1,775 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$209.42–$1,159 | $209.42–$1,159 | varies |
| Bone age studies (77072) | $2,339 | $2,339 | 15.2× |
| Bone Imaging 3 Phase (78315) | $4,685 | $4,685 | 8.0× |
| Bone Imaging Limited Area (78300) | $1,440 | $1,440 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,945 | $2,945 | 5.0× |
| Bone marrow imaging limited area (78102) | $3,272 | $3,272 | 5.6× |
| Bone marrow imaging; multiple areas (78103) | $5,206 | $5,206 | 8.9× |
| Bone survey infant (77076) | $2,986 | $2,986 | 19.4× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$1,307.17–$3,911 | $1,307.17–$3,911 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,362 | $2,362 | 3.0× |
| Cardiac Shunt Detection (78428) | $914 | $914 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $2,011 | $2,011 | 15.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,715 | $1,715 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,496 | $1,496 | 1.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$80.75–$695 | $80.75–$695 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$130.81–$1,461 | $130.81–$1,461 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$121.54–$5,463 | $121.54–$5,463 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$130.81–$5,946 | $130.81–$5,946 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$100.25–$1,717 | $100.25–$1,717 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$389–$426.50 | $389–$426.50 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,349 | $1,349 | 6.8× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$424.26–$8,541 | $424.26–$8,541 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$125.25–$2,559 | $125.25–$2,559 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$363.95–$2,863 | $363.95–$2,863 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$442.69–$4,459 | $442.69–$4,459 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,211 | $2,211 | 8.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$14,193–$17,742 | $14,193–$17,742 | varies |
| CT abdomen and pelvis without contrast (74176) | $4,218 | $4,218 | 12.0× |
| CT abdomen w contrast (74160) | $9,927 | $9,927 | 38.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$8,473–$10,591 | $8,473–$10,591 | varies |
| CT abdomen w/o contrast (74150) | $9,599 | $9,599 | 62.5× |
| CT Angio Abdomen and Pelvis (74174) | $10,817 | $10,817 | 21.1× |
| CT Angio Chest (71275) | $5,586 | $5,586 | 21.7× |
| CT Angio Head (70496) | $4,893 | $4,893 | 19.0× |
| CT angio hrt w/3d image (75574) | $11,351 | $11,351 | 22.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,013–$4,816 | $4,013–$4,816 | varies |
| CT Angio Neck (70498) | $5,866 | $5,866 | 22.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $21,290 | $21,290 | 82.6× |
| CT cervical spine w/ contrast (72126) | $12,809 | $12,809 | 25.0× |
| CT cervical spine w/o contrast (72125) | $7,577 | $7,577 | 49.3× |
| CT cervical spine w/wo cont (72127) | $15,406 | $15,406 | 59.8× |
| CT chest w contrast (71260) | $10,283 | $10,283 | 39.9× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$745.74–$13,443 | $745.74–$13,443 | varies |
| CT head/brain with contrast (70460) | $4,754 | $4,754 | 18.4× |
| CT head/brain without and with contrast (70470) | $7,750 | $7,750 | 30.1× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$793.23–$13,041 | $793.23–$13,041 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$3,815–$4,541 | $3,815–$4,541 | varies |
| CT iac w contrast (70481) | $10,518 | $10,518 | 40.8× |
| CT l-spine w&w/o contrast (72133) | $15,064 | $15,064 | 58.5× |
| CT lower ext w/o (73700) | $4,755 | $4,755 | 31.0× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$9,719–$9,999 | $9,719–$9,999 | varies |
| CT lumbar spine w contrast (72132) | $12,522 | $12,522 | 24.4× |
| CT lumbar spine w/o contrast (72131) | $8,244 | $8,244 | 53.7× |
| CT maxillofacial w contrast (70487) | $11,038 | $11,038 | 42.8× |
| CT maxillofacial wo contrast (70486) | $3,568 | $3,568 | 23.2× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$8,788–$13,181 | $8,788–$13,181 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,788 | $11,788 | 45.7× |
| CT orbits w/o contrast (70480) | $5,674 | $5,674 | 36.9× |
| CT pelvis w&w/o contrast (72194) | $11,902 | $11,902 | 46.2× |
| CT pelvis w/o contrast (72192) | $8,279 | $8,279 | 53.9× |
| CT scan of leg combo (73702) | $10,054 | $10,054 | 39.0× |
| CT scans face/jaw combo (70488) | $15,178 | $15,178 | 58.9× |
| CT soft tissue neck w contrast (70491) | $7,999 | $7,999 | 31.0× |
| CT soft tissue neck w/o contrast (70490) | $6,901 | $6,901 | 44.9× |
| CT thoracic spine w contrast (72129) | $18,785 | $18,785 | 72.9× |
| CT thoracic spine w/o contrast (72128) | $8,868 | $8,868 | 57.7× |
| CT thoracic spine w/wo cont (72130) | $20,216 | $20,216 | 78.5× |
| CT thorax w/o contrast (71250) | $9,175 | $9,175 | 59.7× |
| CT upper ext wo (73200) | $6,491 | $6,491 | 42.3× |
| CT upper extremity w/o & w/contrast material (73202) | $9,309 | $9,309 | 36.1× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$8,098–$8,332 | $8,098–$8,332 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$900.51–$10,050 | $900.51–$10,050 | varies |
| Cta Abdomen (74175) | $12,654 | $12,654 | 49.1× |
| CTA pelvis (72191) | $14,193 | $14,193 | 55.1× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,415–$3,196 | $1,415–$3,196 | varies |
| Diskography lumbar (72295) | $338.92 | $338.92 | 0.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $161.74 | $161.74 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $232.91 | $232.91 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $287.73 | $287.73 | 1.9× |
| Echo exam of fetal heart (76825) | $880.60 | $880.60 | 1.1× |
| Echo Guide For Artery Repair (76936) | $691 | $691 | 2.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $525.79 | $525.79 | 1.5× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$555.69–$2,206 | $555.69–$2,206 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$865–$9,175 | $865–$9,175 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$372.16–$8,985 | $372.16–$8,985 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$273.62–$1,949 | $273.62–$1,949 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$131.72–$886 | $131.72–$886 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$251.78–$2,070 | $251.78–$2,070 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$88.32–$561 | $88.32–$561 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$78.20–$1,002 | $78.20–$1,002 | varies |
| Gastric emptying imaging study (78264) | $4,910 | $4,910 | 8.4× |
| Gastroesophageal Reflux Exam (78262) | $1,661 | $1,661 | 2.8× |
| Gated Heart Planar Single (78472) | $4,265 | $4,265 | 7.3× |
| GI Endoscopic US S&I (76975) | $116.34 | $116.34 | 0.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$63.86–$830 | $63.86–$830 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$3,266–$11,830 | $3,266–$11,830 | varies |
| Hepatobil Syst Image W/Drug (78227) | $5,236 | $5,236 | 6.6× |
| Hepatobiliary System Imaging (78226) | $3,331 | $3,331 | 5.7× |
| Ht Muscle Image Spect Sing (78451) | $4,822 | $4,822 | 2.5× |
| Hysterosalpingogram (74740) | $3,957 | $3,957 | 11.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $4,519 | $4,519 | 35.3× |
| Infant hip ultrasound, limited static exam (76886) | $1,676 | $1,676 | 13.1× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,717.66–$3,156 | $2,717.66–$3,156 | varies |
| Joint Survey Single View (77077) | $144.94 | $144.94 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $9,169 | $9,169 | 11.5× |
| K Flow/Funct Image W/O Drug (78707) | $7,482 | $7,482 | 9.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $2,659 | $2,659 | 4.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $5,291 | $5,291 | 9.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$179.22–$917 | $179.22–$917 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,546 | $2,546 | 4.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,876 | $1,876 | 2.4× |
| Lung perfusion differential (78597) | $466 | $466 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $4,010 | $4,010 | 5.0× |
| Lung Ventilation Imaging (78579) | $1,493 | $1,493 | 2.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,179.12–$2,848 | $1,179.12–$2,848 | varies |
| Magnetic Image Jaw Joint (70336) | $9,790 | $9,790 | 27.9× |
| Meckels Divert Exam (78290) | $1,186 | $1,186 | 2.0× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,539.49–$2,249 | $1,539.49–$2,249 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$8,797–$20,172 | $8,797–$20,172 | varies |
| MRA head w/o contrast (70544) | $6,128 | $6,128 | 17.5× |
| MRA head with contrast (70545) | $12,485 | $12,485 | 24.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,797 | $8,797 | 17.2× |
| MRA neck w/o contrast (70547) | $6,128 | $6,128 | 17.5× |
| MRI abdomen w/o contrast (74181) | $6,820 | $6,820 | 19.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,790 | $9,790 | 19.1× |
| MRI cardiac w/o contrast (75557) | $6,820 | $6,820 | 19.5× |
| MRI cervical spine w contrast (72142) | $7,314 | $7,314 | 14.3× |
| MRI cervical spine w/o cont (72141) | $6,128 | $6,128 | 17.5× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$981.25–$6,820 | $981.25–$6,820 | varies |
| MRI chest wo w contrast (71552) | $9,790 | $9,790 | 19.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,790 | $9,790 | 19.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,820 | $6,820 | 19.5× |
| MRI lumbar spine w contrast (72149) | $8,140 | $8,140 | 15.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,797 | $8,797 | 17.2× |
| MRI orbit face &/neck w/o contrast (70540) | $6,128 | $6,128 | 17.5× |
| MRI orbit face neck w contrast (70542) | $7,314 | $7,314 | 14.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,797 | $8,797 | 17.2× |
| MRI pelvis w contrast (72196) | $8,140 | $8,140 | 15.9× |
| MRI pelvis w/o & w contrast (72197) | $9,790 | $9,790 | 19.1× |
| MRI pelvis w/o contrast (72195) | $6,820 | $6,820 | 19.5× |
| MRI thoracic spine w/o contrast (72146) | $6,820 | $6,820 | 19.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,820 | $6,820 | 19.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $9,790 | $9,790 | 19.1× |
| MRI, abdomen, combo (74183) | $9,790 | $9,790 | 19.1× |
| MRI, dorsal spine combo (72157) | $9,790 | $9,790 | 19.1× |
| MRI, dorsal spine contrast (72147) | $7,025 | $7,025 | 13.7× |
| MRI, joint upper extrem (73221) | $6,820 | $6,820 | 19.5× |
| MRI, joint upper extrem combo (73223) | $9,790 | $9,790 | 19.1× |
| MRI, lumbar spine combo (72158) | $9,790 | $9,790 | 19.1× |
| Myelogram cervical (72240) | $7,883 | $7,883 | 6.8× |
| Myelogram Lumbar (72265) | $1,542 | $1,542 | 1.3× |
| Myelography thoracic (72255) | $7,153 | $7,153 | 6.2× |
| Myelograpy 2/more regions rs&i (72270) | $12,838 | $12,838 | 11.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,558.94–$10,670 | $1,558.94–$10,670 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $242.39 | $242.39 | 0.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $229.90 | $229.90 | 0.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $267.88 | $267.88 | 0.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $311.09 | $311.09 | 0.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $284.69 | $284.69 | 0.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,682 | $1,682 | 1.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$64.89–$1,314 | $64.89–$1,314 | varies |
| Nm csf leak detection (78650) | $1,715 | $1,715 | 0.9× |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$284.67–$2,706 | $284.67–$2,706 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$6,239.50–$11,233 | $6,239.50–$11,233 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,267 | $1,267 | 3.7× |
| Ob us nuchal meas 1 gest (76813) | $379.50 | $379.50 | 2.5× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $310.32 | $310.32 | 2.0× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $289.67 | $289.67 | 1.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $258.97 | $258.97 | 2.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $164.85 | $164.85 | 1.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $173.86 | $173.86 | 1.1× |
| Optic foramina (70190) | $2,204 | $2,204 | 17.2× |
| Parathyroid Planar Imaging (78070) | $2,885 | $2,885 | 4.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$122.57–$1,154 | $122.57–$1,154 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$4,415–$4,906 | $4,415–$4,906 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,258 | $2,258 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$115.36–$1,680 | $115.36–$1,680 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,346–$1,817 | $1,346–$1,817 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$111.98–$987 | $111.98–$987 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$62.83–$759 | $62.83–$759 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$98.85–$1,676 | $98.85–$1,676 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$101.97–$4,246 | $101.97–$4,246 | varies |
| Radex fingr minimum 2 views (73140) range across 14 matching MRF lines |
$65.92–$1,266 | $65.92–$1,266 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$104.83–$933 | $104.83–$933 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$111.98–$1,580 | $111.98–$1,580 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$66.95–$3,285 | $66.95–$3,285 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $3,604 | $3,604 | 23.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$77.25–$5,947 | $77.25–$5,947 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$77.25–$1,329 | $77.25–$1,329 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$105.80–$1,400 | $105.80–$1,400 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$71.07–$1,701 | $71.07–$1,701 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,375 | $3,375 | 13.1× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$78.28–$4,047 | $78.28–$4,047 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $113.30 | $113.30 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 14 matching MRF lines |
$65.92–$592 | $65.92–$592 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$476.65–$4,563 | $476.65–$4,563 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$125.09–$1,749 | $125.09–$1,749 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $206 | $206 | 1.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $19,137 | $19,137 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $1,143 | $1,143 | 7.6× |
| Radiation treatment delivery level 2 (77407) | $1,666 | $1,666 | 2.9× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,805–$1,822 | $1,805–$1,822 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$93.73–$7,627 | $93.73–$7,627 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$121.54–$801 | $121.54–$801 | varies |
| Radiologic exam colon double contrast study (74280) | $3,234 | $3,234 | 12.5× |
| Radiologic exam colon single contrast study (74270) | $2,272 | $2,272 | 8.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$140.78–$969 | $140.78–$969 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$94.76–$1,837 | $94.76–$1,837 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,588 | $1,588 | 6.2× |
| Radiologic exam swallow function contrast study (74230) | $1,194 | $1,194 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$3,574–$5,214 | $3,574–$5,214 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$72.10–$93.09 | $72.10–$93.09 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$110.57–$912 | $110.57–$912 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$107.41–$844 | $107.41–$844 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$97.88–$759 | $97.88–$759 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $8,063 | $8,063 | 10.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $2,109 | $2,109 | 6.2× |
| Renal Cyst Study (74470) | $5,904 | $5,904 | 7.4× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$96.82–$4,257 | $96.82–$4,257 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,758 | $1,758 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,686–$2,783 | $1,686–$2,783 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,955–$6,910 | $3,955–$6,910 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$2,706–$5,806 | $2,706–$5,806 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,378.48 | $2,378.48 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,103.06 | $3,103.06 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,640.31 | $1,640.31 | 0.9× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$281.04–$907 | $281.04–$907 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$67.98–$3,571 | $67.98–$3,571 | varies |
| Sella turcica (70240) | $3,445 | $3,445 | 26.9× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$55.62–$593 | $55.62–$593 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$390.47–$1,103 | $390.47–$1,103 | varies |
| Sialogram (70390) | $3,947 | $3,947 | 11.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$85.49–$2,094 | $85.49–$2,094 | varies |
| Special dosimetry (77331) | $392 | $392 | 2.0× |
| Special Physics Consult (77370) | $1,315 | $1,315 | 6.7× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$295.92–$931 | $295.92–$931 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$403.32–$3,173 | $403.32–$3,173 | varies |
| Stereotactic Body Radiation Delivery (77373) | $11,338 | $11,338 | 4.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$89.61–$4,225 | $89.61–$4,225 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$907.28–$2,962 | $907.28–$2,962 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$470.92–$1,071 | $470.92–$1,071 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $6,782 | $6,782 | 19.3× |
| Testicular Imaging W/Flow (78761) | $1,049 | $1,049 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,642.16–$4,614 | $1,642.16–$4,614 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$1,410.41–$3,584 | $1,410.41–$3,584 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$851.22–$2,682 | $851.22–$2,682 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $4,106 | $4,106 | 15.9× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$144.20–$1,527 | $144.20–$1,527 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$91.67–$1,541 | $91.67–$1,541 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$84.46–$1,937 | $84.46–$1,937 | varies |
| Thyroid Met Imaging Body (78018) | $3,266 | $3,266 | 4.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,746 | $3,746 | 6.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$402.78–$2,419 | $402.78–$2,419 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$376.39–$1,288 | $376.39–$1,288 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$148.47–$856 | $148.47–$856 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$277.84–$2,316 | $277.84–$2,316 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$73.11–$368.79 | $73.11–$368.79 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$79–$1,620 | $79–$1,620 | varies |
| Umbilical-artery Doppler (OB) (76820) | $145.04 | $145.04 | 0.9× |
| Unlisted magnetic resonance procedure (76498) | $759.99 | $759.99 | 5.9× |
| Unlisted us procedure (76999) | $2,453 | $2,453 | 19.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,849–$3,574 | $1,849–$3,574 | varies |
| Ureteral Reflux Study (78740) | $356 | $356 | 0.6× |
| Urethrocystogram voiding (74455) | $3,377 | $3,377 | 9.6× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$47.40–$2,832 | $47.40–$2,832 | varies |
| Us breast unilateral complete (76641) | $2,316 | $2,316 | 15.1× |
| Us chest (76604) range across 2 matching MRF lines |
$251.06–$3,046 | $251.06–$3,046 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$246.20–$880 | $246.20–$880 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$151.03–$1,257 | $151.03–$1,257 | varies |
| Us head (76506) range across 2 matching MRF lines |
$370.47–$6,311 | $370.47–$6,311 | varies |
| Us kidney transplant (76776) | $505.47 | $505.47 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$92.58–$1,782 | $92.58–$1,782 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$553.01–$1,573 | $553.01–$1,573 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$213.23–$2,673 | $213.23–$2,673 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$303.87–$1,407 | $303.87–$1,407 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$92.58–$2,260 | $92.58–$2,260 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$309.58–$3,554 | $309.58–$3,554 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$360.29–$1,857 | $360.29–$1,857 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$362.54–$3,370 | $362.54–$3,370 | varies |
| Us retroperitoneal limited (76775) | $183.27 | $183.27 | 1.2× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$269.72–$3,377 | $269.72–$3,377 | varies |
| Us spinal canal and contents (76800) | $629 | $629 | 4.1× |
| Us thyroid (76536) range across 5 matching MRF lines |
$61–$3,067 | $61–$3,067 | varies |
| Us transrectal (76872) | $468.08 | $468.08 | 3.0× |
| Vascular Flow Imaging (78445) | $700 | $700 | 1.2× |
| Vasogram (74440) | $2,517 | $2,517 | 7.2× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$406.64–$3,083 | $406.64–$3,083 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,692 | $7,692 | 1.7× |
| Vein X-Ray Spleen/Liver (75810) | $3,402 | $3,402 | 0.7× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,282–$4,195 | $1,282–$4,195 | varies |
| Venography Adrenal Unilateral (75840) | $2,523 | $2,523 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$390.68–$3,253 | $390.68–$3,253 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$402.86–$2,709 | $402.86–$2,709 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$343.25–$2,370 | $343.25–$2,370 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$4,170–$4,633 | $4,170–$4,633 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$2,523–$2,803 | $2,523–$2,803 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$3,388–$4,806 | $3,388–$4,806 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$67.98–$1,155 | $67.98–$1,155 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$85.49–$927 | $85.49–$927 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$410.04–$778 | $410.04–$778 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$518.28–$10,231 | $518.28–$10,231 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 5 matching MRF lines |
$116.39–$2,189 | $116.39–$2,189 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$63.86–$900 | $63.86–$900 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$135.84–$1,164 | $135.84–$1,164 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $97.85 | $97.85 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$159.65–$1,422 | $159.65–$1,422 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$72.10–$881 | $72.10–$881 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$207.03–$1,744 | $207.03–$1,744 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$97.85–$1,353 | $97.85–$1,353 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $236.90 | $236.90 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $144.20 | $144.20 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$169.95–$2,464 | $169.95–$2,464 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$174.07–$1,725 | $174.07–$1,725 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$157.59–$2,584 | $157.59–$2,584 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$93.73–$1,754 | $93.73–$1,754 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$67.98–$1,641 | $67.98–$1,641 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$69.01–$1,053 | $69.01–$1,053 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$417.30–$14,446 | $417.30–$14,446 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$73.13–$2,096 | $73.13–$2,096 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$72.10–$3,054 | $72.10–$3,054 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$176.13–$1,676 | $176.13–$1,676 | varies |
| X-ray nose-rectum child f.b. (76010) | $600 | $600 | 4.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$124.63–$4,586 | $124.63–$4,586 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$83.43–$1,558 | $83.43–$1,558 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $69.01 | $69.01 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$70.04–$1,384 | $70.04–$1,384 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$92.70–$2,021 | $92.70–$2,021 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $8,523 | $8,523 | 55.5× |
| X-Ray Stress View (77071) | $164.70 | $164.70 | 1.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$108.15–$1,663 | $108.15–$1,663 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$235.32–$3,988 | $235.32–$3,988 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$892–$2,057 | $892–$2,057 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,672–$2,806 | $1,672–$2,806 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$233.81–$1,936 | $233.81–$1,936 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$71.07–$1,142 | $71.07–$1,142 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$79.31–$1,168 | $79.31–$1,168 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$105.06–$7,605 | $105.06–$7,605 | varies |
| Xr Tomogram Single Plane (76100) | $8,034 | $8,034 | 52.3× |
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.