Imaging prices at Northwest Medical Center Sahuarita
Sahuarita, AZ · every code in this section with a posted price and a Medicare benchmark.
315 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) | $308.16 | $1,712 | 3.3× |
| Abdomen 2 views (74019) | $316.26 | $1,757 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,643.76 | $9,132 | 3.9× |
| Angio internal mammary (75756) | $2,462.58 | $13,681 | 0.7× |
| Angio pulmonary bilat (75743) | $5,258.34 | $29,213 | 1.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,258.34 | $29,213 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $5,258.34 | $29,213 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $3,417.48 | $18,986 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,405.06 | $18,917 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,489.76 | $13,832 | 0.7× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$166.86–$333.54 | $927–$1,853 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,672.36 | $20,402 | 0.6× |
| Artery X-Rays Abdomen (75726) | $5,783.94 | $32,133 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $3,405.06 | $18,917 | 1.0× |
| Artery X-Rays Pelvis (75736) | $3,672.36 | $20,402 | 0.6× |
| Artery X-Rays Spine (75705) | $5,783.94 | $32,133 | 1.0× |
| Arthrogram ankle (73615) | $550.62 | $3,059 | 1.5× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$626.58–$1,252.98 | $3,481–$6,961 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$453.96–$907.92 | $2,522–$5,044 | varies |
| Basic radiation dosimetry calculation (77300) | $134.10 | $745 | 0.9× |
| Bone age studies (77072) | $142.20 | $790 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,685.70 | $9,365 | 4.0× |
| Bone Imaging Limited Area (78300) | $1,480.50 | $8,225 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,583.82 | $8,799 | 3.7× |
| Bone survey infant (77076) | $230.76 | $1,282 | 2.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,024.20 | $5,690 | 1.8× |
| Cardiac Shunt Detection (78428) | $564.30 | $3,135 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $436.50 | $2,425 | 4.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $631.80 | $3,510 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $1,024.20 | $5,690 | 1.8× |
| Chest 1 view (71045) | $195.12 | $1,084 | 2.1× |
| Chest 2 views (71046) | $219.06 | $1,217 | 2.4× |
| Chest 3 views (71047) | $265.32 | $1,474 | 2.9× |
| Chest 4 or more views (71048) | $311.58 | $1,731 | 2.8× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$191.70–$383.22 | $1,065–$2,129 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $121.14 | $673 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,405.06 | $18,917 | 1.0× |
| Contrast X-Ray Bladder (74430) | $674.10 | $3,745 | 1.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$511.56–$1,023.12 | $2,842–$5,684 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$538.92–$1,022.22 | $2,994–$5,679 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,973.96 | $16,522 | 8.0× |
| CT abdomen and pelvis without contrast (74176) | $2,363.04 | $13,128 | 9.3× |
| CT abdomen w contrast (74160) | $1,439.64 | $7,998 | 7.7× |
| CT abdomen w wo contrast (74170) | $1,671.84 | $9,288 | 8.9× |
| CT abdomen w/o contrast (74150) | $1,392.12 | $7,734 | 12.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,813.76 | $15,632 | 7.6× |
| CT Angio Chest (71275) | $1,519.02 | $8,439 | 8.1× |
| CT Angio Head (70496) | $1,416.60 | $7,870 | 7.6× |
| CT angio hrt w/3d image (75574) | $383.58 | $2,131 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$947.52–$1,895.04 | $5,264–$10,528 | varies |
| CT Angio Neck (70498) | $1,464.66 | $8,137 | 7.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$947.52–$1,895.04 | $5,264–$10,528 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $270 | $1,500 | 1.4× |
| CT cervical spine w/ contrast (72126) | $1,218.24 | $6,768 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,070.46 | $5,947 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,412.28 | $7,846 | 7.5× |
| CT chest w contrast (71260) | $1,531.62 | $8,509 | 8.2× |
| CT chest w/wo contrast (71270) | $1,831.14 | $10,173 | 9.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,532.88 | $8,516 | 13.7× |
| CT head/brain with contrast (70460) | $1,470.42 | $8,169 | 7.9× |
| CT head/brain without and with contrast (70470) | $1,541.70 | $8,565 | 8.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,169.64 | $6,498 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,234.62 | $6,859 | 13.3× |
| CT iac w contrast (70481) | $1,286.82 | $7,149 | 6.9× |
| CT l-spine w&w/o contrast (72133) | $1,412.28 | $7,846 | 7.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,161.90–$2,323.62 | $6,455–$12,909 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,271.16–$2,542.14 | $7,062–$14,123 | varies |
| CT lumbar spine w contrast (72132) | $1,218.24 | $6,768 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,070.46 | $5,947 | 9.6× |
| CT maxillofacial w contrast (70487) | $1,061.82 | $5,899 | 5.7× |
| CT maxillofacial wo contrast (70486) | $1,048.68 | $5,826 | 9.4× |
| CT neck tissue combo (70492) | $1,331.10 | $7,395 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,446.12 | $8,034 | 7.7× |
| CT orbits w/o contrast (70480) | $913.68 | $5,076 | 8.2× |
| CT pelvis w&w/o contrast (72194) | $1,302.30 | $7,235 | 7.0× |
| CT pelvis w/o contrast (72192) | $1,085.76 | $6,032 | 9.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,380.60–$2,761.20 | $7,670–$15,340 | varies |
| CT scans face/jaw combo (70488) | $1,308.60 | $7,270 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,297.80 | $7,210 | 6.9× |
| CT soft tissue neck w/o contrast (70490) | $1,208.16 | $6,712 | 10.8× |
| CT thoracic spine w contrast (72129) | $1,218.24 | $6,768 | 6.5× |
| CT thoracic spine w/o contrast (72128) | $1,070.46 | $5,947 | 9.6× |
| CT thoracic spine w/wo cont (72130) | $1,412.28 | $7,846 | 7.5× |
| CT thorax w/o contrast (71250) | $1,234.62 | $6,859 | 11.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$823.14–$1,646.10 | $4,573–$9,145 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,270.08–$2,540.34 | $7,056–$14,113 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,015.20–$2,030.40 | $5,640–$11,280 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,756.98 | $9,761 | 9.4× |
| Cta Abdomen (74175) | $1,464.66 | $8,137 | 7.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,106 | $11,700 | 5.7× |
| CTA pelvis (72191) | $1,349.10 | $7,495 | 7.2× |
| Dilation ureters/urethra rs&i (74485) | $1,934.64 | $10,748 | 0.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $98.28 | $546 | 0.9× |
| Dxa Bone Density Axial (77080) | $229.14 | $1,273 | 2.1× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$284.40–$303.84 | $1,580–$1,688 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $298.80 | $1,660 | 3.2× |
| Echo exam uterus (76831) | $653.22 | $3,629 | 2.6× |
| Esophagram (74220) | $360.72 | $2,004 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $845.28 | $4,696 | 7.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $464.58 | $2,581 | 4.2× |
| Fluoroscopy up to 1 hr (76000) | $347.22 | $1,929 | 1.4× |
| Follow-Up Angiography (75898) | $1,894.32 | $10,524 | 0.6× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$181.62–$363.24 | $1,009–$2,018 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$175.14–$350.10 | $973–$1,945 | varies |
| Gastric emptying imaging study (78264) | $946.44 | $5,258 | 2.2× |
| Gated Heart Planar Single (78472) | $1,210.50 | $6,725 | 2.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$157.50–$315.18 | $875–$1,751 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,405.06 | $18,917 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,405.06 | $18,917 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,360.44 | $7,558 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,360.44 | $7,558 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $1,284.12 | $7,134 | 0.9× |
| Hysterosalpingogram (74740) | $376.74 | $2,093 | 1.5× |
| Joint Survey Single View (77077) | $235.08 | $1,306 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,490.94 | $8,283 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $954.18 | $5,301 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $864.72 | $4,804 | 1.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $997.20 | $5,540 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$205.56–$411.12 | $1,142–$2,284 | varies |
| Liver & Spleen Imaging Static Only (78215) | $936 | $5,200 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,324.26 | $7,357 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,911.24 | $10,618 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,911.24 | $10,618 | 3.3× |
| Lung Ventilation Imaging (78579) | $932.76 | $5,182 | 2.2× |
| Lymph System Imaging (78195) | $410.40 | $2,280 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $1,391.22 | $7,729 | 5.5× |
| Mammary ductogram or galactogram multiple (77054) | $605.88 | $3,366 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $471.24 | $2,618 | 1.9× |
| Meckels Divert Exam (78290) | $1,022.76 | $5,682 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,719.44 | $15,108 | 7.3× |
| MRA head w/o contrast (70544) | $1,638.90 | $9,105 | 6.4× |
| MRA head with contrast (70545) | $1,845.72 | $10,254 | 5.0× |
| MRA neck w contrast (70548) | $1,403.28 | $7,796 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,855.88 | $15,866 | 7.7× |
| MRA neck w/o contrast (70547) | $1,299.24 | $7,218 | 5.1× |
| MRI abdomen w contrast (74182) | $1,977.12 | $10,984 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,818.90 | $10,105 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,884.42–$3,768.66 | $10,469–$20,937 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,499.12–$4,998.42 | $13,884–$27,769 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,853.10 | $10,295 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $691.38 | $3,841 | 2.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $691.38 | $3,841 | 2.7× |
| MRI cervical spine w contrast (72142) | $2,052.18 | $11,401 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,981.98 | $11,011 | 7.8× |
| MRI chest w/o contrast (71550) | $1,822.14 | $10,123 | 7.2× |
| MRI chest with contrast (71551) | $1,857.96 | $10,322 | 2.2× |
| MRI chest wo w contrast (71552) | $2,490.30 | $13,835 | 6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,030.22–$4,060.44 | $11,279–$22,558 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,289.42–$4,578.84 | $12,719–$25,438 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,881.54–$3,762.90 | $10,453–$20,905 | varies |
| MRI lumbar spine w contrast (72149) | $2,084.94 | $11,583 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,861.82 | $15,899 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,755.18 | $9,751 | 6.9× |
| MRI orbit face neck w contrast (70542) | $2,124.36 | $11,802 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,496.42 | $13,869 | 6.7× |
| MRI pelvis w contrast (72196) | $2,385.36 | $13,252 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,576.34 | $14,313 | 6.9× |
| MRI pelvis w/o contrast (72195) | $2,043.36 | $11,352 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $2,036.52 | $11,314 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,856.52 | $10,314 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,757.70–$3,515.22 | $9,765–$19,529 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,955.52 | $10,864 | 5.3× |
| MRI, abdomen, combo (74183) | $2,815.92 | $15,644 | 7.6× |
| MRI, dorsal spine combo (72157) | $2,861.82 | $15,899 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,140.92 | $11,894 | 5.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,773.18–$3,546.36 | $9,851–$19,702 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,642.94–$5,285.70 | $14,683–$29,365 | varies |
| MRI, lumbar spine combo (72158) | $2,861.82 | $15,899 | 7.7× |
| Myocardial Spect Multiple Studies (78452) | $2,690.28 | $14,946 | 1.9× |
| Neck soft tissue (70360) | $246.96 | $1,372 | 2.7× |
| Nonvascular Shunt X-Ray (75809) | $60.30 | $335 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $401.04 | $2,228 | 1.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,559.52 | $8,664 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,130.22 | $6,279 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,559.52 | $8,664 | 3.7× |
| Pelvis 1 or 2 views (72170) | $241.56 | $1,342 | 2.2× |
| Peritoneogram Rs&I (74190) | $339.12 | $1,884 | 0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,060.28 | $11,446 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $474.84 | $2,638 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $513.54 | $2,853 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $422.46 | $2,347 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$219.06–$438.12 | $1,217–$2,434 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$212.40–$424.80 | $1,180–$2,360 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$210.60–$421.38 | $1,170–$2,341 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $330.12 | $1,834 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$136.62–$273.42 | $759–$1,519 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$210.60–$421.02 | $1,170–$2,339 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$223.20–$446.58 | $1,240–$2,481 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$177.66–$355.32 | $987–$1,974 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $339.12 | $1,884 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $267.12 | $1,484 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $203.22 | $1,129 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$230.22–$460.26 | $1,279–$2,557 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $191.88 | $1,066 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $201.24 | $1,118 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $241.56 | $1,342 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $463.50 | $2,575 | 5.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$136.62–$273.42 | $759–$1,519 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$147.42–$294.66 | $819–$1,637 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$219.96–$439.92 | $1,222–$2,444 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $892.80 | $4,960 | 8.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $365.76 | $2,032 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $324.36 | $1,802 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $564.12 | $3,134 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $486 | $2,700 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $459.72 | $2,554 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$251.28–$502.38 | $1,396–$2,791 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $292.86 | $1,627 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $473.22 | $2,629 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $455.94 | $2,533 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $459.72 | $2,554 | 2.5× |
| Radiologic examination femur 1 view (73551) | $107.64 | $598 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$179.64–$359.10 | $998–$1,995 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$199.98–$399.96 | $1,111–$2,222 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $175.50 | $975 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$210.60–$421.02 | $1,170–$2,339 | varies |
| Ribs bilateral 3 views (71110) | $268.20 | $1,490 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $808.56 | $4,492 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,041.74 | $11,343 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,967.22 | $10,929 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,019.60 | $11,220 | 3.5× |
| Scapula (73010) range across 4 matching MRF lines |
$204.48–$408.96 | $1,136–$2,272 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$37.80–$75.42 | $210–$419 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$172.80–$345.60 | $960–$1,920 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$533.70–$1,067.40 | $2,965–$5,930 | varies |
| Skull less than 4 views (70250) | $276.66 | $1,537 | 2.5× |
| Sternoclavicular joints (71130) | $175.86 | $977 | 1.9× |
| Testicular Imaging W/Flow (78761) | $867.24 | $4,818 | 2.0× |
| Thoracic spine 2 views (72070) | $266.58 | $1,481 | 2.4× |
| Thoracic spine 3 views (72072) | $289.98 | $1,611 | 2.6× |
| Thoracolumbar 2 views (72080) | $178.74 | $993 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $518.22 | $2,879 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,436.58 | $7,981 | 2.5× |
| Thyroid Uptake Measurement (78012) | $313.02 | $1,739 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $771.48 | $4,286 | 1.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$177.30–$354.60 | $985–$1,970 | varies |
| Ultrasound elastography first target lesion (76982) | $77.22 | $429 | 0.7× |
| Ultrasound Elastography Parenchyma (76981) | $77.22 | $429 | 0.7× |
| Ultrasound Exam Aaa Screen (76706) | $115.56 | $642 | 1.0× |
| Ultrasound, abdomen limited (76705) | $537.12 | $2,984 | 4.8× |
| Umbilical-artery Doppler (OB) (76820) | $98.28 | $546 | 0.9× |
| Unlisted Dx Radiographic Procedure (76499) | $108 | $600 | 1.2× |
| Upper gi w/o kub (74240) | $1,068.66 | $5,937 | 5.7× |
| Urethrocystogram voiding (74455) | $487.80 | $2,710 | 1.9× |
| Urethrocystography retrograde (74450) | $326.88 | $1,816 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$256.68–$513.36 | $1,426–$2,852 | varies |
| Us chest (76604) | $266.58 | $1,481 | 2.4× |
| Us complete joint (76881) range across 2 matching MRF lines |
$323.28–$603.36 | $1,796–$3,352 | varies |
| Us exam, pelvic, limited (76857) | $379.08 | $2,106 | 3.4× |
| Us head (76506) | $420.84 | $2,338 | 3.8× |
| Us kidney transplant (76776) | $444.60 | $2,470 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$209.16–$390.24 | $1,162–$2,168 | varies |
| Us ob detailed single fetus (76811) | $436.68 | $2,426 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $447.84 | $2,488 | 4.0× |
| Us ob transvaginal (76817) | $436.68 | $2,426 | 3.9× |
| Us pelvic non ob complete (76856) | $643.32 | $3,574 | 5.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $284.76 | $1,582 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $464.76 | $2,582 | 4.2× |
| Us retroperitoneal complete (76770) | $611.82 | $3,399 | 5.5× |
| Us retroperitoneal limited (76775) | $159.48 | $886 | 1.4× |
| Us scrotum and contents (76870) | $396.90 | $2,205 | 3.6× |
| Us spinal canal and contents (76800) | $90 | $500 | 0.8× |
| Us thyroid (76536) | $429.84 | $2,388 | 3.9× |
| Vein X-Ray Chest (75827) | $1,824.66 | $10,137 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,090.70 | $11,615 | 0.6× |
| Venography Adrenal Unilateral (75840) | $3,405.06 | $18,917 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,417.48 | $18,986 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $2,180.52 | $12,114 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,090.26 | $6,057 | 0.6× |
| Venography Renal Bilateral (75833) | $3,405.06 | $18,917 | 1.0× |
| Venography Renal Unilateral (75831) | $3,405.06 | $18,917 | 1.0× |
| Venous sampling by catheter (75893) | $3,687.12 | $20,484 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $96.12 | $534 | 1.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$176.76–$353.34 | $982–$1,963 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $214.92 | $1,194 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $811.08 | $4,506 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $3,405.06 | $18,917 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $570.96 | $3,172 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$189.54–$379.08 | $1,053–$2,106 | varies |
| X-Ray Exam Breast Specimen (76098) | $610.74 | $3,393 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $668.70 | $3,715 | 7.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $668.70 | $3,715 | 6.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $892.80 | $4,960 | 8.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $206.82 | $1,149 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $273.42 | $1,519 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $405.90 | $2,255 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $380.34 | $2,113 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $407.88 | $2,266 | 3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $815.58 | $4,531 | 7.3× |
| X-Ray Exam L-S Spine Bending (72114) | $485.28 | $2,696 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $255.24 | $1,418 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $516.60 | $2,870 | 4.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $312.66 | $1,737 | 2.8× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$118.08–$236.16 | $656–$1,312 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$222.66–$445.50 | $1,237–$2,475 | varies |
| X-ray IV pyelogram (ivp) (74400) | $604.08 | $3,356 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $261 | $1,450 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $151.02 | $839 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $324 | $1,800 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $203.22 | $1,129 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $376.02 | $2,089 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $197.10 | $1,095 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $105.84 | $588 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $196.38 | $1,091 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $288.36 | $1,602 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $425.70 | $2,365 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $314.64 | $1,748 | 2.8× |
| X-Ray Tmj Unilat (70328) | $219.60 | $1,220 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $438.30 | $2,435 | 1.2× |
| X-Rays Bone Length Studies (77073) | $282.06 | $1,567 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $628.38 | $3,491 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $503.82 | $2,799 | 4.5× |
| Xr facial bones less than 3 views (70140) | $285.66 | $1,587 | 3.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $216.90 | $1,205 | 1.9× |
| Xr orbits complete 4 views (70200) | $293.94 | $1,633 | 2.6× |
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.