Imaging prices at Northwest Specialty Hospital
Post Falls, ID · every code in this section with a posted price and a Medicare benchmark.
255 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 |
$155–$163 | $155–$163 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$175–$184 | $175–$184 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$173–$271 | $173–$271 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$704–$1,056 | $704–$1,056 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$915–$1,827 | $915–$1,827 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$375–$748 | $375–$748 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$312–$328 | $312–$328 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$161–$170 | $161–$170 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$159–$167 | $159–$167 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$174–$183 | $174–$183 | varies |
| Chest 4 or more views (71048) | $189 | $189 | 1.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$173–$271 | $173–$271 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$713–$749 | $713–$749 | varies |
| Contrast X-Ray Bladder (74430) | $452 | $452 | 1.3× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$710–$1,014 | $710–$1,014 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$772–$1,160 | $772–$1,160 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,668–$1,752 | $1,668–$1,752 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,150–$1,208 | $1,150–$1,208 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,059–$1,112 | $1,059–$1,112 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,187–$1,247 | $1,187–$1,247 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$713–$749 | $713–$749 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,511–$1,587 | $1,511–$1,587 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,346–$1,414 | $1,346–$1,414 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,346–$1,414 | $1,346–$1,414 | varies |
| CT angio hrt w/3d image (75574) | $1,908 | $1,908 | 5.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,965–$2,947 | $1,965–$2,947 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,346–$1,414 | $1,346–$1,414 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,162–$2,439 | $1,162–$2,439 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$942–$990 | $942–$990 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$713–$749 | $713–$749 | varies |
| CT cervical spine w/wo cont (72127) | $1,056 | $1,056 | 5.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,003–$1,054 | $1,003–$1,054 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,005–$1,056 | $1,005–$1,056 | varies |
| CT colonography screening (74263) | $2,022 | $2,022 | 8.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,211 | $1,211 | 6.7× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$879–$923 | $879–$923 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,055–$1,108 | $1,055–$1,108 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$428–$450 | $428–$450 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$935–$982 | $935–$982 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,005–$1,056 | $1,005–$1,056 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$675–$1,062 | $675–$1,062 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$914–$1,440 | $914–$1,440 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$929–$976 | $929–$976 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$696–$731 | $696–$731 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$914–$960 | $914–$960 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$662–$696 | $662–$696 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$914–$960 | $914–$960 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,020–$1,071 | $1,020–$1,071 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$704–$740 | $704–$740 | varies |
| CT pelvis w&w/o contrast (72194) | $1,071 | $1,071 | 5.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$713–$749 | $713–$749 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,043–$1,564 | $1,043–$1,564 | varies |
| CT scans face/jaw combo (70488) | $1,151 | $1,151 | 6.3× |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$974–$1,023 | $974–$1,023 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$549–$577 | $549–$577 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$866–$910 | $866–$910 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$688–$723 | $688–$723 | varies |
| CT thoracic spine w/wo cont (72130) | $1,071 | $1,071 | 5.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$670–$704 | $670–$704 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$654–$1,029 | $654–$1,029 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,320–$2,639 | $1,320–$2,639 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$919–$1,814 | $919–$1,814 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,651–$1,734 | $1,651–$1,734 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,165–$1,224 | $1,165–$1,224 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,997–$2,097 | $1,997–$2,097 | varies |
| Discography Cerv/Thor Spine (72285) | $520 | $520 | 0.3× |
| Diskography lumbar (72295) | $423 | $423 | 0.2× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$310–$326 | $310–$326 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$412–$433 | $412–$433 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$412–$433 | $412–$433 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$161–$170 | $161–$170 | varies |
| Echo Guide For Artery Repair (76936) | $1,276 | $1,276 | 5.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$326–$343 | $326–$343 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$329–$346 | $329–$346 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$293–$308 | $293–$308 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$147–$241 | $147–$241 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$172–$271 | $172–$271 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$157–$248 | $157–$248 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$534–$561 | $534–$561 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $502 | $502 | 5.6× |
| Infusion Ivp (74410) | $431 | $431 | 2.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$181–$284 | $181–$284 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,619–$1,700 | $1,619–$1,700 | varies |
| Mammary ductogram or galactogram multiple (77054) | $552 | $552 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $447 | $447 | 1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $105 | $105 | 3.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $281 | $281 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,882–$1,977 | $1,882–$1,977 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,497–$1,572 | $1,497–$1,572 | varies |
| MRA head with contrast (70545) | $1,838 | $1,838 | 5.1× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,750–$1,838 | $1,750–$1,838 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,926–$2,023 | $1,926–$2,023 | varies |
| MRA neck w/o contrast (70547) | $1,572 | $1,572 | 6.4× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,619–$1,700 | $1,619–$1,700 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,497–$1,572 | $1,497–$1,572 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$1,695–$3,559 | $1,695–$3,559 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,937–$4,019 | $1,937–$4,019 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$1,945–$3,696 | $1,945–$3,696 | varies |
| MRI bone marrow blood supply (77084) | $1,872 | $1,872 | 7.6× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$2,600–$2,730 | $2,600–$2,730 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,812 | $1,812 | 7.3× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,619–$1,700 | $1,619–$1,700 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,497–$1,572 | $1,497–$1,572 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,497–$1,572 | $1,497–$1,572 | varies |
| MRI chest with contrast (71551) | $1,838 | $1,838 | 2.3× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,917–$2,013 | $1,917–$2,013 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,695–$3,135 | $1,695–$3,135 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,914–$3,312 | $1,914–$3,312 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,647–$3,457 | $1,647–$3,457 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,619–$1,700 | $1,619–$1,700 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,884–$1,979 | $1,884–$1,979 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,572–$1,651 | $1,572–$1,651 | varies |
| MRI orbit face neck w contrast (70542) | $1,838 | $1,838 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,826–$1,918 | $1,826–$1,918 | varies |
| MRI pelvis w contrast (72196) | $1,869 | $1,869 | 5.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,088–$2,193 | $2,088–$2,193 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,647–$1,730 | $1,647–$1,730 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,572–$1,651 | $1,572–$1,651 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,838–$3,672 | $1,838–$3,672 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,945–$3,142 | $1,945–$3,142 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,261–$3,652 | $2,261–$3,652 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,740–$1,827 | $1,740–$1,827 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,826–$1,918 | $1,826–$1,918 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,619–$1,700 | $1,619–$1,700 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$1,824–$3,576 | $1,824–$3,576 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,917–$3,086 | $1,917–$3,086 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,857–$1,950 | $1,857–$1,950 | varies |
| Myelogram cervical (72240) | $1,908 | $1,908 | 2.4× |
| Myelogram Lumbar (72265) | $1,908 | $1,908 | 2.4× |
| Myelography thoracic (72255) | $1,774 | $1,774 | 2.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,774 | $1,774 | 2.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$163–$172 | $163–$172 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$438–$460 | $438–$460 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$440–$462 | $440–$462 | varies |
| Optic foramina (70190) | $195 | $195 | 2.2× |
| Panoramic X-ray of jaws (70355) | $255 | $255 | 2.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$195–$205 | $195–$205 | varies |
| Peritoneogram Rs&I (74190) | $1,065 | $1,065 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$208–$219 | $208–$219 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,673 | $1,673 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$255–$403 | $255–$403 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$155–$245 | $155–$245 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$163–$258 | $163–$258 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$198–$208 | $198–$208 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$174–$364 | $174–$364 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$172–$308 | $172–$308 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$177–$279 | $177–$279 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$96–$198 | $96–$198 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $264 | $264 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$170–$179 | $170–$179 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$167–$263 | $167–$263 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$175–$275 | $175–$275 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$188–$198 | $188–$198 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$159–$167 | $159–$167 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$104–$110 | $104–$110 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $198 | $198 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$159–$250 | $159–$250 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$140–$455 | $140–$455 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$202–$317 | $202–$317 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$306–$322 | $306–$322 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$203–$214 | $203–$214 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$180–$189 | $180–$189 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$473–$497 | $473–$497 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$468–$492 | $468–$492 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $322 | $322 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$193–$302 | $193–$302 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$186–$196 | $186–$196 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $264 | $264 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $348 | $348 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$392–$412 | $392–$412 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$152–$218 | $152–$218 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$180–$283 | $180–$283 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$166–$261 | $166–$261 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$221–$348 | $221–$348 | varies |
| Ribs bilateral 3 views (71110) | $292 | $292 | 2.7× |
| Scapula (73010) range across 4 matching MRF lines |
$164–$198 | $164–$198 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$95–$100 | $95–$100 | varies |
| Sella turcica (70240) | $250 | $250 | 2.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$171–$268 | $171–$268 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$818–$1,617 | $818–$1,617 | varies |
| Sialogram (70390) | $580 | $580 | 2.4× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$163–$172 | $163–$172 | varies |
| Sternoclavicular joints (71130) | $121 | $121 | 1.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$189–$199 | $189–$199 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$223–$235 | $223–$235 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$168–$177 | $168–$177 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$242–$447 | $242–$447 | varies |
| Ultrasound elastography first target lesion (76982) | $448 | $448 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$426–$448 | $426–$448 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$423–$445 | $423–$445 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$428–$450 | $428–$450 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$310–$326 | $310–$326 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$100–$227 | $100–$227 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$366–$385 | $366–$385 | varies |
| Urethrocystogram voiding (74455) | $472 | $472 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$255–$447 | $255–$447 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$311–$327 | $311–$327 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$380–$793 | $380–$793 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$414–$435 | $414–$435 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$529–$556 | $529–$556 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$397–$417 | $397–$417 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$760–$798 | $760–$798 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$305–$321 | $305–$321 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$335–$352 | $335–$352 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$491–$516 | $491–$516 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$336–$353 | $336–$353 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$352–$370 | $352–$370 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$543–$571 | $543–$571 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$423–$445 | $423–$445 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$483–$508 | $483–$508 | varies |
| Us spinal canal and contents (76800) | $1,161 | $1,161 | 10.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$385–$405 | $385–$405 | varies |
| Vertebral fracture assessment via dxa (77086) | $247 | $247 | 2.7× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$173–$271 | $173–$271 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$243–$256 | $243–$256 | varies |
| X-Ray Bend Only L-S Spine (72120) | $297 | $297 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$162–$256 | $162–$256 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $311 | $311 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$249–$262 | $249–$262 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$263–$277 | $263–$277 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$162–$171 | $162–$171 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$183–$193 | $183–$193 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$308–$460 | $308–$460 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$281–$296 | $281–$296 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$321–$338 | $321–$338 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $551 | $551 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$317–$333 | $317–$333 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$176–$185 | $176–$185 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$321–$338 | $321–$338 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$205–$323 | $205–$323 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$150–$158 | $150–$158 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$172–$269 | $172–$269 | varies |
| X-ray IV pyelogram (ivp) (74400) | $585 | $585 | 3.2× |
| X-ray IV pyelogram+tomography (74415) | $472 | $472 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$172–$181 | $172–$181 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $138 | $138 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$183–$193 | $183–$193 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$199–$209 | $199–$209 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$402–$423 | $402–$423 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $186 | $186 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$160–$168 | $160–$168 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$168–$177 | $168–$177 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$225–$237 | $225–$237 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $405 | $405 | 3.7× |
| X-Ray Stress View (77071) | $6,867.33 | $6,867.33 | 76.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$223–$235 | $223–$235 | varies |
| X-Ray Tmj Unilat (70328) | $151 | $151 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$865–$909 | $865–$909 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$343–$361 | $343–$361 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$227–$239 | $227–$239 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$311–$327 | $311–$327 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$101–$107 | $101–$107 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $158 | $158 | 1.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$188–$198 | $188–$198 | varies |
| Xr Tomogram Single Plane (76100) | $307 | $307 | 2.8× |
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.