Imaging prices at Ogden Regional Medical Center
Ogden, UT · every code in this section with a posted price and a Medicare benchmark.
276 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) | $9,267 | $9,267 | 6.6× |
| Abdomen 1 View (74018) | $483.05 | $483.05 | 5.5× |
| Abdomen 2 views (74019) | $828.87 | $828.87 | 7.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,203.14 | $2,203.14 | 5.4× |
| Angio pulmonary bilat (75743) | $5,792.41 | $5,792.41 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $5,653.59 | $5,653.59 | 1.8× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,972.37–$5,653.59 | $3,972.37–$5,653.59 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,742.76 | $2,742.76 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $14,102.75 | $14,102.75 | 4.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$658.81–$1,462.26 | $658.81–$1,462.26 | varies |
| Artery X-Rays Abdomen (75726) | $5,653.59 | $5,653.59 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,653.59 | $5,653.59 | 1.0× |
| Arthrogram hip (73525) | $711.61 | $711.61 | 2.0× |
| Arthrogram Wrist (73115) | $711.61 | $711.61 | 2.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,195.82–$1,341.71 | $1,195.82–$1,341.71 | varies |
| Bone age studies (77072) | $564.99 | $564.99 | 5.3× |
| Bone Imaging 3 Phase (78315) | $3,025.06 | $3,025.06 | 7.5× |
| Bone Imaging Limited Area (78300) | $2,608.46 | $2,608.46 | 6.4× |
| Bone Imaging Whole Body (78306) | $3,272.81 | $3,272.81 | 8.1× |
| Brachytx isodose complex (77318) | $2,281.35 | $2,281.35 | 6.0× |
| Brachytx isodose intermed (77317) | $2,281.35 | $2,281.35 | 6.0× |
| Brachytx Isodose Plan Simple (77316) | $2,281.35 | $2,281.35 | 6.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$7,067.52–$7,067.95 | $7,067.52–$7,067.95 | varies |
| Cat Scan Follow-Up Study (76380) | $1,441.78 | $1,441.78 | 16.4× |
| Cerebrospinal Fluid Scan (78630) | $3,120.81 | $3,120.81 | 5.7× |
| Chest 1 view (71045) | $475.06 | $475.06 | 5.4× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$707.68–$950.09 | $707.68–$950.09 | varies |
| Chest 3 views (71047) | $770.23 | $770.23 | 8.7× |
| Chest 4 or more views (71048) | $950.09 | $950.09 | 9.0× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$583.18–$656.83 | $583.18–$656.83 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $382 | $382 | 3.6× |
| Continuing medical physics consltj pr wk (77336) | $1,329 | $1,329 | 9.8× |
| Contrast Exam Abdominl Aorta (75625) | $10,613.21 | $10,613.21 | 3.3× |
| Contrast X-Ray Of Elbow (73085) | $1,555.51 | $1,555.51 | 4.4× |
| CT abdomen and pelvis without and with contrast (74178) | $10,002.45 | $10,002.45 | 28.3× |
| CT abdomen and pelvis without contrast (74176) | $6,205.30 | $6,205.30 | 25.7× |
| CT abdomen w contrast (74160) | $4,323.39 | $4,323.39 | 24.3× |
| CT abdomen w wo contrast (74170) | $5,002.20 | $5,002.20 | 28.2× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,872.84–$3,102.67 | $2,872.84–$3,102.67 | varies |
| CT Angio Abdomen and Pelvis (74174) | $7,838.80 | $7,838.80 | 22.2× |
| CT Angio Chest (71275) | $3,918.46 | $3,918.46 | 22.1× |
| CT Angio Head (70496) | $3,628.82 | $3,628.82 | 20.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,918.46 | $3,918.46 | 22.1× |
| CT Angio Neck (70498) | $3,918.46 | $3,918.46 | 22.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,918.46 | $3,918.46 | 22.1× |
| CT cervical spine w/ contrast (72126) | $4,323.39 | $4,323.39 | 12.2× |
| CT cervical spine w/o contrast (72125) | $3,102.67 | $3,102.67 | 29.3× |
| CT cervical spine w/wo cont (72127) | $5,002.20 | $5,002.20 | 28.2× |
| CT chest w contrast (71260) | $4,323.39 | $4,323.39 | 24.3× |
| CT chest w/wo contrast (71270) | $5,002.20 | $5,002.20 | 28.2× |
| CT head/brain with contrast (70460) | $4,323.39 | $4,323.39 | 24.3× |
| CT head/brain without and with contrast (70470) | $5,002.20 | $5,002.20 | 28.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $104.77 | $104.77 | 1.2× |
| CT iac w contrast (70481) | $4,323.39 | $4,323.39 | 24.3× |
| CT l-spine w&w/o contrast (72133) | $5,002.20 | $5,002.20 | 28.2× |
| CT lower ext w/o (73700) | $3,102.67 | $3,102.67 | 29.3× |
| CT lower extremity w/contrast material (73701) | $4,323.39 | $4,323.39 | 24.3× |
| CT lumbar spine w contrast (72132) | $4,323.39 | $4,323.39 | 12.2× |
| CT lumbar spine w/o contrast (72131) | $3,102.67 | $3,102.67 | 29.3× |
| CT maxillofacial w contrast (70487) | $3,102.67 | $3,102.67 | 17.5× |
| CT maxillofacial wo contrast (70486) | $2,607.72 | $2,607.72 | 24.6× |
| CT neck tissue combo (70492) | $5,002.20 | $5,002.20 | 28.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,002.20 | $5,002.20 | 28.2× |
| CT orbits w/o contrast (70480) | $3,102.67 | $3,102.67 | 29.3× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$4,631.67–$5,002.20 | $4,631.67–$5,002.20 | varies |
| CT pelvis w/o contrast (72192) | $3,102.67 | $3,102.67 | 29.3× |
| CT scan of leg combo (73702) | $5,002.20 | $5,002.20 | 28.2× |
| CT scans face/jaw combo (70488) | $5,002.20 | $5,002.20 | 28.2× |
| CT soft tissue neck w contrast (70491) | $4,323.39 | $4,323.39 | 24.3× |
| CT soft tissue neck w/o contrast (70490) | $3,102.67 | $3,102.67 | 29.3× |
| CT thoracic spine w contrast (72129) | $4,323.39 | $4,323.39 | 24.3× |
| CT thoracic spine w/o contrast (72128) | $3,102.67 | $3,102.67 | 29.3× |
| CT thorax w/o contrast (71250) | $3,102.67 | $3,102.67 | 29.3× |
| CT upper ext wo (73200) | $3,102.67 | $3,102.67 | 29.3× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$4,398.89–$5,002.20 | $4,398.89–$5,002.20 | varies |
| CT upper extremity with contrast (73201) | $4,323.39 | $4,323.39 | 12.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,918.46 | $3,918.46 | 22.1× |
| Dxa Bone Density Axial (77080) | $727.22 | $727.22 | 6.9× |
| Dxa bone density study (77085) | $727.22 | $727.22 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $727.22 | $727.22 | 8.3× |
| Echo Guide For Artery Repair (76936) | $1,078.12 | $1,078.12 | 4.9× |
| Echograp Trans R Pros Study (76873) | $486.43 | $486.43 | 4.6× |
| Esophagram (74220) | $660.77 | $660.77 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $834.34 | $834.34 | 7.9× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$499.78–$1,470.09 | $499.78–$1,470.09 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$690.10–$1,378.21 | $690.10–$1,378.21 | varies |
| Forearm 2 views (73090) | $662.71 | $662.71 | 7.5× |
| Gated Heart Planar Single (78472) | $3,496.11 | $3,496.11 | 8.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $708.19 | $708.19 | 1.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$581.44–$1,311.74 | $581.44–$1,311.74 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,426.68 | $4,426.68 | 6.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,426.68 | $4,426.68 | 6.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,426.68 | $4,426.68 | 6.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,784.62 | $1,784.62 | 3.2× |
| Hepatobiliary System Imaging (78226) | $1,784.62 | $1,784.62 | 4.4× |
| Hysterosalpingogram (74740) | $1,274.58 | $1,274.58 | 5.3× |
| Interstitial radiation source applic complex (77778) | $2,879.76 | $2,879.76 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $3,895.82 | $3,895.82 | 7.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,717.33 | $2,717.33 | 6.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,028.27–$2,054.61 | $1,028.27–$2,054.61 | varies |
| Lung Ventilation Imaging (78579) | $1,231.05 | $1,231.05 | 3.0× |
| Lymph System Imaging (78195) | $2,568.76 | $2,568.76 | 4.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,303.98 | $7,303.98 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $5,602.72 | $5,602.72 | 23.2× |
| Mammary ductogram or galactogram single (77053) | $851.47 | $851.47 | 3.5× |
| Meckels Divert Exam (78290) | $2,674.16 | $2,674.16 | 6.6× |
| Mlc imrt design & construction per imrt plan (77338) | $3,184.94 | $3,184.94 | 8.4× |
| Mra Head W/O & W/Contrast Material (70546) | $10,066.85 | $10,066.85 | 28.5× |
| MRA head w/o contrast (70544) | $5,544.29 | $5,544.29 | 22.9× |
| MRA neck w contrast (70548) | $6,570.59 | $6,570.59 | 18.6× |
| MRA neck w/o contrast (70547) | $1,655.96 | $1,655.96 | 6.9× |
| MRI abdomen w contrast (74182) | $5,606.60 | $5,606.60 | 15.9× |
| MRI abdomen w/o contrast (74181) | $5,267.75 | $5,267.75 | 21.8× |
| MRI any jt lower extrem w/contrast material (73722) | $6,551.09 | $6,551.09 | 8.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$12,124.60–$24,249.19 | $12,124.60–$24,249.19 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,551.09 | $6,551.09 | 8.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,214.18 | $6,214.18 | 25.7× |
| MRI cervical spine w contrast (72142) | $6,708.85 | $6,708.85 | 19.0× |
| MRI cervical spine w/o cont (72141) | $5,602.72 | $5,602.72 | 23.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,560.84 | $10,560.84 | 29.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,464.44 | $5,464.44 | 22.6× |
| MRI lumbar spine w contrast (72149) | $6,708.85 | $6,708.85 | 19.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,436.19 | $12,436.19 | 35.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,124.60 | $12,124.60 | 34.3× |
| MRI pelvis w contrast (72196) | $6,360.26 | $6,360.26 | 18.0× |
| MRI pelvis w/o & w contrast (72197) | $12,153.80 | $12,153.80 | 34.4× |
| MRI pelvis w/o contrast (72195) | $5,530.66 | $5,530.66 | 22.9× |
| MRI thoracic spine w/o contrast (72146) | $6,212.26 | $6,212.26 | 25.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,838.76 | $5,838.76 | 16.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$5,464.44–$8,956.44 | $5,464.44–$8,956.44 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,560.84 | $10,560.84 | 29.9× |
| MRI, abdomen, combo (74183) | $6,214.18 | $6,214.18 | 17.6× |
| MRI, dorsal spine combo (72157) | $12,436.19 | $12,436.19 | 35.2× |
| MRI, dorsal spine contrast (72147) | $6,708.85 | $6,708.85 | 19.0× |
| MRI, joint upper extrem (73221) | $5,520.91 | $5,520.91 | 22.9× |
| MRI, joint upper extrem combo (73223) | $12,124.60 | $12,124.60 | 34.3× |
| MRI, lumbar spine combo (72158) | $12,436.19 | $12,436.19 | 35.2× |
| Myelogram cervical (72240) | $1,567.84 | $1,567.84 | 2.0× |
| Myelogram Lumbar (72265) | $1,077.14 | $1,077.14 | 1.4× |
| Myelography thoracic (72255) | $780.01 | $780.01 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $8,101.29 | $8,101.29 | 6.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $10,450.51 | $10,450.51 | 4.7× |
| Neck soft tissue (70360) | $723.34 | $723.34 | 8.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $3,088.89 | $3,088.89 | 7.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $22,715.68 | $22,715.68 | 16.2× |
| Nuclear Rx Oral Admin (79005) | $2,011.71 | $2,011.71 | 8.5× |
| Parathyroid Planar Imaging (78070) | $1,458.12 | $1,458.12 | 3.6× |
| Pelvis 1 or 2 views (72170) | $789.80 | $789.80 | 7.5× |
| Peritoneogram Rs&I (74190) | $1,324.33 | $1,324.33 | 2.4× |
| Pet Image Skull-Thigh (78812) | $7,067.95 | $7,067.95 | 4.9× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$7,067.52–$7,067.95 | $7,067.52–$7,067.95 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,067.95 | $7,067.95 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,625.36 | $2,625.36 | 6.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,002.87 | $1,002.87 | 9.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$557.14–$731.15 | $557.14–$731.15 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$932.49–$1,865.01 | $932.49–$1,865.01 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $662.71 | $662.71 | 7.5× |
| Radex elbow complete minimum 3 views (73080) | $932.49 | $932.49 | 10.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $729.18 | $729.18 | 6.9× |
| Radex fingr minimum 2 views (73140) | $627.52 | $627.52 | 7.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$731.15–$1,462.26 | $731.15–$1,462.26 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$647.41–$1,456.39 | $647.41–$1,456.39 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $525.90 | $525.90 | 6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $651 | $651 | 7.4× |
| Radex Ribs Unilateral 2 Views (71100) | $875.80 | $875.80 | 9.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,186.61–$2,375.21 | $1,186.61–$2,375.21 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $607.99 | $607.99 | 6.9× |
| Radex Spine 1 View Specify Level (72020) | $748.77 | $748.77 | 8.5× |
| Radex Sternum Minimum 2 Views (71120) | $736.99 | $736.99 | 8.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$627.52–$1,255.05 | $627.52–$1,255.05 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$510.24–$943.06 | $510.24–$943.06 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$932.49–$1,866.95 | $932.49–$1,866.95 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $25,397.11 | $25,397.11 | 3.4× |
| Radiation treatment delivery level 3 (77412) | $1,777.64 | $1,777.64 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $875.80 | $875.80 | 8.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $828.87 | $828.87 | 7.8× |
| Radiologic exam colon single contrast study (74270) | $1,632.33 | $1,632.33 | 9.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$1,003.21–$2,259.89 | $1,003.21–$2,259.89 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $869.94 | $869.94 | 8.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,071.30 | $1,071.30 | 6.0× |
| Radiologic exam swallow function contrast study (74230) | $1,038.06 | $1,038.06 | 5.8× |
| Radiologic examination femur 1 view (73551) | $304.88 | $304.88 | 3.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$304.88–$587.77 | $304.88–$587.77 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$674.46–$1,348.90 | $674.46–$1,348.90 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $615.77 | $615.77 | 5.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $801.52 | $801.52 | 9.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,659.27 | $1,659.27 | 4.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,659.27 | $1,659.27 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,059.30 | $5,059.30 | 9.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$4,994.20–$5,325.29 | $4,994.20–$5,325.29 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,011.71 | $2,011.71 | 8.5× |
| Scapula (73010) | $643.16 | $643.16 | 6.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $102.01 | $102.01 | 4.4× |
| Shoulder 1 view (73020) | $602.13 | $602.13 | 6.8× |
| Shoulder Arthrography (73040) | $1,290.23 | $1,290.23 | 3.7× |
| Skull less than 4 views (70250) | $965.74 | $965.74 | 9.1× |
| Special dosimetry (77331) | $1,065.98 | $1,065.98 | 7.8× |
| Special Physics Consult (77370) | $1,194.26 | $1,194.26 | 8.8× |
| Special teletherapy port plan (77321) | $5,354.08 | $5,354.08 | 14.1× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,604.47–$3,634.44 | $2,604.47–$3,634.44 | varies |
| Stereotactic Body Radiation Delivery (77373) | $34,677.83 | $34,677.83 | 19.2× |
| Sternoclavicular joints (71130) | $463.30 | $463.30 | 5.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $10,051.37 | $10,051.37 | 26.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,281.35 | $2,281.35 | 6.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,311.93 | $3,311.93 | 8.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,281.35 | $2,281.35 | 6.0× |
| Ther rad simulaj-aided field setting simple (77280) | $2,327.88 | $2,327.88 | 17.1× |
| Thoracic spine 2 views (72070) | $672.48 | $672.48 | 6.4× |
| Thoracic spine 3 views (72072) | $1,000.90 | $1,000.90 | 9.5× |
| Thoracolumbar 2 views (72080) | $867.99 | $867.99 | 9.9× |
| Thyroid Met Imaging Body (78018) | $2,662.92 | $2,662.92 | 4.8× |
| Thyroid Uptake Measurement (78012) | $1,895.38 | $1,895.38 | 4.7× |
| Tx Devices Design & Construction Complex (77334) | $2,791.31 | $2,791.31 | 7.4× |
| Tx devices design & construction intermediate (77333) | $2,018.90 | $2,018.90 | 14.8× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$1,110.94–$1,246.48 | $1,110.94–$1,246.48 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$610.87–$1,221.76 | $610.87–$1,221.76 | varies |
| Ultrasound, abdomen limited (76705) | $1,305.36 | $1,305.36 | 12.3× |
| Umbilical-artery Doppler (OB) (76820) | $1,020 | $1,020 | 9.6× |
| Unlisted fluoroscopic procedure (76496) | $666.62 | $666.62 | 7.6× |
| Upper gi w/o kub (74240) | $1,184.66 | $1,184.66 | 6.7× |
| Urethrocystogram voiding (74455) | $944.22 | $944.22 | 3.9× |
| Us breast unilateral complete (76641) | $959.77 | $959.77 | 9.1× |
| Us chest (76604) | $885.88 | $885.88 | 8.4× |
| Us complete joint (76881) | $681.38 | $681.38 | 6.4× |
| Us exam, pelvic, limited (76857) | $1,175.08 | $1,175.08 | 11.1× |
| Us head (76506) | $830.68 | $830.68 | 7.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $440.55 | $440.55 | 4.2× |
| Us ob detailed single fetus (76811) | $1,092.09 | $1,092.09 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $1,175.08 | $1,175.08 | 11.1× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,155.25–$1,397.85 | $1,155.25–$1,397.85 | varies |
| Us pelvic non ob complete (76856) | $1,566.02 | $1,566.02 | 14.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,271.56 | $1,271.56 | 12.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $784.12 | $784.12 | 7.4× |
| Us retroperitoneal complete (76770) | $1,777.64 | $1,777.64 | 16.8× |
| Us scrotum and contents (76870) | $1,435 | $1,435 | 13.6× |
| Us spinal canal and contents (76800) | $2,088.05 | $2,088.05 | 19.7× |
| Us thyroid (76536) | $1,305.36 | $1,305.36 | 12.3× |
| Us transrectal (76872) | $486.43 | $486.43 | 4.6× |
| Vein X-Ray Chest (75827) | $2,854.17 | $2,854.17 | 1.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,169.84 | $4,169.84 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $2,969.50 | $2,969.50 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $4,169.84 | $4,169.84 | 2.6× |
| Venography extremity unilateral rs&i (75820) | $4,169.84 | $4,169.84 | 2.6× |
| Venography Renal Bilateral (75833) | $2,951.92 | $2,951.92 | 0.9× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$6,420.63–$11,701.85 | $6,420.63–$11,701.85 | varies |
| Venous sampling by catheter (75893) | $4,288.81 | $4,288.81 | 0.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$658.81–$1,464.23 | $658.81–$1,464.23 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $721.36 | $721.36 | 8.2× |
| X-Ray Aorta Leg Arteries (75630) | $7,385.67 | $7,385.67 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$690.10–$1,865.01 | $690.10–$1,865.01 | varies |
| X-Ray Exam Breast Specimen (76098) | $314.73 | $314.73 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $304.88 | $304.88 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $809.34 | $809.34 | 7.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $304.88 | $304.88 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $304.88 | $304.88 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$487.56–$504.92 | $487.56–$504.92 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $995.05 | $995.05 | 9.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,237.49 | $1,237.49 | 14.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,165.13 | $1,165.13 | 11.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $512.55 | $512.55 | 4.8× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,010.66–$2,023.36 | $1,010.66–$2,023.36 | varies |
| X-ray IV pyelogram (ivp) (74400) | $880.47 | $880.47 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $269.48 | $269.48 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,073.27 | $1,073.27 | 10.1× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$578.65–$680.31 | $578.65–$680.31 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $778.08 | $778.08 | 7.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $705.72 | $705.72 | 8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $747.50 | $747.50 | 8.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,157.32 | $1,157.32 | 10.9× |
| X-ray thoracic spine 4 vw (72074) | $950.29 | $950.29 | 9.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,702.72 | $1,702.72 | 4.8× |
| X-Rays Bone Length Studies (77073) | $1,120.19 | $1,120.19 | 10.6× |
| X-Rays Bone Survey Complete (77075) | $1,280.45 | $1,280.45 | 12.1× |
| Xr c-spine 4 or 5 views (72050) | $1,362.58 | $1,362.58 | 12.9× |
| Xr facial bones less than 3 views (70140) | $549.34 | $549.34 | 6.2× |
| Xr orbits complete 4 views (70200) | $883.36 | $883.36 | 8.3× |
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.