Imaging prices at OHSU Hospital and Clinics
Portland, OR · every code in this section with a posted price and a Medicare benchmark.
418 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) | $8,570.90 | $13,186 | 5.5× |
| Abdomen 1 View (74018) | $266.50 | $410 | 2.7× |
| Abdomen 2 views (74019) | $276.25 | $425 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,486.55 | $2,287 | 3.3× |
| Angio internal mammary (75756) | $6,490.25 | $9,985 | 1.8× |
| Angio pulmonary bilat (75743) | $6,490.25 | $9,985 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $6,490.25 | $9,985 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $6,490.25 | $9,985 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,490.25 | $9,985 | 1.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,490.25 | $9,985 | 1.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$257.40–$463.32 | $396–$712.80 | varies |
| Aortography thoracic serialography rs&i (75605) | $11,332.75 | $17,435 | 1.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,669.20 | $2,568 | 0.5× |
| Artery X-Rays Abdomen (75726) | $11,332.75 | $17,435 | 1.8× |
| Artery X-Rays Adrenal Gland (75731) | $6,490.25 | $9,985 | 1.8× |
| Artery X-Rays Pelvis (75736) | $11,332.75 | $17,435 | 1.8× |
| Artery X-Rays Spine (75705) | $6,335.55 | $9,747 | 1.0× |
| Arthrogram ankle (73615) | $1,087.45 | $1,673 | 2.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,088.75–$1,959.75 | $1,675–$3,015 | varies |
| Arthrogram Wrist (73115) | $1,036.75 | $1,595 | 2.6× |
| Basic radiation dosimetry calculation (77300) | $487.50 | $750 | 3.2× |
| Bone age studies (77072) | $289.25 | $445 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,413.75 | $2,175 | 3.1× |
| Bone Imaging Limited Area (78300) | $887.90 | $1,366 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $1,107.60 | $1,704 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,092.65 | $1,681 | 2.4× |
| Bone survey infant (77076) | $431.60 | $664 | 3.7× |
| Brachytx isodose complex (77318) | $1,795.30 | $2,762 | 4.3× |
| Brachytx isodose intermed (77317) | $1,108.90 | $1,706 | 2.6× |
| Brachytx Isodose Plan Simple (77316) | $1,001.65 | $1,541 | 2.4× |
| Brain Flow Imaging Only (78610) | $965.90 | $1,486 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $965.90 | $1,486 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,427.15 | $6,811 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,967.55 | $3,027 | 5.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,730.95 | $2,663 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $334.75 | $515 | 3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,464.45 | $2,253 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $1,968.20 | $3,028 | 3.2× |
| Chest 1 view (71045) | $285.35 | $439 | 2.9× |
| Chest 2 views (71046) | $332.80 | $512 | 3.4× |
| Chest 3 views (71047) | $389.35 | $599 | 4.0× |
| Chest 4 or more views (71048) | $422.50 | $650 | 3.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $254.15 | $391 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $257 | $1,606 | 2.2× |
| Continuing medical physics consltj pr wk (77336) | $715.65 | $1,101 | 4.7× |
| Contrast Exam Abdominl Aorta (75625) | $6,490.25 | $9,985 | 1.8× |
| Contrast X-Ray Bladder (74430) | $289.25 | $445 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $1,019.20 | $1,568 | 2.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,141.40 | $1,756 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,457.35 | $5,319 | 8.8× |
| CT abdomen and pelvis without contrast (74176) | $2,445.95 | $3,763 | 9.1× |
| CT abdomen w contrast (74160) | $1,404 | $2,160 | 7.1× |
| CT abdomen w wo contrast (74170) | $1,753.70 | $2,698 | 8.9× |
| CT abdomen w/o contrast (74150) | $1,242.80 | $1,912 | 10.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,302.65 | $5,081 | 8.4× |
| CT Angio Chest (71275) | $1,654.25 | $2,545 | 8.4× |
| CT Angio Head (70496) | $2,062.45 | $3,173 | 10.5× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,641.90–$1,723.80 | $2,526–$2,652 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,597.05–$2,874.69 | $2,457–$4,422.60 | varies |
| CT Angio Neck (70498) | $2,049.45 | $3,153 | 10.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,597.05–$2,874.69 | $2,457–$4,422.60 | varies |
| CT cervical spine w/ contrast (72126) | $1,624.35 | $2,499 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,209.65 | $1,861 | 10.3× |
| CT cervical spine w/wo cont (72127) | $2,007.85 | $3,089 | 10.2× |
| CT chest w contrast (71260) | $1,400.75 | $2,155 | 7.1× |
| CT chest w/wo contrast (71270) | $1,805.70 | $2,778 | 9.2× |
| CT colonography screening (74263) | $2,088.45 | $3,213 | 7.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,425.45 | $2,193 | 7.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,232.40 | $1,896 | 10.5× |
| CT head/brain with contrast (70460) | $1,192.10 | $1,834 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,456.65 | $2,241 | 7.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $748.15 | $1,151 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $230.10 | $354 | 2.4× |
| CT hrt w/3d image congen (75573) | $994.50 | $1,530 | 2.5× |
| CT iac w contrast (70481) | $1,220.05 | $1,877 | 6.2× |
| CT l-spine w&w/o contrast (72133) | $2,027.35 | $3,119 | 10.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,156.35–$2,081.43 | $1,779–$3,202.20 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,567.15–$2,820.87 | $2,411–$4,339.80 | varies |
| CT lumbar spine w contrast (72132) | $1,640.60 | $2,524 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,209.65 | $1,861 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,253.85 | $1,929 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,084.85 | $1,669 | 9.2× |
| CT neck tissue combo (70492) | $1,435.20 | $2,208 | 7.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,606.80 | $2,472 | 8.2× |
| CT orbits w/o contrast (70480) | $1,105 | $1,700 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $1,557.40 | $2,396 | 7.9× |
| CT pelvis w/o contrast (72192) | $1,232.40 | $1,896 | 10.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,158–$3,884.40 | $3,320–$5,976 | varies |
| CT scans face/jaw combo (70488) | $1,677 | $2,580 | 8.5× |
| CT soft tissue neck w contrast (70491) | $1,262.30 | $1,942 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $1,123.20 | $1,728 | 9.6× |
| CT thoracic spine w contrast (72129) | $1,637.35 | $2,519 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,209.65 | $1,861 | 10.3× |
| CT thoracic spine w/wo cont (72130) | $2,030.60 | $3,124 | 10.3× |
| CT thorax w/o contrast (71250) | $1,209.65 | $1,861 | 10.3× |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$227.50–$258.70 | $350–$398 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,156.35–$2,081.43 | $1,779–$3,202.20 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,933.10 | $2,974 | 9.8× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,476.80–$2,658.24 | $2,272–$4,089.60 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,941.55 | $2,987 | 9.9× |
| Cta Abdomen (74175) | $1,687.40 | $2,596 | 8.6× |
| CTA pelvis (72191) | $1,687.40 | $2,596 | 8.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $429.65 | $661 | 3.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $663 | $1,020 | 5.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $351 | $540 | 3.0× |
| Dxa Bone Density Axial (77080) | $303.55 | $467 | 2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $230.10 | $354 | 2.4× |
| Echo exam of fetal heart (76825) | $1,431.30 | $2,202 | 2.3× |
| Echo exam uterus (76831) | $633.10 | $974 | 2.4× |
| Echo Guide For Artery Repair (76936) | $791.70 | $1,218 | 3.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,218.10 | $1,874 | 4.5× |
| Esophagram (74220) | $587.60 | $904 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $279.50 | $430 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $473.85 | $729 | 4.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $843.05 | $1,297 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $685.75 | $1,055 | 2.6× |
| Follow-Up Angiography (75898) | $6,490.25 | $9,985 | 1.8× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Gastric emptying imaging study (78264) | $1,244.10 | $1,914 | 2.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $895.05 | $1,377 | 2.0× |
| Gated Heart Planar Single (78472) | $1,083.55 | $1,667 | 2.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $965.90 | $1,486 | 1.6× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$289.25–$520.65 | $445–$801 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,458.30 | $3,782 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,351.70 | $3,618 | 3.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,351.70 | $3,618 | 3.0× |
| Heart Image (Pet) Multiple (78492) | $3,325.40 | $5,116 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,490.25 | $9,985 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,490.25 | $9,985 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,439.75 | $2,215 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,324.05 | $2,037 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $2,694.25 | $4,145 | 1.9× |
| Hysterosalpingogram (74740) | $787.80 | $1,212 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $520.65 | $801 | 5.3× |
| Infant hip ultrasound, limited static exam (76886) | $473.85 | $729 | 4.8× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $21,796.45 | $33,533 | 2.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $21,796.45 | $33,533 | 2.6× |
| Joint Survey Single View (77077) | $303.55 | $467 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $1,140.75 | $1,755 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,083.55 | $1,667 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,083.55 | $1,667 | 1.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $895.05 | $1,377 | 2.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $895.05 | $1,377 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$314.60–$566.28 | $484–$871.20 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $2,502.50 | $3,850 | 4.1× |
| Lung perfusion differential (78597) | $1,539.85 | $2,369 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,509.30 | $2,322 | 2.5× |
| Lung Ventilation Imaging (78579) | $895.05 | $1,377 | 2.0× |
| Lymph System Imaging (78195) | $1,443.65 | $2,221 | 2.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,110.90 | $4,786 | 1.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,490.25 | $9,985 | 1.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$6,490.25–$11,682.45 | $9,985–$17,973 | varies |
| Magnetic Image Jaw Joint (70336) | $1,584.05 | $2,437 | 5.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $360.75 | $555 | 1.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,431.30 | $2,202 | 2.3× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $4,498 | $6,920 | 22.8× |
| Magnetic Resonance Elastography (76391) | $633.10 | $974 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $784.55 | $1,207 | 2.9× |
| Meckels Divert Exam (78290) | $1,247.35 | $1,919 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,499.55 | $2,307 | 3.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $58.50 | $90 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,065.40 | $4,716 | 7.8× |
| MRA head w/o contrast (70544) | $2,096.90 | $3,226 | 7.8× |
| MRA head with contrast (70545) | $2,306.85 | $3,549 | 5.9× |
| MRA neck w contrast (70548) | $2,143.70 | $3,298 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,060.20 | $4,708 | 7.8× |
| MRA neck w/o contrast (70547) | $1,991.60 | $3,064 | 7.4× |
| MRI abdomen w contrast (74182) | $1,924.65 | $2,961 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,692.60 | $2,604 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,862.60–$5,152.68 | $4,404–$7,927.20 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,448.25–$6,206.85 | $5,305–$9,549 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,804.75 | $4,315 | 3.2× |
| MRI bone marrow blood supply (77084) | $750.75 | $1,155 | 2.8× |
| MRI brain functional w/o physician admnistration (70554) | $1,872 | $2,880 | 7.0× |
| MRI brain functional w/physician admnistration (70555) | $2,204.15 | $3,391 | 8.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,771.30 | $5,802 | 14.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,246.10 | $4,994 | 12.1× |
| MRI cardiac w/o cont stress (75559) | $1,431.30 | $2,202 | 2.3× |
| MRI cardiac w/o contrast (75557) | $1,389.70 | $2,138 | 5.2× |
| MRI cervical spine w contrast (72142) | $2,358.20 | $3,628 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,490.45 | $2,293 | 5.6× |
| MRI chest w/o contrast (71550) | $1,904.50 | $2,930 | 7.1× |
| MRI chest with contrast (71551) | $1,430 | $2,200 | 1.6× |
| MRI chest wo w contrast (71552) | $3,070.60 | $4,724 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,150.85 | $3,309 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,002.35–$5,404.23 | $4,619–$8,314.20 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,838.20–$3,308.76 | $2,828–$5,090.40 | varies |
| MRI lumbar spine w contrast (72149) | $2,635.10 | $4,054 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,830.10 | $4,354 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,808.30 | $2,782 | 6.7× |
| MRI orbit face neck w contrast (70542) | $2,136.55 | $3,287 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,850.25 | $4,385 | 7.3× |
| MRI pelvis w contrast (72196) | $2,117.05 | $3,257 | 5.4× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,058.25–$5,504.85 | $4,705–$8,469 | varies |
| MRI pelvis w/o contrast (72195) | $1,810.90 | $2,786 | 6.8× |
| MRI spectroscopy (76390) | $1,579.50 | $2,430 | 16.2× |
| MRI thoracic spine w/o contrast (72146) | $1,855.75 | $2,855 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,951.95 | $3,003 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,741.35–$3,134.43 | $2,679–$4,822.20 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,040.70–$5,473.26 | $4,678–$8,420.40 | varies |
| MRI, abdomen, combo (74183) | $3,237.65 | $4,981 | 8.3× |
| MRI, dorsal spine combo (72157) | $3,107.65 | $4,781 | 7.9× |
| MRI, dorsal spine contrast (72147) | $2,906.15 | $4,471 | 7.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,633.45–$2,940.21 | $2,513–$4,523.40 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,394.30–$6,109.74 | $5,222–$9,399.60 | varies |
| MRI, lumbar spine combo (72158) | $3,093.35 | $4,759 | 7.9× |
| Myelogram cervical (72240) | $1,730.95 | $2,663 | 2.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,730.95 | $2,663 | 2.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,590.95 | $7,063 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $2,694.25 | $4,145 | 1.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,325.40 | $5,116 | 2.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,325.40 | $5,116 | 2.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,720.35 | $10,339 | 2.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $5,136.30 | $7,902 | 2.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $4,873.05 | $7,497 | 2.9× |
| N-invas est c ffr sw aly CTA (75580) | $5,798 | $8,920 | 6.0× |
| Neck soft tissue (70360) | $230.10 | $354 | 2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $895.05 | $1,377 | 2.0× |
| Nm csf leak detection (78650) | $2,694.25 | $4,145 | 1.9× |
| Nm whole blood volume (78122) | $965.90 | $1,486 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $279.50 | $430 | 2.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,523.75 | $11,575 | 4.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,363.70 | $2,098 | 5.2× |
| Nuclear Rx Oral Admin (79005) | $695.50 | $1,070 | 2.7× |
| Ob us nuchal meas 1 gest (76813) | $344.50 | $530 | 2.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $332.15 | $511 | 2.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $279.50 | $430 | 2.4× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 4 matching MRF lines |
$668.85–$1,522.17 | $1,029–$2,341.80 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 3 matching MRF lines |
$279.50–$503.10 | $430–$774 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$362.05–$651.69 | $557–$1,002.60 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $20.15 | $31 | 0.6× |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$362.05–$651.69 | $557–$1,002.60 | varies |
| Optic foramina (70190) | $230.10 | $354 | 2.4× |
| Panoramic X-ray of jaws (70355) | $78.65 | $121 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,024.75 | $3,115 | 3.3× |
| Parathyroid Planar Imaging (78070) | $895.05 | $1,377 | 2.0× |
| Pelvis 1 or 2 views (72170) | $289.25 | $445 | 2.5× |
| Perineogram (74775) | $195.65 | $301 | 0.7× |
| Peritoneogram Rs&I (74190) | $1,431.30 | $2,202 | 2.3× |
| Pet Image Skull-Thigh (78812) | $4,164.55 | $6,407 | 2.6× |
| Pet Image W/Ct Lmtd (78814) | $3,325.40 | $5,116 | 2.1× |
| PET image w/CT, full body (78816) | $4,648.80 | $7,152 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,427.15 | $6,811 | 2.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,694.25 | $4,145 | 1.9× |
| Pet Myocardial Sngl Study (78491) | $3,325.40 | $5,116 | 2.1× |
| PET whole body (78813) | $4,372.55 | $6,727 | 2.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,490.25 | $9,985 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,101.10 | $1,694 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $410.80 | $632 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,431.30 | $2,202 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$299–$538.20 | $460–$828 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$277.55–$499.59 | $427–$768.60 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $396.50 | $610 | 3.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$239.20–$430.56 | $368–$662.40 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$284.70–$512.46 | $438–$788.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$354.90–$638.82 | $546–$982.80 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$245.70–$442.26 | $378–$680.40 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.10 | $354 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $284.70 | $438 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$372.45–$670.41 | $573–$1,031.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $274.30 | $422 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $230.10 | $354 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $321.10 | $494 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $230.10 | $354 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $230.10 | $354 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$289.25–$520.65 | $445–$801 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$284.70–$512.46 | $438–$788.40 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $560.95 | $863 | 4.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $28,661.10 | $44,094 | 3.5× |
| Radiation treatment delivery level 1 (77402) | $716.95 | $1,103 | 6.3× |
| Radiation treatment delivery level 2 (77407) | $819 | $1,260 | 1.9× |
| Radiation treatment delivery level 3 (77412) | $1,025.05 | $1,577 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $345.15 | $531 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $330.20 | $508 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $1,067.95 | $1,643 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $838.50 | $1,290 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$354.25–$637.65 | $545–$981 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $446.55 | $687 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $675.35 | $1,039 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $681.85 | $1,049 | 3.5× |
| Radiologic exam teeth complete full mouth (70320) | $633.10 | $974 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $751.40 | $1,156 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$258.70–$465.66 | $398–$716.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$261.30–$470.34 | $402–$723.60 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $279.50 | $430 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $230.10 | $354 | 2.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $698.10 | $1,074 | 1.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $698.10 | $1,074 | 1.6× |
| Renal Cyst Study (74470) | $1,301.30 | $2,002 | 2.1× |
| Ribs bilateral 3 views (71110) | $350.35 | $539 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $895.05 | $1,377 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $895.05 | $1,377 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,694.25 | $4,145 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,694.25 | $4,145 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,694.25 | $4,145 | 4.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,694.25 | $4,145 | 1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,325.40 | $5,116 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,694.25 | $4,145 | 1.9× |
| Rp Therapy Intravenous Administration (79101) | $624.65 | $961 | 2.4× |
| Scapula (73010) | $289.25 | $445 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $83.20 | $128 | 3.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| Shoulder Arthrography (73040) | $895.05 | $1,377 | 2.3× |
| Skull less than 4 views (70250) | $306.15 | $471 | 2.6× |
| Special dosimetry (77331) | $430.95 | $663 | 2.9× |
| Special Physics Consult (77370) | $791.05 | $1,217 | 5.2× |
| Special teletherapy port plan (77321) | $2,706.60 | $4,164 | 6.4× |
| Special treatment procedure (77470) | $2,373.15 | $3,651 | 3.8× |
| Spleen Imaging (78185) | $895.05 | $1,377 | 2.0× |
| Stereotactic Body Radiation Delivery (77373) | $7,477.60 | $11,504 | 3.7× |
| Sternoclavicular joints (71130) | $351 | $540 | 3.6× |
| Superior sagittal sinus venogram (75870) | $6,490.25 | $9,985 | 1.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $636.35 | $979 | 5.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,351.35 | $2,079 | 3.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $993.20 | $1,528 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,941.25 | $4,525 | 7.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,492.40 | $2,296 | 9.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,749.15 | $2,691 | 8.9× |
| Thoracic spine 2 views (72070) | $289.25 | $445 | 2.5× |
| Thoracic spine 3 views (72072) | $354.90 | $546 | 3.0× |
| Thoracolumbar 2 views (72080) | $347.10 | $534 | 3.6× |
| Thyroid Met Imaging Body (78018) | $1,376.70 | $2,118 | 2.3× |
| Thyroid Uptake Measurement (78012) | $895.05 | $1,377 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $909.35 | $1,399 | 2.0× |
| Tx Devices Design & Construction Complex (77334) | $1,626.95 | $2,503 | 3.9× |
| Tx devices design & construction intermediate (77333) | $779.35 | $1,199 | 5.2× |
| Tx devices design & construction simple (77332) | $711.10 | $1,094 | 4.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$401.70–$834.21 | $618–$1,283.40 | varies |
| Ultrasound elastography first target lesion (76982) | $258.05 | $397 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $569.40 | $876 | 4.9× |
| Ultrasound Exam Aaa Screen (76706) | $479.05 | $737 | 4.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $507 | $780 | 1.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$509.60–$588.25 | $784–$905 | varies |
| Umbilical-artery Doppler (OB) (76820) | $351 | $540 | 3.0× |
| Unlisted fluoroscopic procedure (76496) range across 3 matching MRF lines |
$373.75–$540.80 | $575–$832 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$230.10–$2,550.60 | $354–$3,924 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$309.40–$328.25 | $476–$505 | varies |
| Upper gi w/o kub (74240) | $689 | $1,060 | 3.5× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $117.65 | $181 | 10.6× |
| Urea breath test c-14 isotopic analysis (78268) | $555.75 | $855 | 5.9× |
| Urethrocystogram voiding (74455) | $771.55 | $1,187 | 2.9× |
| Urethrocystography retrograde (74450) | $196.30 | $302 | 0.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$401.70–$723.06 | $618–$1,112.40 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$380.25–$461.50 | $585–$710 | varies |
| Us complete joint (76881) | $86.45 | $133 | 0.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$279.50–$443.95 | $430–$683 | varies |
| Us head (76506) | $481.65 | $741 | 4.1× |
| Us kidney transplant (76776) | $622.70 | $958 | 5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$435.50–$992.16 | $670–$1,526.40 | varies |
| Us ob detailed single fetus (76811) | $629.20 | $968 | 2.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$397.15–$536.25 | $611–$825 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$279.50–$510.25 | $430–$785 | varies |
| Us pelvic non ob complete (76856) | $279.50 | $430 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $473.85 | $729 | 4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $385.45 | $593 | 3.3× |
| Us retroperitoneal complete (76770) | $502.45 | $773 | 4.3× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$473.85–$1,078.74 | $729–$1,659.60 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$531.70–$672.75 | $818–$1,035 | varies |
| Us spinal canal and contents (76800) | $509.60 | $784 | 4.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$629.85–$796.90 | $969–$1,226 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$86.45–$283.40 | $133–$436 | varies |
| Vein X-Ray Chest (75827) | $3,110.90 | $4,786 | 1.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,490.25 | $9,985 | 1.8× |
| Vein X-Ray Spleen/Liver (75810) | $6,490.25 | $9,985 | 1.8× |
| Venogram Sinus/Jugular (75860) | $6,490.25 | $9,985 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $6,490.25 | $9,985 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $3,110.90 | $4,786 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $3,110.90 | $4,786 | 1.8× |
| Venography Orbital Rs&I (75880) | $1,534.65 | $2,361 | 2.2× |
| Venography Renal Bilateral (75833) | $6,490.25 | $9,985 | 1.8× |
| Venography Renal Unilateral (75831) | $6,490.25 | $9,985 | 1.8× |
| Venous sampling by catheter (75893) | $11,332.75 | $17,435 | 1.8× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $332.15 | $511 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $748.15 | $1,151 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $6,490.25 | $9,985 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $289.25 | $445 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$243.75–$438.75 | $375–$675 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,431.30 | $2,202 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $230.10 | $354 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $573.95 | $883 | 4.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $439.40 | $676 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $261.30 | $402 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $396.50 | $610 | 4.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $506.35 | $779 | 4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $358.80 | $552 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $464.10 | $714 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $575.90 | $886 | 4.9× |
| X-Ray Exam L-S Spine Bending (72114) | $447.20 | $688 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $354.25 | $545 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$279.50–$386.75 | $430–$595 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $339.30 | $522 | 2.9× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| X-ray head for orthodontia (70350) | $230.10 | $354 | 2.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$230.10–$414.18 | $354–$637.20 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $284.70 | $438 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $230.10 | $354 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $347.10 | $534 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $421.85 | $649 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $485.55 | $747 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $315.90 | $486 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $274.95 | $423 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $215.80 | $332 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $416 | $640 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $435.50 | $670 | 3.7× |
| X-ray thoracic spine 4 vw (72074) | $404.95 | $623 | 3.4× |
| X-Ray Tmj Unilat (70328) | $230.10 | $354 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $289.25 | $445 | 0.7× |
| X-Rays Bone Length Studies (77073) | $520.65 | $801 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $390 | $600 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $493.35 | $759 | 4.2× |
| Xr facial bones less than 3 views (70140) | $313.30 | $482 | 3.2× |
| Xr orbits complete 4 views (70200) | $289.25 | $445 | 2.5× |
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.