Imaging prices at Page Hospital
Page, AZ · every code in this section with a posted price and a Medicare benchmark.
270 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 |
$10.66–$132.66 | $24–$206 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$13.32–$195.13 | $30–$303 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $85.07 | $126 | 0.2× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$9.77–$155.20 | $22–$241 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$33.74–$216.06 | $76–$844 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$32.41–$99.58 | $73–$389 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$11.10–$242.79 | $25–$377 | varies |
| Bone Imaging 3 Phase (78315) | $87.77 | $130 | 0.2× |
| Bone Imaging Limited Area (78300) | $54.01 | $80 | 0.1× |
| Bone Imaging Multiple Areas (78305) | $71.57 | $106 | 0.2× |
| Bone Imaging Whole Body (78306) | $74.27 | $110 | 0.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$39.96–$414.74 | $90–$644 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$55.06–$717.70 | $124–$1,063 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$10.66–$260.23 | $24–$433 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$12.43–$301.70 | $28–$502 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$15.98–$316.73 | $36–$527 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$18.65–$402.07 | $42–$669 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$18.20–$280.14 | $41–$435 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$9.77–$298.17 | $22–$463 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$60.83–$367.66 | $137–$635 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$18.20–$267.26 | $41–$415 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$32.86–$180.74 | $74–$706 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$114.11–$3,426.52 | $257–$5,918 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$99.01–$2,284.15 | $223–$3,945 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$72.82–$1,922.28 | $164–$3,320 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$79.92–$2,306.74 | $180–$3,984 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$67.93–$1,537.82 | $153–$2,656 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$124.32–$3,597.91 | $280–$6,214 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$103.45–$2,306.74 | $233–$3,984 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$99.46–$1,364.54 | $224–$2,226 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$106.56–$1,304.49 | $240–$2,253 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$99.46–$1,266.46 | $224–$2,066 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$102.12–$1,190.42 | $230–$2,056 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$14.21–$198.60 | $32–$343 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$69.71–$1,452.13 | $157–$2,508 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$57.28–$1,161.47 | $129–$2,006 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$72.37–$1,742.21 | $163–$3,009 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$71.04–$1,830.80 | $160–$3,162 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$78.14–$2,196.73 | $176–$3,794 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$64.38–$1,083.17 | $145–$1,767 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$72.37–$1,299.56 | $163–$2,120 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$32.86–$176.89 | $74–$262 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$64.38–$1,135.28 | $145–$1,852 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$71.93–$2,021.87 | $162–$3,492 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$57.28–$827.97 | $129–$1,430 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$65.71–$1,035.25 | $148–$1,788 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$69.71–$1,684.89 | $157–$2,910 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$57.28–$1,347.91 | $129–$2,328 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$64.38–$1,050.68 | $145–$1,714 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$49.28–$840.42 | $111–$1,371 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$92.80–$1,205.77 | $209–$1,967 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$71.93–$1,362.09 | $162–$2,222 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$72.82–$907.85 | $164–$1,481 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$69.71–$2,355.37 | $157–$4,068 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$61.72–$1,570.25 | $139–$2,712 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$69.26–$1,241.95 | $156–$2,145 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$72.37–$1,260.94 | $163–$2,057 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$78.59–$1,004.71 | $177–$1,639 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$73.26–$803.64 | $165–$1,311 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$69.71–$1,522.19 | $157–$2,629 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$57.28–$1,217.64 | $129–$2,103 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$72.37–$1,826.74 | $163–$3,155 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$65.71–$1,464.29 | $148–$2,529 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$57.28–$755.59 | $129–$1,305 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$69.71–$1,133.68 | $157–$1,958 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$65.71–$944.93 | $148–$1,632 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$134.53–$2,816.77 | $303–$4,172 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$103.01–$2,422.54 | $232–$4,184 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$102.12–$1,177.69 | $230–$2,034 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$39.52–$589.11 | $89–$807 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$11.54–$482.36 | $26–$749 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$41.29–$572.32 | $93–$784 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$34.19–$430.84 | $77–$669 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$59.50–$455.52 | $134–$624 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$43.96–$394.20 | $99–$540 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$17.76–$546.11 | $40–$848 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$8.88–$146.19 | $20–$227 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$9.77–$144.90 | $22–$225 | varies |
| Gastric emptying imaging study (78264) | $67.52 | $100 | 0.2× |
| Gated Heart Planar Single (78472) | $83.72 | $124 | 0.2× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$9.77–$244.08 | $22–$379 | varies |
| Heart first pass single,planar (78481) | $83.72 | $124 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $77.64 | $115 | 0.1× |
| Hepatobiliary System Imaging (78226) | $62.79 | $93 | 0.1× |
| Ht Muscle Image Spect Sing (78451) | $116.13 | $172 | 0.1× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$21.76–$669.12 | $49–$1,039 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$42.18–$283.24 | $95–$388 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$19.98–$233.77 | $45–$363 | varies |
| K Flow/Funct Image W/Drug (78708) | $101.95 | $151 | 0.2× |
| K Flow/Funct Image W/O Drug (78707) | $81.02 | $120 | 0.1× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$11.10–$382.54 | $25–$594 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $47.26 | $70 | 0.1× |
| Liver imaging w/vascular flow (78202) | $41.86 | $62 | 0.1× |
| Lung Perf&Ventilat Diferentl (78598) | $70.89 | $105 | 0.1× |
| Lung perfusion differential (78597) | $61.44 | $91 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) | $91.15 | $135 | 0.2× |
| Lung Ventilation Imaging (78579) | $41.86 | $62 | 0.1× |
| Magnetic Image Jaw Joint (70336) range across 6 matching MRF lines |
$84.36–$1,400.78 | $190–$2,274 | varies |
| Meckels Divert Exam (78290) | $57.39 | $85 | 0.1× |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$33.74–$69.55 | $76–$108 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $24.47 | $38 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$42.18–$122.36 | $95–$190 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$33.30–$186.76 | $75–$290 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$43.07–$290.44 | $97–$451 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$84.80–$1,229.58 | $191–$3,105 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$68.38–$819.72 | $154–$2,070 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$68.38–$1,024.85 | $154–$2,588 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$85.69–$1,720.22 | $193–$4,344 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$102.56–$2,064.35 | $231–$5,213 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$68.82–$1,376.10 | $155–$3,475 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$98.57–$2,513.28 | $222–$4,080 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$83.47–$2,010.62 | $188–$3,264 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$93.24–$2,598.90 | $210–$4,219 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$122.10–$3,118.81 | $275–$5,063 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$93.24–$1,590.51 | $210–$2,582 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$91.02–$1,100.79 | $205–$1,787 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$82.58–$931.39 | $186–$1,512 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$102.12–$1,901.79 | $230–$3,038 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$84.80–$1,521.18 | $191–$2,430 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$83.47–$1,325.63 | $188–$2,152 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$98.57–$1,657.04 | $222–$2,690 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$127.43–$1,988.45 | $287–$3,228 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$92.80–$1,184.57 | $209–$1,923 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$121.66–$1,421.11 | $274–$2,307 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$76.81–$947.41 | $173–$1,538 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$101.68–$3,372.89 | $229–$5,388 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$130.54–$2,281.77 | $294–$3,645 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$76.37–$2,384.70 | $172–$3,865 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$92.80–$2,981.34 | $209–$4,832 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$121.66–$3,577.37 | $274–$5,798 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$98.57–$1,825.21 | $222–$2,963 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$124.32–$2,189.88 | $280–$3,555 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$83.47–$1,459.92 | $188–$2,370 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$84.80–$1,408.50 | $191–$2,250 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$93.24–$1,453.14 | $210–$2,359 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$77.26–$1,162.39 | $174–$1,887 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$122.10–$1,743.90 | $275–$2,831 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$124.32–$3,015.94 | $280–$4,896 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$130.54–$2,112.75 | $294–$3,375 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$101.68–$1,760.94 | $229–$2,813 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$78.14–$1,272.04 | $176–$2,065 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$122.10–$1,908.37 | $275–$3,098 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$130.54–$4,047.09 | $294–$6,465 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$52.39–$1,315.69 | $118–$2,043 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$46.62–$1,334.37 | $105–$2,072 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$54.17–$1,315.69 | $122–$2,043 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$76.81–$1,387.18 | $173–$2,154 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $61.44 | $91 | 0.1× |
| Myocardial Spect Multiple Studies (78452) | $137.06 | $203 | 0.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$10.66–$291.09 | $24–$452 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$67.04–$478.88 | $151–$656 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $270.10 | $370 | 2.4× |
| Parathyroid Planar Imaging (78070) | $67.52 | $100 | 0.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$10.21–$249.87 | $23–$388 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $62.79 | $93 | 0.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$18.20–$270.48 | $41–$420 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$29.75–$282.72 | $67–$439 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$10.21–$179.03 | $23–$278 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$9.32–$164.22 | $21–$255 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$10.21–$173.24 | $23–$269 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$15.54–$314.92 | $35–$489 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$8.44–$244.72 | $19–$380 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$9.77–$336.81 | $22–$523 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$10.21–$254.38 | $23–$395 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$9.32–$161.64 | $21–$251 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 5 matching MRF lines |
$19.98–$349.69 | $45–$543 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$10.21–$209.30 | $23–$325 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$12.88–$336.17 | $29–$522 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$11.10–$381.25 | $25–$592 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$10.21–$285.29 | $23–$443 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$9.32–$247.94 | $21–$385 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$11.99–$199.64 | $27–$310 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$14.21–$369.01 | $32–$573 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$7.99–$179.68 | $18–$279 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$9.32–$160.36 | $21–$249 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$10.21–$333.59 | $23–$518 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$23.98–$401.21 | $54–$623 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$14.65–$278.85 | $33–$433 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$15.54–$227.98 | $35–$354 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$71.48–$574.45 | $161–$892 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$59.05–$346.47 | $133–$538 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$12.88–$437.28 | $29–$679 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$14.65–$299.46 | $33–$465 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$46.62–$308.48 | $105–$479 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$51.50–$772.80 | $116–$1,200 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$9.77–$194.49 | $22–$302 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$10.66–$247.30 | $24–$384 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$9.77–$313.63 | $22–$487 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$9.32–$170.66 | $21–$265 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$20.42–$234.42 | $46–$364 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$16.87–$365.15 | $38–$567 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$10.66–$202.86 | $24–$315 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$34.19–$39.25 | $63–$77 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$11.54–$146.19 | $26–$227 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$8.88–$144.90 | $20–$225 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$31.52–$225.54 | $71–$881 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$11.99–$195.13 | $27–$303 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$12.88–$254.38 | $29–$395 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$118.10–$505.54 | $266–$785 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$11.99–$378.03 | $27–$587 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$13.32–$463.04 | $30–$719 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$12.43–$205.44 | $28–$319 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $31.73 | $47 | 0.1× |
| Thyroid Uptake Measurement (78012) | $16.88 | $25 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $42.54 | $63 | 0.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$38.63–$706.64 | $87–$968 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$31.52–$324.85 | $71–$445 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$33.30–$757.74 | $75–$1,038 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$28.86–$237.25 | $65–$325 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$46.18–$723.86 | $104–$1,124 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$18.65–$719.99 | $42–$1,118 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$18.65–$486.22 | $42–$755 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$41.29–$797.16 | $93–$1,092 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$32.86–$426.32 | $74–$584 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$35.96–$449.68 | $81–$616 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$28.42–$609.55 | $64–$835 | varies |
| Us head (76506) range across 2 matching MRF lines |
$36.85–$470.85 | $83–$645 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$43.96–$411.72 | $99–$564 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$27.97–$496.40 | $63–$680 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$107.45–$604.44 | $242–$828 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$37.30–$509.54 | $84–$698 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$42.62–$585.46 | $96–$802 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$39.07–$768.69 | $88–$1,053 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$56.83–$750.44 | $128–$1,028 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$48.40–$529.25 | $109–$725 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$41.74–$768.69 | $94–$1,053 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$32.86–$483.99 | $74–$663 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$36.41–$708.83 | $82–$971 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$66.60–$291.27 | $150–$399 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$32.41–$768.69 | $73–$1,053 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$39.52–$505.54 | $89–$785 | varies |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$9.77–$139.10 | $22–$216 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$11.10–$208.01 | $25–$323 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$12.88–$376.74 | $29–$585 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$9.77–$146.83 | $22–$228 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$18.20–$111.41 | $41–$173 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$15.54–$255.67 | $35–$397 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$18.65–$284 | $42–$441 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$20.87–$396.06 | $47–$615 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$11.10–$134.60 | $25–$209 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$12.88–$388.98 | $29–$604 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$15.98–$494.59 | $36–$768 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$12.88–$346.47 | $29–$538 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$16.87–$450.80 | $38–$700 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$18.20–$530.01 | $41–$823 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$17.32–$732.87 | $39–$1,138 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$12.88–$352.91 | $29–$548 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$17.32–$575.09 | $39–$893 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$15.54–$417.96 | $35–$649 | varies |
| X-ray eye for foreign body (70030) range across 5 matching MRF lines |
$9.77–$169.37 | $22–$263 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$9.77–$218.32 | $22–$339 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$27.97–$606 | $63–$941 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$10.66–$151.98 | $24–$236 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$10.21–$298.17 | $23–$463 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$12.88–$457.24 | $29–$710 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$10.66–$116.56 | $24–$181 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$18.65–$526.15 | $42–$817 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$13.32–$394.77 | $30–$613 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$10.21–$235.70 | $23–$366 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$10.21–$208.01 | $23–$323 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$12.88–$325.22 | $29–$505 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$16.43–$291.73 | $37–$453 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$14.21–$472.05 | $32–$733 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$10.66–$141.04 | $24–$219 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$15.98–$401.86 | $36–$624 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$31.97–$284 | $72–$441 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$15.98–$481.71 | $36–$748 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$11.99–$171.30 | $27–$266 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 5 matching MRF lines |
$10.66–$189.34 | $24–$294 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$16.43–$270.48 | $37–$420 | varies |
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.