Imaging prices at Palomar Medical Center Poway
Poway, CA · every code in this section with a posted price and a Medicare benchmark.
361 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) | $12,536.10 | $20,893.50 | 7.0× |
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$280.33–$371.82 | $467.21–$619.70 | varies |
| Abdomen 2 views (74019) | $510.68 | $851.14 | 3.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $897.43 | $1,495.71 | 1.7× |
| Adrenal Cortex & Medulla Img (78075) | $2,252.98 | $3,754.97 | 1.4× |
| Angio pulmonary bilat (75743) | $4,443.02 | $7,405.03 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,028.37 | $6,713.95 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $4,689.60 | $7,816 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $4,028.37 | $6,713.95 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,028.37 | $6,713.95 | 1.0× |
| Ankle 2 views (73600) | $495.11 | $825.18 | 4.4× |
| Aortography thoracic serialography rs&i (75605) | $6,894.56 | $11,490.94 | 1.0× |
| Artery X-Rays Abdomen (75726) | $6,894.56 | $11,490.94 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $4,028.37 | $6,713.95 | 1.0× |
| Artery X-Rays Pelvis (75736) | $6,894.56 | $11,490.94 | 1.0× |
| Artery X-Rays Spine (75705) | $6,894.56 | $11,490.94 | 1.0× |
| Arthrogram ankle (73615) | $648.25 | $1,080.42 | 1.4× |
| Arthrogram hip (73525) | $898.08 | $1,496.80 | 2.0× |
| Arthrogram Wrist (73115) | $783.22 | $1,305.37 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $970.75 | $1,617.92 | 5.6× |
| Bone age studies (77072) | $268 | $446.66 | 2.0× |
| Bone Imaging 3 Phase (78315) | $2,978.45 | $4,964.09 | 5.8× |
| Bone Imaging Limited Area (78300) | $1,207.60 | $2,012.67 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,445.10 | $2,408.50 | 2.8× |
| Bone Imaging Whole Body (78306) | $2,805.85 | $4,676.41 | 5.5× |
| Bone marrow imaging; whole body (78104) | $1,375.02 | $2,291.70 | 2.7× |
| Bone survey infant (77076) | $670.96 | $1,118.27 | 5.0× |
| Brachytx isodose complex (77318) | $1,398.38 | $2,330.63 | 2.9× |
| Brachytx isodose intermed (77317) | $2,346.42 | $3,910.70 | 4.9× |
| Brachytx Isodose Plan Simple (77316) | $1,948.64 | $3,247.74 | 4.0× |
| Brain Image W/Flow < 4 Views (78601) | $653.44 | $1,089.07 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,173.16 | $3,621.94 | 3.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,861.04 | $3,101.74 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $508.09 | $846.81 | 4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $843.57 | $1,405.95 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,044.08 | $1,740.13 | 1.5× |
| Chest 1 view (71045) | $275.14 | $458.56 | 2.5× |
| Chest 2 views (71046) | $301.74 | $502.90 | 2.7× |
| Chest 3 views (71047) | $327.70 | $546.16 | 2.9× |
| Chest 4 or more views (71048) | $498.35 | $830.59 | 3.7× |
| Clavicle complete (73000) | $519.77 | $866.28 | 4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,845.43 | $4,742.38 | 21.2× |
| Continuing medical physics consltj pr wk (77336) | $1,103.78 | $1,839.63 | 6.4× |
| Contrast Exam Abdominl Aorta (75625) | $4,028.37 | $6,713.95 | 1.0× |
| Contrast X-Ray Bladder (74430) | $635.27 | $1,058.79 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $643.06 | $1,071.77 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $635.27 | $1,058.79 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $6,317.04 | $10,528.40 | 14.1× |
| CT abdomen and pelvis without contrast (74176) | $1,710.50 | $2,850.83 | 5.6× |
| CT abdomen w contrast (74160) | $2,384.71 | $3,974.51 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,731.87 | $4,553.12 | 12.1× |
| CT abdomen w/o contrast (74150) | $1,167.37 | $1,945.62 | 8.7× |
| CT Angio Abdomen and Pelvis (74174) | $4,506.61 | $7,511.02 | 10.0× |
| CT Angio Chest (71275) | $3,875.23 | $6,458.72 | 17.2× |
| CT Angio Head (70496) | $3,748.70 | $6,247.83 | 16.6× |
| CT angio hrt w/3d image (75574) | $4,506.61 | $7,511.02 | 10.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,589.72 | $5,982.86 | 15.9× |
| CT Angio Neck (70498) | $2,626.10 | $4,376.83 | 11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,941.42 | $6,569.03 | 17.5× |
| CT cervical spine w/ contrast (72126) | $4,698.04 | $7,830.06 | 10.5× |
| CT cervical spine w/o contrast (72125) | $4,568.90 | $7,614.84 | 34.0× |
| CT chest w contrast (71260) | $3,801.26 | $6,335.43 | 16.9× |
| CT head/brain with contrast (70460) | $3,572.84 | $5,954.74 | 15.8× |
| CT head/brain without and with contrast (70470) | $3,635.14 | $6,058.56 | 16.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,118.05 | $1,863.42 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $588.55 | $980.92 | 5.3× |
| CT hrt w/3d image congen (75573) | $2,851.27 | $4,752.11 | 6.4× |
| CT iac w contrast (70481) | $2,684.50 | $4,474.17 | 11.9× |
| CT lower ext w/o (73700) range across 24 matching MRF lines |
$1,632.63–$2,036.90 | $2,721.05–$3,394.83 | varies |
| CT lower extremity w/contrast material (73701) | $1,902.58 | $3,170.96 | 8.4× |
| CT lumbar spine w contrast (72132) | $4,269.76 | $7,116.27 | 9.5× |
| CT lumbar spine w/o contrast (72131) | $3,731.18 | $6,218.63 | 27.7× |
| CT maxillofacial w contrast (70487) | $3,465.77 | $5,776.29 | 15.4× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$2,888.90–$3,154.30 | $4,814.84–$5,257.17 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,880.47 | $4,800.78 | 12.8× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$2,301.65–$2,465.17 | $3,836.08–$4,108.62 | varies |
| CT pelvis w&w/o contrast (72194) | $2,011.59 | $3,352.65 | 8.9× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,249.13–$1,499.61 | $2,081.89–$2,499.35 | varies |
| CT soft tissue neck w contrast (70491) | $2,394.44 | $3,990.74 | 10.6× |
| CT soft tissue neck w/o contrast (70490) | $1,597.59 | $2,662.65 | 11.9× |
| CT thoracic spine w contrast (72129) | $3,942.07 | $6,570.11 | 17.5× |
| CT thoracic spine w/o contrast (72128) | $3,760.37 | $6,267.29 | 28.0× |
| CT thorax w/o contrast (71250) | $2,845.43 | $4,742.38 | 21.2× |
| CT upper ext wo (73200) | $2,493.72 | $4,156.20 | 18.5× |
| CT upper extremity with contrast (73201) | $1,853.26 | $3,088.76 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,240.05 | $2,066.75 | 5.5× |
| Cta Abdomen (74175) | $3,005.06 | $5,008.43 | 13.3× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,212.75–$2,722.80 | $3,687.92–$4,538 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,891.50 | $4,819.16 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $3,011.54 | $5,019.24 | 1.2× |
| Diskography lumbar (72295) | $3,053.72 | $5,089.54 | 1.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $495.11 | $825.18 | 3.7× |
| Dxa Bone Density Axial (77080) | $853.30 | $1,422.17 | 6.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $186.88 | $311.47 | 1.7× |
| Echo exam of fetal heart (76825) | $1,460.03 | $2,433.38 | 2.1× |
| Echo exam uterus (76831) | $595.69 | $992.82 | 1.9× |
| Echo Guide For Artery Repair (76936) range across 5 matching MRF lines |
$668.40–$782.57 | $1,114–$1,304.29 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $526.91 | $878.18 | 1.7× |
| Echograp Trans R Pros Study (76873) | $534.70 | $891.16 | 4.0× |
| Esophagram (74220) | $918.19 | $1,530.32 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $964.91 | $1,608.19 | 7.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $837.08 | $1,395.14 | 6.2× |
| Fluoroscopy up to 1 hr (76000) | $966.86 | $1,611.44 | 3.2× |
| Foot 2 views (73620) | $444.50 | $740.83 | 4.0× |
| Forearm 2 views (73090) | $471.10 | $785.17 | 4.2× |
| Gastric emptying imaging study (78264) | $2,572.24 | $4,287.07 | 5.0× |
| Gastroesophageal Reflux Exam (78262) | $650.20 | $1,083.66 | 1.3× |
| Gated Heart Planar Single (78472) | $982.43 | $1,637.39 | 1.9× |
| Gated Heart, Multiple (78473) | $1,190.73 | $1,984.55 | 2.3× |
| Hand 2 views (73120) | $564.55 | $940.91 | 4.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,535.12 | $9,225.20 | 6.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,860.30 | $6,433.84 | 4.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,298.36 | $5,497.26 | 3.7× |
| Heart first pass single,planar (78481) | $1,629.39 | $2,715.65 | 2.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,028.37 | $6,713.95 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,859.10 | $3,098.50 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,112.86 | $1,854.77 | 2.2× |
| Ht Musc Image Planar Mult (78454) | $2,965.48 | $4,942.46 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $2,252.98 | $3,754.97 | 1.4× |
| Hysterosalpingogram (74740) | $1,160.23 | $1,933.72 | 3.8× |
| Image fusion (77399) | $648.90 | $1,081.50 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $229.06 | $381.77 | 2.0× |
| Infusion Ivp (74410) | $1,078.47 | $1,797.45 | 4.8× |
| K Flow/Funct Image W/Drug (78708) | $1,126.49 | $1,877.48 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,406.81 | $2,344.69 | 2.0× |
| Kidney Imaging Morphol (78700) | $811.13 | $1,351.88 | 1.6× |
| Knee 3 Views (73562) | $529.50 | $882.50 | 4.7× |
| Liver & Spleen Imaging Static Only (78215) | $903.27 | $1,505.45 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,772.15 | $2,953.58 | 2.5× |
| Lung perfusion differential (78597) | $957.13 | $1,595.21 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,304.29 | $2,173.82 | 1.9× |
| Lung Ventilation Imaging (78579) | $770.24 | $1,283.74 | 1.5× |
| Lymph System Imaging (78195) | $2,222.48 | $3,704.14 | 3.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,431.34 | $7,385.56 | 1.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,028.37 | $6,713.95 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $1,398.38 | $2,330.63 | 4.6× |
| Mammary ductogram or galactogram multiple (77054) | $849.41 | $1,415.68 | 2.8× |
| Mammary ductogram or galactogram single (77053) | $464.61 | $774.35 | 1.5× |
| Meckels Divert Exam (78290) | $840.97 | $1,401.62 | 1.6× |
| Mlc imrt design & construction per imrt plan (77338) | $3,126.40 | $5,210.67 | 6.5× |
| Mr safety determination physician/other qhp (76016) | $184.91 | $308.18 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $192.93 | $321.55 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $507.61 | $846.02 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,180.21 | $6,967.02 | 9.3× |
| MRA head w/o contrast (70544) | $3,534.56 | $5,890.93 | 11.5× |
| MRA head with contrast (70545) | $3,799.96 | $6,333.26 | 8.5× |
| MRA neck w contrast (70548) | $2,355.51 | $3,925.85 | 5.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,256.14 | $7,093.56 | 9.5× |
| MRA neck w/o contrast (70547) | $1,848.07 | $3,080.11 | 6.0× |
| MRI abdomen w contrast (74182) | $2,453.49 | $4,089.15 | 5.5× |
| MRI abdomen w/o contrast (74181) | $2,203.66 | $3,672.77 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) | $3,396.34 | $5,660.57 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,362.55 | $7,270.92 | 9.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $856.55 | $1,427.58 | 2.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $770.89 | $1,284.82 | 2.5× |
| MRI cervical spine w contrast (72142) | $5,545.50 | $9,242.50 | 12.4× |
| MRI cervical spine w/o cont (72141) | $4,939.43 | $8,232.38 | 16.1× |
| MRI chest w/o contrast (71550) | $3,377.53 | $5,629.21 | 11.0× |
| MRI chest with contrast (71551) | $3,661.74 | $6,102.90 | 3.6× |
| MRI chest wo w contrast (71552) | $4,979.01 | $8,298.35 | 11.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,774.69 | $4,624.49 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,697.52 | $2,829.20 | 5.5× |
| MRI lumbar spine w contrast (72149) | $5,070.50 | $8,450.84 | 11.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,099.66 | $10,166.10 | 13.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,221.84 | $3,703.06 | 7.2× |
| MRI orbit face neck w contrast (70542) | $2,652.70 | $4,421.17 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,880.47 | $4,800.78 | 6.4× |
| MRI pelvis w contrast (72196) | $3,798.66 | $6,331.10 | 8.5× |
| MRI pelvis w/o & w contrast (72197) | $4,850.53 | $8,084.21 | 10.8× |
| MRI pelvis w/o contrast (72195) | $3,253.58 | $5,422.64 | 10.6× |
| MRI spectroscopy (76390) | $1,283.53 | $2,139.21 | 11.5× |
| MRI thoracic spine w/o contrast (72146) | $3,831.11 | $6,385.18 | 12.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,925.29 | $3,208.81 | 6.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,397.68 | $3,996.14 | 5.3× |
| MRI, abdomen, combo (74183) | $3,863.55 | $6,439.25 | 8.6× |
| MRI, dorsal spine combo (72157) | $4,685.06 | $7,808.43 | 10.4× |
| MRI, dorsal spine contrast (72147) | $4,258.73 | $7,097.88 | 9.5× |
| MRI, joint upper extrem (73221) | $1,963.57 | $3,272.62 | 6.4× |
| MRI, joint upper extrem combo (73223) | $2,232.86 | $3,721.44 | 5.0× |
| MRI, lumbar spine combo (72158) | $5,070.50 | $8,450.84 | 11.3× |
| Myelogram cervical (72240) | $1,399.68 | $2,332.80 | 1.4× |
| Myelogram Lumbar (72265) | $1,367.23 | $2,278.72 | 1.4× |
| Myelography thoracic (72255) | $1,425.64 | $2,376.06 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,970.06 | $3,283.43 | 2.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $767 | $1,278.33 | 1.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,252.98 | $3,754.97 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $2,370.43 | $3,950.72 | 1.4× |
| Neck soft tissue (70360) | $258.26 | $430.44 | 2.3× |
| Nm csf leak detection (78650) | $2,252.98 | $3,754.97 | 1.4× |
| Nm whole blood volume (78122) | $922.73 | $1,537.89 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $304.99 | $508.31 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,656.46 | $9,427.44 | 3.2× |
| Nuclear Rx Oral Admin (79005) | $2,203.66 | $3,672.77 | 7.3× |
| Ob us nuchal meas 1 gest (76813) | $654.74 | $1,091.23 | 4.9× |
| Optic foramina (70190) | $177.80 | $296.33 | 1.6× |
| Parathyroid Planar Imaging (78070) | $1,669.62 | $2,782.70 | 3.2× |
| Pelvis 1 or 2 views (72170) | $527.56 | $879.26 | 3.9× |
| Peritoneogram Rs&I (74190) | $891.59 | $1,485.98 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $903.92 | $1,506.53 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $690.43 | $1,150.72 | 5.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,243.29 | $2,072.15 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $567.14 | $945.23 | 5.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $266.70 | $444.50 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $556.11 | $926.85 | 5.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $515.23 | $858.71 | 3.8× |
| Radex fingr minimum 2 views (73140) | $360.79 | $601.31 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $561.30 | $935.50 | 5.0× |
| Radex Hand Minimum 3 Views (73130) | $621.65 | $1,036.08 | 5.6× |
| Radex lower extremity infant minimum 2 views (73592) | $454.23 | $757.05 | 4.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $331.59 | $552.65 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $356.90 | $594.83 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $327.05 | $545.08 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $528.85 | $881.42 | 4.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $212.19 | $353.65 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $368.57 | $614.29 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $304.33 | $507.22 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $242.04 | $403.40 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $275.14 | $458.56 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $530.80 | $884.67 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $617.11 | $1,028.51 | 5.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $583.36 | $972.27 | 4.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,781.90 | $26,303.16 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $386.74 | $644.57 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $522.37 | $870.61 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $1,607.33 | $2,678.88 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $328.34 | $547.24 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $604.13 | $1,006.88 | 4.5× |
| Radiologic exam colon double contrast study (74280) | $841.63 | $1,402.71 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $728.71 | $1,214.52 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) | $625.54 | $1,042.57 | 4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $643.06 | $1,071.77 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $458.77 | $764.62 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $633.98 | $1,056.63 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $914.95 | $1,524.92 | 4.1× |
| Radiologic examination femur 1 view (73551) | $266.05 | $443.42 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $584.01 | $973.35 | 5.2× |
| Radiologic examination knee 1/2 views (73560) | $448.39 | $747.32 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $447.74 | $746.24 | 4.0× |
| Radiopharm Dacryocystography (78660) | $1,504.15 | $2,506.92 | 2.9× |
| Renal Cyst Study (74470) | $833.84 | $1,389.73 | 1.2× |
| Ribs bilateral 3 views (71110) | $692.38 | $1,153.96 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $979.19 | $1,631.98 | 1.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,504.15 | $2,506.92 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,949.25 | $4,915.42 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,252.98 | $3,754.97 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,476.20 | $4,127 | 3.5× |
| Rp Therapy Intravenous Administration (79101) | $788.41 | $1,314.02 | 2.6× |
| Scapula (73010) | $671.61 | $1,119.35 | 5.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $188.83 | $314.72 | 8.1× |
| Sella turcica (70240) | $151.19 | $251.99 | 1.4× |
| Shoulder 1 view (73020) | $438.65 | $731.09 | 3.9× |
| Shoulder Arthrography (73040) | $780.62 | $1,301.04 | 1.7× |
| Skull less than 4 views (70250) | $395.83 | $659.72 | 2.9× |
| Special dosimetry (77331) | $765.70 | $1,276.17 | 4.4× |
| Special Physics Consult (77370) | $563.24 | $938.74 | 3.3× |
| Special teletherapy port plan (77321) | $1,001.90 | $1,669.84 | 2.1× |
| Special treatment procedure (77470) | $3,140.68 | $5,234.46 | 4.4× |
| Spleen Imaging (78185) | $672.26 | $1,120.43 | 1.3× |
| Stereotactic Body Radiation Delivery (77373) | $12,118.85 | $20,198.09 | 5.3× |
| Sternoclavicular joints (71130) | $388.04 | $646.74 | 3.5× |
| Superior sagittal sinus venogram (75870) | $4,028.37 | $6,713.95 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,032.26 | $6,720.44 | 8.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $652.15 | $1,086.91 | 1.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $533.39 | $888.99 | 1.7× |
| Testicular Imaging W/Flow (78761) | $650.20 | $1,083.66 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,910.27 | $6,517.12 | 8.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,885.06 | $3,141.76 | 3.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,417.20 | $2,362 | 8.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $908.46 | $1,514.10 | 4.0× |
| Thoracic spine 2 views (72070) | $551.57 | $919.28 | 4.1× |
| Thoracic spine 3 views (72072) | $611.91 | $1,019.85 | 4.6× |
| Thoracolumbar 2 views (72080) | $579.47 | $965.78 | 5.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,211.50 | $2,019.16 | 2.4× |
| Thyroid Met Imaging Body (78018) | $3,327.56 | $5,545.93 | 4.8× |
| Thyroid Uptake Measurement (78012) | $1,169.96 | $1,949.94 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,587.81 | $4,313.02 | 5.0× |
| Tx Devices Design & Construction Complex (77334) | $2,086.86 | $3,478.10 | 4.3× |
| Tx devices design & construction intermediate (77333) | $977.24 | $1,628.74 | 5.7× |
| Tx devices design & construction simple (77332) | $682.64 | $1,137.74 | 3.9× |
| Ultrasound Breast Limited (76642) | $541.18 | $901.97 | 4.8× |
| Ultrasound, abdomen limited (76705) | $478.24 | $797.07 | 3.6× |
| Umbilical-artery Doppler (OB) (76820) | $477.59 | $795.98 | 3.6× |
| Upper gi w/o kub (74240) | $794.26 | $1,323.76 | 3.5× |
| Ureteral Reflux Study (78740) | $661.23 | $1,102.05 | 1.3× |
| Urethrocystogram voiding (74455) | $616.46 | $1,027.43 | 2.0× |
| Urethrocystography retrograde (74450) | $577.52 | $962.54 | 1.9× |
| Us breast unilateral complete (76641) | $907.16 | $1,511.94 | 6.7× |
| Us chest (76604) | $411.40 | $685.67 | 3.1× |
| Us complete joint (76881) range across 6 matching MRF lines |
$866.40–$1,483.39 | $1,444–$2,472.31 | varies |
| Us exam, pelvic, limited (76857) | $406.86 | $678.10 | 3.0× |
| Us head (76506) | $848.76 | $1,414.60 | 6.3× |
| Us kidney transplant (76776) | $486.02 | $810.04 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$219.33–$486 | $365.55–$810 | varies |
| Us ob detailed single fetus (76811) | $1,619 | $2,698.34 | 5.3× |
| Us ob limited 1 or more fetuses (76815) | $983.73 | $1,639.55 | 7.3× |
| Us ob transvaginal (76817) | $1,021.37 | $1,702.28 | 7.6× |
| Us pelvic non ob complete (76856) | $1,483.39 | $2,472.31 | 11.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,306.88 | $2,178.14 | 9.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$677.40–$1,033.70 | $1,129–$1,722.83 | varies |
| Us retroperitoneal complete (76770) | $472.40 | $787.33 | 3.5× |
| Us retroperitoneal limited (76775) | $443.20 | $738.66 | 3.3× |
| Us scrotum and contents (76870) | $1,526.21 | $2,543.69 | 11.4× |
| Us spinal canal and contents (76800) | $532.10 | $886.83 | 4.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$957–$1,357.50 | $1,595–$2,262.50 | varies |
| Us transrectal (76872) | $554.81 | $924.68 | 4.1× |
| Vasogram (74440) | $397.13 | $661.88 | 1.3× |
| Vein X-Ray Chest (75827) | $2,023.92 | $3,373.20 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,537.90 | $2,563.16 | 1.9× |
| Vein X-Ray Spleen/Liver (75810) | $4,028.37 | $6,713.95 | 1.0× |
| Venogram Sinus/Jugular (75860) | $4,028.37 | $6,713.95 | 1.0× |
| Venography Adrenal Unilateral (75840) | $4,028.37 | $6,713.95 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $2,311.38 | $3,852.30 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $2,023.92 | $3,373.20 | 1.0× |
| Venography Orbital Rs&I (75880) | $1,537.90 | $2,563.16 | 1.9× |
| Venography Renal Bilateral (75833) | $4,620.82 | $7,701.36 | 1.1× |
| Venography Renal Unilateral (75831) | $4,028.37 | $6,713.95 | 1.0× |
| Venous sampling by catheter (75893) | $6,894.56 | $11,490.94 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,137.52 | $1,895.87 | 2.2× |
| Vertebral fracture assessment via dxa (77086) | $242.69 | $404.48 | 2.2× |
| Wrist 2 views (73100) | $445.79 | $742.99 | 4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $334.18 | $556.97 | 3.0× |
| X-ray antegrade pyelogram tube (74425) | $1,363.34 | $2,272.23 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,154.90 | $6,924.84 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $256.96 | $428.27 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $531.45 | $885.75 | 4.7× |
| X-Ray Exam Breast Specimen (76098) | $1,485.98 | $2,476.64 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $185.59 | $309.31 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $412.05 | $686.75 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $447.09 | $745.15 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $378.96 | $631.60 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $407.51 | $679.18 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $537.94 | $896.56 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $401.67 | $669.45 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $678.75 | $1,131.25 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $743.64 | $1,239.40 | 5.5× |
| X-Ray Exam L-S Spine Bending (72114) | $831.24 | $1,385.40 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $646.30 | $1,077.17 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $677.45 | $1,129.09 | 5.0× |
| X-ray eye for foreign body (70030) | $247.23 | $412.05 | 2.2× |
| X-ray humerus (73060) | $467.21 | $778.68 | 4.2× |
| X-ray IV pyelogram+tomography (74415) | $1,521.02 | $2,535.04 | 6.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $189.48 | $315.80 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $462.67 | $771.11 | 4.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $583.36 | $972.27 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $344.57 | $574.28 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $783.22 | $1,305.37 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $473.05 | $788.41 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $241.39 | $402.32 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $476.29 | $793.82 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $412.70 | $687.83 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $456.83 | $761.38 | 3.4× |
| X-Ray Stress View (77071) | $140.16 | $233.60 | 1.3× |
| X-Ray Tmj Unilat (70328) | $177.80 | $296.33 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,358.15 | $2,263.58 | 3.0× |
| X-Rays Bone Length Studies (77073) | $540.53 | $900.89 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $606.72 | $1,011.20 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $749.48 | $1,249.13 | 5.6× |
| Xr facial bones less than 3 views (70140) | $320.56 | $534.26 | 2.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $214.14 | $356.90 | 1.6× |
| Xr orbits complete 4 views (70200) | $680.69 | $1,134.49 | 5.1× |
| Xr Tomogram Single Plane (76100) | $288.76 | $481.27 | 2.1× |
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.