Imaging prices at PeaceHealth Southwest Medical Center
Vancouver, WA · every code in this section with a posted price and a Medicare benchmark.
363 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) range across 2 matching MRF lines |
$7,243.60–$7,750.60 | $11,144–$11,924 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$358.80–$365.95 | $552–$563 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$326.95–$562.90 | $503–$866 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,580.80 | $2,432 | 3.5× |
| Angio internal mammary (75756) | $5,501.60 | $8,464 | 1.6× |
| Angio pulmonary bilat (75743) | $5,271.50 | $8,110 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$10,676.90–$10,890.75 | $16,426–$16,755 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$10,676.90–$10,890.75 | $16,426–$16,755 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,525.65 | $8,501 | 1.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,648.15 | $7,151 | 1.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,616.65 | $8,641 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,532.75 | $5,435 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$17,691.05–$53,073.15 | $27,217–$81,651 | varies |
| Artery X-Rays Adrenal Gland (75731) | $5,749.90 | $8,846 | 1.6× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$23,435.75–$46,871.50 | $36,055–$72,110 | varies |
| Artery X-Rays Spine (75705) | $17,518.80 | $26,952 | 2.8× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$918.45–$1,514.50 | $1,413–$2,330 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$599.95–$5,999.50 | $923–$9,230 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$355.55–$362.70 | $547–$558 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,282.45–$1,320.80 | $1,973–$2,032 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$925.60–$953.55 | $1,424–$1,467 | varies |
| Bone Imaging Multiple Areas (78305) | $1,174.55 | $1,807 | 2.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,459.25–$1,502.80 | $2,245–$2,312 | varies |
| Bone marrow imaging limited area (78102) | $1,272.05 | $1,957 | 2.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$579.15–$590.85 | $891–$909 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,426.10 | $2,194 | 2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$3,723.20–$3,835 | $5,728–$5,900 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$7,967.70–$9,003.80 | $12,258–$13,852 | varies |
| Cardiac Shunt Detection (78428) | $1,030.25 | $1,585 | 2.3× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$646.10–$665.60 | $994–$1,024 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,610.05 | $2,477 | 2.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$311.35–$317.85 | $479–$489 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$311.35–$317.85 | $479–$489 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$298.35–$317.20 | $459–$488 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$391.95–$523.25 | $603–$805 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $464.10 | $714 | 4.0× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$289.25–$590.20 | $445–$908 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$258.05–$283.40 | $397–$436 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$636.35–$681.20 | $979–$1,048 | varies |
| Contrast Exam Abdominl Aorta (75625) | $10,890.75 | $16,755 | 3.1× |
| Contrast X-Ray Bladder (74430) | $576.55 | $887 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $1,123.20 | $1,728 | 2.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$837.20–$854.10 | $1,288–$1,314 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,946.50–$5,094.70 | $7,610–$7,838 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,570.10–$2,647.45 | $3,954–$4,073 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,442.35–$1,485.90 | $2,219–$2,286 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,301.05–$4,430.40 | $6,617–$6,816 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$2,135.25–$5,353.40 | $3,285–$8,236 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$2,249–$4,633.20 | $3,460–$7,128 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,586.35–$2,663.70 | $3,979–$4,098 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,436.50–$1,975.35 | $2,210–$3,039 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,881.45 | $4,433 | 14.7× |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$1,601.60–$1,607.45 | $2,464–$2,473 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,253.85–$1,291.55 | $1,929–$1,987 | varies |
| CT cervical spine w/wo cont (72127) | $2,026.05 | $3,117 | 10.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT chest w/wo contrast (71270) | $2,530.45 | $3,893 | 12.9× |
| CT colonography screening (74263) | $1,541.15 | $2,371 | 5.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,543.45 | $3,913 | 13.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,274 | $1,960 | 10.9× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,101.75–$1,179.75 | $1,695–$1,815 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,467.05–$1,511.25 | $2,257–$2,325 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$168.35–$173.55 | $259–$267 | varies |
| CT hrt w/3d image congen (75573) | $2,318.55 | $3,567 | 6.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,337.70–$1,378 | $2,058–$2,120 | varies |
| CT l-spine w&w/o contrast (72133) | $2,503.80 | $3,852 | 12.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,253.85–$2,507.70 | $1,929–$3,858 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,249–$4,498 | $3,460–$6,920 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,871.35–$1,927.25 | $2,879–$2,965 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,494.35–$1,539.20 | $2,299–$2,368 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,253.85–$1,291.55 | $1,929–$1,987 | varies |
| CT neck tissue combo (70492) | $1,348.75 | $2,075 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,692.60 | $2,604 | 8.7× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$867.75–$969.15 | $1,335–$1,491 | varies |
| CT pelvis w&w/o contrast (72194) | $1,602.25 | $2,465 | 8.2× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,455.35–$1,498.90 | $2,239–$2,306 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,457.30–$1,500.85 | $2,242–$2,309 | varies |
| CT scans face/jaw combo (70488) | $1,275.95 | $1,963 | 6.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,249–$2,316.60 | $3,460–$3,564 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,253.85–$1,285.70 | $1,929–$1,978 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,444.30–$1,487.85 | $2,222–$2,289 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,324.05–$1,363.70 | $2,037–$2,098 | varies |
| CT thoracic spine w/wo cont (72130) | $1,835.60 | $2,824 | 9.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,567.15–$1,613.95 | $2,411–$2,483 | varies |
| CT unlisted procedure (76497) | $219.05 | $337 | 2.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,253.85–$2,507.70 | $1,929–$3,858 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,712.75 | $2,635 | 8.8× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$4,301.05–$4,430.40 | $6,617–$6,816 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,586.35–$2,663.70 | $3,979–$4,098 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,586.35–$2,663.70 | $3,979–$4,098 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,577.60–$8,707.40 | $5,504–$13,396 | varies |
| CTA pelvis (72191) | $2,917.20 | $4,488 | 14.9× |
| Discography Cerv/Thor Spine (72285) | $3,382.60 | $5,204 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $365.30 | $562 | 3.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$446.55–$455.65 | $687–$701 | varies |
| Dxa bone density study (77085) | $451.10 | $694 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$208.65–$212.55 | $321–$327 | varies |
| Echo exam uterus (76831) | $546 | $840 | 2.1× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$867.75–$885.30 | $1,335–$1,362 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$937.95–$956.80 | $1,443–$1,472 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$781.95–$797.55 | $1,203–$1,227 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$579.15–$590.85 | $891–$909 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$932.75–$1,108.25 | $1,435–$1,705 | varies |
| Follow-Up Angiography (75898) | $4,778.80 | $7,352 | 1.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$289.25–$578.50 | $445–$890 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$289.25–$578.50 | $445–$890 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,359.15–$1,400.10 | $2,091–$2,154 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$971.75–$1,097.85 | $1,495–$1,689 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$309.40–$910 | $476–$1,400 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,887.95 | $4,443 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,309.45 | $3,553 | 3.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,397.35 | $12,919 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,727.05–$1,779.05 | $2,657–$2,737 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,460.55–$1,650.35 | $2,247–$2,539 | varies |
| Ht Musc Image Planar Mult (78454) | $3,891.55 | $5,987 | 2.7× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,752.10–$2,834.65 | $4,234–$4,361 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$570.05–$581.75 | $877–$895 | varies |
| Infant hip ultrasound, limited static exam (76886) | $309.40 | $476 | 3.2× |
| Interstitial radiation source applic complex (77778) | $3,261.05 | $5,017 | 4.2× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$335.40–$341.90 | $516–$526 | varies |
| K Flow/Funct Image Multiple (78709) | $1,207.70 | $1,858 | 2.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,331.20–$1,370.85 | $2,048–$2,109 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,431.30–$1,474.20 | $2,202–$2,268 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$258.05–$516.10 | $397–$794 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,846.65 | $2,841 | 3.1× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,029.60–$1,163.50 | $1,584–$1,790 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,652.95–$1,702.35 | $2,543–$2,619 | varies |
| Lung Ventilation Imaging (78579) | $1,095.90 | $1,686 | 2.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,411.80–$1,454.05 | $2,172–$2,237 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,633.55 | $8,667 | 1.6× |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$1,345.50–$2,691 | $2,070–$4,140 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,062.10 | $1,634 | 4.0× |
| Mammary ductogram or galactogram single (77053) | $958.75 | $1,475 | 3.6× |
| Meckels Divert Exam (78290) | $1,370.85 | $2,109 | 3.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,347.45–$1,441.70 | $2,073–$2,218 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$4,180.15–$4,723.55 | $6,431–$7,267 | varies |
| MRA neck w contrast (70548) | $4,084.60 | $6,284 | 10.5× |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRI abdomen w contrast (74182) | $5,315.05 | $8,177 | 13.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,423.20–$3,177.20 | $3,728–$4,888 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$3,723.20–$7,670 | $5,728–$11,800 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,902.55–$1,959.75 | $2,927–$3,015 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,094.60–$1,127.75 | $1,684–$1,735 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,547 | $2,380 | 5.8× |
| MRI brain functional w/physician admnistration (70555) | $1,178.45 | $1,813 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$677.95–$698.10 | $1,043–$1,074 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$1,777.10–$2,007.85 | $2,734–$3,089 | varies |
| MRI cardiac w/o contrast (75557) | $1,121.25 | $1,725 | 4.2× |
| MRI cervical spine w contrast (72142) | $2,324.40 | $3,576 | 6.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,901.90–$2,148.90 | $2,926–$3,306 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,507.05–$2,582.45 | $3,857–$3,973 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,154.10 | $3,314 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$4,281.55–$8,820.50 | $6,587–$13,570 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,225.60–$4,451.20 | $3,424–$6,848 | varies |
| MRI lumbar spine w contrast (72149) | $2,202.20 | $3,388 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,726.75–$2,808.65 | $4,195–$4,321 | varies |
| MRI orbit face neck w contrast (70542) | $2,379 | $3,660 | 6.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,438.50–$3,541.85 | $5,290–$5,449 | varies |
| MRI pelvis w contrast (72196) | $2,047.50 | $3,150 | 5.3× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,225.60–$2,292.55 | $3,424–$3,527 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,362.75 | $3,635 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$2,225.60–$4,451.20 | $3,424–$6,848 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,281.55–$8,563.10 | $6,587–$13,174 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| MRI, dorsal spine contrast (72147) | $1,981.20 | $3,048 | 5.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,225.60–$4,451.20 | $3,424–$6,848 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,467.10–$3,571.10 | $5,334–$5,494 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,281.55–$4,410.25 | $6,587–$6,785 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,156.35–$1,179.75 | $1,779–$1,815 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,988.70 | $4,598 | 2.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,976.70–$4,096.30 | $6,118–$6,302 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$289.25–$295.10 | $445–$454 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,199.90 | $1,846 | 2.7× |
| Nm csf leak detection (78650) | $4,046.25 | $6,225 | 2.8× |
| Nm myocard infarct spect (78469) | $4,146.35 | $6,379 | 6.9× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$375.70–$383.50 | $578–$590 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$8,076.90–$8,642.40 | $12,426–$13,296 | varies |
| Nuclear Rx Intra-Arterial (79445) | $642.20 | $988 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $641.55 | $987 | 2.5× |
| Ob us nuchal meas 1 gest (76813) | $510.90 | $786 | 4.4× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $510.90 | $786 | 4.4× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $498.55 | $767 | 3.4× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$163.15–$166.40 | $251–$256 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$532.35–$542.75 | $819–$835 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $623.35 | $959 | 5.4× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,359.15–$1,535.95 | $2,091–$2,363 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$1,251.90–$1,289.60 | $1,926–$1,984 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$329.55–$455 | $507–$700 | varies |
| Peritoneogram Rs&I (74190) | $1,991.60 | $3,064 | 3.3× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,408–$5,515.90 | $8,320–$8,486 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$4,936.75–$5,035.55 | $7,595–$7,747 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,310.80 | $6,632 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,142.70 | $1,758 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$522.60–$533 | $804–$820 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,011.10–$2,051.40 | $3,094–$3,156 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$289.25–$590.20 | $445–$908 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$245.70–$251.55 | $378–$387 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$258.05–$526.50 | $397–$810 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$368.55–$442 | $567–$680 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$289.25–$590.20 | $445–$908 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$258.05–$516.10 | $397–$794 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$267.15–$274.30 | $411–$422 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $323.70 | $498 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$249.60–$251.55 | $384–$387 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$277.55–$289.25 | $427–$445 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$314.60–$629.20 | $484–$968 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $252.85 | $389 | 2.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $563.55 | $867 | 2.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$289.25–$295.10 | $445–$454 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$272.35–$282.75 | $419–$435 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$213.20–$217.75 | $328–$335 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$255.45–$578.50 | $393–$890 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$277.55–$552.50 | $427–$850 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$314.60–$629.20 | $484–$968 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $529.10 | $814 | 4.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$19,918.60–$24,119.55 | $30,644–$37,107 | varies |
| Radiation treatment delivery level 1 (77402) | $421.20 | $648 | 3.7× |
| Radiation treatment delivery level 2 (77407) | $578.50 | $890 | 1.3× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,097.20–$1,173.90 | $1,688–$1,806 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$313.95–$320.45 | $483–$493 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$328.25–$397.15 | $505–$611 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$602.55–$868.40 | $927–$1,336 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$699.40–$754 | $1,076–$1,160 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$455–$910 | $700–$1,400 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$364.65–$455 | $561–$700 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $522.60 | $804 | 2.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$462.15–$471.25 | $711–$725 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$692.25–$705.90 | $1,065–$1,086 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$372.45–$379.60 | $573–$584 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$251.55–$513.50 | $387–$790 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $495.30 | $762 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$289.25–$578.50 | $445–$890 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$380.25–$522.60 | $585–$804 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,342.25 | $2,065 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,355.90 | $2,086 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,853.85 | $5,929 | 6.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,168.10 | $4,874 | 5.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,413.75–$1,456 | $2,175–$2,240 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,285.75 | $5,055 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,997.80 | $4,612 | 1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,778.45 | $5,813 | 2.6× |
| Rp Therapy Intravenous Administration (79101) | $622.70 | $958 | 2.4× |
| Scapula (73010) range across 2 matching MRF lines |
$296.40–$497.25 | $456–$765 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$59.80–$61.10 | $92–$94 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$251.55–$256.75 | $387–$395 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,514.50–$3,029 | $2,330–$4,660 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$279.50–$464.10 | $430–$714 | varies |
| Special dosimetry (77331) | $347.75 | $535 | 2.3× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$727.35–$778.05 | $1,119–$1,197 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$904.80–$967.85 | $1,392–$1,489 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,546.05–$2,724.15 | $3,917–$4,191 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$7,354.10–$7,868.90 | $11,314–$12,106 | varies |
| Sternoclavicular joints (71130) | $251.55 | $387 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,210.30 | $1,862 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $598.65 | $921 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,987.70–$2,126.80 | $3,058–$3,272 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$835.90–$894.40 | $1,286–$1,376 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $577.20 | $888 | 3.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$313.95–$455 | $483–$700 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$354.90–$464.10 | $546–$714 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$304.20–$318.50 | $468–$490 | varies |
| Thyroid Met Imaging Body (78018) | $1,418.30 | $2,182 | 2.3× |
| Thyroid Uptake Measurement (78012) | $982.15 | $1,511 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$975–$1,004.25 | $1,500–$1,545 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$1,226.55–$3,679.65 | $1,887–$5,661 | varies |
| Tx devices design & construction intermediate (77333) | $830.05 | $1,277 | 5.5× |
| Tx devices design & construction simple (77332) | $548.60 | $844 | 3.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$331.50–$663 | $510–$1,020 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$400.40–$408.20 | $616–$628 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$385.45–$393.25 | $593–$605 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$516.10–$1,032.20 | $794–$1,588 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$597.35–$609.05 | $919–$937 | varies |
| Unlisted magnetic resonance procedure (76498) | $721.50 | $1,110 | 7.4× |
| Unlisted us procedure (76999) | $707.20 | $1,088 | 7.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$815.75–$832 | $1,255–$1,280 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$585–$596.70 | $900–$918 | varies |
| Urethrocystography retrograde (74450) | $596.70 | $918 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$516.10–$1,032.20 | $794–$1,588 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$593.45–$605.15 | $913–$931 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$529.75–$1,080.30 | $815–$1,662 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us head (76506) range across 2 matching MRF lines |
$952.90–$971.75 | $1,466–$1,495 | varies |
| Us kidney transplant (76776) | $526.50 | $810 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$516.10–$1,053 | $794–$1,620 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,057.55–$1,079 | $1,627–$1,660 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$549.25–$560.30 | $845–$862 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$483.60–$493.35 | $744–$759 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$588.25–$599.95 | $905–$923 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$593.45–$605.15 | $913–$931 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$952.90–$971.75 | $1,466–$1,495 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$516.10–$526.50 | $794–$810 | varies |
| Us transrectal (76872) | $234.65 | $361 | 2.0× |
| Vein X-Ray Chest (75827) | $3,001.05 | $4,617 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,248.35 | $3,459 | 0.6× |
| Venogram Sinus/Jugular (75860) | $3,316.30 | $5,102 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $4,568.20 | $7,028 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $1,898.65 | $2,921 | 1.1× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,505.75–$2,555.80 | $3,855–$3,932 | varies |
| Venography Renal Bilateral (75833) | $7,484.10 | $11,514 | 2.1× |
| Venography Renal Unilateral (75831) | $2,872.35 | $4,419 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $257.40 | $396 | 2.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$289.90–$295.75 | $446–$455 | varies |
| X-ray antegrade pyelogram tube (74425) | $708.50 | $1,090 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) | $10,890.75 | $16,755 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$324.35–$512.20 | $499–$788 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$2,011.10–$2,051.40 | $3,094–$3,156 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$196.30–$200.20 | $302–$308 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$278.20–$352.95 | $428–$543 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $434.85 | $669 | 3.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$251.55–$256.75 | $387–$395 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$369.20–$738.40 | $568–$1,136 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $345.15 | $531 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$267.80–$468.65 | $412–$721 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$337.35–$523.25 | $519–$805 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$505.05–$833.95 | $777–$1,283 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$423.80–$535.60 | $652–$824 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$316.55–$341.25 | $487–$525 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$514.80–$590.85 | $792–$909 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$354.90–$455 | $546–$700 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$254.80–$260 | $392–$400 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$251.55–$503.10 | $387–$774 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$254.15–$289.25 | $391–$445 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$211.25–$215.80 | $325–$332 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$455–$464.10 | $700–$714 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$465.40–$474.50 | $716–$730 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$450.45–$464.10 | $693–$714 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$326.30–$374.40 | $502–$576 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$249.60–$254.80 | $384–$392 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$219.70–$224.25 | $338–$345 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$195.65–$313.95 | $301–$483 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$450.45–$455 | $693–$700 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$400.40–$464.10 | $616–$714 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,591.20 | $2,448 | 4.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$468.65–$477.75 | $721–$735 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$460.20–$469.30 | $708–$722 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$446.55–$538.85 | $687–$829 | varies |
| Xr facial bones less than 3 views (70140) | $249.60 | $384 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $248.30 | $382 | 2.1× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$269.75–$354.25 | $415–$545 | 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.