Imaging prices at PeaceHealth St. Joseph Medical Center
Bellingham, WA · every code in this section with a posted price and a Medicare benchmark.
322 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 3 matching MRF lines |
$1,121.50–$1,439.75 | $1,725.39–$2,215 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$263.90–$269.10 | $406–$414 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$337.35–$453.05 | $519–$697 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,442.35–$1,658.80 | $2,219–$2,552 | varies |
| Adrenal Cortex & Medulla Img (78075) | $3,083.60 | $4,744 | 2.1× |
| Angio internal mammary (75756) | $5,613.40 | $8,636 | 1.6× |
| Angio pulmonary bilat (75743) | $5,977.40 | $9,196 | 1.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,124.65–$7,267 | $10,961–$11,180 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$7,118.15–$7,260.50 | $10,951–$11,170 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,423.60 | $8,344 | 1.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$276.90–$588.90 | $426–$906 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,543.85 | $8,529 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,641.95 | $5,603 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$11,793.60–$12,029.55 | $18,144–$18,507 | varies |
| Artery X-Rays Pelvis (75736) | $5,093.40 | $7,836 | 0.8× |
| Artery X-Rays Spine (75705) | $4,439.50 | $6,830 | 0.7× |
| Arthrogram hip (73525) | $947.05 | $1,457 | 2.4× |
| Arthrogram Wrist (73115) | $666.90 | $1,026 | 1.7× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$111.58–$267.80 | $171.66–$412 | varies |
| Bone age studies (77072) | $180.70 | $278 | 1.6× |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$2,345.85–$2,416.05 | $3,609–$3,717 | varies |
| Bone Imaging Limited Area (78300) | $1,209.65 | $1,861 | 2.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,695.20–$1,864.85 | $2,608–$2,869 | varies |
| Bone marrow imaging limited area (78102) | $1,502.80 | $2,312 | 3.4× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$1,295.45–$1,321.45 | $1,993–$2,033 | varies |
| Brachytx isodose complex (77318) | $1,235 | $1,900 | 3.0× |
| Brachytx isodose intermed (77317) | $1,096.55 | $1,687 | 2.6× |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$867.10–$927.55 | $1,334–$1,427 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,496.30 | $2,302 | 2.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,398.15 | $2,151 | 3.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$2,631.85–$2,710.50 | $4,049–$4,170 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$2,754.70–$2,837.25 | $4,238–$4,365 | varies |
| Cardiac Shunt Detection (78428) | $1,061.45 | $1,633 | 2.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$607.10–$625.30 | $934–$962 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$2,049.45–$2,111.20 | $3,153–$3,248 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$254.80–$260 | $392–$400 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$283.40–$289.25 | $436–$445 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$320.45–$326.95 | $493–$503 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$398.45–$404.30 | $613–$622 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$293.15–$586.30 | $451–$902 | varies |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$111.58–$1,040.65 | $171.66–$1,601 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,307.30–$7,453.55 | $11,242–$11,467 | varies |
| Contrast X-Ray Bladder (74430) | $594.75 | $915 | 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 |
$863.20–$1,761.50 | $1,328–$2,710 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,559.10–$4,695.60 | $7,014–$7,224 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,726.75–$2,808.65 | $4,195–$4,321 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,345.85–$2,416.05 | $3,609–$3,717 | varies |
| CT abdomen w wo contrast (74170) | $2,906.15 | $4,471 | 14.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,614.60–$1,663.35 | $2,484–$2,559 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,559.75–$4,696.25 | $7,015–$7,225 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,642.60–$3,751.80 | $5,604–$5,772 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$4,738.50–$8,035.30 | $7,290–$12,362 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$4,003.35–$4,123.60 | $6,159–$6,344 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$3,651.70–$7,523.10 | $5,618–$11,574 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$4,916.60–$5,064.15 | $7,564–$7,791 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,036.45–$2,721.55 | $3,133–$4,187 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,970.50 | $4,570 | 15.2× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,651–$1,700.40 | $2,540–$2,616 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,918.15–$1,976 | $2,951–$3,040 | varies |
| CT cervical spine w/wo cont (72127) | $2,124.85 | $3,269 | 10.9× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,369.90–$2,440.75 | $3,646–$3,755 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,910.70–$2,997.80 | $4,478–$4,612 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,135.55–$1,169.35 | $1,747–$1,799 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,422.85–$1,505.40 | $2,189–$2,316 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$823.55–$848.25 | $1,267–$1,305 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $178.75 | $275 | 1.8× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,379.30–$1,420.90 | $2,122–$2,186 | varies |
| CT l-spine w&w/o contrast (72133) | $2,438.15 | $3,751 | 12.5× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,888.25–$3,776.50 | $2,905–$5,810 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$2,373.15–$4,746.30 | $3,651–$7,302 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,929.20–$2,112.50 | $2,968–$3,250 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,885–$1,941.55 | $2,900–$2,987 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,477.15–$2,551.25 | $3,811–$3,925 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,031.90–$2,093 | $3,126–$3,220 | varies |
| CT neck tissue combo (70492) | $1,390.35 | $2,139 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,693.90–$1,744.60 | $2,606–$2,684 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$833.30–$840.45 | $1,282–$1,293 | varies |
| CT pelvis w&w/o contrast (72194) | $1,508.65 | $2,321 | 7.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,472.25–$1,516.45 | $2,265–$2,333 | varies |
| CT scans face/jaw combo (70488) | $1,201.85 | $1,849 | 6.1× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,369.25–$2,440.10 | $3,645–$3,754 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,917.50–$1,975.35 | $2,950–$3,039 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,489.15–$1,534 | $2,291–$2,360 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,895.40–$1,951.95 | $2,916–$3,003 | varies |
| CT thoracic spine w/wo cont (72130) | $1,892.80 | $2,912 | 9.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,881.75–$1,938.30 | $2,895–$2,982 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$200.20–$230.10 | $308–$354 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,881.75–$1,938.30 | $2,895–$2,982 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,429.05–$2,501.85 | $3,737–$3,849 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$3,943.55–$4,061.85 | $6,067–$6,249 | varies |
| Cta Abdomen (74175) | $3,773.25 | $5,805 | 19.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,688.10–$6,071.65 | $5,674–$9,341 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,661.75–$2,741.70 | $4,095–$4,218 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $293.15 | $451 | 2.5× |
| Echo Guide For Artery Repair (76936) | $939.25 | $1,445 | 3.9× |
| Echograp Trans R Pros Study (76873) | $319.15 | $491 | 2.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$909.35–$927.55 | $1,399–$1,427 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$521.30–$531.70 | $802–$818 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$638.95–$651.95 | $983–$1,003 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$656.50–$780.65 | $1,010–$1,201 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$293.15–$299 | $451–$460 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$302.90–$605.80 | $466–$932 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,957.80–$2,016.30 | $3,012–$3,102 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,938.30–$1,996.15 | $2,982–$3,071 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$319.15–$824.20 | $491–$1,268 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,285.40 | $3,516 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$2,227.55–$2,383.55 | $3,427–$3,667 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,143.80 | $9,452 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$3,567.20–$3,674.45 | $5,488–$5,653 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,988.70–$3,078.40 | $4,598–$4,736 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$3,558.10–$3,664.70 | $5,474–$5,638 | varies |
| Interstitial radiation source applic complex (77778) | $3,166.15 | $4,871 | 4.1× |
| Joint Survey Single View (77077) | $334.10 | $514 | 2.9× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$3,147.30–$3,619.20 | $4,842–$5,568 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,413.10 | $2,174 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,475.50–$1,521 | $2,270–$2,340 | varies |
| Kidney Imaging Morphol (78700) | $653.25 | $1,005 | 1.5× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$364.65–$743.60 | $561–$1,144 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,489.80 | $2,292 | 3.3× |
| Lung perfusion differential (78597) | $1,566.50 | $2,410 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,553.85–$2,630.55 | $3,929–$4,047 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,365.35–$2,436.20 | $3,639–$3,748 | varies |
| Magnetic Image Jaw Joint (70336) | $1,428.70 | $2,198 | 5.4× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,250.60–$1,438.45 | $1,924–$2,213 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$300.08–$385.45 | $461.66–$593 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $5,407.35 | $8,319 | 13.9× |
| MRA head w/o contrast (70544) | $3,490.50 | $5,370 | 13.1× |
| MRA head with contrast (70545) | $3,204.50 | $4,930 | 8.2× |
| MRA neck w contrast (70548) | $3,607.50 | $5,550 | 9.3× |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$5,136.30–$5,290.35 | $7,902–$8,139 | varies |
| MRA neck w/o contrast (70547) | $3,391.70 | $5,218 | 12.8× |
| MRI abdomen w contrast (74182) | $2,050.10 | $3,154 | 5.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,650.70–$2,730 | $4,078–$4,200 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,918.80–$4,699.50 | $2,952–$7,230 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,776.50–$3,889.60 | $5,810–$5,984 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,961.70–$2,020.85 | $3,018–$3,109 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,234.35–$1,306.50 | $1,899–$2,010 | varies |
| MRI cardiac w/o cont stress (75559) | $1,962.35 | $3,019 | 3.2× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,145.95–$1,180.40 | $1,763–$1,816 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$2,326.35–$2,395.90 | $3,579–$3,686 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,650.70–$2,730 | $4,078–$4,200 | varies |
| MRI chest w/o contrast (71550) | $2,018.90 | $3,106 | 7.6× |
| MRI chest wo w contrast (71552) | $4,905.55 | $7,547 | 12.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,478.45 | $3,813 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,077.45–$8,154.90 | $6,273–$12,546 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,991.95–$3,081.65 | $4,603–$4,741 | varies |
| MRI lumbar spine w contrast (72149) | $2,270.45 | $3,493 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,439.80–$3,543.15 | $5,292–$5,451 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,105.05–$3,198 | $4,777–$4,920 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,170.35–$2,496 | $3,339–$3,840 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,976.05–$4,095.65 | $6,117–$6,301 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$4,053.40–$4,174.95 | $6,236–$6,423 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,042.65–$3,133.65 | $4,681–$4,821 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$235.95–$243.10 | $363–$374 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$2,477.80–$2,551.90 | $3,812–$3,926 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,386.15 | $3,671 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,101.15 | $4,771 | 11.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,042.35 | $6,219 | 10.4× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,069–$4,191.20 | $6,260–$6,448 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,472.95–$3,576.95 | $5,343–$5,503 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$1,983.15–$2,042.95 | $3,051–$3,143 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,022.80–$4,166.50 | $3,112–$6,410 | varies |
| MRI, joint upper extrem combo (73223) | $3,889.60 | $5,984 | 10.0× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,856.45–$3,972.15 | $5,933–$6,111 | varies |
| Myelogram Lumbar (72265) | $1,216.15 | $1,871 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,919.80 | $4,492 | 2.0× |
| 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 |
$282.10–$287.95 | $434–$443 | varies |
| Nonvascular Shunt X-Ray (75809) | $326.95 | $503 | 2.8× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$1,121.50–$8,074.30 | $1,725.39–$12,422 | varies |
| Nuclear Rx Oral Admin (79005) | $1,097.85 | $1,689 | 4.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$187.85–$191.75 | $289–$295 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$365.95–$373.10 | $563–$574 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) | $298.35 | $459 | 2.6× |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$269.10–$274.30 | $414–$422 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,470–$2,544.10 | $3,800–$3,914 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,491.75 | $2,295 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$333.45–$339.95 | $513–$523 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,382.30 | $6,742 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,589.25 | $2,445 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$455.65–$464.75 | $701–$715 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,340.30–$1,366.95 | $2,062–$2,103 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$364–$728 | $560–$1,120 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$253.50–$278.20 | $390–$428 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$334.10–$668.20 | $514–$1,028 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$380.25–$406.90 | $585–$626 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$352.95–$720.20 | $543–$1,108 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$313.30–$626.60 | $482–$964 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$442.65–$885.30 | $681–$1,362 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $282.75 | $435 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$257.40–$367.25 | $396–$565 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$286–$317.85 | $440–$489 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$349.70–$699.40 | $538–$1,076 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $260.65 | $401 | 2.7× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$271.70–$276.90 | $418–$426 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$280.80–$307.45 | $432–$473 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$244.40–$249.60 | $376–$384 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$263.25–$640.90 | $405–$986 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$286–$503.75 | $440–$775 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$385.45–$786.50 | $593–$1,210 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $513.50 | $790 | 4.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$20,534.80–$23,636.60 | $31,592–$36,364 | varies |
| Radiation treatment delivery level 1 (77402) | $434.20 | $668 | 3.8× |
| Radiation treatment delivery level 2 (77407) | $596.70 | $918 | 1.4× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$219.95–$303.55 | $338.38–$467 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $330.20 | $508 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $411.45 | $633 | 3.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$720.85–$1,607.45 | $1,109–$2,473 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$548.60–$559.65 | $844–$861 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$375.70–$434.20 | $578–$668 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,098.50 | $1,690 | 5.6× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$873.60–$891.15 | $1,344–$1,371 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 2 matching MRF lines |
$704.60–$718.90 | $1,084–$1,106 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $642.85 | $989 | 3.3× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$274.95–$280.15 | $423–$431 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$293.15–$598 | $451–$920 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$306.80–$625.30 | $472–$962 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $507 | $780 | 4.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$328.25–$656.50 | $505–$1,010 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,646.45 | $2,533 | 3.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$376.35–$391.95 | $579–$603 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,223.95–$1,407.25 | $1,883–$2,165 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,441.45 | $6,833 | 7.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,889.90–$3,323.45 | $4,446–$5,113 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,353.65–$2,652.65 | $3,621–$4,081 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,782.35 | $5,819 | 2.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,910.70 | $4,478 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,778.45 | $5,813 | 2.6× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$603.85–$672.10 | $929–$1,034 | varies |
| Salivary Gland Function Study (78232) | $746.85 | $1,149 | 1.7× |
| Scapula (73010) range across 4 matching MRF lines |
$305.50–$685.10 | $470–$1,054 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$266.50–$271.70 | $410–$418 | varies |
| Shoulder Arthrography (73040) | $1,045.20 | $1,608 | 2.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$287.95–$349.05 | $443–$537 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$111.58–$143 | $171.66–$220 | varies |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$111.58–$778.05 | $171.66–$1,197 | varies |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$300.08–$1,701.05 | $461.66–$2,617 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$478.89–$588.90 | $736.75–$906 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 3 matching MRF lines |
$1,478.52–$9,798.75 | $2,274.64–$15,075 | varies |
| Sternoclavicular joints (71130) | $259.35 | $399 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,099.80–$1,176.50 | $1,692–$1,810 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,034.15 | $1,591 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$300.08–$2,455.70 | $461.66–$3,778 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$1,726.40–$1,847.30 | $2,656–$2,842 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$111.58–$143 | $171.66–$220 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$323.70–$358.15 | $498–$551 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$365.95–$417.95 | $563–$643 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$313.30–$349.05 | $482–$537 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$936–$1,076.40 | $1,440–$1,656 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,119–$2,182.70 | $3,260–$3,358 | varies |
| Thyroid Uptake Measurement (78012) | $1,063.40 | $1,636 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,630.20–$1,678.95 | $2,508–$2,583 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$268.14–$1,476.80 | $412.53–$2,272 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$111.58–$1,011.40 | $171.66–$1,556 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$111.58–$800.80 | $171.66–$1,232 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$406.90–$813.80 | $626–$1,252 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$378.30–$386.10 | $582–$594 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$595.40–$607.10 | $916–$934 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$449.15–$458.25 | $691–$705 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,294.80 | $1,992 | 2.9× |
| Upper gi w/o kub (74240) | $1,084.20 | $1,668 | 5.5× |
| Urethrocystogram voiding (74455) | $615.55 | $947 | 2.3× |
| Urethrocystography retrograde (74450) | $615.55 | $947 | 2.3× |
| Us breast unilateral complete (76641) | $508.95 | $783 | 4.4× |
| Us chest (76604) range across 2 matching MRF lines |
$569.40–$581.10 | $876–$894 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$666.90–$680.55 | $1,026–$1,047 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$549.25–$560.30 | $845–$862 | varies |
| Us head (76506) range across 2 matching MRF lines |
$861.25–$878.80 | $1,325–$1,352 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$542.75–$553.80 | $835–$852 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$317.85–$324.35 | $489–$499 | varies |
| Us ob detailed single fetus (76811) | $801.45 | $1,233 | 3.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$472.55–$482.30 | $727–$742 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$511.55–$521.95 | $787–$803 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$681.85–$695.50 | $1,049–$1,070 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$575.25–$586.95 | $885–$903 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$594.75–$606.45 | $915–$933 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$722.15–$736.45 | $1,111–$1,133 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$577.20–$588.90 | $888–$906 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$684.45–$698.10 | $1,053–$1,074 | varies |
| Us spinal canal and contents (76800) | $1,082.90 | $1,666 | 9.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$689–$702.65 | $1,060–$1,081 | varies |
| Us transrectal (76872) | $241.80 | $372 | 2.1× |
| Vein X-Ray Chest (75827) | $3,093.35 | $4,759 | 1.8× |
| Venogram Sinus/Jugular (75860) | $3,183.70 | $4,898 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $4,758 | $7,320 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $3,355.95 | $5,163 | 1.9× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,715.70–$2,770.30 | $4,178–$4,262 | varies |
| Venography Renal Bilateral (75833) | $7,715.50 | $11,870 | 2.2× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,731.30–$2,785.90 | $4,202–$4,286 | varies |
| Venous sampling by catheter (75893) | $12,287.60 | $18,904 | 2.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$321.10–$655.20 | $494–$1,008 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$230.10–$234.65 | $354–$361 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$715.65–$729.95 | $1,101–$1,123 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$7,118.15–$7,260.50 | $10,951–$11,170 | varies |
| X-Ray Bend Only L-S Spine (72120) | $334.10 | $514 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$268.45–$289.25 | $413–$445 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$1,340.30–$2,680.60 | $2,062–$4,124 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $286.65 | $441 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$323.05–$659.10 | $497–$1,014 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$385.45–$770.90 | $593–$1,186 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $348.40 | $536 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$520.65–$575.90 | $801–$886 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$351.65–$427.70 | $541–$658 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$530.40–$711.75 | $816–$1,095 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$365.95–$391.95 | $563–$603 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$262.60–$267.80 | $404–$412 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$310.05–$620.10 | $477–$954 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $261.95 | $403 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$217.75–$222.30 | $335–$342 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$374.40–$382.20 | $576–$588 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$278.85–$284.70 | $429–$438 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$391.30–$464.10 | $602–$714 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$303.55–$316.55 | $467–$487 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $258.70 | $398 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$218.40–$222.95 | $336–$343 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$323.70–$377.65 | $498–$581 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,268.80–$1,294.15 | $1,952–$1,991 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,042.60–$1,063.40 | $1,604–$1,636 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$460.20–$529.10 | $708–$814 | varies |
| Xr facial bones less than 3 views (70140) | $234 | $360 | 2.4× |
| Xr orbits complete 4 views (70200) | $365.30 | $562 | 3.1× |
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.