Imaging prices at Pioneers Memorial Healthcare District
Brawley, CA · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$36.08–$39.55 | $103.08–$113 | varies |
| Abdomen 2 views (74019) | $79.10 | $226 | 0.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $335.56 | $958.73 | 0.7× |
| Adrenal Cortex & Medulla Img (78075) | $1,220.01 | $3,485.75 | 0.7× |
| Angio internal mammary (75756) | $1,138.75 | $4,555 | 0.3× |
| Angio pulmonary bilat (75743) | $1,032.17 | $4,128.69 | 0.3× |
| Angiography extremity bilateral rs&i (75716) | $1,032.14 | $4,128.56 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $1,032.14 | $4,128.56 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,032.14 | $4,128.56 | 0.3× |
| Ankle 2 views (73600) | $106.75 | $305 | 1.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,715.83 | $6,863.33 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,715.89 | $6,863.57 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,887 | $7,548 | 0.3× |
| Arthrogram ankle (73615) | $141 | $564 | 0.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$166.25–$254.80 | $665–$728 | varies |
| Arthrogram Wrist (73115) | $380.45 | $1,087 | 0.8× |
| Bone age studies (77072) | $106.75 | $305 | 0.8× |
| Bone Imaging 3 Phase (78315) | $341.05 | $974.43 | 0.7× |
| Bone Imaging Whole Body (78306) | $341.05 | $974.43 | 0.7× |
| Bone marrow imaging limited area (78102) | $379.32 | $1,083.78 | 0.7× |
| Bone marrow imaging; whole body (78104) | $379.32 | $1,083.78 | 0.7× |
| Bone survey infant (77076) | $106.75 | $305 | 0.8× |
| Brain Flow Imaging Only (78610) | $571.91 | $1,634.03 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $571.91 | $1,634.03 | 0.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $339.96 | $971.31 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $162.12 | $463.21 | 1.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $571.91 | $1,634.03 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $571.91 | $1,634.03 | 0.8× |
| Chest 1 view (71045) | $202.30 | $578 | 1.8× |
| Chest 2 views (71046) | $222.60 | $636 | 2.0× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$190.73–$245 | $544.95–$700 | varies |
| Chest 4 or more views (71048) | $269.50 | $770 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$129.15–$193.55 | $369–$553 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $121.10 | $346 | 0.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,032.14 | $4,128.56 | 0.3× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$137.50–$298.20 | $550–$852 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$296.80–$445.20 | $848–$1,272 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$435.61–$1,745.44 | $1,244.60–$4,986.98 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,052.41–$1,442.40 | $3,006.89–$4,121.15 | varies |
| CT abdomen w contrast (74160) | $1,161.23 | $3,317.79 | 5.1× |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$400.96–$1,569.22 | $1,145.61–$4,483.50 | varies |
| CT abdomen w/o contrast (74150) | $1,143.22 | $3,266.34 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $728 | $2,080 | 1.6× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$477.72–$1,084.05 | $1,364.90–$3,097.29 | varies |
| CT Angio Head (70496) | $1,127.53 | $3,221.51 | 5.0× |
| CT angio hrt w/3d image (75574) | $282.69 | $807.68 | 0.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $207.66 | $593.30 | 0.9× |
| CT Angio Neck (70498) | $1,127.53 | $3,221.51 | 5.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $207.66 | $593.30 | 0.9× |
| CT cervical spine w/ contrast (72126) | $1,257.55 | $3,593 | 2.8× |
| CT cervical spine w/o contrast (72125) | $1,143.10 | $3,266 | 8.5× |
| CT cervical spine w/wo cont (72127) | $1,383.20 | $3,952 | 6.1× |
| CT chest w contrast (71260) | $1,084.05 | $3,097.29 | 4.8× |
| CT chest w/wo contrast (71270) | $1,237.37 | $3,535.35 | 5.5× |
| CT head/brain with contrast (70460) | $952.08 | $2,720.24 | 4.2× |
| CT head/brain without and with contrast (70470) | $1,168.94 | $3,339.84 | 5.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $83.30 | $238 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $119 | $340 | 1.1× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$292.60–$796.96 | $836–$2,277.03 | varies |
| CT l-spine w&w/o contrast (72133) | $1,246.89 | $3,562.55 | 5.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$235.49–$470.98 | $672.83–$1,345.65 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$280.03–$420.05 | $800.09–$1,200.14 | varies |
| CT lumbar spine w contrast (72132) | $1,211.13 | $3,460.38 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $1,039.80 | $2,970.87 | 7.7× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$292.60–$850.21 | $836–$2,429.18 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$244.65–$811.37 | $699–$2,318.19 | varies |
| CT neck tissue combo (70492) | $1,004.82 | $2,870.91 | 4.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$366.10–$1,050.35 | $1,046–$3,001.01 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$244.65–$877.74 | $699–$2,507.82 | varies |
| CT pelvis w&w/o contrast (72194) | $1,230.68 | $3,516.24 | 5.5× |
| CT pelvis w/o contrast (72192) | $954.91 | $2,728.32 | 7.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$351.40–$1,363.17 | $1,004–$3,894.77 | varies |
| CT soft tissue neck w contrast (70491) | $930.48 | $2,658.50 | 4.1× |
| CT soft tissue neck w/o contrast (70490) | $818.06 | $2,337.30 | 6.1× |
| CT thoracic spine w contrast (72129) | $1,394.04 | $3,982.97 | 6.2× |
| CT thoracic spine w/o contrast (72128) | $933.82 | $2,668.05 | 6.9× |
| CT thoracic spine w/wo cont (72130) | $1,101.29 | $3,146.54 | 4.9× |
| CT thorax w/o contrast (71250) | $1,045.21 | $2,986.31 | 7.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$764.55–$1,146.82 | $2,184.42–$3,276.63 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$365.40–$548.10 | $1,044–$1,566 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$237.09–$420.05 | $677.40–$1,200.14 | varies |
| Cta Abdomen (74175) | $561.56 | $1,604.47 | 2.5× |
| Discography Cerv/Thor Spine (72285) | $689.75 | $2,759 | 0.3× |
| Diskography lumbar (72295) | $689.75 | $2,759 | 0.3× |
| Dxa Bone Density Axial (77080) | $512.75 | $1,465 | 3.8× |
| Dxa bone density study (77085) | $104.30 | $298 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $233.10 | $666 | 2.1× |
| Esophagram (74220) | $114.45 | $327 | 0.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $173.53 | $385.62 | 1.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$97.25–$150.37 | $389.01–$429.63 | varies |
| Foot 2 views (73620) | $66.85 | $191 | 0.6× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$115.15–$173.25 | $329–$495 | varies |
| Gastric emptying imaging study (78264) | $335.56 | $958.73 | 0.7× |
| Gated Heart Planar Single (78472) | $383.39 | $1,095.40 | 0.7× |
| Hand 2 views (73120) | $106.75 | $305 | 0.8× |
| Heart first pass single,planar (78481) | $383.39 | $1,095.40 | 0.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,032.14 | $4,128.56 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,032.14 | $4,128.56 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $382.86 | $1,093.90 | 0.5× |
| Hepatobiliary System Imaging (78226) | $382.86 | $1,093.90 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $1,170.54 | $3,344.40 | 0.7× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$98.78–$151.55 | $395.10–$433 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $91.70 | $262 | 0.8× |
| Infant hip ultrasound, limited static exam (76886) | $85.75 | $245 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $431.72 | $1,233.50 | 0.6× |
| K Flow/Funct Image W/O Drug (78707) | $431.72 | $1,233.50 | 0.6× |
| Kidney Imaging Morphol (78700) | $431.72 | $1,233.50 | 0.8× |
| Knee 3 Views (73562) | $106.75 | $305 | 1.0× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $644.72 | $1,842.05 | 1.3× |
| Leveen/Shunt Patency Exam (78291) | $335.56 | $958.73 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $382.86 | $1,093.90 | 0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $382.86 | $1,093.90 | 0.7× |
| Liver imaging static only (78201) | $382.86 | $1,093.90 | 0.5× |
| Liver imaging w/vascular flow (78202) | $382.86 | $1,093.90 | 0.5× |
| Lung perfusion differential (78597) | $324.20 | $926.28 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $451.92 | $1,291.20 | 0.6× |
| Lung Ventilation Imaging (78579) | $324.20 | $926.28 | 0.6× |
| Lymph System Imaging (78195) | $379.32 | $1,083.78 | 0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,089.95 | $4,359.80 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $429.80 | $1,719.21 | 0.1× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$345.90–$378.70 | $988.28–$1,082 | varies |
| Meckels Divert Exam (78290) | $335.56 | $958.73 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$678.82–$1,333.66 | $1,939.50–$3,810.45 | varies |
| MRA head w/o contrast (70544) | $678.82 | $1,939.50 | 2.2× |
| MRA head with contrast (70545) | $672 | $1,920 | 1.5× |
| MRA neck w contrast (70548) | $678.82 | $1,939.50 | 1.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,333.66 | $3,810.45 | 3.0× |
| MRA neck w/o contrast (70547) | $678.82 | $1,939.50 | 2.2× |
| MRI abdomen w contrast (74182) | $645.98 | $1,845.66 | 1.4× |
| MRI abdomen w/o contrast (74181) | $673 | $1,922.85 | 2.2× |
| MRI any jt lower extrem w/contrast material (73722) | $804.79 | $2,299.41 | 0.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,489 | $4,254.30 | 3.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $804.79 | $2,299.41 | 0.8× |
| MRI cardiac w/o contrast (75557) | $293.95 | $839.85 | 1.0× |
| MRI cervical spine w contrast (72142) | $814.37 | $2,326.78 | 1.8× |
| MRI cervical spine w/o cont (72141) | $678.82 | $1,939.50 | 2.2× |
| MRI chest w/o contrast (71550) | $673 | $1,922.85 | 2.2× |
| MRI chest with contrast (71551) | $806.88 | $2,305.36 | 0.8× |
| MRI chest wo w contrast (71552) | $1,467.55 | $4,193 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,207.19 | $3,449.12 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,489 | $4,254.30 | 3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,005.74 | $2,873.55 | 3.3× |
| MRI lumbar spine w contrast (72149) | $814.37 | $2,326.78 | 1.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,508.58 | $4,310.24 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $732.90 | $2,094 | 2.4× |
| MRI orbit face neck w contrast (70542) | $644.51 | $1,841.46 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,193.06 | $3,408.74 | 2.7× |
| MRI pelvis w contrast (72196) | $806.88 | $2,305.36 | 1.8× |
| MRI pelvis w/o & w contrast (72197) | $1,492.34 | $4,263.82 | 3.3× |
| MRI pelvis w/o contrast (72195) | $673 | $1,922.85 | 2.2× |
| MRI thoracic spine w/o contrast (72146) | $753.09 | $2,151.68 | 2.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $559.30 | $1,598.01 | 1.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $438.27 | $1,252.20 | 1.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $670.50 | $1,915.70 | 1.5× |
| MRI, abdomen, combo (74183) | $1,492.34 | $4,263.82 | 3.3× |
| MRI, dorsal spine combo (72157) | $564.90 | $1,614.01 | 1.3× |
| MRI, dorsal spine contrast (72147) | $814.37 | $2,326.78 | 1.8× |
| MRI, joint upper extrem (73221) | $670.50 | $1,915.70 | 2.2× |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$1,389.50–$1,489 | $3,970–$4,254.30 | varies |
| MRI, lumbar spine combo (72158) | $1,508.58 | $4,310.24 | 3.4× |
| Myelography thoracic (72255) | $538.20 | $1,537.70 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $1,170.54 | $3,344.40 | 0.7× |
| Neck soft tissue (70360) | $66.85 | $191 | 0.6× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$49.29–$159.09 | $197.16–$454.53 | varies |
| Nuclear medicine study of endocrine organs (78099) | $226.80 | $648 | 0.4× |
| Parathyroid Planar Imaging (78070) | $289.42 | $826.90 | 0.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $387.26 | $1,106.45 | 0.8× |
| Pelvis 1 or 2 views (72170) | $91 | $260 | 0.7× |
| Peritoneogram Rs&I (74190) | $205.50 | $822 | 0.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,089.95 | $4,359.80 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $324.20 | $926.28 | 0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $106.75 | $305 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$196.62–$301.35 | $786.47–$861 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $106.75 | $305 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $66.85 | $191 | 0.6× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$141.05–$211.40 | $403–$604 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $106.75 | $305 | 0.8× |
| Radex fingr minimum 2 views (73140) | $57.05 | $163 | 0.5× |
| Radex foot complete minimum 3 views (73630) | $66.85 | $191 | 0.6× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$137.20–$205.80 | $392–$588 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $106.75 | $305 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $106.75 | $305 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $66.85 | $191 | 0.6× |
| Radex Ribs Unilateral 2 Views (71100) | $186.20 | $532 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$154.70–$232.05 | $442–$663 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $66.85 | $191 | 0.6× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$126.35–$162.05 | $361–$463 | varies |
| Radex Sternum Minimum 2 Views (71120) | $139.30 | $398 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $66.85 | $191 | 0.6× |
| Radex Toe Minimum 2 Views (73660) | $66.85 | $191 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) | $91 | $260 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$143.85–$215.60 | $411–$616 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $106.75 | $305 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $459.90 | $1,314 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $169.75 | $485 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) | $106.75 | $305 | 0.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $114.45 | $327 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $114.45 | $327 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $462.70 | $1,322 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $66.85 | $191 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $66.85 | $191 | 0.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $106.75 | $305 | 0.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $66.85 | $191 | 0.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $66.85 | $191 | 0.6× |
| Ribs bilateral 3 views (71110) | $453.25 | $1,295 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$235.90–$725.32 | $674–$2,072.35 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $387.26 | $1,106.45 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,220.01 | $3,485.75 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $725.32 | $2,072.35 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$307.65–$382.86 | $879–$1,093.90 | varies |
| Salivary Gland Imaging Serial Images (78231) | $335.56 | $958.73 | 0.7× |
| Scapula (73010) range across 3 matching MRF lines |
$154.70–$232.05 | $442–$663 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$26.60–$110.25 | $76–$315 | varies |
| Sella turcica (70240) | $66.85 | $191 | 0.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$154.70–$232.05 | $442–$663 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$254.80–$380.45 | $728–$1,087 | varies |
| Sialogram (70390) | $71.40 | $204 | 0.2× |
| Skull less than 4 views (70250) | $106.75 | $305 | 0.8× |
| Sternoclavicular joints (71130) | $66.85 | $191 | 0.6× |
| Testicular Imaging W/Flow (78761) | $431.72 | $1,233.50 | 0.8× |
| Thoracic spine 3 views (72072) | $200.20 | $572 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $194.92 | $556.90 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $289.42 | $826.90 | 0.6× |
| Ultrasound Breast Limited (76642) | $94.11 | $268.88 | 0.8× |
| Ultrasound Elastography Parenchyma (76981) | $347.40 | $772 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $138.40 | $395.43 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$48.53–$67.94 | $194.12 | varies |
| Unlisted us procedure (76999) | $51.45 | $147 | 0.5× |
| Upper gi w/o kub (74240) | $435.75 | $1,245 | 1.9× |
| Urethrocystogram voiding (74455) | $298.20 | $852 | 1.0× |
| Urethrocystography retrograde (74450) | $298.20 | $852 | 1.0× |
| Us breast unilateral complete (76641) | $197.50 | $438.90 | 1.5× |
| Us chest (76604) | $138.40 | $395.43 | 1.0× |
| Us complete joint (76881) | $138.40 | $395.43 | 1.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$49.29–$130.52 | $197.16–$290.05 | varies |
| Us head (76506) | $138.40 | $395.43 | 1.0× |
| Us kidney transplant (76776) | $138.40 | $395.43 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$67.90–$101.85 | $194–$291 | varies |
| Us ob detailed single fetus (76811) | $208.98 | $597.08 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$103.95–$170.54 | $231–$378.97 | varies |
| Us ob transvaginal (76817) | $109.35 | $243 | 0.8× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$111.15–$128.33 | $247–$285.18 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$152.55–$214.63 | $339–$476.95 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $81 | $180 | 0.6× |
| Us retroperitoneal complete (76770) | $138.40 | $395.43 | 1.0× |
| Us retroperitoneal limited (76775) | $48.53 | $194.12 | 0.4× |
| Us scrotum and contents (76870) | $138.40 | $395.43 | 1.0× |
| Us spinal canal and contents (76800) | $94.11 | $268.88 | 0.7× |
| Us thyroid (76536) range across 4 matching MRF lines |
$49.29–$69.01 | $197.16 | varies |
| Us transrectal (76872) | $317.90 | $706.45 | 2.4× |
| Vein X-Ray Chest (75827) | $427.54 | $1,710.15 | 0.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $434.30 | $1,737.18 | 0.1× |
| Vein X-Ray Skull Epidural (75872) | $434.30 | $1,737.18 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $410.44 | $1,641.74 | 0.1× |
| Venogram Sinus/Jugular (75860) | $1,032.14 | $4,128.56 | 0.3× |
| Venography Adrenal Unilateral (75840) | $1,032.14 | $4,128.56 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,032.14 | $4,128.56 | 0.3× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$299.13–$458.50 | $1,196.51–$1,310 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$299.13–$458.50 | $1,196.51–$1,310 | varies |
| Venography Renal Bilateral (75833) | $1,631.88 | $6,527.50 | 0.4× |
| Venography Renal Unilateral (75831) | $1,087.92 | $4,351.67 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,864.85 | $7,459.41 | 0.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$66.85–$203.35 | $191–$581 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $91 | $260 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,877.35 | $8,221 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $295.40 | $844 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$141.05–$211.40 | $403–$604 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$345.90–$378.70 | $988.28–$1,082 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $91 | $260 | 0.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $66.85 | $191 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $66.85 | $191 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $176.40 | $504 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $252.35 | $721 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $91 | $260 | 0.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $91 | $260 | 0.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $289.80 | $828 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $226.45 | $647 | 1.7× |
| X-ray eye for foreign body (70030) | $66.85 | $191 | 0.6× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$66.85–$193.90 | $191–$554 | varies |
| X-ray IV pyelogram (ivp) (74400) | $298.20 | $852 | 1.3× |
| X-ray IV pyelogram+tomography (74415) | $298.20 | $852 | 1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $66.85 | $191 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $91 | $260 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $66.85 | $191 | 0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $106.75 | $305 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $91 | $260 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $57.05 | $163 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $106.75 | $305 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $106.75 | $305 | 0.8× |
| X-Ray Tmj Unilat (70328) | $66.85 | $191 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $298.20 | $852 | 0.7× |
| X-Rays Bone Length Studies (77073) | $106.75 | $305 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $179.20 | $512 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $247.10 | $706 | 1.8× |
| Xr facial bones less than 3 views (70140) | $66.85 | $191 | 0.6× |
| Xr orbits complete 4 views (70200) | $106.75 | $305 | 0.8× |
| Xr Tomogram Single Plane (76100) | $106.75 | $305 | 0.8× |
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.