Imaging prices at Presbyterian Hospital
Albuquerque, NM · every code in this section with a posted price and a Medicare benchmark.
364 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 |
$829.50–$6,645.10 | $1,185–$9,493 | varies |
| Abdomen 1 View (74018) | $165.90 | $237 | 1.9× |
| Abdomen 2 views (74019) | $214.90 | $307 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,239 | $1,770 | 3.1× |
| Adrenal Cortex & Medulla Img (78075) | $1,330 | $1,900 | 1.0× |
| Angio internal mammary (75756) | $8,477.70 | $12,111 | 2.7× |
| Angio pulmonary bilat (75743) | $2,261 | $3,230 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,527.70 | $3,611 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $1,953 | $2,790 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,904.70 | $2,721 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,807.70 | $4,011 | 0.9× |
| Ankle 2 views (73600) | $139.30 | $199 | 1.6× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,661.80 | $2,374 | 0.3× |
| Artery X-Rays Abdomen (75726) | $3,688.30 | $5,269 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,087.70 | $4,411 | 0.6× |
| Artery X-Rays Spine (75705) | $3,688.30 | $5,269 | 0.7× |
| Arthrogram ankle (73615) | $923.30 | $1,319 | 2.7× |
| Arthrogram hip (73525) | $519.40 | $742 | 1.5× |
| Arthrogram Wrist (73115) | $356.30 | $509 | 1.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$110.60–$463.40 | $158–$662 | varies |
| Bone age studies (77072) | $140 | $200 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,390.20 | $1,986 | 3.5× |
| Bone Imaging Limited Area (78300) | $982.80 | $1,404 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,216.60 | $1,738 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,362.20 | $1,946 | 3.4× |
| Bone marrow imaging limited area (78102) | $1,095.50 | $1,565 | 2.8× |
| Bone marrow imaging; multiple areas (78103) | $1,260 | $1,800 | 3.2× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$242.20–$539.70 | $346–$771 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$247.80–$459.90 | $354–$657 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$156.10–$351.40 | $223–$502 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,033.90 | $1,477 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$882.70–$1,235.50 | $1,261–$1,765 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$919.10–$2,312.80 | $1,313–$3,304 | varies |
| Cat Scan Follow-Up Study (76380) | $289.10 | $413 | 3.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $613.90 | $877 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $1,066.10 | $1,523 | 2.0× |
| Chest 1 view (71045) | $165.20 | $236 | 1.9× |
| Chest 2 views (71046) | $196.70 | $281 | 2.3× |
| Chest 3 views (71047) | $226.10 | $323 | 2.6× |
| Chest 4 or more views (71048) | $254.10 | $363 | 2.5× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $487.90 | $697 | 4.7× |
| Cisternography Positive Contrast Rs&I (70015) | $2,481.50 | $3,545 | 3.2× |
| Clavicle complete (73000) | $147.70 | $211 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $193.20 | $276 | 1.9× |
| Continuing medical physics consltj pr wk (77336) | $399.70 | $571 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,119.60 | $3,028 | 0.7× |
| Contrast X-Ray Bladder (74430) | $411.60 | $588 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $379.40 | $542 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,271.80 | $4,674 | 9.5× |
| CT abdomen and pelvis without contrast (74176) | $2,305.10 | $3,293 | 9.8× |
| CT abdomen w contrast (74160) | $1,514.10 | $2,163 | 8.7× |
| CT abdomen w wo contrast (74170) | $1,842.40 | $2,632 | 10.6× |
| CT abdomen w/o contrast (74150) | $986.30 | $1,409 | 9.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,271.80 | $4,674 | 9.5× |
| CT Angio Chest (71275) | $2,335.90 | $3,337 | 13.5× |
| CT Angio Head (70496) | $2,298.80 | $3,284 | 13.2× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$557.20–$1,132.60 | $796–$1,618 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,088.10 | $2,983 | 12.0× |
| CT Angio Neck (70498) | $2,298.80 | $3,284 | 13.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,104.90 | $3,007 | 12.1× |
| CT cervical spine w/ contrast (72126) | $1,766.10 | $2,523 | 5.1× |
| CT cervical spine w/o contrast (72125) | $1,447.60 | $2,068 | 14.0× |
| CT cervical spine w/wo cont (72127) | $1,943.90 | $2,777 | 11.2× |
| CT chest w contrast (71260) | $1,432.90 | $2,047 | 8.3× |
| CT chest w/wo contrast (71270) | $1,729.70 | $2,471 | 10.0× |
| CT head/brain with contrast (70460) | $1,390.20 | $1,986 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,477.70 | $2,111 | 8.5× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$413.70–$1,132.60 | $591–$1,618 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$158.20–$208.60 | $226–$298 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$542.50–$1,132.60 | $775–$1,618 | varies |
| CT iac w contrast (70481) | $1,123.50 | $1,605 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,810.20 | $2,586 | 10.4× |
| CT lower ext w/o (73700) | $916.30 | $1,309 | 8.9× |
| CT lower extremity w/contrast material (73701) | $1,322.30 | $1,889 | 7.6× |
| CT lumbar spine w contrast (72132) | $1,644.30 | $2,349 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,126.30 | $1,609 | 10.9× |
| CT maxillofacial w contrast (70487) | $1,116.50 | $1,595 | 6.4× |
| CT maxillofacial wo contrast (70486) | $725.20 | $1,036 | 7.0× |
| CT neck tissue combo (70492) | $1,653.40 | $2,362 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,481.20 | $2,116 | 8.5× |
| CT orbits w/o contrast (70480) | $925.40 | $1,322 | 8.9× |
| CT pelvis w&w/o contrast (72194) | $1,859.90 | $2,657 | 10.7× |
| CT pelvis w/o contrast (72192) | $1,163.40 | $1,662 | 11.2× |
| CT scan of leg combo (73702) | $1,554.70 | $2,221 | 9.0× |
| CT scans face/jaw combo (70488) | $1,476.30 | $2,109 | 8.5× |
| CT soft tissue neck w contrast (70491) | $1,253 | $1,790 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $806.40 | $1,152 | 7.8× |
| CT thoracic spine w contrast (72129) | $771.40 | $1,102 | 4.4× |
| CT thoracic spine w/o contrast (72128) | $505.40 | $722 | 4.9× |
| CT thoracic spine w/wo cont (72130) | $864.50 | $1,235 | 5.0× |
| CT thorax w/o contrast (71250) | $855.40 | $1,222 | 8.3× |
| CT upper ext wo (73200) | $958.30 | $1,369 | 9.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,585.50 | $2,265 | 9.1× |
| CT upper extremity with contrast (73201) | $1,348.20 | $1,926 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,354.80 | $3,364 | 13.6× |
| Cta Abdomen (74175) | $2,331 | $3,330 | 13.4× |
| CTA pelvis (72191) | $2,323.30 | $3,319 | 13.4× |
| Dilation ureters/urethra rs&i (74485) | $1,059.10 | $1,513 | 0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $311.50 | $445 | 3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $311.50 | $445 | 3.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $347.20 | $496 | 3.4× |
| Dxa Bone Density Axial (77080) | $317.10 | $453 | 3.1× |
| Echo exam of fetal heart (76825) | $1,499.40 | $2,142 | 2.8× |
| Echo exam uterus (76831) | $296.80 | $424 | 1.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,135.40 | $1,622 | 4.8× |
| Esophageal Motility Study (78258) | $938 | $1,340 | 2.4× |
| Esophagram (74220) | $387.80 | $554 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $449.40 | $642 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $287 | $410 | 2.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $615.30 | $879 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $729.40 | $1,042 | 3.1× |
| Follow-Up Angiography (75898) | $1,545.60 | $2,208 | 0.5× |
| Foot 2 views (73620) | $140 | $200 | 1.6× |
| Forearm 2 views (73090) | $172.20 | $246 | 2.0× |
| Gastric emptying imaging study (78264) | $938 | $1,340 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $988.40 | $1,412 | 2.5× |
| Gastroesophageal Reflux Exam (78262) | $587.30 | $839 | 1.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$365.40–$1,186.50 | $522–$1,695 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,311.10 | $1,873 | 2.4× |
| Hand 2 views (73120) | $162.40 | $232 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$1,275.40–$3,238.90 | $1,822–$4,627 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$405.30–$1,171.10 | $579–$1,673 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$324.80–$827.40 | $464–$1,182 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,094.30 | $5,849 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,239.60 | $4,628 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,358.70 | $1,941 | 2.5× |
| Hepatobiliary System Imaging (78226) | $841.40 | $1,202 | 2.1× |
| Hysterosalpingogram (74740) | $438.90 | $627 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $317.10 | $453 | 3.7× |
| Infusion Ivp (74410) | $525 | $750 | 3.0× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,519.30–$2,866.50 | $3,599–$4,095 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $1,473.50 | $2,105 | 2.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,011.50 | $1,445 | 1.8× |
| Intracavitary radiation source applic simple (77761) | $653.80 | $934 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $1,321.60 | $1,888 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $893.90 | $1,277 | 1.7× |
| Knee 3 Views (73562) | $215.60 | $308 | 2.5× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $560.70 | $801 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,449.70 | $2,071 | 3.7× |
| Liver imaging w/vascular flow (78202) | $2,838.50 | $4,055 | 5.3× |
| Lung Perf&Ventilat Diferentl (78598) | $928.20 | $1,326 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,037.40 | $1,482 | 1.9× |
| Lung Ventilation Imaging (78579) | $1,097.60 | $1,568 | 2.8× |
| Lymph System Imaging (78195) | $1,106.70 | $1,581 | 2.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $9,749.60 | $13,928 | 3.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $8,477.70 | $12,111 | 2.7× |
| Magnetic Resonance Elastography (76391) | $705.60 | $1,008 | 3.0× |
| Meckels Divert Exam (78290) | $679 | $970 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$651–$656.60 | $930–$938 | varies |
| Mr safety determination physician/other qhp (76016) | $262.50 | $375 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $73.50 | $105 | 2.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $273.70 | $391 | 2.9× |
| Mr safety implt pos&/immoblj (76019) | $177.10 | $253 | 3.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $721 | $1,030 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,590.40 | $2,272 | 4.6× |
| MRA head w/o contrast (70544) | $1,038.10 | $1,483 | 4.4× |
| MRA head with contrast (70545) | $1,259.30 | $1,799 | 3.6× |
| MRA neck w contrast (70548) | $1,297.10 | $1,853 | 3.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,631.70 | $2,331 | 4.7× |
| MRA neck w/o contrast (70547) | $1,112.30 | $1,589 | 4.7× |
| MRI abdomen w contrast (74182) | $1,080.80 | $1,544 | 3.1× |
| MRI abdomen w/o contrast (74181) | $930.30 | $1,329 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,384.60 | $1,978 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,649.20 | $2,356 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,255.80 | $1,794 | 1.6× |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$704.90–$1,044.40 | $1,007–$1,492 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$625.10–$1,071 | $893–$1,530 | varies |
| MRI cervical spine w contrast (72142) | $1,220.80 | $1,744 | 3.5× |
| MRI cervical spine w/o cont (72141) | $1,062.60 | $1,518 | 4.5× |
| MRI chest w/o contrast (71550) | $1,493.10 | $2,133 | 6.3× |
| MRI chest wo w contrast (71552) | $1,801.80 | $2,574 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,075.90 | $1,537 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,695.40 | $2,422 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,029 | $1,470 | 4.4× |
| MRI lumbar spine w contrast (72149) | $1,277.50 | $1,825 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,465.80 | $2,094 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,374.10 | $1,963 | 5.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,817.20 | $2,596 | 5.3× |
| MRI pelvis w contrast (72196) | $1,535.80 | $2,194 | 4.4× |
| MRI pelvis w/o & w contrast (72197) | $1,823.50 | $2,605 | 5.3× |
| MRI pelvis w/o contrast (72195) | $1,323 | $1,890 | 5.6× |
| MRI spectroscopy (76390) | $565.60 | $808 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $1,157.80 | $1,654 | 4.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,162 | $1,660 | 3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $934.50 | $1,335 | 4.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,315.30 | $1,879 | 3.8× |
| MRI, abdomen, combo (74183) | $1,295.70 | $1,851 | 3.8× |
| MRI, dorsal spine combo (72157) | $1,598.80 | $2,284 | 4.6× |
| MRI, dorsal spine contrast (72147) | $1,344 | $1,920 | 3.9× |
| MRI, joint upper extrem (73221) | $1,069.60 | $1,528 | 4.5× |
| MRI, joint upper extrem combo (73223) | $1,663.90 | $2,377 | 4.8× |
| MRI, lumbar spine combo (72158) | $1,518.30 | $2,169 | 4.4× |
| Myelogram cervical (72240) | $912.10 | $1,303 | 1.2× |
| Myelogram Lumbar (72265) | $889 | $1,270 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,064 | $1,520 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$538.30–$1,541.40 | $769–$2,202 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$1,334.90–$2,781.10 | $1,907–$3,973 | varies |
| Neck soft tissue (70360) | $239.40 | $342 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $494.90 | $707 | 4.8× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,586.20–$2,983.40 | $2,266–$4,262 | varies |
| Nuclear Rx Intra-Arterial (79445) | $885.50 | $1,265 | 3.8× |
| Nuclear Rx Oral Admin (79005) | $1,126.30 | $1,609 | 4.9× |
| Panoramic X-ray of jaws (70355) | $194.60 | $278 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,264.90 | $1,807 | 2.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,120 | $1,600 | 2.8× |
| Pelvis 1 or 2 views (72170) | $142.10 | $203 | 1.4× |
| Pet Image Skull-Thigh (78812) | $4,197.20 | $5,996 | 3.0× |
| Pet Image W/Ct Lmtd (78814) | $3,159.10 | $4,513 | 2.2× |
| PET image w/CT, full body (78816) | $3,791.20 | $5,416 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,791.20 | $5,416 | 2.7× |
| PET whole body (78813) | $4,827.20 | $6,896 | 3.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,774.50 | $2,535 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $591.50 | $845 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $336 | $480 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $543.20 | $776 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $185.50 | $265 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $169.40 | $242 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $200.20 | $286 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $303.10 | $433 | 2.9× |
| Radex fingr minimum 2 views (73140) | $126 | $180 | 1.5× |
| Radex foot complete minimum 3 views (73630) | $183.40 | $262 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $185.50 | $265 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $158.90 | $227 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $126 | $180 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $200.90 | $287 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $195.30 | $279 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $157.50 | $225 | 1.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $152.60 | $218 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $117.60 | $168 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $206.50 | $295 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $259 | $370 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $126 | $180 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $152.60 | $218 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $184.10 | $263 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $354.90 | $507 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $373.80 | $534 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $837.20 | $1,196 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $268.10 | $383 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $218.40 | $312 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $732.20 | $1,046 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $517.30 | $739 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $215.60 | $308 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $259 | $370 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $408.80 | $584 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $355.60 | $508 | 2.0× |
| Radiologic exam teeth complete full mouth (70320) | $118.30 | $169 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $690.90 | $987 | 4.0× |
| Radiologic examination femur minimum 2 views (73552) | $135.80 | $194 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $119 | $170 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $173.60 | $248 | 2.0× |
| Ribs bilateral 3 views (71110) | $269.50 | $385 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$945.70–$949.90 | $1,351–$1,357 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,765.70 | $3,951 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,862.70 | $2,661 | 3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,662.80–$3,264.80 | $3,804–$4,664 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,596.60 | $5,138 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,170.30 | $4,529 | 2.5× |
| Scapula (73010) | $171.50 | $245 | 1.7× |
| Shoulder 1 view (73020) | $137.90 | $197 | 1.6× |
| Shoulder Arthrography (73040) | $502.60 | $718 | 1.5× |
| Skull less than 4 views (70250) | $221.20 | $316 | 2.1× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$140.70–$266.70 | $201–$381 | varies |
| Special Physics Consult (77370) | $488.60 | $698 | 3.7× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$175–$668.50 | $250–$955 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$557.20–$1,997.10 | $796–$2,853 | varies |
| Stereotactic Body Radiation Delivery (77373) | $5,439 | $7,770 | 3.1× |
| Sternoclavicular joints (71130) | $203 | $290 | 2.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $195.30 | $279 | 1.9× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $290.50 | $415 | 3.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$246.40–$1,858.50 | $352–$2,655 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$112.70–$438.90 | $161–$627 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$443.10–$2,676.80 | $633–$3,824 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$301.70–$1,369.20 | $431–$1,956 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$193.90–$1,248.80 | $277–$1,784 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $461.30 | $659 | 2.7× |
| Thoracic spine 2 views (72070) | $213.50 | $305 | 2.1× |
| Thoracic spine 3 views (72072) | $264.60 | $378 | 2.6× |
| Thoracolumbar 2 views (72080) | $196 | $280 | 2.3× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $291.90 | $417 | 0.7× |
| Thyroid Imaging With Vascular Flow (78013) | $139.30 | $199 | 0.4× |
| Thyroid Met Imaging Body (78018) | $1,427.30 | $2,039 | 2.7× |
| Thyroid Uptake Measurement (78012) | $207.90 | $297 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $215.60 | $308 | 0.5× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$219.80–$1,409.80 | $314–$2,014 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$142.10–$506.10 | $203–$723 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$85.40–$443.80 | $122–$634 | varies |
| Ultrasound Breast Limited (76642) | $219.80 | $314 | 2.6× |
| Ultrasound Elastography Parenchyma (76981) | $354.90 | $507 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$140.70–$297.50 | $201–$425 | varies |
| Ultrasound, abdomen limited (76705) | $443.80 | $634 | 4.3× |
| Umbilical-artery Doppler (OB) (76820) | $301.70 | $431 | 2.9× |
| Unlisted Dx Radiographic Procedure (76499) | $262.50 | $375 | 3.0× |
| Unlisted respiratory px dx nuclear medicine (78599) | $925.40 | $1,322 | 2.3× |
| Unlisted us procedure (76999) | $101.50 | $145 | 1.2× |
| Upper gi w/o kub (74240) | $600.60 | $858 | 3.5× |
| Ureteral Reflux Study (78740) | $557.20 | $796 | 1.4× |
| Urethrocystogram voiding (74455) | $530.60 | $758 | 2.2× |
| Urethrocystography retrograde (74450) | $261.80 | $374 | 1.1× |
| Us chest (76604) | $297.50 | $425 | 2.9× |
| Us complete joint (76881) | $297.50 | $425 | 2.9× |
| Us exam, pelvic, limited (76857) | $297.50 | $425 | 2.9× |
| Us head (76506) | $297.50 | $425 | 2.9× |
| Us kidney transplant (76776) | $406.70 | $581 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $297.50 | $425 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $297.50 | $425 | 2.9× |
| Us ob transvaginal (76817) | $297.50 | $425 | 2.9× |
| Us pelvic non ob complete (76856) | $398.30 | $569 | 3.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $340.90 | $487 | 3.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $299.60 | $428 | 2.9× |
| Us retroperitoneal complete (76770) | $315 | $450 | 3.0× |
| Us retroperitoneal limited (76775) | $315 | $450 | 3.0× |
| Us scrotum and contents (76870) | $297.50 | $425 | 2.9× |
| Us spinal canal and contents (76800) | $163.10 | $233 | 1.6× |
| Us thyroid (76536) | $297.50 | $425 | 2.9× |
| Us transrectal (76872) | $388.50 | $555 | 3.8× |
| Vein X-Ray Chest (75827) | $1,595.30 | $2,279 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $615.30 | $879 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $8,477.70 | $12,111 | 2.7× |
| Venogram Sinus/Jugular (75860) | $1,859.20 | $2,656 | 0.6× |
| Venography Adrenal Unilateral (75840) | $1,041.60 | $1,488 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,595.30 | $2,279 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $681.80 | $974 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $536.20 | $766 | 0.3× |
| Venography Renal Bilateral (75833) | $9,380 | $13,400 | 3.0× |
| Venography Renal Unilateral (75831) | $1,774.50 | $2,535 | 0.6× |
| Venous sampling by catheter (75893) | $14,484.40 | $20,692 | 2.6× |
| Wrist 2 views (73100) | $138.60 | $198 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $231 | $330 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $359.80 | $514 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,489.90 | $3,557 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $129.50 | $185 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $146.30 | $209 | 1.7× |
| X-Ray Exam Breast Specimen (76098) | $267.40 | $382 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $148.40 | $212 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $148.40 | $212 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $92.40 | $132 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $168 | $240 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $299.60 | $428 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $345.10 | $493 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $626.50 | $895 | 6.1× |
| X-Ray Exam L-S Spine Bending (72114) | $404.60 | $578 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $162.40 | $232 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $298.90 | $427 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $232.40 | $332 | 2.2× |
| X-ray eye for foreign body (70030) | $46.90 | $67 | 0.5× |
| X-ray humerus (73060) | $194.60 | $278 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $243.60 | $348 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $140.70 | $201 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $228.20 | $326 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $146.30 | $209 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $309.40 | $442 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $233.10 | $333 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $116.20 | $166 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $213.50 | $305 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $259 | $370 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $269.50 | $385 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $334.60 | $478 | 3.2× |
| X-Ray Tmj Unilat (70328) | $186.90 | $267 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $473.90 | $677 | 1.4× |
| X-Rays Bone Length Studies (77073) | $350.70 | $501 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $442.40 | $632 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $235.90 | $337 | 2.3× |
| Xr facial bones less than 3 views (70140) | $249.20 | $356 | 2.9× |
| Xr orbits complete 4 views (70200) | $282.80 | $404 | 2.7× |
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.