Imaging prices at Providence Little Co of Mary Med Ctr San Pedro
San Pedro, CA · every code in this section with a posted price and a Medicare benchmark.
314 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) | $290.15 | $829 | 2.6× |
| Abdomen 2 views (74019) | $304.50 | $870 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,147.65 | $3,279 | 2.2× |
| Angio internal mammary (75756) | $4,357.50 | $12,450 | 1.1× |
| Angio pulmonary bilat (75743) | $5,223.05 | $14,923 | 1.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,223.05 | $14,923 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $3,486.35 | $9,961 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,164.05 | $6,183 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,486.35 | $9,961 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,486.35 | $9,961 | 0.9× |
| Ankle 2 views (73600) | $206.15 | $589 | 1.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,325.40 | $6,644 | 0.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,325.40 | $6,644 | 0.6× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$3,486.35 | $9,961 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $4,063.50 | $11,610 | 1.0× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$3,413.90 | $9,754 | 0.5× |
| Artery X-Rays Spine (75705) | $8,284.85 | $23,671 | 1.2× |
| Arthrogram ankle (73615) | $642.95 | $1,837 | 1.4× |
| Arthrogram hip (73525) | $358.75 | $1,025 | 0.8× |
| Arthrogram Wrist (73115) | $1,060.85 | $3,031 | 2.4× |
| Bone age studies (77072) | $248.85 | $711 | 1.9× |
| Bone Imaging 3 Phase (78315) | $3,416.70 | $9,762 | 6.6× |
| Bone Imaging Multiple Areas (78305) | $919.80 | $2,628 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,403.85 | $4,011 | 2.7× |
| Bone survey infant (77076) | $617.05 | $1,763 | 4.6× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,081.10 | $5,946 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $550.55 | $1,573 | 4.9× |
| Cerebrospinal Fluid Scan (78630) | $1,210.30 | $3,458 | 1.7× |
| Chest 1 view (71045) | $285.95 | $817 | 2.6× |
| Chest 2 views (71046) | $310.45 | $887 | 2.8× |
| Chest 3 views (71047) | $334.60 | $956 | 3.0× |
| Chest 4 or more views (71048) | $382.20 | $1,092 | 2.8× |
| Cholecystography Oral Contrast (74290) | $363.30 | $1,038 | 1.6× |
| Clavicle complete (73000) | $178.15 | $509 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $540.75 | $1,545 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,863.40 | $5,324 | 0.5× |
| Contrast X-Ray Bladder (74430) | $406.35 | $1,161 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $704.90 | $2,014 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,149.40 | $3,284 | 2.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $228.20 | $652 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,879.80 | $8,228 | 6.4× |
| CT abdomen and pelvis without contrast (74176) | $2,299.15 | $6,569 | 7.5× |
| CT abdomen w contrast (74160) | $1,802.15 | $5,149 | 8.0× |
| CT abdomen w wo contrast (74170) | $1,920.10 | $5,486 | 8.5× |
| CT abdomen w/o contrast (74150) | $1,532.65 | $4,379 | 11.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,399.95 | $6,857 | 5.3× |
| CT Angio Chest (71275) | $1,802.15 | $5,149 | 8.0× |
| CT Angio Head (70496) | $1,754.55 | $5,013 | 7.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,288.35 | $3,681 | 5.7× |
| CT Angio Neck (70498) | $1,754.55 | $5,013 | 7.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,288.35 | $3,681 | 5.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $415.10 | $1,186 | 1.8× |
| CT cervical spine w/ contrast (72126) | $2,806.30 | $8,018 | 6.3× |
| CT cervical spine w/o contrast (72125) | $2,408.70 | $6,882 | 17.9× |
| CT cervical spine w/wo cont (72127) | $2,856.70 | $8,162 | 12.7× |
| CT chest w contrast (71260) | $1,802.15 | $5,149 | 8.0× |
| CT chest w/wo contrast (71270) | $1,922.20 | $5,492 | 8.5× |
| CT colonography screening (74263) | $1,298.50 | $3,710 | 4.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,802.15 | $5,149 | 8.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,579.20 | $4,512 | 11.7× |
| CT head/brain with contrast (70460) | $1,753.85 | $5,011 | 7.8× |
| CT head/brain without and with contrast (70470) | $2,038.40 | $5,824 | 9.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $450.80 | $1,288 | 4.0× |
| CT iac w contrast (70481) | $2,128 | $6,080 | 9.4× |
| CT l-spine w&w/o contrast (72133) | $2,098.25 | $5,995 | 9.3× |
| CT lower ext w/o (73700) | $1,425.90 | $4,074 | 10.6× |
| CT lower extremity w/contrast material (73701) | $1,762.25 | $5,035 | 7.8× |
| CT lumbar spine w contrast (72132) | $1,953.35 | $5,581 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,802.85 | $5,151 | 13.4× |
| CT maxillofacial w contrast (70487) | $2,128 | $6,080 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,794.10 | $5,126 | 13.3× |
| CT neck tissue combo (70492) | $2,968.35 | $8,481 | 13.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,291.45 | $6,547 | 10.2× |
| CT orbits w/o contrast (70480) | $1,794.10 | $5,126 | 13.3× |
| CT pelvis w&w/o contrast (72194) | $1,891.05 | $5,403 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,506.75 | $4,305 | 11.2× |
| CT scan of leg combo (73702) | $1,803.20 | $5,152 | 8.0× |
| CT scans face/jaw combo (70488) | $2,291.45 | $6,547 | 10.2× |
| CT soft tissue neck w contrast (70491) | $2,806.30 | $8,018 | 12.4× |
| CT soft tissue neck w/o contrast (70490) | $2,408.70 | $6,882 | 17.9× |
| CT thoracic spine w contrast (72129) | $2,254 | $6,440 | 10.0× |
| CT thoracic spine w/o contrast (72128) | $2,081.10 | $5,946 | 15.5× |
| CT thoracic spine w/wo cont (72130) | $2,403.45 | $6,867 | 10.7× |
| CT thorax w/o contrast (71250) | $1,532.65 | $4,379 | 11.4× |
| CT upper ext wo (73200) | $996.80 | $2,848 | 7.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,494.85 | $4,271 | 6.6× |
| CT upper extremity with contrast (73201) | $1,288.35 | $3,681 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,802.15 | $5,149 | 8.0× |
| Cta Abdomen (74175) | $1,920.10 | $5,486 | 8.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $415.10 | $1,186 | 0.9× |
| CTA pelvis (72191) | $1,545.60 | $4,416 | 6.9× |
| Diskography lumbar (72295) | $2,012.50 | $5,750 | 0.8× |
| Echo exam uterus (76831) | $252 | $720 | 0.8× |
| Echo Guide For Artery Repair (76936) | $942.20 | $2,692 | 3.4× |
| Esophagram (74220) | $384.30 | $1,098 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $629.30 | $1,798 | 4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $629.30 | $1,798 | 4.7× |
| Fluoroscopy up to 1 hr (76000) | $695.80 | $1,988 | 2.3× |
| Follow-Up Angiography (75898) | $2,494.10 | $7,126 | 0.6× |
| Foot 2 views (73620) | $206.15 | $589 | 1.8× |
| Forearm 2 views (73090) | $258.30 | $738 | 2.3× |
| Gastric emptying imaging study (78264) | $1,345.40 | $3,844 | 2.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,345.40 | $3,844 | 2.6× |
| Gated Heart Planar Single (78472) | $1,853.95 | $5,297 | 3.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,478.05 | $4,223 | 2.1× |
| Hand 2 views (73120) | $206.15 | $589 | 1.5× |
| Heart first pass single,planar (78481) | $931.35 | $2,661 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,149.05 | $3,283 | 1.6× |
| Hepatobiliary System Imaging (78226) | $1,149.05 | $3,283 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,834.35 | $5,241 | 1.1× |
| Hysterosalpingogram (74740) | $651.35 | $1,861 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $672.35 | $1,921 | 6.0× |
| Infusion Ivp (74410) | $605.15 | $1,729 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $863.45 | $2,467 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $863.45 | $2,467 | 1.2× |
| Kidney Imaging Morphol (78700) | $861.35 | $2,461 | 1.7× |
| Knee 3 Views (73562) | $269.85 | $771 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,138.55 | $3,253 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,184.75 | $3,385 | 2.3× |
| Liver imaging static only (78201) | $903 | $2,580 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $880.25 | $2,515 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,378.30 | $3,938 | 2.0× |
| Lung Ventilation Imaging (78579) | $1,242.15 | $3,549 | 2.4× |
| Lymph System Imaging (78195) | $814.10 | $2,326 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $3,400.60 | $9,716 | 11.1× |
| Mammary ductogram or galactogram multiple (77054) | $398.30 | $1,138 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $282.45 | $807 | 0.9× |
| Meckels Divert Exam (78290) | $1,028.65 | $2,939 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,780.05 | $7,943 | 6.2× |
| MRA head w/o contrast (70544) | $2,575.30 | $7,358 | 8.4× |
| MRA head with contrast (70545) | $2,643.20 | $7,552 | 5.9× |
| MRA neck w contrast (70548) | $2,643.20 | $7,552 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,780.05 | $7,943 | 6.2× |
| MRA neck w/o contrast (70547) | $2,575.30 | $7,358 | 8.4× |
| MRI abdomen w contrast (74182) | $2,061.15 | $5,889 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,874.95 | $5,357 | 6.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,061.15 | $5,889 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,267.30 | $6,478 | 5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,061.15 | $5,889 | 2.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,404.55 | $4,013 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,114.75 | $3,185 | 3.6× |
| MRI cervical spine w contrast (72142) | $2,232.65 | $6,379 | 5.0× |
| MRI cervical spine w/o cont (72141) | $2,069.55 | $5,913 | 6.7× |
| MRI chest w/o contrast (71550) | $1,874.95 | $5,357 | 6.1× |
| MRI chest with contrast (71551) | $2,061.15 | $5,889 | 2.0× |
| MRI chest wo w contrast (71552) | $2,165.10 | $6,186 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,061.15 | $5,889 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,165.10 | $6,186 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,874.95 | $5,357 | 6.1× |
| MRI lumbar spine w contrast (72149) | $2,350.95 | $6,717 | 5.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,468.55 | $7,053 | 5.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,893.85 | $5,411 | 6.2× |
| MRI orbit face neck w contrast (70542) | $2,081.80 | $5,948 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,186.80 | $6,248 | 4.9× |
| MRI pelvis w contrast (72196) | $2,328.20 | $6,652 | 5.2× |
| MRI pelvis w/o & w contrast (72197) | $2,446.15 | $6,989 | 5.5× |
| MRI pelvis w/o contrast (72195) | $2,118.90 | $6,054 | 6.9× |
| MRI spectroscopy (76390) | $1,375.50 | $3,930 | 12.3× |
| MRI thoracic spine w/o contrast (72146) | $2,178.75 | $6,225 | 7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,061.15 | $5,889 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,874.95 | $5,357 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,165.10 | $6,186 | 4.8× |
| MRI, abdomen, combo (74183) | $2,165.10 | $6,186 | 4.8× |
| MRI, dorsal spine combo (72157) | $2,599.45 | $7,427 | 5.8× |
| MRI, dorsal spine contrast (72147) | $2,350.95 | $6,717 | 5.2× |
| MRI, joint upper extrem (73221) | $1,874.95 | $5,357 | 6.1× |
| MRI, joint upper extrem combo (73223) | $2,165.10 | $6,186 | 4.8× |
| MRI, lumbar spine combo (72158) | $2,599.45 | $7,427 | 5.8× |
| Myelogram cervical (72240) | $599.90 | $1,714 | 0.6× |
| Myelogram Lumbar (72265) | $743.05 | $2,123 | 0.7× |
| Myelography thoracic (72255) | $599.90 | $1,714 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,031.10 | $2,946 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,346.05 | $6,703 | 1.4× |
| Neck soft tissue (70360) | $217.35 | $621 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $423.50 | $1,210 | 0.8× |
| Ob us nuchal meas 1 gest (76813) | $390.25 | $1,115 | 2.9× |
| Parathyroid Planar Imaging (78070) | $961.80 | $2,748 | 1.9× |
| Pelvis 1 or 2 views (72170) | $280.70 | $802 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,242.15 | $3,549 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $347.20 | $992 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $385 | $1,100 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $229.60 | $656 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $171.85 | $491 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $269.85 | $771 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $417.90 | $1,194 | 3.1× |
| Radex fingr minimum 2 views (73140) | $156.10 | $446 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $229.60 | $656 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $280.70 | $802 | 2.5× |
| Radex lower extremity infant minimum 2 views (73592) | $171.85 | $491 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $455 | $1,300 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $328.30 | $938 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $289.80 | $828 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $248.85 | $711 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $187.95 | $537 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $987 | $2,820 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $178.15 | $509 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $248.85 | $711 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $330.05 | $943 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $133.70 | $382 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $171.85 | $491 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $305.20 | $872 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $450.10 | $1,286 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $371.35 | $1,061 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $319.90 | $914 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $837.20 | $2,392 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $738.50 | $2,110 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $289.10 | $826 | 2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $280.70 | $802 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $474.25 | $1,355 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $577.50 | $1,650 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $708.75 | $2,025 | 3.1× |
| Radiologic examination femur 1 view (73551) | $221.55 | $633 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $295.40 | $844 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $206.15 | $589 | 1.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $542.15 | $1,549 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $248.85 | $711 | 2.2× |
| Ribs bilateral 3 views (71110) | $397.60 | $1,136 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,061.90 | $3,034 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,061.90 | $3,034 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,765.75 | $5,045 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,643.25 | $4,695 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,888.25 | $5,395 | 2.7× |
| Salivary Gland Imaging Serial Images (78231) | $1,061.90 | $3,034 | 2.1× |
| Scapula (73010) | $248.85 | $711 | 1.9× |
| Sella turcica (70240) | $211.75 | $605 | 1.9× |
| Shoulder 1 view (73020) | $190.40 | $544 | 1.7× |
| Shoulder Arthrography (73040) | $1,086.40 | $3,104 | 2.4× |
| Sialogram (70390) | $384.30 | $1,098 | 1.3× |
| Skull less than 4 views (70250) | $218.75 | $625 | 1.6× |
| Spleen Imaging (78185) | $944.65 | $2,699 | 1.8× |
| Sternoclavicular joints (71130) | $229.25 | $655 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $808.85 | $2,311 | 3.6× |
| Thoracic spine 2 views (72070) | $340.55 | $973 | 2.5× |
| Thoracic spine 3 views (72072) | $340.55 | $973 | 2.5× |
| Thoracolumbar 2 views (72080) | $380.80 | $1,088 | 3.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $449.05 | $1,283 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $373.10 | $1,066 | 0.7× |
| Thyroid Met Imaging Body (78018) | $1,345.40 | $3,844 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $660.45 | $1,887 | 1.3× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$164.15–$173.95 | $469–$497 | varies |
| Ultrasound Exam Aaa Screen (76706) | $680.40 | $1,944 | 5.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$489.65–$519.05 | $1,399–$1,483 | varies |
| Unlisted magnetic resonance procedure (76498) | $99.40 | $284 | 0.9× |
| Unlisted us procedure (76999) | $103.60 | $296 | 0.9× |
| Upper gi w/o kub (74240) | $675.50 | $1,930 | 3.0× |
| Urethrocystogram voiding (74455) | $423.85 | $1,211 | 1.4× |
| Urethrocystography retrograde (74450) | $300.30 | $858 | 1.0× |
| Us breast unilateral complete (76641) | $232.40 | $664 | 1.7× |
| Us chest (76604) range across 2 matching MRF lines |
$219.10–$232.40 | $626–$664 | varies |
| Us complete joint (76881) | $540.40 | $1,544 | 4.0× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$355.60–$376.95 | $1,016–$1,077 | varies |
| Us kidney transplant (76776) | $743.05 | $2,123 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$382.55–$405.65 | $1,093–$1,159 | varies |
| Us ob detailed single fetus (76811) | $390.25 | $1,115 | 1.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$232.75–$246.75 | $665–$705 | varies |
| Us ob transvaginal (76817) | $464.45 | $1,327 | 3.5× |
| Us pelvic non ob complete (76856) | $701.05 | $2,003 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $390.25 | $1,115 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $255.85 | $731 | 1.9× |
| Us retroperitoneal complete (76770) | $752.15 | $2,149 | 5.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$641.90–$680.40 | $1,834–$1,944 | varies |
| Us scrotum and contents (76870) | $732.20 | $2,092 | 5.4× |
| Us spinal canal and contents (76800) | $232.40 | $664 | 1.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$643.65–$682.15 | $1,839–$1,949 | varies |
| Us transrectal (76872) | $686.35 | $1,961 | 5.1× |
| Vein X-Ray Chest (75827) | $2,325.40 | $6,644 | 1.1× |
| Vein X-Ray Spleen/Liver (75810) | $2,908.85 | $8,311 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,449.70 | $4,142 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,325.40 | $6,644 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $2,325.40 | $6,644 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,752.80 | $5,008 | 0.9× |
| Venography Renal Bilateral (75833) | $3,486.35 | $9,961 | 0.9× |
| Venography Renal Unilateral (75831) | $2,325.40 | $6,644 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$3,413.90 | $9,754 | 0.5× |
| Wrist 2 views (73100) | $206.15 | $589 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $268.80 | $768 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $1,067.50 | $3,050 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $206.15 | $589 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $655.20 | $1,872 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $201.60 | $576 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $260.40 | $744 | 1.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $339.15 | $969 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $172.20 | $492 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $310.45 | $887 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $341.60 | $976 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $344.75 | $985 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $379.05 | $1,083 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $416.50 | $1,190 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $592.90 | $1,694 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $269.85 | $771 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $562.80 | $1,608 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $390.60 | $1,116 | 2.9× |
| X-ray eye for foreign body (70030) | $173.60 | $496 | 1.6× |
| X-ray humerus (73060) | $258.30 | $738 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $622.65 | $1,779 | 2.8× |
| X-ray IV pyelogram+tomography (74415) | $930.65 | $2,659 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $203 | $580 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $205.45 | $587 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $311.50 | $890 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $203.35 | $581 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $455 | $1,300 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $297.50 | $850 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $358.40 | $1,024 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $376.25 | $1,075 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $512.75 | $1,465 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $346.15 | $989 | 2.6× |
| X-Ray Tmj Unilat (70328) | $203 | $580 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $493.50 | $1,410 | 1.1× |
| X-Rays Bone Length Studies (77073) | $353.50 | $1,010 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $665 | $1,900 | 4.9× |
| Xr c-spine 4 or 5 views (72050) | $455 | $1,300 | 3.4× |
| Xr facial bones less than 3 views (70140) | $264.25 | $755 | 2.4× |
| Xr orbits complete 4 views (70200) | $464.10 | $1,326 | 3.5× |
| Xr Tomogram Single Plane (76100) | $571.90 | $1,634 | 4.3× |
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.