Imaging prices at Rady Children's Hospital - San Diego
San Diego, CA · every code in this section with a posted price and a Medicare benchmark.
346 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 10 matching MRF lines |
$139.50–$385.50 | $186–$514 | varies |
| Abdomen 2 views (74019) range across 7 matching MRF lines |
$139.50–$567.75 | $186–$757 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,521.50 | $3,362 | 4.9× |
| Angio pulmonary bilat (75743) | $2,277.75 | $3,037 | 0.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,363.25–$6,611.25 | $3,151–$8,815 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,363.25–$6,611.25 | $3,151–$8,815 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,277.75 | $3,037 | 0.6× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$282–$564 | $376–$752 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,758.50–$6,611.25 | $3,678–$8,815 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,507.25–$6,611.25 | $3,343–$8,815 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,303–$6,611.25 | $4,404–$8,815 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$3,903–$3,927 | $5,204–$5,236 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$1,007.25–$1,012.50 | $1,343–$1,350 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,255.50–$1,443.75 | $1,674–$1,925 | varies |
| Arthrogram Wrist (73115) | $965.25 | $1,287 | 2.2× |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$529.50–$750 | $706–$1,000 | varies |
| Bone age studies (77072) range across 7 matching MRF lines |
$176.25–$543 | $235–$724 | varies |
| Bone Imaging 3 Phase (78315) | $2,310.75 | $3,081 | 4.5× |
| Bone Imaging Limited Area (78300) | $1,338 | $1,784 | 2.6× |
| Bone Imaging Whole Body (78306) range across 5 matching MRF lines |
$2,133–$2,995.50 | $2,844–$3,994 | varies |
| Bone marrow imaging; whole body (78104) | $1,446 | $1,928 | 2.8× |
| Bone survey infant (77076) range across 8 matching MRF lines |
$544.50–$1,047.75 | $726–$1,397 | varies |
| Brain Image W/Flow < 4 Views (78601) | $1,261.50 | $1,682 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,398 | $1,864 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,895.25–$6,290.25 | $2,527–$8,387 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$3,858.75–$5,236.50 | $5,145–$6,982 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,526.50 | $4,702 | 3.5× |
| Cardiac Shunt Detection (78428) | $1,276.50 | $1,702 | 2.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,490.25 | $1,987 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,815.75 | $2,421 | 2.6× |
| Chest 1 view (71045) range across 11 matching MRF lines |
$139.50–$593.25 | $186–$791 | varies |
| Chest 2 views (71046) range across 17 matching MRF lines |
$139.50–$622.50 | $186–$830 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$528.75–$581.25 | $705–$775 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$390–$798.75 | $520–$1,065 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $1,084.50 | $1,446 | 8.1× |
| Clavicle complete (73000) range across 16 matching MRF lines |
$234.75–$918.75 | $313–$1,225 | varies |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$606.75–$967.50 | $809–$1,290 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,131.50–$6,611.25 | $2,842–$8,815 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$630–$843.75 | $840–$1,125 | varies |
| Contrast X-Ray Of Elbow (73085) | $994.50 | $1,326 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,929.75 | $2,573 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $6,927.75 | $9,237 | 15.4× |
| CT abdomen and pelvis without contrast (74176) | $5,237.25 | $6,983 | 17.1× |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,700–$2,835 | $3,600–$3,780 | varies |
| CT abdomen w wo contrast (74170) | $3,762.75 | $5,017 | 16.7× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,096–$3,252 | $4,128–$4,336 | varies |
| CT Angio Abdomen and Pelvis (74174) | $8,008.50 | $10,678 | 17.8× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,648–$3,831 | $4,864–$5,108 | varies |
| CT Angio Head (70496) | $3,957 | $5,276 | 17.5× |
| CT angio hrt w/3d image (75574) | $5,892.75 | $7,857 | 13.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,483 | $4,644 | 15.4× |
| CT Angio Neck (70498) | $3,957 | $5,276 | 17.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,986.50–$3,135.75 | $3,982–$4,181 | varies |
| CT bone density (77078) | $1,175.25 | $1,567 | 10.5× |
| CT cervical spine w/ contrast (72126) | $3,024.75 | $4,033 | 6.7× |
| CT cervical spine w/o contrast (72125) | $3,351 | $4,468 | 24.9× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,554.50–$3,104.25 | $3,406–$4,139 | varies |
| CT chest w/wo contrast (71270) | $3,659.25 | $4,879 | 16.2× |
| CT head/brain with contrast (70460) | $3,167.25 | $4,223 | 14.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,756.25–$4,104 | $3,675–$5,472 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $5,892.75 | $7,857 | 13.1× |
| CT hrt w/3d image congen (75573) | $5,534.25 | $7,379 | 12.3× |
| CT iac w contrast (70481) | $3,167.25 | $4,223 | 14.0× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$2,643–$3,428.25 | $3,524–$4,571 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$3,980.25–$4,179.75 | $5,307–$5,573 | varies |
| CT lumbar spine w contrast (72132) | $2,875.50 | $3,834 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $3,483 | $4,644 | 25.9× |
| CT maxillofacial w contrast (70487) range across 8 matching MRF lines |
$1,725–$2,570.25 | $2,300–$3,427 | varies |
| CT maxillofacial wo contrast (70486) range across 7 matching MRF lines |
$2,347.50–$2,805 | $3,130–$3,740 | varies |
| CT neck tissue combo (70492) | $3,017.25 | $4,023 | 13.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,661–$2,793.75 | $3,548–$3,725 | varies |
| CT orbits w/o contrast (70480) | $2,804.25 | $3,739 | 20.9× |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$2,712.75–$3,252 | $3,617–$4,336 | varies |
| CT scan of leg combo (73702) | $3,020.25 | $4,027 | 13.4× |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$3,087.75–$3,242.25 | $4,117–$4,323 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,681.25–$2,767.50 | $3,575–$3,690 | varies |
| CT soft tissue neck w/o contrast (70490) | $2,251.50 | $3,002 | 16.7× |
| CT thoracic spine w contrast (72129) | $3,714.75 | $4,953 | 16.5× |
| CT thoracic spine w/o contrast (72128) | $3,483 | $4,644 | 25.9× |
| CT thorax w/o contrast (71250) | $2,913.75 | $3,885 | 21.7× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$2,677.50–$3,428.25 | $3,570–$4,571 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,986.50 | $3,982 | 13.2× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$2,433.75–$3,980.25 | $3,245–$5,307 | varies |
| Cta Abdomen (74175) | $3,951 | $5,268 | 17.5× |
| CTA pelvis (72191) | $4,062 | $5,416 | 18.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $460.50 | $614 | 1.5× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,364.25–$1,598.25 | $1,819–$2,131 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $616.50 | $822 | 4.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,029.75 | $1,373 | 7.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $456 | $608 | 3.4× |
| Dxa Bone Density Axial (77080) | $884.25 | $1,179 | 6.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $370.50 | $494 | 3.3× |
| Echo exam of fetal heart (76825) | $2,196 | $2,928 | 3.1× |
| Echo Guide For Artery Repair (76936) | $336 | $448 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,255.50 | $1,674 | 4.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$451.50–$662.25 | $602–$883 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $658.50 | $878 | 2.1× |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$711.75–$1,011 | $949–$1,348 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,039.50–$1,167.75 | $1,386–$1,557 | varies |
| Foot 2 views (73620) range across 11 matching MRF lines |
$139.50–$559.50 | $186–$746 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$139.50–$868.50 | $186–$1,158 | varies |
| Gastric emptying imaging study (78264) | $1,952.25 | $2,603 | 3.8× |
| Gated Heart Planar Single (78472) | $1,743 | $2,324 | 3.4× |
| Hand 2 views (73120) range across 10 matching MRF lines |
$447.75–$903.75 | $597–$1,205 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,507.25 | $3,343 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,507.25 | $3,343 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $3,451.50 | $4,602 | 4.9× |
| Hepatobiliary System Imaging (78226) | $2,762.25 | $3,683 | 5.4× |
| Ht Musc Image Planar Mult (78454) | $1,130.25 | $1,507 | 0.7× |
| Image fusion (77399) | $187.50 | $250 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 4 matching MRF lines |
$540–$1,048.50 | $720–$1,398 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$801.75–$845.25 | $1,069–$1,127 | varies |
| K Flow/Funct Image Multiple (78709) | $2,539.50 | $3,386 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $2,027.25 | $2,703 | 2.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $977.25 | $1,303 | 1.9× |
| Kidney Imaging Morphol (78700) | $1,422 | $1,896 | 2.8× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$483–$1,255.50 | $644–$1,674 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $2,478 | $3,304 | 4.8× |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$1,542–$1,547.25 | $2,056–$2,063 | varies |
| Lung perfusion differential (78597) | $2,340.75 | $3,121 | 4.6× |
| Lymph System Imaging (78195) | $1,950 | $2,600 | 2.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,143.75 | $1,525 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $449.25 | $599 | 0.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,277.75 | $3,037 | 0.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,277.75 | $3,037 | 0.6× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,569.25–$3,747.75 | $4,759–$4,997 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$2,121.75–$2,741.25 | $2,829–$3,655 | varies |
| Meckels Divert Exam (78290) | $1,548.75 | $2,065 | 3.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,065.75 | $1,421 | 2.2× |
| Mr safety determination physician/other qhp (76016) | $222.75 | $297 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34.50 | $46 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $351 | $468 | 2.9× |
| Mr safety implt pos&/immoblj (76019) | $457.50 | $610 | 6.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $686.25 | $915 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$5,359.50–$5,919 | $7,146–$7,892 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,150–$3,478.50 | $4,200–$4,638 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,150–$3,478.50 | $4,200–$4,638 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,756.25–$3,044.25 | $3,675–$4,059 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$5,359.50–$5,919 | $7,146–$7,892 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,756.25–$3,044.25 | $3,675–$4,059 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$5,088.75–$5,343.75 | $6,785–$7,125 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,514.25–$4,740 | $6,019–$6,320 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,986.75–$5,236.50 | $6,649–$6,982 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$5,494.50–$5,769.75 | $7,326–$7,693 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,375.50–$4,594.50 | $5,834–$6,126 | varies |
| MRI brain functional w/physician admnistration (70555) | $6,995.25 | $9,327 | 22.8× |
| MRI cardiac w/o cont stress (75559) | $391.50 | $522 | 0.6× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,810.50–$3,739.50 | $2,414–$4,986 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$4,389.75–$4,609.50 | $5,853–$6,146 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$4,224–$4,434.75 | $5,632–$5,913 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,150–$4,274.25 | $4,200–$5,699 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$4,488.75–$6,091.50 | $5,985–$8,122 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$4,882.50–$6,624 | $6,510–$8,832 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,561–$3,739.50 | $4,748–$4,986 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,580.25–$4,809 | $6,107–$6,412 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,154.50–$3,312 | $4,206–$4,416 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$5,161.50–$5,419.50 | $6,882–$7,226 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$6,422.25–$6,743.25 | $8,563–$8,991 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,228.75–$3,566.25 | $4,305–$4,755 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$3,543.75–$3,914.25 | $4,725–$5,219 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$5,980.50–$6,604.50 | $7,974–$8,806 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$4,986.75–$5,236.50 | $6,649–$6,982 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$5,292–$5,556.75 | $7,056–$7,409 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$4,477.50–$4,701.75 | $5,970–$6,269 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$2,646.75–$2,779.50 | $3,529–$3,706 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,064–$5,317.50 | $6,752–$7,090 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$4,071–$4,274.25 | $5,428–$5,699 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,969–$4,167 | $5,292–$5,556 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$6,411–$6,732 | $8,548–$8,976 | varies |
| MRI, abdomen, combo (74183) | $6,091.50 | $8,122 | 13.6× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,551.75–$7,929 | $10,069–$10,572 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$5,161.50–$5,419.50 | $6,882–$7,226 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$4,274.25–$4,488.75 | $5,699–$5,985 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$6,717.75–$7,053.75 | $8,957–$9,405 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$7,551.75–$7,929 | $10,069–$10,572 | varies |
| Myelogram cervical (72240) | $2,585.25 | $3,447 | 2.6× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,276.50–$2,484.75 | $1,702–$3,313 | varies |
| Myelography thoracic (72255) | $1,421.25 | $1,895 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $2,628.75 | $3,505 | 2.6× |
| N-invas est c ffr sw aly CTA (75580) | $2,946 | $3,928 | 2.7× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$262.50–$474 | $350–$632 | varies |
| Nm csf leak detection (78650) | $2,102.25 | $2,803 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $78.75 | $105 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $1,834.50 | $2,446 | 6.1× |
| Optic foramina (70190) range across 3 matching MRF lines |
$407.25–$468 | $543–$624 | varies |
| Parathyroid Planar Imaging (78070) | $1,909.50 | $2,546 | 3.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,600.50 | $2,134 | 3.1× |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$249.75–$533.25 | $333–$711 | varies |
| Perineogram (74775) | $838.50 | $1,118 | 2.7× |
| Peritoneogram Rs&I (74190) | $348.75 | $465 | 0.5× |
| Pet Image W/Ct Lmtd (78814) | $5,990.25 | $7,987 | 3.3× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$9,327.75–$17,154 | $12,437–$22,872 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$8,412–$12,831.75 | $11,216–$17,109 | varies |
| Proton trmt simple w/comp (77522) | $5,517.75 | $7,357 | 3.4× |
| Proton tx delivery complex (77525) | $14,828.25 | $19,771 | 9.2× |
| Proton tx delivery intermediate (77523) | $13,104.75 | $17,473 | 8.2× |
| Proton tx delivery simple w/o compensation (77520) | $5,512.50 | $7,350 | 7.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $999 | $1,332 | 0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,721.25 | $2,295 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $559.50 | $746 | 4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$702–$772.50 | $936–$1,030 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$402.75–$582.75 | $537–$777 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$444–$559.50 | $592–$746 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$535.50–$665.25 | $714–$887 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$604.50–$694.50 | $806–$926 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$294.75–$431.25 | $393–$575 | varies |
| Radex foot complete minimum 3 views (73630) range across 12 matching MRF lines |
$397.50–$586.50 | $530–$782 | varies |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
$414.75–$527.25 | $553–$703 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 9 matching MRF lines |
$271.50–$786 | $362–$1,048 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$384–$555.75 | $512–$741 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $448.50 | $598 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) range across 8 matching MRF lines |
$461.25–$643.50 | $615–$858 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$543–$675 | $724–$900 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 5 matching MRF lines |
$333–$550.50 | $444–$734 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $507 | $676 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 7 matching MRF lines |
$426.75–$555 | $569–$740 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$425.25–$488.25 | $567–$651 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$542.25–$623.25 | $723–$831 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$435.75–$550.50 | $581–$734 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 12 matching MRF lines |
$139.50–$630 | $186–$840 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$564.75–$699.75 | $753–$933 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,082.25 | $1,443 | 8.0× |
| Radiation treatment delivery level 1 (77402) | $212.25 | $283 | 1.6× |
| Radiation treatment delivery level 3 (77412) range across 4 matching MRF lines |
$496.50–$893.25 | $662–$1,191 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$613.50–$705 | $818–$940 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$271.50–$646.50 | $362–$862 | varies |
| Radiologic exam colon double contrast study (74280) | $1,419.75 | $1,893 | 6.3× |
| Radiologic exam colon single contrast study (74270) | $1,206 | $1,608 | 5.3× |
| Radiologic exam knee complete 4/more views (73564) range across 12 matching MRF lines |
$635.25–$1,549.50 | $847–$2,066 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$561–$702.75 | $748–$937 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $758.25 | $1,011 | 3.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$619.50–$906.75 | $826–$1,209 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,320 | $1,760 | 5.9× |
| Radiologic examination femur 1 view (73551) range across 15 matching MRF lines |
$274.50–$710.25 | $366–$947 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$261.75–$876 | $349–$1,168 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$356.25–$1,239.75 | $475–$1,653 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$750.75–$864 | $1,001–$1,152 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$288.75–$324.75 | $385–$433 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$389.25–$490.50 | $519–$654 | varies |
| Radiopharm Dacryocystography (78660) | $558.75 | $745 | 1.1× |
| Renal Cyst Study (74470) | $129 | $172 | 0.2× |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$675.75–$946.50 | $901–$1,262 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$7,245.75–$7,614 | $9,661–$10,152 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,654.75 | $8,873 | 9.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$1,914.75–$4,008 | $2,553–$5,344 | varies |
| Rp Therapy Unlisted Procedure (79999) | $718.50 | $958 | 2.4× |
| Salivary Gland Imaging Serial Images (78231) | $1,406.25 | $1,875 | 2.7× |
| Scapula (73010) range across 7 matching MRF lines |
$467.25–$618 | $623–$824 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$197.25–$240 | $263–$320 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$276.75–$615.75 | $369–$821 | varies |
| Shoulder Arthrography (73040) | $1,143.75 | $1,525 | 2.5× |
| Sialogram (70390) | $704.25 | $939 | 2.3× |
| Skull less than 4 views (70250) range across 13 matching MRF lines |
$139.50–$692.25 | $186–$923 | varies |
| Special dosimetry (77331) | $2,082.75 | $2,777 | 12.0× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$834.75–$840 | $1,113–$1,120 | varies |
| Special teletherapy port plan (77321) | $841.50 | $1,122 | 1.7× |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$1,861.50–$2,756.25 | $2,482–$3,675 | varies |
| Stereotactic Body Radiation Delivery (77373) | $8,040 | $10,720 | 3.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$456–$574.50 | $608–$766 | varies |
| Superior sagittal sinus venogram (75870) | $2,277.75 | $3,037 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,038 | $1,384 | 2.2× |
| Testicular Imaging W/Flow (78761) | $1,677 | $2,236 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$1,615.50–$2,445.75 | $2,154–$3,261 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$797.25–$1,154.25 | $1,063–$1,539 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$1,458–$1,536 | $1,944–$2,048 | varies |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$315–$691.50 | $420–$922 | varies |
| Thoracic spine 3 views (72072) | $504 | $672 | 3.7× |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$532.50–$612 | $710–$816 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,382.25 | $1,843 | 2.7× |
| Thyroid Met Imaging Body (78018) | $2,253.75 | $3,005 | 3.2× |
| Thyroid Uptake Measurement (78012) | $659.25 | $879 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,221 | $1,628 | 2.4× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$1,161.75–$1,175.25 | $1,549–$1,567 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$395.25–$487.50 | $527–$650 | varies |
| Ultrasound Breast Limited (76642) | $473.25 | $631 | 4.2× |
| Ultrasound elastography first target lesion (76982) | $1,035 | $1,380 | 7.7× |
| Ultrasound Elastography Parenchyma (76981) | $1,190.25 | $1,587 | 8.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,145.25 | $1,527 | 8.5× |
| Ultrasound, abdomen limited (76705) range across 15 matching MRF lines |
$485.25–$1,797.75 | $647–$2,397 | varies |
| Umbilical-artery Doppler (OB) (76820) | $554.25 | $739 | 4.1× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$895.50–$1,420.50 | $1,194–$1,894 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$261.75–$683.25 | $349–$911 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$825–$1,533 | $1,100–$2,044 | varies |
| Ureteral Reflux Study (78740) | $1,530 | $2,040 | 3.0× |
| Urethrocystogram voiding (74455) range across 7 matching MRF lines |
$731.25–$1,178.25 | $975–$1,571 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$633.75–$928.50 | $845–$1,238 | varies |
| Us breast unilateral complete (76641) | $756 | $1,008 | 5.6× |
| Us chest (76604) range across 7 matching MRF lines |
$291.75–$983.25 | $389–$1,311 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$431.25–$1,247.25 | $575–$1,663 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$501–$1,050.75 | $668–$1,401 | varies |
| Us head (76506) range across 7 matching MRF lines |
$316.46–$960.75 | $421.95–$1,281 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$141–$1,035 | $188–$1,380 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$301.50–$1,077 | $402–$1,436 | varies |
| Us retroperitoneal complete (76770) range across 8 matching MRF lines |
$385.50–$1,145.25 | $514–$1,527 | varies |
| Us retroperitoneal limited (76775) range across 13 matching MRF lines |
$746.25–$1,376.25 | $995–$1,835 | varies |
| Us scrotum and contents (76870) range across 7 matching MRF lines |
$493.50–$1,824 | $658–$2,432 | varies |
| Us spinal canal and contents (76800) range across 6 matching MRF lines |
$543–$1,004.25 | $724–$1,339 | varies |
| Us thyroid (76536) range across 7 matching MRF lines |
$301.50–$1,039.50 | $402–$1,386 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,115.75–$2,130 | $2,821–$2,840 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,250 | $3,000 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $2,277.75 | $3,037 | 0.6× |
| Venogram Sinus/Jugular (75860) | $2,507.25 | $3,343 | 0.6× |
| Venography Adrenal Unilateral (75840) | $2,277.75 | $3,037 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,507.25 | $3,343 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,143.75 | $1,525 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,493.25–$1,602 | $1,991–$2,136 | varies |
| Venography Renal Bilateral (75833) | $2,277.75 | $3,037 | 0.6× |
| Venography Renal Unilateral (75831) | $2,277.75 | $3,037 | 0.6× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,581 | $2,108 | 0.2× |
| Venous thrombosis imaging (78457) | $445.50 | $594 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $450.75 | $601 | 4.0× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$139.50–$505.50 | $186–$674 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 6 matching MRF lines |
$504–$638.25 | $672–$851 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,005.75–$1,106.25 | $1,341–$1,475 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,277.75 | $3,037 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$590.25–$862.50 | $787–$1,150 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$381.75–$483.75 | $509–$645 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$271.50–$1,030.50 | $362–$1,374 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$506.25–$1,023.75 | $675–$1,365 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $965.25 | $1,287 | 7.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 9 matching MRF lines |
$415.50–$589.50 | $554–$786 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 10 matching MRF lines |
$597–$735.75 | $796–$981 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$494.25–$780.75 | $659–$1,041 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$438.75–$681.75 | $585–$909 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $966.75 | $1,289 | 7.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $958.50 | $1,278 | 7.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$978–$1,021.50 | $1,304–$1,362 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$293.25–$655.50 | $391–$874 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $774 | $1,032 | 5.8× |
| X-ray humerus (73060) range across 17 matching MRF lines |
$139.50–$637.50 | $186–$850 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,395–$1,539.75 | $1,860–$2,053 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 6 matching MRF lines |
$482.25–$555 | $643–$740 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$504–$630 | $672–$840 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 10 matching MRF lines |
$303–$669 | $404–$892 | varies |
| X-ray nose-rectum child f.b. (76010) range across 6 matching MRF lines |
$139.50–$430.50 | $186–$574 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $996.75 | $1,329 | 7.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$553.50–$636 | $738–$848 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$538.50–$669 | $718–$892 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$583.50–$762.75 | $778–$1,017 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 5 matching MRF lines |
$271.50–$851.25 | $362–$1,135 | varies |
| X-Ray Stress View (77071) | $87 | $116 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $903.75 | $1,205 | 2.0× |
| X-Rays Bone Length Studies (77073) range across 8 matching MRF lines |
$525–$934.50 | $700–$1,246 | varies |
| X-Rays Bone Survey Complete (77075) range across 5 matching MRF lines |
$493.50–$1,731.75 | $658–$2,309 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$652.50–$806.25 | $870–$1,075 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$523.50–$602.25 | $698–$803 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.