Imaging prices at Rady Children's Hospital

Mission Viejo, 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.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $13,944 $13,944 7.8×
Abdomen 1 View (74018) $1,601 $1,601 14.3×
Abdomen 2 views (74019) $1,369 $1,369 10.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $4,774 $4,774 9.3×
Angio internal mammary (75756) $12,595 $12,595 3.1×
Angio pulmonary bilat (75743) $12,595 $12,595 3.1×
Angiography extremity bilateral rs&i (75716) $10,283 $10,283 2.5×
Angiography extremity unilateral rs&i (75710) $7,873 $7,873 1.9×
Angiography pulmonary unilateral slctv rs&i (75741) $10,283 $10,283 2.5×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $12,595 $12,595 3.1×
Ankle 2 views (73600)
range across 2 matching MRF lines		 $669–$1,295 $669–$1,295 varies
Aortography thoracic serialography rs&i (75605) $11,039 $11,039 1.5×
Artery X-Rays Abdomen (75726) $11,559 $11,559 1.6×
Artery X-Rays Adrenal Gland (75731) $7,463 $7,463 1.8×
Artery X-Rays Pelvis (75736) $12,595 $12,595 1.8×
Artery X-Rays Spine (75705) $12,595 $12,595 1.8×
Arthrogram ankle (73615) $1,910 $1,910 4.3×
Arthrogram hip (73525) $2,660 $2,660 5.9×
Arthrogram Wrist (73115) $2,365 $2,365 5.3×
Basic radiation dosimetry calculation (77300) $1,233 $1,233 7.1×
Bone age studies (77072) $854 $854 6.4×
Bone Imaging 3 Phase (78315) $7,244 $7,244 14.1×
Bone Imaging Limited Area (78300) $5,434 $5,434 10.6×
Bone Imaging Whole Body (78306) $7,485 $7,485 14.6×
Bone survey infant (77076) $828 $828 6.2×
Brachytx isodose complex (77318) $15,237 $15,237 31.6×
Brain Image W/Flow < 4 Views (78601) $3,259 $3,259 6.3×
Brain Imaging Pet Metabolic Evaluation (78608) $15,770 $15,770 8.6×
Cardiac MRI w/w/o contrast & further seq (75561) $10,946 $10,946 24.4×
Cat Scan Follow-Up Study (76380) $1,647 $1,647 14.7×
Cerebrospinal Fluid Scan (78630) $6,639 $6,639 9.5×
Chest 1 view (71045) $1,295 $1,295 11.6×
Chest 2 views (71046) $1,610 $1,610 14.4×
Chest 3 views (71047) $1,538 $1,538 13.7×
Chest 4 or more views (71048) $2,211 $2,211 16.4×
Cholecystography Oral Contrast (74290) $794 $794 3.5×
Clavicle complete (73000) $1,295 $1,295 11.6×
Continuing medical physics consltj pr wk (77336) $1,161 $1,161 6.7×
Contrast Exam Abdominl Aorta (75625) $11,039 $11,039 2.7×
Contrast X-Ray Bladder (74430) $1,696 $1,696 3.8×
Contrast X-Ray Of Elbow (73085) $2,660 $2,660 5.9×
Contrast X-Ray Of Knee Joint (73580) $2,660 $2,660 5.9×
Contrast Xray Throat/Cerv Esopha (74210) $1,451 $1,451 6.4×
CT abdomen and pelvis without and with contrast (74178) $11,262 $11,262 25.1×
CT abdomen and pelvis without contrast (74176) $8,047 $8,047 26.2×
CT abdomen w contrast (74160) $8,121 $8,121 36.0×
CT abdomen w wo contrast (74170) $10,875 $10,875 48.2×
CT abdomen w/o contrast (74150) $8,178 $8,178 60.8×
CT Angio Abdomen and Pelvis (74174) $10,946 $10,946 24.4×
CT Angio Chest (71275) $10,946 $10,946 48.5×
CT Angio Head (70496) $7,559 $7,559 33.5×
CT angio hrt w/3d image (75574) $5,302 $5,302 11.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $9,530 $9,530 42.2×
CT Angio Neck (70498) $8,462 $8,462 37.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $8,701 $8,701 38.6×
CT cervical spine w/ contrast (72126) $10,946 $10,946 24.4×
CT cervical spine w/o contrast (72125) $10,071 $10,071 74.9×
CT cervical spine w/wo cont (72127) $8,286 $8,286 36.7×
CT chest w contrast (71260) $8,583 $8,583 38.0×
CT chest w/wo contrast (71270) $5,206 $5,206 23.1×
CT head/brain with contrast (70460) $8,121 $8,121 36.0×
CT head/brain without and with contrast (70470) $8,349 $8,349 37.0×
CT heart contrast eval cardiac structure&morph (75572) $3,948 $3,948 8.8×
CT heart no contrast quant eval coronry calcium (75571) $4,233 $4,233 37.8×
CT iac w contrast (70481) $8,462 $8,462 37.5×
CT l-spine w&w/o contrast (72133) $9,265 $9,265 41.1×
CT lower ext w/o (73700) $7,327 $7,327 54.5×
CT lower extremity w/contrast material (73701) $9,530 $9,530 42.2×
CT lumbar spine w contrast (72132) $10,946 $10,946 24.4×
CT lumbar spine w/o contrast (72131) $10,946 $10,946 81.4×
CT maxillofacial w contrast (70487) $7,559 $7,559 33.5×
CT maxillofacial wo contrast (70486) $7,559 $7,559 56.2×
CT neck tissue combo (70492) $5,402 $5,402 23.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $8,462 $8,462 37.5×
CT orbits w/o contrast (70480) $8,121 $8,121 60.4×
CT pelvis w&w/o contrast (72194) $8,121 $8,121 36.0×
CT pelvis w/o contrast (72192) $8,121 $8,121 60.4×
CT scan of leg combo (73702) $9,183 $9,183 40.7×
CT scans face/jaw combo (70488) $6,006 $6,006 26.6×
CT soft tissue neck w contrast (70491) $8,121 $8,121 36.0×
CT soft tissue neck w/o contrast (70490) $8,121 $8,121 60.4×
CT thoracic spine w contrast (72129) $10,946 $10,946 48.5×
CT thoracic spine w/o contrast (72128) $10,946 $10,946 81.4×
CT thoracic spine w/wo cont (72130) $8,286 $8,286 36.7×
CT thorax w/o contrast (71250) $8,178 $8,178 60.8×
CT upper ext wo (73200) $7,327 $7,327 54.5×
CT upper extremity w/o & w/contrast material (73202) $10,946 $10,946 48.5×
CT upper extremity with contrast (73201) $8,121 $8,121 18.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $8,728 $8,728 38.7×
Cta Abdomen (74175) $8,076 $8,076 35.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $5,475 $5,475 12.2×
CTA pelvis (72191) $4,698 $4,698 20.8×
Diskography lumbar (72295) $5,195 $5,195 2.1×
Doppler Echo Fetal Spectral Display Complete (76827) $727 $727 5.4×
Doppler Fetal Mid Cerebral Artery (76821) $891 $891 6.6×
Dxa Bone Density Axial (77080) $1,259 $1,259 9.4×
Dxa bone density study (77085) $1,298 $1,298 9.7×
Echo exam of fetal heart (76825) $3,514 $3,514 5.0×
Echo exam uterus (76831) $1,150 $1,150 3.7×
Echo Guide For Artery Repair (76936) $3,259 $3,259 11.7×
Esophagram (74220) $2,204 $2,204 9.8×
Fetal Biophys Profile W/Nst (76818) $1,983 $1,983 14.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,394 $1,394 10.4×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,878 $1,878 6.1×
Fluoroscopy up to 1 hr (76000) $2,414 $2,414 7.9×
Follow-Up Angiography (75898) $6,106 $6,106 1.5×
Foot 2 views (73620)
range across 2 matching MRF lines		 $693–$1,295 $693–$1,295 varies
Forearm 2 views (73090)
range across 2 matching MRF lines		 $858–$1,610 $858–$1,610 varies
Gastric emptying imaging study (78264) $7,244 $7,244 14.1×
Gated Heart Planar Single (78472) $2,436 $2,436 4.7×
Hand 2 views (73120)
range across 2 matching MRF lines		 $717–$1,295 $717–$1,295 varies
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $16,257 $16,257 18.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $9,146 $9,146 2.3×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $9,146 $9,146 2.3×
Hepatobil Syst Image W/Drug (78227) $6,548 $6,548 9.4×
Hepatobiliary System Imaging (78226) $6,548 $6,548 12.7×
Ht Musc Image Planar Mult (78454) $7,363 $7,363 4.4×
Ht Muscle Image Spect Sing (78451) $5,675 $5,675 3.4×
Hysterosalpingogram (74740) $1,860 $1,860 6.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,070 $1,070 9.6×
Infant hip ultrasound, limited static exam (76886) $1,755 $1,755 15.7×
Interstitial radiation source applic complex (77778) $3,794 $3,794 4.2×
K Flow/Funct Image Multiple (78709) $5,814 $5,814 8.3×
K Flow/Funct Image W/Drug (78708) $2,964 $2,964 4.2×
K Flow/Funct Image W/O Drug (78707) $6,639 $6,639 9.5×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $2,660 $2,660 5.2×
Knee 3 Views (73562) $787 $787 7.0×
Liver imaging static only (78201) $2,436 $2,436 3.5×
Liver imaging w/vascular flow (78202) $5,235 $5,235 7.5×
Lung Perf&Ventilat Diferentl (78598) $4,709 $4,709 6.7×
Lung Ventilat&Perfus Imaging (78582) $6,775 $6,775 9.7×
Lymph System Imaging (78195) $3,651 $3,651 5.2×
Magnetic Image Jaw Joint (70336) $6,203 $6,203 20.2×
Meckels Divert Exam (78290) $4,469 $4,469 8.7×
Mlc imrt design & construction per imrt plan (77338) $3,985 $3,985 8.3×
Mra Head W/O & W/Contrast Material (70546) $13,665 $13,665 30.5×
MRA head w/o contrast (70544) $9,056 $9,056 29.5×
MRA head with contrast (70545) $9,657 $9,657 21.5×
MRA neck w contrast (70548) $8,462 $8,462 18.9×
Mra Neck W/O &W/Contrast Material (70549) $14,485 $14,485 32.3×
MRA neck w/o contrast (70547) $8,121 $8,121 26.5×
MRI abdomen w contrast (74182) $9,025 $9,025 20.1×
MRI abdomen w/o contrast (74181) $8,462 $8,462 27.6×
MRI any jt lower extrem w/contrast material (73722) $9,025 $9,025 9.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $14,249 $14,249 31.8×
MRI any jt upper extremity w/contrast matrl (73222) $8,406 $8,406 8.3×
MRI Breast W/O Contrast Bilateral (77047) $6,939 $6,939 22.6×
MRI Breast Without Contrast Material Unilateral (77046) $4,359 $4,359 14.2×
MRI cardiac w/o contrast (75557) $6,793 $6,793 22.1×
MRI cervical spine w contrast (72142) $10,946 $10,946 24.4×
MRI cervical spine w/o cont (72141) $8,462 $8,462 27.6×
MRI chest w/o contrast (71550) $9,025 $9,025 29.4×
MRI chest with contrast (71551) $9,590 $9,590 9.5×
MRI chest wo w contrast (71552) $14,103 $14,103 31.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $10,946 $10,946 24.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $9,530 $9,530 21.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $9,251 $9,251 30.1×
MRI lumbar spine w contrast (72149) $10,946 $10,946 24.4×
Mri Neck Spine W/O & W/Dye (72156) $14,485 $14,485 32.3×
MRI orbit face &/neck w/o contrast (70540) $8,462 $8,462 27.6×
MRI orbit face neck w contrast (70542) $10,231 $10,231 22.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $14,810 $14,810 33.0×
MRI pelvis w contrast (72196) $6,521 $6,521 14.5×
MRI pelvis w/o & w contrast (72197) $12,974 $12,974 28.9×
MRI pelvis w/o contrast (72195) $8,121 $8,121 26.5×
MRI spectroscopy (76390) $6,891 $6,891 61.6×
MRI thoracic spine w/o contrast (72146) $9,025 $9,025 29.4×
MRI upper extremity oth than jt w/contr matrl (73219) $5,977 $5,977 13.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $10,875 $10,875 35.4×
Mri Uppr Extremity W/O&W/Dye (73220) $8,116 $8,116 18.1×
MRI, abdomen, combo (74183) $15,903 $15,903 35.4×
MRI, dorsal spine combo (72157) $14,485 $14,485 32.3×
MRI, dorsal spine contrast (72147) $10,435 $10,435 23.3×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines		 $4,488–$8,121 $4,488–$8,121 varies
MRI, joint upper extrem combo (73223) $14,249 $14,249 31.8×
MRI, lumbar spine combo (72158) $14,485 $14,485 32.3×
Myelogram cervical (72240) $5,071 $5,071 5.0×
Myelogram Lumbar (72265) $3,600 $3,600 3.6×
Myelograpy 2/more regions rs&i (72270) $6,639 $6,639 6.6×
Myocardial Imaging Pet Metabolic Evaluation (78459) $9,893 $9,893 5.9×
Myocardial Spect Multiple Studies (78452) $10,139 $10,139 6.1×
Neck soft tissue (70360) $854 $854 7.6×
Nonvascular Shunt X-Ray (75809) $664 $664 4.9×
Ntsty modul radthx pln dose-vol histos (77301) $11,729 $11,729 6.6×
Nuclear Rx Oral Admin (79005) $5,198 $5,198 17.3×
Ob us nuchal meas 1 gest (76813) $913 $913 6.8×
Parathyroid Planar Imaging (78070) $5,675 $5,675 11.0×
Pelvis 1 or 2 views (72170) $1,295 $1,295 9.6×
Pet Image Skull-Thigh (78812) $9,700 $9,700 5.3×
Pet Image W/Ct Lmtd (78814) $9,098 $9,098 4.9×
PET image w/CT, full body (78816) $17,195 $17,195 9.3×
PET imaging CT attenuation skull base mid-thigh (78815) $21,724 $21,724 11.8×
PET whole body (78813) $15,833 $15,833 8.6×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $9,146 $9,146 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $2,211 $2,211 16.4×
Radex abscess/fistula/sinus tract rs&i (76080) $1,610 $1,610 2.3×
Radex Ankle Complete Minimum 3 Views (73610) $1,610 $1,610 14.4×
Radex Calcaneus Minimum 2 Views (73650) $1,295 $1,295 11.6×
Radex elbow complete minimum 3 views (73080) $1,610 $1,610 14.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,992 $1,992 14.8×
Radex fingr minimum 2 views (73140) $1,295 $1,295 11.6×
Radex foot complete minimum 3 views (73630) $1,610 $1,610 14.4×
Radex Hand Minimum 3 Views (73130) $1,610 $1,610 14.4×
Radex lower extremity infant minimum 2 views (73592) $1,295 $1,295 11.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $1,218 $1,218 9.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,300 $1,300 11.6×
Radex Ribs Unilateral 2 Views (71100) $772 $772 6.9×
Radex shoulder complete minimum 2 views (73030) $1,755 $1,755 15.7×
Radex Sinuses Paransl < 3 Views (70210) $1,096 $1,096 9.8×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $4,709 $4,709 20.9×
Radex Spine 1 View Specify Level (72020) $1,096 $1,096 9.8×
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines		 $669–$1,295 $669–$1,295 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $971 $971 8.7×
Radex Toe Minimum 2 Views (73660) $1,295 $1,295 11.6×
Radex upper extremity infant minimum 2 views (73092) $1,610 $1,610 12.0×
Radex Wrist Complete Minimum 3 Views (73110) $1,420 $1,420 12.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,686 $1,686 12.5×
Radiation Delivery Stereotactic Cranial Linear (77372) $38,026 $38,026 4.0×
Radiation treatment delivery level 3 (77412) $2,451 $2,451 3.4×
Radiolog exam mandible compl minimum 4 views (70110) $1,992 $1,992 14.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,538 $1,538 11.4×
Radiologic exam colon double contrast study (74280) $3,774 $3,774 16.7×
Radiologic exam colon single contrast study (74270) $3,200 $3,200 14.2×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,653 $1,653 7.3×
Radiologic exam knee complete 4/more views (73564) $1,610 $1,610 12.0×
Radiologic exam pelvis compl minimum 3 views (72190) $1,610 $1,610 12.0×
Radiologic Exam Small Int Single Contrast Study (74250) $2,211 $2,211 9.8×
Radiologic exam swallow function contrast study (74230) $2,211 $2,211 9.8×
Radiologic exam upr gi trc double contrast study (74246) $2,660 $2,660 11.8×
Radiologic examination femur 1 view (73551) $514 $514 4.6×
Radiologic examination femur minimum 2 views (73552) $1,610 $1,610 14.4×
Radiologic examination knee 1/2 views (73560) $1,610 $1,610 14.4×
Radiologic Examination Osseous Survey Limited (77074) $1,268 $1,268 9.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines		 $743–$1,295 $743–$1,295 varies
Ribs bilateral 3 views (71110) $1,617 $1,617 12.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $4,228 $4,228 8.2×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $5,071 $5,071 9.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,235 $5,235 7.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,675 $5,675 8.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $6,639 $6,639 9.5×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $5,097 $5,097 3.1×
Rp Therapy Intravenous Administration (79101) $3,864 $3,864 12.9×
Scapula (73010) $1,295 $1,295 9.6×
Screening Digital Breast Tomosynthesis Bi (77063) $89 $89 3.8×
Shoulder 1 view (73020) $1,295 $1,295 11.6×
Shoulder Arthrography (73040) $2,660 $2,660 5.9×
Skull less than 4 views (70250) $1,087 $1,087 8.1×
Special dosimetry (77331) $695 $695 4.0×
Special Physics Consult (77370) $1,869 $1,869 10.8×
Special teletherapy port plan (77321) $4,258 $4,258 8.8×
Special treatment procedure (77470) $4,279 $4,279 6.0×
Stereotactic Body Radiation Delivery (77373) $8,467 $8,467 3.7×
Sternoclavicular joints (71130) $895 $895 8.0×
Superior sagittal sinus venogram (75870) $8,942 $8,942 2.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $5,780 $5,780 12.0×
Testicular Imaging W/Flow (78761) $3,259 $3,259 6.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $4,475 $4,475 9.3×
Ther rad simulaj-aided field setting simple (77280) $3,988 $3,988 23.1×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $812 $812 3.6×
Thoracic spine 2 views (72070) $1,022 $1,022 7.6×
Thoracic spine 3 views (72072) $1,506 $1,506 11.2×
Thoracolumbar 2 views (72080) $1,295 $1,295 11.6×
Thyroid Met Imaging Body (78018) $5,071 $5,071 7.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $4,166 $4,166 8.1×
Tx Devices Design & Construction Complex (77334) $2,909 $2,909 6.0×
Tx devices design & construction intermediate (77333) $1,178 $1,178 6.8×
Tx devices design & construction simple (77332) $1,178 $1,178 6.8×
Ultrasound Breast Limited (76642) $1,694 $1,694 15.1×
Ultrasound, abdomen limited (76705) $2,660 $2,660 19.8×
Umbilical-artery Doppler (OB) (76820) $891 $891 6.6×
Unlisted Dx Radiographic Procedure (76499) $361 $361 3.2×
Unlisted magnetic resonance procedure (76498) $4,890 $4,890 43.7×
Upper gi w/o kub (74240) $2,058 $2,058 9.1×
Urethrocystogram voiding (74455) $1,696 $1,696 5.5×
Urethrocystography retrograde (74450) $1,696 $1,696 5.5×
Us breast unilateral complete (76641) $1,694 $1,694 12.6×
Us chest (76604) $2,056 $2,056 15.3×
Us complete joint (76881) $2,960 $2,960 22.0×
Us exam, pelvic, limited (76857) $971 $971 7.2×
Us head (76506) $1,150 $1,150 8.6×
Us kidney transplant (76776) $828 $828 6.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $2,660 $2,660 19.8×
Us ob detailed single fetus (76811) $1,581 $1,581 5.2×
Us ob limited 1 or more fetuses (76815) $1,439 $1,439 10.7×
Us ob transvaginal (76817) $1,070 $1,070 8.0×
Us pelvic non ob complete (76856) $3,259 $3,259 24.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,414 $2,414 18.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $2,273 $2,273 16.9×
Us retroperitoneal complete (76770) $3,864 $3,864 28.7×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $510–$608 $510–$608 varies
Us scrotum and contents (76870) $3,259 $3,259 24.2×
Us spinal canal and contents (76800) $1,150 $1,150 8.6×
Us thyroid (76536) $2,777 $2,777 20.7×
Us transrectal (76872) $1,549 $1,549 11.5×
Vein X-Ray Chest (75827) $9,056 $9,056 4.5×
Vein X-Ray Liver W/O Hemodyn (75887) $9,146 $9,146 2.3×
Vein X-Ray Spleen/Liver (75810) $9,096 $9,096 2.2×
Venogram Sinus/Jugular (75860) $9,146 $9,146 2.3×
Venography caval inferior serialography rs&i (75825) $7,427 $7,427 1.8×
Venography extremity bilateral rs&i (75822) $9,352 $9,352 4.6×
Venography extremity unilateral rs&i (75820) $5,047 $5,047 2.5×
Venography Renal Bilateral (75833) $7,463 $7,463 1.8×
Venography Renal Unilateral (75831) $6,985 $6,985 1.7×
Venous sampling by catheter (75893) $9,096 $9,096 1.3×
Wrist 2 views (73100)
range across 2 matching MRF lines		 $693–$1,295 $693–$1,295 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,295 $1,295 11.6×
X-ray antegrade pyelogram tube (74425) $2,170 $2,170 4.8×
X-Ray Aorta Leg Arteries (75630) $9,012 $9,012 2.2×
X-Ray Bend Only L-S Spine (72120) $1,295 $1,295 9.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,295 $1,295 11.6×
X-Ray Exam Breast Specimen (76098) $738 $738 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $1,000 $1,000 8.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,087 $1,087 8.1×
X-Ray Exam Hip Uni 1 View (73501) $1,295 $1,295 11.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $1,617 $1,617 14.4×
X-Ray Exam Hip Uni 4/> Views (73503) $1,511 $1,511 11.2×
X-Ray Exam Hips Bi 2 Views (73521) $1,617 $1,617 12.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,607 $1,607 12.0×
X-Ray Exam Hips Bi 5/> Views (73523) $914 $914 6.8×
X-Ray Exam L-S Spine Bending (72114) $2,204 $2,204 16.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,295 $1,295 11.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,266 $2,266 16.9×
X-Ray Exam Unilat Ribs/Chest (71101) $1,610 $1,610 12.0×
X-ray eye for foreign body (70030) $1,150 $1,150 10.3×
X-ray humerus (73060)
range across 2 matching MRF lines		 $1,295–$1,359 $1,295–$1,359 varies
X-ray IV pyelogram (ivp) (74400) $3,259 $3,259 14.4×
X-ray IV pyelogram+tomography (74415) $4,709 $4,709 20.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,164 $1,164 10.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $971 $971 8.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,610 $1,610 12.0×
X-ray nose-rectum child f.b. (76010) $2,660 $2,660 23.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,910 $1,910 14.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,610 $1,610 12.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $1,295 $1,295 9.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,696 $1,696 15.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,360 $1,360 12.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,992 $1,992 14.8×
X-ray thoracic spine 4 vw (72074) $2,204 $2,204 16.4×
X-Ray Tmj Unilat (70328) $527 $527 4.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,855 $1,855 4.1×
X-Rays Bone Length Studies (77073) $1,153 $1,153 8.6×
X-Rays Bone Survey Complete (77075) $3,259 $3,259 24.2×
Xr c-spine 4 or 5 views (72050) $2,204 $2,204 16.4×
Xr facial bones less than 3 views (70140) $1,774 $1,774 15.8×
XR Mastoids < 3 Views Bilateral (70120) $403 $403 3.0×
Xr orbits complete 4 views (70200) $1,394 $1,394 10.4×

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.